Person-and Family-Centered Services


Welcome to Sojourner Recovery Services’ training on Person- and Family-Centered Services.  Below you will find some general information on this subject as well as agency policy regarding meeting the needs of our clients. This is not intended to be a comprehensive training and further training may be required.  If you have questions or concerns, please contact your supervisor or an administrator.



Sojourner Recovery’s services are based on the strengths, needs, abilities, preferences, desired outcomes, and cultural background of the person or family served. 


Individual treatment plans are developed with the input of the person and/or family served.  Person- and family-centered services are a way of identifying what people want to achieve and what kind of supports they need to reach those goals, hopes or dreams.  The process considers the needs and goals of the person or family served and develops or directs those services to be provided in a manner that reflects and responds to those needs and goals. 


      In compliance with federal and state regulations, Sojourner Recovery Services serves only those whose needs are compatible with our services and meet program admission criteria.  If the person’s needs are more appropriately addressed by another service provider, a referral will be facilitated.  

      Sojourner Recovery addresses all geographical, physical, financial, architectural, environmental, attitudinal, employment, communication, and transportation barriers to services for all persons served, and any other barrier identified by staff, clients, or other stakeholders.  Sojourner Recovery also acts as a referral system to ensure that the persons served may use other accessible resources.

      Culturally sensitive and responsive individual plan development and service delivery are provided, while taking account of attitudinal barriers of staff and persons served.   Financial barriers to services are identified at assessment and addressed appropriately.

      We identify and attempt to remove any physical, environmental, or architectural barriers that impede access to services by persons served.  Input from persons served regarding accessibility is obtained from our client satisfaction surveys results and timely response to clients’ recommendations for improvement. A referral source satisfaction survey is also conducted to gain input from other community stakeholders.

      Sojourner Recovery is a resource for the successful development of opportunities for persons with disabilities, including employment, recreational, volunteer, housing, and social opportunities. Sojourner Recovery Services staff make concerted efforts to identify, link, and refer clients to opportunities for their successful development in these areas from initial contact, assessment, treatment through to discharge from care.

     We strive to identify and provide reasonable accommodations to enable all persons served to participate in program activities.  If, after review, clients are not able to access services due to transportation, a referral to other community resources to a provider that can be accessed effectively by the client will be made and documented.  Sojourner will be responsible for maintaining contact with the client until acceptance/admission of the client to the other provider is completed. These activities will also be documented.

Sojourner Recovery provides:

1.      Sensitivity to ethnic and cultural differences among people.

2.      Promoting freedom of choice among therapeutic alternatives for the person receiving services.

3.      As clinically appropriate, provision that no person served shall be denied access to any service based on their refusal to   accept other services recommended by the agency.

Minimum criteria for appropriateness of services includes:

1.      Provision of services in the least restrictive setting.

2.      Delivery of services in the natural environment of the person receiving services as appropriate.

3.      Continuity of therapeutic relationships.

4.      Perceived needs of the person receiving services.

5.      Culturological assessment.

Minimum criteria for appropriateness of services for persons with a disability also includes assessment of needs and advocacy with other systems or organizations to meet those needs if Sojourner does not provide such services. Such needs and advocacy shall include:

1.      Mental Health Service Needs

2.      Housing

3.      Employment and/or Educational Status

4.      Health

5.      Income

6.      Recreation

7.      Cultural Characteristics

8.      Spiritual Needs

9.      Family

10.   Social


Limited-English-Proficiency Persons 


  Sojourner Recovery provides for communication with limited-English-proficient persons including clients, family, and interested persons.  Agency procedures ensure that information is communicated to limited-English-proficient persons in a        language which they understand. An effective exchange of information between staff and clients and/or families while services are being provided is arranged.  Translators are used during intake, admission, explaining rules and signing consents, releases and all other forms, groups, psychosocial assessments, lectures and individual counseling.  When a translator is needed, direct service staff asks the VP/COO to arrange for the appropriate service. When consent forms, waivers of rights and information about services, benefits, requirements, etc. are needed to be translated, the VP/COO arranges for that through a translation service.  Sojourner Recovery Services reserves the right to exercise discretion as to when an interpreter is necessary as routine communications may not require an interpreter


  Family members or friends of the limited-English-proficient person may not be used as translators unless specifically requested by the individual, after an offer of a translator has been made by the agency.  Such a response must be documented in the client file. Other clients are specifically prohibited from translating to ensure confidentiality of information and accurate communication.  Limited-English proficient clients and family members and significant others are provided communication assistance at no additional cost.


Hearing Impaired and Sensory Impaired Persons


      Sojourner Recovery Services utilizes the TDD machine that is available through First Call For Help of Middletown United Way. This number is available to all prospective clients.  Sojourner provides qualified sign-language interpreters and other auxiliary aids to sensory-impaired persons where necessary to afford such persons an equal opportunity to benefit from the services provided. Interpreters are available at no cost to the client.  As part of the intake process, all hearing impaired clients are asked how they communicate most effectively.  If an existing staff member is qualified to interpret, supervisors must allow them to be relieved of their regular duties.  Any request to use family or friends by the hearing impaired person following the offer by the facility to provide an interpreter is to be documented in the file and will be honored unless the facility feels the person selected is not sufficiently qualified and elects to provide another interpreter. Documentation will include a written statement signed by the client or responsible party.  Interpreters are used during intake, admission, explaining rules and signing consents, releases and all other forms, groups, psychosocial assessments, lectures and individual counseling.  Sojourner Recovery Services reserves the right to exercise discretion as to when an interpreter is necessary as routine communications may not require an interpreter.

      Written material will be read aloud to sensory impaired clients. Other resources such as the Alcoholics Anonymous Book and other required reading are available in Braille or audio tape.  Auxiliary aids for sensory-impaired clients, family members or significant others will be provided at no additional cost.




It is the intention and policy of Sojourner Recovery to offer quality treatment that meets the individual needs and desires of all persons served, regardless of the existence of barriers to treatment provision.



Quiz Instructions:

1. Click on the link below to access the quiz

2. Print the page

3. Complete the quiz

4. Submit the completed quiz to your supervisor

Person- And Family-Centered Services Quiz