Objective V

OBJECTIVE V
Understand and Promote Upward Mobility and the Privilege System
TRAINER NOTE
The program involves increasing privileges and more responsible job functions. This institutional mobility is meant to encourage peers to take a more active role, with the understanding that by so taking action, positive consequences are to be expected. Such a program of systematic graded reinforcement may counteract prior experiences peers may have had during which their actions were ineffectual ("learned helplessness") in producing positive consequences.
CONTENT
Consistent with the TC's self-help approach, all peers are responsible for the daily management of the facility (e.g. cleaning activities, meal preparation and service, maintenance, purchasing, coordinating schedules, preparatory chores of groups, meetings, etc.). In the TC, the various work roles mediate essential educational and therapeutic effects. Job functions strengthen affiliation with the program through participation, provide opportunities for skill development, and foster self-examination and personal growth through performance challenge and program responsibility. Recovery Clinic program staff trainees are informed about the job hierarchy and behavioral principles underlying upward mobility and the privilege system in a 40 minute lecture given by the trainer. Trainees are then presented with a list of the positions (see handout V.1 ) and a description of the tasks assigned to each job function in a way that can be communicated directly to peers (see handout V.2).
EXERCISE
Role play "resistance" to entrusting peers with increased job responsibilities (e.g., someone with mental illness symptoms, e.g., hallucinations, may be overlooked as participant on work crew).

Handout V.1 RECOVERY CLINIC JOB HIERARCHY
COORDINATOR
     ENCOUNTER MASTER
     CHIEF EXPEDITER
DEPARTMENT HEAD
Service
Hospitality
Clerical
Food Service
     EXPEDITER I & II
ASSISTANT ENCOUNTER MASTER
ASSISTANT DEPARTMENT HEAD
Hospitality
Clerical
Food Service
Service
     HOSPITALITY CREW
     CLERICAL CREW
FOOD SERVICE CREW
SERVICE CREW

Handout V.2 Job Functions
JOB FUNCTIONS
All peers are assigned a job function within the program. These tasks provide peers an opportunity to:
• improve work habits
• develop a sense of responsibility
• develop the ability to accept directions and authority
• develop leadership skills
• acquire better coping skills
Each peer begins with the service crew and gradually assumes greater responsibility with higher job functions as he/she progresses in the program.
As a peer moves up the job ladder it is that person's responsibility to train the new peer who takes over his/her position.
Individuals may be reassigned if another crew requires additional assistance.
Each crew has a staff advisor.
EVERYONE STARTS HERE!
SERVICE CREW
Responsibilities: Maintaining order and cleanliness in the clinic.
Jobs include:
   1. Sweeping and mopping the floors in the kitchen/coat room and group room.
   2. Cleaning the chalkboard.
   3. Arranging chairs for the next group when needed.
   4. Stacking of chairs at the end of day.
   5. Wiping windows in kitchen/coat room and group room.
   6. Wiping off tables in kitchen/coat room and group room.
   7. Cleaning refrigerator daily.
   8. Defrosting refrigerator weekly.
   9. Cleaning kitchen closet.
   10. Clean microwave daily.
   11. Straightening paper organizer in group room.
   12. Cleaning shelf top of radiator.
   13. Packing and taking-out garbage daily.
After 30 days and a completion of your orientation contract, you are eligible for a promotion to one of the three crews: Food Service, Clerical or Hospitality.
CLERICAL CREW
Responsibilities: Keeping and updating records in the community.
Jobs include:
1. Preparing attendance sheets for groups and circulating them for signatures.
2. Calling absent peers.
3. Giving staff "missing slips" on absent peers.
4. Putting all names and appointments on the monthly calendar.
5. Making sure that the office associate receives attendance sheets.
6. Taking minutes at community meetings.
7. Preparing chalk board on a daily basis:
     Putting word of the day (w.o.d.) on board.
     Putting concept of the day (c.o.d.) on board.
     Putting names of peers on board who have appointments.
     Listing all those who are late, sick or missing on board.
8. Making name plates for new admissions and posting under service crew section.
FOOD SERVICE CREW
Responsibilities: Using the transporter, the Department Head is responsible for picking up lunch upstairs. The crew, as a whole, is responsible for preparing the group room for lunch, serving/distributing food, and cleaning lunch area after meal.
Jobs include:
1. Setting up tables.
2. Arranging utensils, cups, napkins and beverages.
3. Serving food.
4. Wiping tables after meal.
5. Washing pans.
6. Replacing pans in transporter.
HOSPITALITY CREW
Responsibilities: Welcoming and orienting new-comers to program. Distributing program information.
Jobs include:
1. Planning and arranging the monthly social.
2. Collecting and keeping records of all dues.
3. Escorting peers to and from inpatient wards, emergency room and appointments (as directed by staff).
4. Monitoring and supervising activities of peers who are auditing the program.
Continued progress leads to the opportunity to become a community leader!
ASSISTANT DEPARTMENT HEAD
Responsibilities: Reporting to and assisting Department Head in ensuring performance of all department job responsibilities. "Acts as" head of department in absence of head.
DEPARTMENT HEAD
Responsibilities: Providing leadership and overseeing crew. Delegating work and ensuring that work is being done with Assistant Department Head. Being available to assist crew as necessary. Supervising performance of task, following-up to ensure work is done. Attends Executive Meeting.
EXPEDITER I & II
Responsibilities: Acting as the "eyes and ears" of the community. Recording all information collected in expediter book. Monitoring and directing peer and community activities, including getting peers to groups on time. Reading daily record during House Meeting.
CHIEF EXPEDITER
Responsibilities: Supervisor of Expediter I and II. Meeting with expediters on a weekly basis to coordinate performance of responsibilities. Acting as expediter in absence of Expediter I and II. Attending Executive Meetings.
ASSISTANT ENCOUNTER MASTER
Responsibilities: Training position as preparation for becoming Encounter Master. Assisting Encounter Master in running of encounter groups and running encounter in Encounter Master's absence.
ENCOUNTER MASTER
Responsibilities: Facilitating encounter groups under the supervision of staff. Responsible for encounter slips (prioritizing slips in order of importance, etc.). Acting as time-keeper and ensuring timely movement of the group. Attending Executive Meeting.
COORDINATOR
Responsibilities: Acting as the community leader. Reporting directly to the staff. Preparing agenda and leading Community Meeting. Gathering and presenting information on community status. Providing direct supervision of Departmental Heads, Assistant Department Heads and Expediter.

SUMMARY
By the end of this segment trainees should be aware of the program's job roles and functions, and managing special needs of individuals as they progress through the hierarchy.
Summarize the section by noting the following:
Objective V provided a full understanding of the specific job roles and functions, as well as the management of special needs of a program targeted to the dually diagnosed. With this understanding, trainees will be ready for Objective VI, an understanding of adherence to program rules.


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