Aegis PAAG Policies And Protocols
Clinic Managers will recommend people to serve as PAAG members. A representative
from the Department of HR and Quality Assurance will interview each of the proposed
members as a courtesy. Active patients who have demonstrated positive recovery and
stable lifestyle (including no criminal activity and no positive urine drug screens)
are eligible to become PAAG members. Persons who are discharged following successful
completion of the program are also eligible. Anyone who wishes to participate, who
complements the mission statement and the goals of PAAG and meets the criteria described
may be considered by the Clinic Managers and Corporate Officers to be a PAAG volunteer.
All new PAAG board members will enter into a 180-day probationary period, and must
participate in local K2R support groups. Upon their 30, 90, 180-day of membership,
the probationary board member will be reviewed by the President and an additional
board member to determine their future status.
Conflict of Interest Resolution
PAAG members may also volunteer to Aegis Outreach and/or with Methadone Anonymous
12 Steps support groups. PAAG members shall not request from clinic staff any confidential
information about other patients. Every effort shall be made to carry out the business
of PAAG with no disruption of the regular routines of the Aegis’ programs and clinics.
Rewards and Benefits
PAAG members are volunteers who are working without rewards. PAAG members will be
reimbursed for the following expenses:
- Travel expenses (gas, food, hotel) to and from PAAG meetings
- Correspondence expenses necessary for conducting PAAG business
PAAG members will be invited to attend Aegis events, such as the annual Holiday
party and other celebrations.
Aegis Financial Support
Aegis will financially support the PAAG program by providing:
- Conference or meeting rooms
- Scheduling and distribution of invitations to meetings
- Reimbursement of member expenses, as described above
- Administrative work as required
- Provide a Facilitator to prepare, arrange and chair the meetings
PAAG members may wear nametags to identify themselves as PAAG members, but the tags
must not appear to represent authority of any kind within Aegis. Members do NOT
have authority within Aegis Treatment Centers, LLC.
Each clinic with PAAG members shall display a notice in plain view indicating there
is a PAAG member available, and that patients and clients who are interested in
being a member, could submit their application to the clinic and / or program manager.
Information about PAAG shall be displayed prominently in all clinics and must be
readily accessible to all patients and visitors.
Meetings will be held bi-monthly (every two months) at a central location, and will
be called by the Facilitator. Special meetings may be held with notice, in order
to address acute matters such as legislation, political activities or other unique
An Aegis Facilitator will conduct each meeting. Meetings will begin on time and
be conducted within the timeframe established.
The facilitator will distribute a meeting agenda to board members prior to, or at
the beginning of each meeting. Additionally, meeting minutes, recommendations and
/ or resolutions will be published and distributed to all members including Aegis’
directors/ officers, clinic and program managers. Each member can propose matters
to be included in the meeting agenda. If time does not permit, the facilitator will
calendar the discussion for a future meeting. All meeting materials pertaining to
P.A.A.G. and/or K.2.R. meetings will be returned to their respective Clinic Manager
at the end of each meeting.
Every member has a voice and a vote. Differing opinions are expected. PAAG will
not take any action on any matter without first reaching a consensus.
REVIEW AND REVISE
Throughout the implementation of PAAG it is important to take the time to assess
the program to determine which PP&Ps are effective and those that should be amended,
dropped or added. The Patient Advisory & Advocacy Group must remain flexible enough
to respond to new issues and ideas while maintaining an effective and efficient
structure and framework.
SCOPE OF ACTIVITIES AND ISSUES
There will be a variety of issues that can be effectively handled by PAAG, including,
but not limited to the following:
Proposed enhanced program services, amenities, and development of new treatment
modalities, such as:
- Perinatal services
- Treatment of Elder patients
- Anger Management counseling
- Domestic Violence counseling
- Dual Diagnosis services
- Case management
- Contingency Management (i.e. rewards and incentives for successful recovery and
- Legal Advice
- Nutritional counseling
- Outpatient Drug-Free Programs
- MA-12 Steps support groups
- Eligibility counseling
- A safe place for children to play while their parent is receiving treatment services
- Educational materials and accessories
Proposed advocacy matters and legislative work, such as:
- Contest prejudice and discrimination against the patient population.
- Contest denial of Medical services to active OTP maintenance patients
- Represent and announce positions regarding patients’ and client’s special needs
- Educate the general public, addict’s families, as well as governmental and medical
establishments, including the Department of Social Services, parole and probation
officers, judges, physicians, etc.
- Support the recent amendments to the 180 mg. “cap” on daily dose, and to the California
restriction on 21 day detox limit
- Support the new regulatory requirement for accreditation of programs
- Support waivers and exception to Medi-Cal and Medicare regulation regarding the
“lower of cost and charges” for the benefit of indigent patients
- Support new regulation for the enhancement of Medi-Cal approved services (i.e. Case
Management) and eligibility criteria addressing the patients un-served needs
- Support new regulation for the prohibition of non-physicians (i.e., judges, parole
and probation officers) to practice medicine and/or to deny treatment to addicts
- Support new regulation for the provision of replacement therapy in jails and prisons
- Support Aegis’ proposed regulation for the certification of counselors
- Support new regulation for the protection of patient’s rights, as defined under
the Americans with Disability Act (“A.D.A.”)
- Support new regulation and guidelines for the new proposed Office Based Opioids
CODE OF ETHICS for PAAG Members
- PAAG members must be dedicated to the Mission Statement
- Patient confidentiality must be maintained by members at all times
- Members may not take advantage of membership to receive benefits, privileges or
other advantages of services
- Becoming a PAAG member does not create a position of authority, and members cannot
represent themselves in any way that suggests or implies that they have such authority
- Members do not represent Aegis
- PAAG members may not resolve conflicts.
- Any violation of the P.A.A.G. Code of Ethics may be cause for dismissal.
GROUNDS FOR MEMBER REMOVAL
Members who no longer meet the requirements of membership will be removed.
Any Breach of the Code of Ethics is grounds for removal.
Anyone who is destructive or disruptive to the process and goals will be removed.
A person who, by actions or words, compromises the reputation of PAAG will be removed.