Post Empathy Panel Worksheet

Please complete this Worksheet -- but ONLY AFTER you have completed the Empathy Panel Presentation. 

 
  Please CLICK HERE to Complete The          Personal Reaction to the Empathy Panel Worksheet.

In Order For Me To Successfully Complete DV Treatment and Fly On Out Of Here, I MUST be able to Check Off Every One of the Following Items:

>>> I Must have made sufficient progress such that I am not at all likely to have more DV my life -- The MTT must approve this.

>>> I Must have mastered skills that will help me have healthier relationships  -- The MTT must approve this.

>>> I Must have completed the assigned Worksheets for EVERY WEEK that I was in Treatment.

>>> I Must have Paid Off My Balance in Full.

>>> I Must have Completed an Absence Attestation for Every Absence that I have had since my Intake.

>>> If I have missed more than 3 Sessions during my tenure in DV Offender Treatment, I will have to have special permission from Dr. B. in order to continue with my DV Treatment.

>>> I Must have Completed My Session Feedback Form For Every Session that I have Attended.

>>> I Must have Completed My Treatment Plans for every 3 Months in Treatment.

(First Posted 1/10/2022).

REMINDER: Changes Beginning September 1st, 2022

 Please note the Soon-To-Come Changes as announced below:

Beginning September 1st, 2022:

1. All DV - Related Services will be delivered in-person.  All clients will be expected to attend all Sessions in-person except under very special pre-arranged circumstances.

2. There WILL BE SOME GROUP SCHEDULE CHANGES.  Keep you eyes out for those changes by going to the following Link and looking for Group Sessions that are marked as "In-Person".  After September 1st, 2022, pretty much all GROUP Sessions WILL BE HELD IN-PERSON.   

3. All DV - Related Services will be paid for either prior to, or at the time of Service -- either using cash, card or voucher.

4. All DV Treatment Consumers will be expected to have completed all related Worksheets and other Paperwork -- either online or on paper every week and prior to completion of Treatment.

>>> PLEASE CLICK HERE ON THIS Link 

To View THE NEW (DRAFT) 

In-Person Group Schedule Listing. <<< 

* And Stay Tuned on this Page as there are More Changes to Come!

(Notice First Posted August 2, 2022).

Complete Your Session Feedback Forms Here -- Always look for the American Flag!

Always remember to complete your Session Feedback Form after each Session.  Thank you.  And have a nice day.
      Please click here to complete Dr. B's Session Feedback Form.

And Remember, it is never too early to work on another Treatment Plan -- especially if you have not completed on in the past 10 weeks.        

* Please Click Here to Work on Another Treatment Plan. *

(c. 2021, All information on the Blog (Except where otherwise noted); are the intellectual and/or photographic     and/or digital property of Dr. William T. Beverly, L.C.S.W., DVOMB Approved Offender Treatment Provider.)

VERY IMPORTANT NOTICE ABOUT PAYING FOR DV TREATMENT -- GOING BACK to Pre-COVID Pay-As-You-Go Rules

Starting Immediately with Full Effect as of Feb. 21st, 2022:

  Throughout COVID-19, Dr. B has made many generous exceptions to previous rules in order to help Clients get through this period and their DV Treatment as smoothly as possible.  Some of these exceptions are changing as of February 21, 2022.

  Starting February 21st, 2022, Anyone who has not made a payment on their balance within the previous 2 weeks will be at risk of Suspension or Discharge.  

  Everyone who has a Balance should start as soon as possible to pay on their Balance and to pay on their Balance every week, or at least every two weeks until the balance is less than $71 by February 21st.  

  If anyone has been attending sessions and does not have a voucher to cover their session; they should be making payments via the Paypal / Debit / Credit buttons on this Blog every week or at the very least, every other week.  Or with Cash (in person only).  Or mailing Money Orders or Checks in advance of sessions. 

  Beginning Feb. 21, 2022, if someone has a Balance of $71 or higher, they will be suspended from attending any more treatment sessions until they bring their Balance down to below $71. 

  If anyone misses a DV Session of any kind due to inability to pay, they should note that these missed sessions will count as absences and once anyone reaches the point of 3 absences (for any reason), they are subject to Unsuccessful Discharge from DV Treatment.

  From Feb. 21, 2022 forward, if anyone fails to make at least one payment every two weeks, they will be either Suspended or Unsuccessfully discharged from Treatment.

  Anyone who does not currently know their Balance Due; yet has been attending Sessions and has not been paying for them or receiving Vouchers from their Probation Officer should be making payments already.  DO NOT WAIT for a total balance due before starting to make Payments of $35 per Session.  Starting Feb. 21, 2022, if anyone is more than 2 sessions behind in balance, they will be either Suspended or Discharged from Treatment.

Everyone Must Learn how to Calculate Their Estimated Balance Due.  Estimating a Balance Due for DV Treatment is Really Easy:

  Everyone can easily calculate an estimate of their balance by doing the following: 

• Add in the $100 Intake / Evaluation fee;
• Add up the number of attended Group sessions; 
• Multiply the number of attended Group sessions by $35 each;  
• Add together all of the Intake / Evaluation and Group Fees;
• >>>
• Separately add up the value of their Used Vouchers;
• Add up the value of the verified Cash / Check / Money Order or Card Payments.  
• >>>
• Then Subtract the Intake / Evaluation and Group Fees Total from the Used Vouchers.  This will give you your Balance Due. 

Everyone Must Learn How To Make Their Own Payments:

All Clients who are capable of doing so will be required to learn how to make their own payments using the Paypal / Debit / Credit button on the Blog.  

   Here is How To MAKE CARD PAYMENTS!

If you are looking at the Blog from your cell phone: 

   A. Scroll to the bottom of your cell phone screen.

   B. Tap where it says, "View Web Version".

   C. You will see the Paypal / Debit / Credit Card Buttons in the Top-Right Corner of your screen.

   D. Use your fingers to navigate and make the screen bigger.  Press you Payment Method, Put in Your Name and the Amount, and make your payments with your Card.  

  If paying cash, it must be delivered directly to Dr. B. at the time of service.

  If paying by check or money order, it must be received by Dr. B no later than the date of Service.  Payments are not counted until they are received.  You may hand deliver Money Orders and Checks.  Or you may mail them.  But remember, they must be received by Dr. B. prior to the Service Date.  (There is an extra $35 fee if a Check Bounces). 

   * Mail your Check or Money Order to Dr. Beverly at P.O. box 871, Walsenburg, CO 81089. 

   ** Payments are not counted unless they are received).

   *** Bounced Checks and/or Insufficient Fund Card Payments will will incur a fee ($35 each).

 Questions: Text Dr. B. at 719-671-7793 or email him at nepeht@gmail.com.  Thank you.

$$$ CLICK HERE To Confirm Notice and 

To Agree To Dr. B's Pay-As-You-Go Policy $$$

 

>>> Always Keep In Mind: It's a whole lot easier on everyone if you just pay as you go.

(Originally Posted 1/31/2022)

Absence Attestation: If You Have Missed Any Weeks, Please Complete Your Absence Attestation Form Here

RULE 1: Every Week of Participation in this DV Program must be accounted for. 
RULE 2: No DV Client should miss more than one DV Session for any given 10 weeks in DV Treatment.  Once a DV Client misses 3 DV Treatment Sessions (including Intake, Evaluation, Groups, Individual, Treatment Planning, Denial, or Reinstatement Sessions).
  If a DV Client fails to honor either Rule 1 or Rule 2 (above), the Multidisciplinary Treatment Team (MTT) must meet to discuss this matter; then the Client can be discharged from Treatment as "Unsuccessful", required to do additional Treatment(s), and/or Temporarily Suspended from DV Treatment until the issues causing absences are resolved.  
  This means that every time you miss attending your DV Session (Group or Individual) for one week, you must complete one of these Absence Attestation forms and submit it to Dr. Beverly.  All absences from any type of DV Appointment require that you complete an Absence Attestation form.  Please see the Link to the Absence Attestation Form, below.
  Naturally, a Communicated Absence -- where Dr. Beverly is notified at least 24 hours in advance, is looked upon much more favorably than a No Call / No Show or an AWOL Absence.  
  In order to be considered for a Communicated Absence, you must do this within 48 hours of your absence. Technically, almost all absences should be communicated to Dr. Beverly at least 24 hours prior to your scheduled Session.  If you do not Communicate about your Absence with Dr. B within 48 hours of your Absence, it will be considered a Non-Communicated Absence. 
  If you have documentation of any kind to send to Dr. B., please do so by photographing or scanning the documentation and emailing it to him.  If you are sending in Documentation, you must still complete this Form and Submit it in order for this to be a Communicated Absence.
  Also, please be sure to check out the "Absence Make-Up Assignments" on this Blog, so that when you complete this Form and are asked to state which Make-Up Assignment you plan to complete, you will know what you are committing to.
  It is important to note that Make-Up Assignments do not Make-Up for your missing any DV Sessions.  However, if you complete Make-Up Assignments when ever you miss a session, the MTT is more likely to be more lenient on you for missing the sessions that you had to miss.
  Although there are no "Excused Absences", Communicated Absences and Absences for which one completes a Make-Up Assignment, are looked upon much more favorably by the MTT than Non-Communicated Absences.  Furthermore, if Absences are Communicated in advance, this is even better. 
  It is important to note that once a person reaches three (3) Absences of any kind, he or she may be dropped from the Program. 

  *** Please Click Here to Complete your Absence Attestation Form. *** 

(You must complete one of these for each week that you were absent, from the beginning of your treatment).

And PLEASE see the potential Make-Up Assignment Worksheets Below.

Please Click on one of the items Below to Complete one of these Absence Make-Up Assignments: 

  *** Please Click Here to Complete an Extra DV Treatment Planning Worksheet. *** (You should have one of these completed for every 3 months that you have been in Treatment.  Therefore you should do one of these, unless you believe you have completed one every 3 months.)  

  *** Please Click Here to Complete a Personal Change Plan Worksheet *** (You should have one of these completed for every 4 months you have been in Treatment.  Therefore, you should do one of these, unless you believe you have already completed one for every 4 months.)

  *** Please Click Here to Complete a Short Version of the Aftercare Plan Worksheet *** (You should have completed at least two of these during your Treatment.  Therefore, you should do one of these, unless you believe you have already completed 2 of these.)

*** Please CLICK Here to Complete an another TAKING TIME OUTs Worksheet ***
  (You should have completed at least one of these during your Treatment.  So do one now in order to be sure.)

 *** Please Click Here to Complete an Extra Recognizing Empathy Worksheet. ***

  (You should have completed at least one of these during your Treatment.  So do one now in order to be sure.)

*** Please CLICK HERE to Complete a DV and Anger Management Worksheet ***

  (You should have completed at least one or two of these during your treatment.  It's always good to do another one of these.)

*** Please CLICK HERE to Complete a New Personal Values & Mission Statement to End DV ***
  (You should have completed at least one of these during your Treatment.  So do one now in order to be sure.)

  *** Please Click Here to Complete an Extra Stop, Breathe, Focus, Relax, Reflect and Choose Wisely Worksheet. ***  (You should have completed at least two of these during your Treatment.  Therefore, you should do one of these, unless you believe you have already completed 2 of these.)

 *** Please Click Here to Complete an Extra My Red Flags Worksheet.*** (You should have completed at least two of these during your Treatment.  Therefore, you should do one of these, unless you believe you have already completed 2 of these.)

 *** Please Click Here to Complete an Extra Respect Letter Worksheet.*** (You should have completed at least two of these during your Treatment.  Therefore, you should do one of these, unless you believe you have already completed 2 of these.)

(c. 2020, All information on this Blog, Affiliated Blogs and linked Worksheets (Except where otherwise noted); are the intellectual

and/or photographic and/or digital property of Dr. William T. Beverly, L.C.S.W., DVOMB Approved Offender Treatment Provider.)