In order to successfully complete stage IV, the individual, within a 90-day period, must meet all preliminary treatment plan goals that will include: 1. Submit 6 urines (minimum of 2 per month and as requested by treatment team), only 2 of which, in 90 days, can be positive for substance use. A client will also be considered positive by self-report. 2. Attend all 5 therapeutic groups, which will include but not be limited to topics such as parenting skills/issues, addiction issues, dual diagnosis issues (including the role of past trauma in current addiction - TREM) life skills and women’s issues on a weekly basis with a 90% minimum attendance rate (i.e., no more than two unexcused absences per month with a 5 day a week attendance requirement). 3. A. Attend minimum of 1 individual session per week and as scheduled. By the end of this stage, client will be able to identify: Typical self rationalizations (excuses/reasons) for use Triggers and patterns (People, Places and Things) Obsessive thinking List of negative consequences for use (reasons not to use) List of support people and means of contact    B. Complete any therapeutic exercises/homework as assigned. 4. Meet with program psychiatrist within the first 30 days of entering the program, attend all subsequently scheduled appointments with the psychiatrist and take all medications as prescribed, if applicable. 5. Meet with the program case manager with the first 30 days. 6. Meet with the child development staff within the first 30 days 7. A. Attend minimum of 1 weekend (Friday/Saturday/Sunday) AA/NA/CA meeting per week and 1 additional meeting per week (client will be required to submit regular meeting confirmation slips signed by AA/NA/CA meeting leader).    B. Obtain temporary sponsor and identify potential permanent sponsor. 8. Achieve any other short term goals (as agreed upon by client and treatment team) listed on preliminary treatment plan and participate in the development of the comprehensive treatment plan.

In order to successfully complete stage III, the individual must have successfully completed stage IV and within a 90-day period must: 1. Submit 6 urines (minimum 2 per month and as requested by treatment team), only 1 of which in 90 days can be positive for substance use. A refusal is considered a positive. A client will also be considered positive by self-report. 2. Attend all therapeutic groups as required by current comprehensive treatment plan, which will include but not be limited to topics such as parenting skills/issues, addiction issues, dual diagnosis issues (including the role of past trauma in current addiction - TREM) life skills and women’s issues on a weekly basis, with a 90% minimum attendance rate (i.e., no more than 2 unexcused absences per month with a 5 day a week attendance requirement). 3. A. Attend minimum of 1 individual session per week and as scheduled. By the end of this stage, client will be able to identify: Alternatives to using Losses associated with past use Ongoing mental health issues/symptoms which may be present Spiritual needs (if applicable)    B. Complete any therapeutic exercises/homework as assigned. 4. Attend all scheduled appointments with the psychiatrist (if applicable) and take all medications as prescribed (if applicable).    A. Attend minimum of 1 weekend (Friday/Saturday/Sunday) AA/NA/CA meeting per week and 1 additional meeting per week (client will be required to submit regular meeting confirmation slips signed by AA/NA/CA meeting leader).    B. Obtain permanent sponsor. 5. Make an honest, positive contribution (as determined by treatment team and peers) in group sessions at least once per week. 6. Complete initial short-term therapeutic goals from comprehensive treatment plan. 7. Meet as needed with the program case manager re: assistance with housing, employment, referrals for medical treatment for self and children (if applicable).

In order to successfully complete stage II, the individual must have successfully completed stage III and within a 90-day period must: 1. Submit minimum of 6 urines (minimum 2 per month and as requested by treatment team) for 90 consecutive days, none (0) of which are positive for substance use. A refusal is considered a positive. A client will also be considered positive by self-report. 2. Attend all therapeutic groups as required by current comprehensive treatment plan, which will include but not be limited to topics such as parenting skills/issues, addiction issues, dual diagnosis issues (including the role of past trauma in current addiction - TREM) life skills and women’s issues on a weekly basis with a 90% minimum attendance rate (i.e., no more than 2 unexcused absences per month with a 5 day a week attendance requirement). 3. A. Attend minimum of 1 individual session per week and as scheduled. By the end of this stage, client will be able to: Identify and implement successful anger management/reduction strategies Identify and implement successful coping strategies for depression, emptiness, and anxiety Successfully integrate/use all of the 12 steps in daily life.    B. Complete any therapeutic exercises/homework as assigned. 4. Attend all scheduled appointments with the psychiatrist (if applicable) and take all medications as prescribed (if applicable). 5. A. Attend minimum of 1 weekend (Friday/Saturday/Sunday) AA/NA/CA meeting per week and 1 additional meeting per week (client will be required to submit regular meeting confirmation slips signed by AA/NA/CA meeting leader).    B. Maintain regular contact with permanent sponsor. 6. Make an honest, positive contribution (as determined by treatment team and peers) in group sessions at least once per week, provide truthful accounting of any relapses and plans for relapse prevention in future. 7. Complete subsequent short-term therapeutic goals from comprehensive treatment plan especially as they relate to obtaining needed services for children (if applicable)