Frequently Asked Questions
What types of clients does Canyon Manor treat?
2. Clients who pose a danger of injury or threat of injury to others
3. Clients having sexual offenses involving assault or child molestation
4. Clients who are charged or have been convicted of arson
5. Clients who abuse or are addicted to alcohol or drugs who have not been detoxified.
6. Clients with uncontrolled epilepsy.
not be admitted. 4. If a client becomes imminently dangerous to self or others, he/she will be
immediately transferred to the proper and appropriate treatment facility.
What kind of medical care is provided for the clients?
Primary medical care services are offered in our Canyon Manor medical clinic. A primary care family nurse practitioner is available on the premises 15-20 hours weekly for evaluation of physical problems. Medical Clinic is held twice weekly with our medical doctor from the community. Every newly admitted client receives a basic physical examination, routine medical laboratory test, and tuberculosis screening, nutritional, dental and vision assessment. Outside specialty consultants are ordered as needed. Coordination of all-in house and community-based medical care orders are the responsibility of the nursing staff, who maintain a high level of surveillance regarding resident needs, both physical and psychiatric.
How is a Client’s personal money managed and how much is appropriate for a family to contribute weekly?
Canyon Manor has a banking program which resident’s are encouraged to utilize as a portion of the treatment program which endeavors to build practical skills for living in the community. Banking is conducted one afternoon a week. Each client will have an account to which they can deposit and from which they can withdraw needed funds. Most clients ( who are Medicaid/Medi-Cal eligible) receive a monthly amount from SSI and/or SSD for discretionary spending. The maximum amount of money which a conserved client may receive is determined by the conservator (when applicable). Money management is an important and necessary skill for all of our clients to learn and develop. Families who are interested in contributing funds to a specific client on a regular basis should consult the Social Service Worker as to advisability, amount, and method.
What is Canyon Manor’s Level System?
Level I:A. ADL/Self Care – You are able to do the basic self-care tasks some of thetime, with direct assistance and/or moderate to maximum supervision by staff.B. Treatment Compliance – You receive staff assistance/frequent reminders, in taking your medications and/or complying with lab tests, treatments, other testing ordered by you physician, depending upon you right to refuse.C. Behavior Control – You may require staff assistance in controlling your behavior and/or taking PRNs.D. Program Participation – You may need staff assistance/reminders to attend and participate in Program groups and activities. You are attending some Core groups. You are working towards earning 108 units (27 hours) of Program participation each week**PASSES: If you have been able to do your ADLs, comply with your treatment and control your behavior for at least 2 weeks you may be able to qualify for a Staff Escorted Pass or one or more Patio Passes.
Level 2: A. ADL/Self Care – You are able to do basic self – care tasks most of the time with moderate to minimal staff supervision and reminders.B. Treatment Compliance – You are able to comply with your medications, labs and treatments with only a few (moderate to minimum) staff reminders most of the time, depending upon your right to refuse.C. Behavior Control – You only require staff reminders to control your behavior and/or take PRNs.D. Program Participation – You only require staff reminders to attend and participate in Program groups and activities. You are attending at least 7 Core* groups per week. You are earning 80 units of Program participation each week.**PASSES: If you have met the standards for Level 2, for at least 2 weeks, in ADLs, Treatment Compliance, Behavior Control and Program Participation, you may qualify for a Staff Escorted Pass or one or more Progress Passes.
Level 3:A. ADL/Self Care – You are able to do basic self-care tasks almost all of the time with minimal staff reminders.B. Treatment Compliance – You are able to comply with your medications, labs and treatments with just one reminder, depending upon your right to refuse.C. Behavior Control – You are able to control your behavior consistently. You often ask for PRNs on your own. Staff only have to suggest it on occasion.D. Program Participation – You can remember to attend your groups on your own most of the time. Staff only have to remind you occasionally. You are earning at least 108 units and attending at least 10 Core groups each week.**PASSES: If you have met the standards for Level 3, for at least 2 weeks, in ADLs, Treatment Compliance, Behavior Control and Program Participation, you may qualify for Peer Passes.
Level 4:A. ADL/Self Care – You are completely independent with all ADL and Self-Care tasks.B. Treatment Compliance – You do not need reminders to comply with your medications, lab work or treatments.C. Behavior Control – You can control your behavior consistently. You either do not need PRNs or you know when to ask for them on your own.D. Program Participation – You are earning 108 units per week consistently and are actively participating in at least 12 Core groups each week.**PASSES: If you have met the standards for Level 4, for at least 2 weeks, in ADLs, Treatment Compliance, Behavior Control and Program Participation, you may qualify for Alone Passes.* Core Groups: Core groups are those groups indicated on the Program Schedule in the gray boxes. They are considered to be “core or central to your work in the Canyon Manor Treatment Program. Involvement in these Core groups is considered essential to your overall participation and eventual progress.
What is Canyon Manor’s pass program?
Canyon Manor Pass ProgramAll Canyon Manor Passes are subject to qualification via the Canyon Manor Level Criterion and to Staff discretion. Passes are a privilege and Staff can revoke that privilege if assessed as appropriate to do so.
*Special Passes – Special Passes are those passes that are arranged beforehand (so that Staff can prepare any necessary medications, coordinate transportation, plans, etc.) and usually involve family or friends taking Clients out of the building upon Level Criterion, but applicants for Special Passes must be assessed by Staff as able to “handle” the Pass in question.
*Staff Escorted Passes – Staff Escorted Passes are outings whereby Staff take one or more Clients out into the community, in order to assess how they tolerate situations outside the facility and whether or not they are candidates for more liberal Pass privileges.
*Patio Passes – Patio Passes are one hour passes from 3:30 p.m to 4:30 p.m., up to a maximum of three times per week. They are limited to the front Patio area only. Anyone on a Patio Pass who leaves the Patio area is considered AWOL and will lose all other privileges.
*Progress Passes – Progress Passes are three hour passes into the community with a Peer, up to a maximum of four times per week. Peers must have a mutually agreed upon Pass plan and stay together for the duration of the pass.
*Peer Passes – Peer Passes are four hour passes into the community with a Peer, up to a maximum of nine times per week.
*Alone Passes – Alone Passes are four passes into the community alone (or with a Peer if desired) for a maximum of nine times per week.
What information can the staff give you without the consent of the client?
— The client’s AWOL (absent without leave) status and whereabouts if known.
— The client’s transfer to another facility;
— Any emergency medical information, i.e., serious physical illness;
— The client’s general condition.
What if I want more information than the above?
With the client’s written consent, designated facility staff may share with you information pertaining to diagnosis, medication issues, and treatment progress. The Social Services Worker is your contact person in this situation. If the above information is unsatisfactory, following approval of the facility and written consent by the client and the conservator (when applicable) , review of the health record is possible. Records from other mental health facilities and certain legally specified types of privileges communications may not be shared even under these circumstances. Contact the Social Services Worker in this situation as well.
Does the Medical Director review all clients medications and treatments, even if they have a private psychiatrist?
Any client who is referred to Canyon Manor without a private psychiatrist is assigned to one, following admission, from a panel of independent practitioners. The Medical Director and various clinical staff members regularly meet with the private psychiatrist who have been assigned to our clients to review client’s progress and to make treatment suggestions. The Medical Director is also chairman of the Medication review Committee at Canyon Manor which regularly reviews individual medication regimens and makes consultative recommendations to the attending private psychiatrist regarding treatment. Generally, clients are visited by their psychiatrist once a week, depending on clinical need. In addition, our Pharmacy Consultant provides monthly reviews of client medication regimen to ensure compliance with recommended treatment management.
What are the house rules clients must observe?
2. Clients are allowed personal belongings which can be accommodated in one locker, one dresser, and one bedside stand. Clients are encouraged to mark their own belongings for easy identification and are discouraged from keeping valuables in the facility. Locks are issued to each client upon admission to keep belongings secure. Families are requested to store any excess items that the client may own. Personal televisions, razor blades, and any items considered to be potential hazards (knives, firearms, etc.) are not to be brought into or kept in the facility.
3. Smoking is allowed only in outside areas and only under the supervision of staff.
There are 4 smoke breaks scheduled throughout the day. Clients who choose to smoke can buy into the Canyon Manor smoking program for a set fee per month. Clients are not permitted to hold smoking materials inside the facility. Staff hold all smoking materials.
4. Clients are encouraged and expected to do their own laundry, at no charge, using Canyon Manor facilities and equipment. Clients are assisted as needed.5. Medications (including over-the-counter drugs) not prescribed within the facility are discouraged and must be given to nursing staff if brought into the facility.6. Violence and/or the use or possession of alcohol or illicit drugs is not allowed.7. When a client is absent without leave, their AWOL status is reported to the conservator (when applicable), the physician, the Novato Police Department, and the family if so requested.8. Clients who are unable to comply with house rules are managed on an individual basis, but may not be allowed to stay at Canyon Manor if their behavior persists.
Are families allowed to bring food?
Canyon Manor provides three well balanced, nutritious meals daily at 8:00am, 11:45am noon, and 5:00pm. Snacks are available in the evenings, and coffee breaks are held at 10:00am and at evening time. Families may dine at Canyon Manor by prior arrangement for a minimal charge. Families who wish to bring in additional food are encouraged to bring only nutritious snack foods in small amounts and in resealable containers. Canyon Manor does not provide refrigeration or storage. Any clients requiring or requesting special diets or double portions are referred to medical clinic for appropriate orders. Clients on special or restricted diets may not have food brought in from outside without prior approval. Caffeinated beverages (coffee, tea, coca-colas) may interfere with prescribed medications and are therefore not allowed at Canyon Manor. Again, clients who are unable to comply with the above or other expectations, i.e., appropriate storage of food stuffs, smoking materials, are restricted on an individual basis.
Who can I talk to at Canyon Manor if I need information about my family member?
All Canyon Manor clients are immediately assigned to a Social Services Worker. Please direct concerns regarding information to the Social Services Worker, who is generally available Monday through Friday, 8:00 am to 4:00 pm. To find out who the Social Worker is, call Canyon Manor’s business telephone number (415) 892-1628 and ask for the Social Services Department. Leave your name and number if the Social Services Worker is not immediately available so that your call may be returned as soon as possible. After 4:00pm weekdays or on weekends, ask for the “shift supervisor”. This person can speak to your immediate concerns and refer you if necessary to the appropriate Social Services Worker for further information. If urgent or emergency concerns are not handled to your satisfaction, you may ask the shift supervisor to have the “on-call administrator contact you as soon as possible. If you need further assistance, you may contact any of the administrative staff (see introduction) during regular business hours.
Who determines and decides length of stay at Canyon Manor?
It is recommended that the treating psychiatrist, Canyon Manor clinical staff, county social services, and conservator (when applicable) make these decisions collaboratively with the client. Average length of stay at Canyon Manor is 8-16 months. Post discharge placement is determined by social service personnel at community mental health services in the client’s county of origin or collateral support agencies and may depend on availability of appropriate placement accommodation.
Can a relative change the psychiatrist?
The legal right to choose a doctor is a prerogative of all voluntary clients. Conserved clients do not possess this right, which is vested in the mental health conservator. Should a client or family member be dissatisfied with the services provided by an attending psychiatrist, open discussion among the client, the doctor, and the family member is recommended. If the problem is not solved at this level, contact the social service worker who may choose to include the Medical Director, county case manager, and conservator as needed in further examination of the problem.
How can the family play an active part in the client’s recovery?
What is your religious affiliation, if any?
We are Non-denominational.
What are the results of treatment at Canyon Manor?
Canyon Manor has been tracking treatment outcome for the last 18 months and the results are dramatic. Below is a bar graph representing client’s improvement over time. Clients stability was rated at discharge on a 1 to 4 scale indicated along the vertical axis. 1 was no improvement or became less stable, 2 was stayed about the same as when admitted, 3 is clear progress in stability, and 4 is dramatic improvement. The horizontal axis is the length of time at Canyon Manor at discharge with the left side starting at a few days and going to over a year on the far right. This chart is able to visually display longer treatment time at Canyon Manor is associated with better outcomes. Over time clients tend to improve, becoming increasingly stable. Very few clients who discharged after 6 months showed little or no improvement. Nearly all clients made a clear improvement and several were dramatically more stable by one year. In general, the longer a client is treated at Canyon Manor prior to discharge the greater their level of rehabilitation. This level of improvement is likely to result in their ability to function successfully in a less restricted environment, such as a board and care home or independent living. Greater improvement and increased stability may also result in a decreased need to return to psychiatric hospitalization or require police involvement.
How are medications prescribed?
When does a client get discharged?
How do I send my family member funds?
Family support is appreciated by all Canyon Manor staff and it is not uncommon for family to ask how to send money to their family member. A personal check can be sent but it is important to note that it takes 10 business days for it to clear.
When can I visit a family member?
What can I bring to a family member?
Do clients get to go shopping?
If a client wants to shop for clothing and their finances allow it, a Social Services Worker can take the client shopping. This is different and is generally done with only one client and one staff.
What can family do to help?
Clients value contact with their family and supportive people in their lives outside of Canyon Manor. Clients very much enjoy phone contact and passes with their loved ones. When speaking with clients who are struggling, one can always tell them to speak with their Social Services Worker. Most clients’ goal is to be discharged as soon as possible. This is also the goal of the staff however; one would not want to discharge a client prematurely. It can cause harm to a client’s treatment rather than a successful discharge. If relevant to a conversation one is having with a client emphasize the importance of working the program at Canyon Manor. The four main areas include hygiene, behavior, medication, and group participation. Maintaining and working on sobriety as well as acknowledging the need to continue their medications after discharge should also be encouraged. Passes are a way to demonstrate their ability to be in the community without using illegal or dangerous substances and without causing difficulties to other community members. Problematic behaviors include loitering, panhandling, approaching strangers, touching others, not staying with their pass partners, or not returning on time. Purchasing items not allowed at Canyon Manor and bringing these items back into the building is also against the rules and will result in their passes being cancelled for a period of time. Such items include but are not limited to caffeine pills or drinks, cigarettes and lighters.