Patient and Staff Safety Is Priority No. 1 To protect our patients and staff, we have implemented many robust safeguards, including on-site COVID-19 testing for new patients coming into our residential and recovery housing sites. In Minnesota, we are now providing drive-up, point-of-care testing, utilizing a simple nasal swab and the very latest technology to process results on-site within minutes so patients who test negative can begin treatment as quickly and safely as possible. At our other residential and recovery housing locations around the country, we are collaborating with outside labs and allowing patients to stay on our medical units, as needed, until their test results come back. At all sites, patients can rest assured our medical staff is well-trained to administer COVID-19 testing and that all patients are tested upon arrival. In addition to testing, our safeguards include screening checkpoints and comprehensive protocols for food safety, cleaning and disinfecting. We also provide protective masks to patients and staff, as well as other needed personal protective equipment. We also have moved a third of our workforce to home offices and rapidly expanded virtual services to reach the growing numbers of people and families whose substance use and mental health concerns have escalated amid the pandemic. The response from patients has been extremely positive. Not only are they grateful to access care for their potentially life-threatening addiction but also for the peace of mind knowing Hazelden Betty Ford is doing everything we can to protect them from COVID-19. While our outpatient, mental health, family and children's services have transitioned to virtual platforms, seven of our sites continue to accept patients into residential care and recovery housing. Our safeguards have successfully kept COVID-19 from spreading in our facilities, and patients have frequently mentioned feeling safer in our care than they do anywhere else. Testing, first implemented in late April, has provided an especially important layer of protection. It enables us to identify if people have COVID-19 and are contagious, even when there are no visible symptoms, so we can direct them to appropriate services until they are virus-free, rather than expose them to other patients on campus. Not All Testing Is the Same It is important to understand the different types of testing available. Some tests, typically involving blood samples, aim to detect antibodies that may suggest a previous infection. Other more useful and reliable tests—which our medical leaders have chosen—detect whether the coronavirus is currently active. In late April, we began on-site nasopharyngeal-swab testing—sending samples to off-site labs for analysis and results. In August, we took another step forward by initiating rapid, point-of-care testing for our patients in Minnesota—using a simpler nasal swab and on-site lab technology to process results in minutes. The point-of-care test looks for proteins on the viral surface much like the nasopharyngeal test detects the viral genetic material. We have elevated our vigilance to implement every safeguard we can to keep COVD-19 out of our facilities—while keeping the focus on addiction treatment and recovery. Moving ahead, Hazelden Betty Ford will continue to stay on top of emerging testing alternatives and procedures, with patient and staff safety as our No. 1 priority. Highlights of Hazelden Betty Ford's response Established a dedicated Incident Command Center to lead our monitoring, planning, decision-making and communication—overseen and driven by our Chief Nursing Officer and Chief Medical Officer Implemented COVID-19 testing and elevated safeguards (described above) to minimize risks for all patients and staff Implemented documented Illness Discharge Plans that are established during the admission process in case patients become symptomatic during their care Implemented site-specific pandemic response plans, enabling us to: Check all patients and staff daily for fever and other common symptoms of COVID-19, and discharge patients who are sick with resources to seek the appropriate healthcare Ensure the highest level of infection prevention and control, sanitation and hygiene Transition patients who were in various outpatient levels of care to our virtual services Suspend on-campus family and children's programs, as well as retreats and Lodge programming at our Dan Anderson Renewal Center, and provide alternatives via virtual platforms Temporarily suspend on-campus visitation and events Move a third of our national workforce to home offices Respond quickly to any emerging situation Monitoring information and implementing recommendations from the Centers for Disease Control and Prevention, the World Health Organization, and state and local public health authorities Symptoms of COVID-19 People with COVID-19 can have a wide range of symptoms, from mild to severe, and those symptoms may not appear until 2-14 days after exposure. Symptoms may include but are not limited to: Fever or chills Cough Shortness of breath or difficulty breathing Fatigue Muscle or body aches Headache New loss of taste or smell Sore throat Congestion or runny nose Nausea or vomiting Diarrhea Prevention Wear a protective mask except when eating, sleeping or alone Wash hands frequently and properly, using soap and warm/hot water for 20-30 seconds Cover coughs and sneezes (in elbow, not hands) Avoid touching your face Stay home if sick Maintain 6 feet of distance from others whenever possible COVID-19 Resources Potential COVID-19 implicationsfor people with substance use disorders A short assessment to help determine if you should be tested for COVID-19 Free Online Resources from Hazelden Betty Ford To help provide support, inspiration and resources there are many free online resources available, including apps, online groups, blogs, videos and more. The COVID-19 environment is evolving daily, so watch for emails and visit our website for important updates.