How to Make a Referral to HAVEN
If you are concerned about yourself or a colleague, call the HAVEN office at (860) 828-3175.
At the time of the first contact, it is helpful to provide as much of the following information as available:
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The name, address, and telephone number of the healthcare professional
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The nature of the concern
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Any history and factors related to the concern
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Any previous services or treatment received
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Documentation of any complaints that may have initiated the contact
You will also be asked about:
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Any felony charges or convictions
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Past or pending licensure disciplinary actions
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Allegations of patient harm
If any of the above are identified, HAVEN is required to work with the State of Connecticut Department of Public Health for a determination of eligibility to participate in this confidential program. If you are concerned that you or your colleague may not be eligible, please call HAVEN at (860) 828-3175 and ask to make an inquiry.
When you refer an individual to HAVEN, please consider:
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Any time constraints or parameters related to the referral
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Your own plan of action and expectations (if the referral is being made by an employer, a physician health committee, hospital, or by another facility or entity)
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Whether you want the referral to be represented as anonymous. Please know HAVEN will not take a referral if the caller is not willing to give his or her name and contact number. HAVEN is not required to share the name with the professional, however.
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If you are satisfying a mandated reporting responsibility, request documentation from HAVEN demonstrating that you have fulfilled this responsibility.
When you are asking a professional to self-refer to HAVEN, please consider:
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Explaining HAVEN's mission including confidentiality and peer support
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Stressing HAVEN focuses on wellness and goal to help the professional address any concerns that may potentially affect the ability to practice safely
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Providing information on how to contact HAVEN to schedule an intake meeting
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Noting HAVEN does not provide the physical or mental health treatment, but will refer for treatment, evaluation or other assessment.
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Informing the professional that a release of information would need to be signed for you to confirm his or her involvement at HAVEN and that he or she is expected to request a release at the first meeting with HAVEN if you require communication with HAVEN.
PLEASE DO NOT MAKE ANY REFERRALS THROUGH EMAIL. ALL REFERRALS MUST BE MADE VIA TELEPHONE.