Grace House Documents

Grace House Participant Agreement

This program participation agreement is subject to applicable law and does not waive residents’ legal rights or required notice or process.

Grace For Addictions · 1311 9th Street, Des Moines, Iowa 50314 Office: 515-220-8771 · gracehouse@graceforaddictions.org

Controlling revision: October 22, 2026. Print-ready and fillable — complete on paper or type directly into this document.

Grace House Participant Agreement

Part 1: Program Fees and Financial Agreement

Fee schedule per Policy GH-FEES-001 (current).

Payment Methods Accepted:

Cash

Money order

Electronic transfer (details provided by House Manager)

I understand and agree that:

Program fees are due on the agreed day each week. Late fees or payment plans must be arranged in advance with the House Manager.

Non-payment of fees for more than 7 days, without an approved payment plan, may result in an administrative discharge process.

Program fees are non-refundable for the current period, except in cases of emergency or administrative error.

Grace House does not manage, hold, or control my personal finances.

I am responsible for maintaining my own financial accounts and obligations.

Part 2: Recovery Participation Agreement

I agree to actively engage in my recovery while living at Grace House. I understand this means:

Completing an Individual Recovery Plan within 72 hours of intake.

Reviewing and updating my Individual Recovery Plan with the House Manager or peer mentor monthly. The plan belongs to me and is written in my voice.

Participating in the required number of recovery support activities each week for my current phase: 4 per week in Phase 1, 3 per week in Phase 2, and 2 per week in Phase 3. Qualifying activities include 12-step meetings, SMART Recovery, Celebrate Recovery, individual therapy, sessions with my life or recovery coach, church or worship services, Bible study, the Tuesday GFA Recovery Community (GFARC) gathering, and other community-based recovery activities. I understand the weekly house meeting does not count toward this total.

Selecting a life coach or recovery coach at intake, completing daily check-ins through the VRCC app in every phase, and attending coaching sessions weekly in Phase 1, biweekly in Phase 2, and monthly in Phase 3.

Attending the weekly Grace House community meeting.

Engaging in employment, education, job training, volunteering, or caregiving at least 30 hours per week by Day 30 (Policy GH-ACTIVITY-001). Exceptions may be approved by the House Manager for medical or other documented reasons.

Part 3: Substance-Free Agreement

I understand that Grace House is a substance-free environment. I agree:

I will not use alcohol or illegal substances while living at Grace House, whether on or off the property.

I will not bring alcohol, illegal substances, or non-prescribed medications onto the Grace House property at any time.

I will submit to drug testing according to the house testing schedule, including random tests.

I understand that refusing a drug test is treated the same as a positive result.

I understand that my use of prescribed MAT medications (buprenorphine, methadone, naltrexone, etc.) does not constitute a violation of this policy.

Part 4: Community Expectations Agreement

I agree to contribute to a safe, healthy, and respectful household. Specifically, I agree to:

Treat all residents, staff, guests, and neighbors with dignity and respect at all times.

Complete my assigned household chores as scheduled.

Maintain my personal space in a clean and orderly condition.

Respect the privacy of all other residents.

Honor quiet hours as posted.

Follow the visitors policy, including visitor hours and the prohibition on overnight guests in bedrooms.

Follow the curfew schedule for my current phase of residency.

Report any safety concerns to the House Manager promptly.

Part 5: Medication Agreement

I understand and agree that:

All prescription medications must be disclosed to the House Manager at intake and whenever new prescriptions are obtained.

All medications will be stored in my personal lockbox or the house medication safe.

I will not share my medications with any other resident.

I will provide documentation from my prescribing provider for all controlled substances.

Part 6: Confidentiality Agreement

I understand that the privacy of every person in this household is sacred. I agree:

I will not share personal information about other residents outside the house.

I will not post photos or identifying information about other residents on social media.

I will honor the confidentiality of what is shared in house meetings and peer conversations.

Part 7: Departure Agreement

I agree to provide a minimum of 14 days' written notice before voluntarily departing Grace House. I understand that:

If I choose to leave without notice, I forfeit any claim to a refund for the current payment period.

Belongings that cannot accompany me at departure will be documented, securely stored and made available for later retrieval under the belongings policy.

I am welcome to return to Grace House community events and support as an alum.

If I depart for a higher level of care, I am encouraged to apply for readmission when ready.

Program-Initiated Removal and Discharge

When a program-rule violation or conduct that threatens another resident’s life, safety, or recovery results in immediate termination of program participation, Grace House will explain the decision verbally and give the resident two hours from that notice to leave the property, subject to any longer notice or other process required by applicable law. Staff will document the reason and notice time and provide written confirmation. During an active emergency, staff may take lawful protective action immediately. Grace House will make reasonable efforts to assist with next steps. Belongings that cannot accompany the resident will be documented, securely stored and made available for later retrieval under the belongings policy. Any required legal process will be followed.

Part 8: Grievance Rights Acknowledgment

I understand that I have the right to file a formal grievance if I believe my rights have been violated or a policy has been applied unfairly. I understand:

The grievance process is described in the Resident Handbook.

I will not face retaliation for filing a grievance in good faith.

I may also access external agencies including the Iowa Civil Rights Commission and HUD.

Part 9: Resident Rights Acknowledgment

I acknowledge that I have received, reviewed, and understand my Resident Rights as described in the Grace House Resident Handbook. I understand that these rights cannot be waived or removed as a condition of residency.

Part 10: Emergency and Safety Acknowledgment

I acknowledge that:

Grace House has naloxone (Narcan) available and I have received or will receive training in its use within 7 days of intake.

Call 911 immediately for a suspected overdose. Iowa law provides limited protections for qualifying people who seek medical help for a drug-related overdose; it does not guarantee immunity from all legal consequences.

Emergency numbers are posted in the common areas of the house.

I will call 911 in any situation that involves a medical emergency, fire, or imminent safety threat.

Part 11: Mutual Commitment

By signing this agreement, Grace For Addictions commits to:

Treating you with dignity, respect, and compassion at every stage of your recovery.

Providing a safe, clean, and supportive home environment.

Supporting your chosen recovery pathway without judgment or coercion.

Being transparent about policies, decisions, and any changes that affect your residency.

Responding to your needs, concerns, and grievances in a timely and fair manner.

Celebrating your growth and walking with you through the hard days as well as the victories.

By signing below, I certify that I have read, understand, and agree to all provisions of this Participant Agreement. I have had the opportunity to ask questions and have received answers that satisfy me. I enter into this agreement freely and voluntarily.

On behalf of Grace For Addictions, 1311 9th Street, Des Moines, Iowa 50314

thomas@graceforaddictions.org | 515-336-0006

Exit & Transition Policy

Grace House · Grace For Addictions 1311 9th Street, Des Moines, Iowa 50314 · Office: 515-220-8771 · Warmline: 515-310-DIAL (3425) · gracehouse@graceforaddictions.org

Types of Exit

Completion / graduation — planned transition to independent living, celebrated by the community.

Voluntary exit — a resident may leave at any time; we assist with a safe transition plan regardless of circumstances.

Program-initiated removal and discharge

When a program-rule violation or conduct that threatens another resident’s life, safety, or recovery results in immediate termination of program participation, Grace House will explain the decision verbally and give the resident two hours from that notice to leave the property, subject to any longer notice or other process required by applicable law. Staff will document the reason and notice time and provide written confirmation. During an active emergency, staff may take lawful protective action immediately. Grace House will make reasonable efforts to assist with next steps. Belongings that cannot accompany the resident will be documented, securely stored and made available for later retrieval under the belongings policy. Any required legal process will be followed.

Removal remains reviewable through the grievance process and is carried out with dignity.

Transition Planning (all exits)

Housing destination identified and, where possible, verified.

Medication transfer plan (nothing left behind, prescriptions bridged).

Warm handoff to treatment/coaching supports; ROI-covered notifications.

Personal property inventory and return: belongings that cannot accompany the resident will be documented, securely stored and made available for arranged later retrieval. The existing 30-day storage provision for property left behind remains unchanged, subject to applicable law.

Fee account settled or plan documented.

Door-stays-open statement: eligibility for future readmission is preserved except where safety prohibits.

Return-to-Use Response Policy

Grace House · Grace For Addictions 1311 9th Street, Des Moines, Iowa 50314 · Office: 515-220-8771 · Warmline: 515-310-DIAL (3425) · gracehouse@graceforaddictions.org

Principle

A return to use is a medical and recovery event — not a moral failure and not automatic discharge. Grace House responds with safety first, dignity always, and an individualized plan.

Immediate Response

Safety assessment: Is the participant medically stable? If in doubt, call 911. Naloxone locations are posted; any suspected overdose follows the Emergency Response Protocols.

Substance removal: any substances on the property are removed and disposed of.

Private conversation: one-on-one, non-judgmental. “What do you need right now?”

Community protection: other residents’ safety and recovery are assessed and protected.

Individualized Support Pathways (chosen by assessment, not formula)

Remain in residence with an intensified support plan (increased coach contact, added recovery activities, follow-up screening).

Brief clinical stabilization (detox/withdrawal management) with the bed held where possible and a warm handoff both directions.

Transition to a higher level of care with a documented re-entry pathway.

Considerations for Removal

Removal is considered only when a participant refuses to engage with support after a return to use, continues active use, brings substances into the residence, or endangers another resident’s life or recovery. Any removal follows the Unified Removal and Discharge Process in the Resident Handbook and Participant Agreement and is documented, reviewable through the grievance process, and carried out with dignity — including connection to alternative housing or care whenever possible.

Documentation

Date/discovery method · participant’s account and stated needs · safety assessment · support plan and referrals · follow-up timeline. Confidential file; incident report if safety events occurred.

GRACE FOR ADDICTIONS

Grace House Code of Conduct

Controlling revision: October 22, 2026

OUR FOUNDATION

Grace House is built on principles of grace, dignity, community, hope, and multiple pathways to recovery. This Code of Conduct guides our shared life together and ensures a safe, supportive environment where everyone can thrive in their recovery journey.

Our Commitment: - We treat each person with respect and honor - We believe in accountability with compassion - We support each other’s recovery - We maintain a safe, sober, and peaceful home

CORE VALUES IN ACTION

GRACE

We believe in second chances and new beginnings. Mistakes are opportunities for growth, not reasons for shame.

DIGNITY

Every person deserves to be treated with respect, regardless of their past or their struggles.

COMMUNITY

Recovery happens in relationship. We support each other, celebrate victories together, and walk through challenges side-by-side.

HOPE

Lasting change is possible. We believe in each person’s capacity for transformation.

MULTIPLE PATHWAYS

We honor each person’s unique recovery journey and respect diverse approaches to wellness.

NON-NEGOTIABLE SAFETY STANDARDS

The following behaviors create immediate danger and may result in immediate termination of program participation under the Unified Removal and Discharge Process in the Resident Handbook and Participant Agreement:

❌ VIOLENCE & THREATS

Physical violence or assault toward any person

Threats of violence or intimidation

Weapons of any kind on property (guns, knives, dangerous objects)

❌ SUBSTANCES & PROPERTY VIOLATIONS

Bringing alcohol or illicit substances onto the property

Possession of drug paraphernalia

Selling, sharing, or distributing substances to others

Theft or deliberate destruction of property

❌ SEXUAL MISCONDUCT & HARASSMENT

Sexual harassment, assault, or coercive behavior

Non-consensual physical contact

Creating a sexually hostile environment

❌ ENDANGERMENT

Behaviors that create serious, ongoing risk to self or others

Refusing to follow safety protocols during emergencies

Intentionally putting others at risk

These are non-negotiable because they compromise the safety of our community.

SOBRIETY & RECOVERY EXPECTATIONS

✅ SUBSTANCE-FREE LIVING

Grace House is an alcohol-free and illicit substance-free environment

All residents commit to abstaining from alcohol and non-prescribed substances

If you experience a return to use, tell someone immediately — we will support you, not shame you

✅ MEDICATIONS ARE SUPPORTED

All FDA-approved medications are permitted and encouraged

This includes Medication for Opioid Use Disorder (MOUD): methadone, buprenorphine (Suboxone), naltrexone (Vivitrol)

Mental health medications are fully supported

Medications must be prescribed by a licensed provider

Follow medication storage guidelines (see House Manager)

✅ ACTIVE RECOVERY ENGAGEMENT

Participate in recovery support activities according to your phase: 4 per week in Phase 1 (Days 1–30), 3 per week in Phase 2 (Days 31–90), and 2 per week in Phase 3 (Days 91+). The weekly house meeting does not count toward this total. Change Course Leaders take part in extensive Change Course programming Monday through Thursday. Because of this substantial structured engagement, Grace House requires Change Course Leaders to add only two (2) additional supportive activities per week — in place of the standard phase-based recovery activity requirement.

Peer support groups

Mutual aid meetings (AA, NA, SMART Recovery, etc.)

Individual counseling/therapy

Faith-based recovery (if chosen)

Other recovery activities approved by staff

Attend required house meetings (weekly — Thursdays at 7:00 PM)

Meet regularly with your peer coach (frequency varies by program phase)

✅ TREATMENT CHOICE IS YOURS

You may seek clinical treatment from any provider you choose

You are not required to use a specific treatment program or counselor

We will support you in accessing the care you need

DAILY LIVING EXPECTATIONS

🏠 HOUSE CARE & RESPONSIBILITIES

Personal Space: - Keep your bedroom clean and organized - Respect roommate’s space and belongings (if shared room) - No eating or storing open food in bedrooms (to prevent pests) - Do laundry regularly and put away clean clothes

Shared Spaces: - Clean up after yourself immediately in kitchen, bathrooms, and common areas - Complete your assigned chores on schedule - Return shared items to their proper place - Report maintenance issues to House Manager

Your Assigned Chores: Assigned at move-in and rotated monthly

Chore Schedule: Posted in the kitchen common area and updated each rotation

🕐 SCHEDULE & ATTENDANCE

Curfew: Policy GH-CURFEW-001 v3.0 supersedes all prior curfew tables. Phase 1 (Days 1–30): 9:00 PM Sunday–Thursday and 10:00 PM Friday–Saturday. Phase 2 (Days 31–90): 10:00 PM Sunday–Thursday and 11:00 PM Friday–Saturday. Phase 3 (Days 91+): 11:00 PM Sunday–Thursday and midnight Friday–Saturday. Hard ceiling: No curfew at Grace House extends past midnight in any phase, for any reason other than verified current employment. The only curfew exception is current employment. A participant whose verified work schedule conflicts with curfew may be granted an employment-based adjustment covering scheduled shifts plus reasonable travel time. A copy of the work schedule must be on file with the House Manager. No other exceptions (social, family, recreational, or recovery-activity) extend curfew. Curfew adjustments are granted only for verified current employment. Submit your work schedule to the House Manager; the adjustment covers scheduled shifts plus reasonable travel time. Overnight passes may be granted after 60 days of residency to residents in good standing. Overnight passes require a written request submitted 48 hours in advance, including the location and host name. More than three curfew violations in a 30-day period will result in a community accountability conversation and potential curfew reset.

House Meetings: - Mandatory attendance: Thursdays at 7:00 PM - If you must miss, notify House Manager in advance

Sign-In/Sign-Out: - Use the sign-out sheet by the front door when leaving the property - Include: time left, destination, expected return

Notify Staff If: - You’ll be late for curfew - You need to miss a house meeting - Your schedule changes - You’ll be away overnight (requires advance approval)

👥 VISITORS & GUESTS

Visitor Rules: - All visitors must be pre-approved by House Manager - No visitors who are actively using substances - Visitor hours: Monday–Thursday 10:00 AM–9:00 PM; Friday–Saturday 10:00 AM–10:00 PM; Sunday 12:00 PM–8:00 PM - Visitors must remain in common areas (living room, kitchen) - No visitors in bedrooms at any time - No overnight guests without advance approval

Your responsibility: Ensure your visitors respect house rules and other residents

💼 EMPLOYMENT, EDUCATION, VOLUNTEER WORK

Phase 2 and 3 Residents: - Expected to be engaged in employment, education, or volunteer work - Actively engaged weekdays 9:00 AM–4:00 PM in employment, education, job training, volunteering, or scheduled appointments (exceptions require House Manager approval) - If unemployed, actively seeking work (documented job applications) - Keep House Manager informed of work schedule

Exceptions may be made for: - Intensive outpatient treatment - Medical conditions (with documentation) - Short-term transition periods (discussed with House Manager)

💰 FINANCIAL RESPONSIBILITIES

Weekly Program Fee: - Due: On the agreed day recorded in your Participant Agreement - Payment methods: Cash, money order, or electronic transfer - Late arrangement: Speak with the House Manager BEFORE the due date if you need a payment plan. Fees unpaid more than 7 days without an approved plan begin an administrative review.

What to do if you can’t pay: - Talk to House Manager immediately — before you fall behind - We will work with you on payment plan or hardship accommodation - Do not avoid staff or hide financial difficulty

COMMUNICATION & RESPECT

✅ RESPECTFUL COMMUNICATION

Use kind, respectful language with all residents and staff

No yelling, name-calling, or verbal abuse

Address conflicts directly and calmly (ask staff for support if needed)

Practice active listening

✅ CONFIDENTIALITY

What you hear here, stays here; what you see here, stays here

Do not share other residents’ personal information, stories, or struggles outside Grace House

Do not post about others on social media without their consent

Respect others’ privacy

✅ BOUNDARIES

Knock before entering others’ rooms

Ask permission before borrowing items

Respect “no” — if someone sets a boundary, honor it

Romantic or sexual relationships between residents are strongly discouraged during early recovery and may be addressed in accountability conversations if they become disruptive to the community.

Report boundary violations to staff

✅ INCLUSIVE COMMUNITY

Welcome and respect people of all backgrounds

No discrimination based on race, ethnicity, religion, gender identity, sexual orientation, age, or disability

Challenge your own biases; be willing to learn and grow

Create a culture where everyone feels they belong

HEALTH, SAFETY & SELF-CARE

🩺 PERSONAL HEALTH & HYGIENE

Shower/bathe daily

Wash hands before meals and after using bathroom

Do laundry weekly (clean clothes and bedding)

Keep personal space clean to prevent illness

If you’re sick, take precautions to avoid spreading illness

🚨 EMERGENCY PROTOCOLS

Know where fire exits are located (see posted map)

Know where naloxone (Narcan) is stored

Know how to call for help (see posted emergency numbers)

Participate in fire drills and safety training

Follow staff instructions during emergencies

🧘 SELF-CARE & WELLNESS

Attend medical and mental health appointments

Take medications as prescribed

Get adequate sleep (quiet hours: 10:00 PM to 7:00 AM (11:00 PM to 7:00 AM on weekends))

Eat nutritious meals

Engage in healthy activities (exercise, hobbies, social connection)

TECHNOLOGY & MEDIA USE

📱 GUIDELINES

Use headphones when listening to music, videos, or games

No loud phone conversations during quiet hours

Charge devices in your own space (do not monopolize common area outlets)

No inappropriate content (pornography, glorifying substance use, violent content)

📷 PHOTOGRAPHY & SOCIAL MEDIA

Do not photograph or record others without their consent

Do not share photos/videos of Grace House or other residents publicly without permission

Be mindful of your social media use — avoid content that undermines your recovery

No live streaming from Grace House

ACCOUNTABILITY & PROGRESSIVE DISCIPLINE

Our approach is grace-centered and focused on growth, not punishment.

HOW ACCOUNTABILITY WORKS

Level 1: Verbal Conversation - Informal, supportive discussion about concern - Understanding what happened - Agreement on plan moving forward - Documentation in your file

Level 2: Written Warning - Formal written notice - Specific expectation that needs to be met - Timeline for improvement - Increased check-ins - Copy provided to you

Level 3: Accountability Meeting - Meeting with House Manager and peer coach - Review of concerns - Development of accountability plan - May include: - Temporary restrictions (e.g., earlier curfew, increased check-ins) - Return to Phase 1 support structure - Additional recovery support requirements - Increased supervision

Level 4: Housing Review - Care team meeting (you’re invited to participate) - Discussion of whether Grace House is still the right fit - Options may include: - Continued residence with maximum support - Transition to higher level of care (treatment, clinical program) - Voluntary exit with warm handoff to alternative housing - Involuntary discharge (only if safety concern persists)

RELAPSE RESPONSE POLICY

Return to use is not automatic grounds for discharge. We work WITH you, not against you.

IF YOU USE SUBSTANCES:

Tell someone immediately — your safety is our priority

We will assess your medical needs (may call 911 if necessary)

Together, we’ll determine next steps:

Stay with increased support

Temporary return to treatment/detox with plan to return

Adjust your recovery plan

Additional resources and connection

YOU WILL NOT BE AUTOMATICALLY KICKED OUT

Discharge for return to use is considered only if: - You refuse to engage with support after return to use - You repeatedly bring substances onto property - Your use creates imminent danger to community - You’re unable to maintain sobriety despite all available support

Grace means second chances. And third. And fourth.

YOUR RIGHTS

AS A GRACE HOUSE RESIDENT, YOU HAVE THE RIGHT TO:

✅ Be treated with dignity and respect

✅ Privacy in your personal space

✅ Choose your own treatment providers

✅ Take all prescribed medications (including MOUD)

✅ Practice your spiritual/religious beliefs

✅ File a grievance if you feel mistreated

✅ Leave the program voluntarily at any time

✅ Be free from discrimination

✅ Access your own file (with 48-hour notice)

✅ Have your personal information kept confidential (within legal limits)

GRIEVANCE PROCESS

If you have a concern or feel this Code of Conduct has been violated:

Talk to staff first — most issues can be resolved through conversation

File a written grievance with the House Manager within 10 days of the incident. A written acknowledgment is provided within 24 hours; the grievance is reviewed within 5 business days.

Receive a written House Manager response within 5 business days of receipt, including findings, actions, and reasons.

Appeal if needed to Grace For Addictions leadership within 5 days of the House Manager response; send the appeal and original grievance and response to thomas@graceforaddictions.org. A final decision will be provided within 10 business days.

External resources — if unresolved, contact Iowa HHS Recovery Housing

You will not face retaliation for filing a grievance.

VOLUNTARY EXIT & DISCHARGE

YOU MAY LEAVE AT ANY TIME

If you choose to leave Grace House: - Provide at least 14 days’ written notice to the House Manager - Complete exit interview - Return keys and borrowed items - Allow us to help plan your next steps

DISCHARGE MAY OCCUR IF:

You violate non-negotiable safety standards

You refuse support after multiple interventions

Your behavior creates ongoing risk to community

You stop paying fees and refuse to create a plan

Program-Initiated Removal and Discharge

When a program-rule violation or conduct that threatens another resident’s life, safety, or recovery results in immediate termination of program participation, Grace House will explain the decision verbally and give the resident two hours from that notice to leave the property, subject to any longer notice or other process required by applicable law. Staff will document the reason and notice time and provide written confirmation. During an active emergency, staff may take lawful protective action immediately. Grace House will make reasonable efforts to assist with next steps. Belongings that cannot accompany the resident will be documented, securely stored and made available for later retrieval under the belongings policy. Any required legal process will be followed.

Even in discharge, we provide referrals, support, and a warm transition when possible.

OUR SHARED COMMITMENT

By living at Grace House, I commit to: - Maintaining a sober, safe environment - Treating others with respect - Taking responsibility for my recovery - Engaging with the community - Following house expectations - Asking for help when I need it - Celebrating progress with my housemates - Honoring the trust placed in me

Grace House commits to: - Treating you with dignity always - Supporting your recovery journey - Providing a safe, clean home - Holding you accountable with compassion - Working with you through challenges - Respecting your autonomy and choices - Connecting you with resources you need

I have read (or had read to me) the Grace House Code of Conduct. I understand the expectations and my responsibilities. I commit to upholding this Code and contributing to a safe, supportive community.

This Code of Conduct is reviewed with all residents during orientation and is posted in Grace House common areas for ongoing reference.

Questions? Concerns? Always talk to your peer coach or House Manager.

Grace For Addictions | Grace House
1311 9th Street, Des Moines, Iowa
Code of Conduct — Controlling revision: October 22, 2026 | Owner-adopted October 22, 2026

Medication & MAT/MOUD Policy

Grace House · Grace For Addictions 1311 9th Street, Des Moines, Iowa 50314 · Office: 515-220-8771 · Warmline: 515-310-DIAL (3425) · gracehouse@graceforaddictions.org

Policy Statement

Grace House affirms and supports all FDA-approved medications for substance use disorders and mental health conditions, including methadone, buprenorphine/naloxone (Suboxone), naltrexone (Vivitrol), and all prescribed psychiatric medications. Taking prescribed medication as directed is never a program violation, never grounds for exclusion, and never treated as “not really being in recovery.” (Iowa HHS Checklist Item 6; NARR Standard: multiple pathways.)

Participant Responsibilities

Disclose all prescription medications to the House Manager at intake and whenever prescriptions change.

Medications must be stored in a secure, designated personal lockbox. Controlled substances (including MAT medications) must be stored in a house-provided locked medication safe if a personal lockbox is not available. When the house safe is used, maintain the controlled medication count log.

Take medications only as prescribed; never share medication with any other resident. Sharing is a safety violation that may result in immediate termination of program participation under the Unified Removal and Discharge Process in the Resident Handbook and Participant Agreement.

Dispose of expired/discontinued medication through the House Manager (take-back protocol).

Drug Screening Interaction

Prescribed MAT/MOUD medications that appear on a drug screen are recorded as prescription-consistent results, not positives. Verification is by prescriber confirmation on file.

GRACE HOUSE — RESIDENT RIGHTS & RESPONSIBILITIES

Grace House · Grace For Addictions · 1311 9th Street, Des Moines, Iowa 50314

Office: 515-220-8771 · Warmline: 515-310-DIAL (3425)

Controlling revision: October 22, 2026. Aligned with the current Grace House Resident Handbook.

YOUR RIGHTS

RIGHTS REGARDING DIGNITY AND PERSON

You have the right to be treated with dignity, respect, and compassion at all times.

You have the right to be addressed by your preferred name and pronouns.

You have the right to privacy in your personal communications, including phone calls, letters, and electronic messaging.

You have the right to manage your own finances, employment, and personal affairs without interference.

You have the right to keep and access your own identification documents (ID, Social Security card, birth certificate, etc.) at all times.

You have the right to receive and send personal mail without interception or inspection.

RIGHTS REGARDING RECOVERY

You have the right to pursue the recovery pathway of your choice, including Medication-Assisted Treatment (MAT), without discrimination or penalty.

You have the right to choose your own healthcare providers, counselors, and support services in the community.

You have the right to be free from pressure to affiliate with any specific religious, spiritual, or recovery ideology.

You have the right to receive medication prescribed by a licensed provider, subject to the house medication policy.

RIGHTS REGARDING RESIDENCE

You have the right to a clean, safe, and habitable living environment.

You have the right to understand all house policies before agreeing to them.

You have the right to notice and any other process required by applicable law. The Unified Removal and Discharge Process explains verbal notice, written confirmation, the departure period, and lawful protective action during an active emergency. Nothing in that process waives your legal rights.

You have the right to a fair and transparent grievance process if you believe your rights have been violated or a policy has been applied unfairly.

You have the right to be free from unlawful searches of your personal belongings.

You have the right to reasonable accommodations for disability-related needs.

RIGHTS REGARDING CONFIDENTIALITY

You have the right to confidentiality of your participation in Grace House, subject only to mandatory reporting obligations under Iowa law.

You have the right to know what information about you is shared, with whom, and why.

You have the right to provide or withhold consent for release of your information to outside parties.

RIGHTS REGARDING FAIR TREATMENT

You have the right to be free from discrimination based on race, color, national origin, religion, sex, disability, familial status, or any other protected characteristic.

You have the right to be free from harassment, intimidation, or retaliation from staff or other residents.

You have the right to access community resources, legal counsel, or outside advocacy without interference.

IF YOU BELIEVE YOUR RIGHTS HAVE BEEN VIOLATED

You may file a grievance using the Grace House Grievance Procedure.

You may contact the Iowa Civil Rights Commission: 1-800-457-4416

You may contact the Iowa Protection & Advocacy Services: 1-800-779-2502

You may contact the U.S. HUD Office of Fair Housing: 1-800-669-9777

No retaliation will be taken against any resident for asserting their rights or filing a complaint.

YOUR RESPONSIBILITIES

Living in community means contributing to it. The following responsibilities are what we ask of every resident — not to control you, but because a healthy household requires everyone to show up.

FINANCIAL

Pay your weekly program fee on time. If you are experiencing financial difficulty, speak with the House Manager before your payment is due — not after.

Maintain your own financial accounts. Grace House does not control, hold, or manage residents' money.

Contribute to shared household expenses as outlined in your Participant Agreement.

HOUSEHOLD

Complete your weekly chore assignment thoroughly and on time.

Respect all common areas as shared space — not personal space.

Report maintenance issues or safety concerns to the House Manager promptly.

COMMUNITY

Treat every resident, guest, and community member with respect and dignity.

Maintain a substance-free environment. Do not bring alcohol, illegal substances, or non-prescribed medications into the house or onto the property.

Do not engage in physical, verbal, or emotional intimidation, harassment, or violence of any kind.

Honor the privacy of other residents. Do not share personal information about another resident outside the house.

Honor quiet hours to support everyone's sleep and wellbeing.

RECOVERY

Engage in your personal recovery plan. This does not prescribe a specific program, but it does require active engagement with your own growth.

Attend required house meetings and community gatherings.

Comply with drug testing requirements as outlined in the Participant Agreement.

Notify the House Manager if you are struggling or feel at risk. You will not be punished for being honest.

BEHAVIORAL

Honor your curfew unless prior approval has been granted.

Follow the visitors policy. Comply with the medication policy.

Do not engage in illegal activity inside or outside the home.

Do not remove other residents' belongings without permission.

GRACE FOR ADDICTIONS

Grace House Grievance Procedure

Controlling revision: October 22, 2026

PURPOSE

Grace For Addictions is committed to treating all participants with dignity, respect, and fairness. This Grievance Procedure provides a formal process for participants to raise concerns, file complaints, and seek resolution when they believe they have been treated unfairly or when house policies have been violated.

You have the right to file a grievance without fear of retaliation.

CORE PRINCIPLES

✅ YOUR RIGHTS:

Right to be heard: Your concerns matter and will be taken seriously

Right to fairness: You will receive an impartial review

Right to appeal: If you disagree with the resolution, you can appeal

Right to support: You may have someone support you through the process

Right to protection: You will not face retaliation for filing a grievance

✅ OUR COMMITMENT:

We will listen with openness and respect

We will investigate thoroughly and fairly

We will respond in a timely manner

We will maintain confidentiality (within legal limits)

We will use grievances to improve our program

WHAT IS A GRIEVANCE?

A GRIEVANCE IS A FORMAL COMPLAINT ABOUT:

Treatment by Staff: - Disrespectful or discriminatory treatment - Staff not following program policies - Violation of your rights - Unfair discipline or consequences - Confidentiality breach

Program Policies or Procedures: - Unclear or unfair house rules - Inconsistent enforcement of policies - Accommodation requests denied - Discharge decisions - Financial issues (fees, payment disputes)

Living Conditions: - Safety concerns not addressed - Maintenance or cleanliness issues - Roommate conflicts not resolved - Inadequate food or supplies - Access to services or resources

Conflicts with Other Participants: - Harassment or bullying - Violation of your personal boundaries - Theft of your property - Behavior affecting your recovery

Medication or Treatment Issues: - Medication access denied (including MOUD) - Treatment choice restrictions - Medical needs not accommodated

Discrimination: - Treatment based on race, color, religion, sex, gender identity, sexual orientation, national origin, age, or disability

WHAT IS NOT APPROPRIATE FOR GRIEVANCE PROCEDURE?

These issues should be addressed through other processes:

Emergency safety concerns → Report immediately to staff, call 911 if needed

Minor day-to-day issues → Talk directly with peer coach or House Manager first

Disagreement with policies you understood and agreed to → Discuss with staff, but policies apply to all participants equally

Criminal activity → Report to police

Abuse of a child or dependent adult → Iowa HHS 24-hour reporting line: 1-800-362-2178. Call 911 for imminent danger. Official source: https://hhs.iowa.gov/contacts/child-or-dependent-adult-abuse-reporting

However, if you tried these other processes and the issue is still not resolved, you may file a grievance.

GRIEVANCE PROCESS — HANDBOOK-ALIGNED

Step 1 — Informal Resolution (Within 3 Days)

If you are comfortable doing so, speak directly with the person involved.

Be specific about what occurred, how it affected you, and what resolution you are seeking.

If the concern involves a housemate, a peer mediator can be requested.

Many concerns can be resolved quickly through honest conversation.

Step 2 — Formal Written Grievance (Within 10 Days of Incident)

Complete a Grace House Grievance Form (available from the House Manager or in the resident binder).

Submit the completed form to the House Manager.

You will receive a written acknowledgment within 24 hours confirming receipt.

Your grievance will be reviewed within 5 business days.

Step 3 — House Manager Response (Within 5 Business Days)

The House Manager will investigate the grievance by reviewing the facts and speaking with relevant parties.

A written response will be provided to you within 5 business days of receiving your form.

The response will include findings, any action taken, and the reasoning behind the decision.

Step 4 — Appeal (Within 5 Days of House Manager Response)

If you are not satisfied with the House Manager's response, you may appeal to Grace For Addictions leadership.

Submit a written appeal to thomas@graceforaddictions.org with a copy of your original grievance and the response received.

A final decision will be provided within 10 business days.

FILING OPTIONS AND SUPPORT

Your concern involves the House Manager (file directly with Executive Director)

Option A: Complete Grievance Form - Grievance Forms are available from any staff member, posted in common area, or from Executive Director - You may complete the form yourself or ask staff to help you write it - Staff who help you write it will not read it unless you give permission

Option B: Write a Letter - If you prefer, you can write your grievance in a letter instead of using the form - Include all information listed on the form (see below)

Option C: Anonymous Grievance - You may file anonymously by placing your written grievance in the locked suggestion box - Note: Anonymous grievances are harder to investigate and we cannot respond directly to you

WHAT TO INCLUDE IN YOUR GRIEVANCE:

Required Information: 1. Your name (unless filing anonymously) 2. Date you’re filing 3. Description of what happened (who, what, when, where) 4. Why you believe this is unfair or violates policy 5. What resolution you’re seeking (what would fix this?) 6. Any attempts you made to resolve informally 7. Names of witnesses (if any) 8. Your signature (unless anonymous)

Be as specific as possible. The more detail you provide, the better we can investigate.

If you need accommodation (language interpretation, disability accommodation, etc.) to participate in the grievance process, let us know immediately. We will provide it.

During the investigation: - You may be asked for additional information - You will not face retaliation for filing - You should continue following house rules and expectations - Separate you from the person involved if needed for safety/comfort

Confidentiality: The investigation will be kept as confidential as possible, but some information may need to be shared to conduct a fair investigation.

WRITTEN RESPONSE AND APPEAL DETAILS

You will receive a written decision that includes:

FINDINGS:

Summary of your grievance

Summary of investigation

Determination: Grievance is UPHELD (you were right)
Grievance is PARTIALLY UPHELD (you were partially right)
Grievance is NOT UPHELD (concern not substantiated)

REASONING:

Explanation of why this decision was made

Which policies or facts support the decision

RESOLUTION/ACTION TAKEN:

If upheld: What will be done to address your concern?

Policy change

Staff discipline/retraining

Accommodation provided

Apology

Corrective action

If not upheld: Explanation of why current situation is appropriate

YOUR RIGHT TO APPEAL:

You will be informed of your right to appeal if you disagree

Instructions for how to file an appeal

YOU HAVE THE RIGHT TO APPEAL IF:

You believe the investigation was incomplete or unfair

You have new information that wasn’t considered

You believe the decision was wrong

You disagree with the resolution

What to include in your appeal: 1. Copy of original grievance 2. Copy of decision you’re appealing 3. Why you disagree with the decision 4. What new information you have (if any) 5. What resolution you’re still seeking 6. Your signature and date

You will receive a written final decision that includes:

Summary of your appeal

Final decision: Appeal GRANTED (original decision overturned)
Appeal DENIED (original decision stands)
Modified decision (partial change)

Reasoning for decision

Actions to be taken (if any)

IF YOU’RE STILL NOT SATISFIED: EXTERNAL RESOURCES

If you have exhausted the internal grievance process and remain unsatisfied, you have the right to file complaints with external agencies:

IOWA HHS RECOVERY HOUSING — INFORMATION AND CERTIFICATION QUESTIONS:

Iowa HHS recovery housing helpdesk: recoveryhousing@hhs.iowa.gov. This is a verified information/certification contact, not represented as a dedicated complaint inbox. Official source: https://hhs.iowa.gov/media/16668/download?inline=

CERTIFICATION OR ACCREDITATION COMPLAINT ROUTING:

Ask the House Manager for the current certifying or accrediting organization and its applicable complaint procedure. This document does not claim that Grace House is accredited by MCRSP or any other organization.

IOWA OFFICE OF CIVIL RIGHTS:

Iowa Office of Civil Rights: 515-281-4121 or 1-800-457-4416; 6200 Park Avenue, Suite 100, Des Moines, IA 50321-1270. Official contact information: https://icrc.iowa.gov/contacts/contact-iowa-civil-rights-commission

DISABILITY RIGHTS IOWA:

Disability Rights Iowa: 515-278-2502 or 1-800-779-2502; Relay 711; contact@driowa.org; 606 Walnut Street, Suite 2220, Des Moines, IA 50309. Official contact information: https://disabilityrightsiowa.org/how-we-help/contact-us/

LEGAL AID:

Iowa Legal Aid: general contact 1-800-532-1275. Current eligibility and help information: https://iowalegalaid.org/get-help/ . The official website provides the current contact route for your circumstances.

PROTECTION FROM RETALIATION

YOU WILL NOT BE PUNISHED FOR FILING A GRIEVANCE

Retaliation includes: - Immediate discharge after filing grievance (unless safety issue unrelated to grievance) - Increased discipline or scrutiny - Harassment or intimidation - Denial of services or privileges - Negative comments or gossip about you filing - Pressure to withdraw your grievance

If you experience retaliation: - Document what happened - Report immediately to Executive Director (or Board Chair if ED is involved) - File a separate grievance about retaliation

Retaliation is a serious policy violation and will result in staff discipline up to and including termination.

GRIEVANCE TRACKING & CONFIDENTIALITY

CONFIDENTIALITY:

Who has access to grievance records: - House Manager - Grace For Addictions leadership handling an appeal - Investigator assigned to the grievance - Staff directly involved in the grievance - Legal counsel (if needed)

Your grievance will NOT be: - Discussed with other participants - Posted publicly - Shared with people not involved in investigation - Used against you in your participant file (unless relevant to discharge for cause)

DOCUMENTATION:

All grievances are documented and tracked for: - Ensuring timely response - Identifying patterns or systemic issues - Program improvement - Accountability

Records are kept for: 7 years in secure, confidential files

SPECIAL SITUATIONS

IF YOU’RE DISCHARGED BEFORE GRIEVANCE IS RESOLVED:

Your grievance will still be investigated

You will still receive a written response

If upheld, you may be offered opportunity to return to Grace House (if space available)

IF YOU LEAVE VOLUNTARILY BEFORE GRIEVANCE IS RESOLVED:

You may continue the grievance process

You will receive written responses at your forwarding address

If you have no forwarding address, responses will be held for 30 days

IF YOUR GRIEVANCE INVOLVES MULTIPLE PEOPLE:

You may file together (class grievance) or separately

Each person’s concerns will be addressed

Resolution may be different for each person depending on individual circumstances

IF YOU NEED HELP FILING:

Any staff member can provide a blank form

Family member or friend can help you write it

You can ask for assistance from peer coach (they won’t read it without your permission)

Iowa Legal Aid general contact: 1-800-532-1275; current help information at https://iowalegalaid.org/get-help/ .

PROGRAM IMPROVEMENT

Your feedback makes us better.

All grievances are reviewed regularly to identify: - Training needs for staff - Policy clarifications or changes needed - Communication improvements - Service gaps - Systemic issues

Even if your individual grievance is not upheld, your feedback helps us improve for everyone.

Grace For Addictions | Grace House
Grievance Procedure — Controlling revision: October 22, 2026

Your voice matters. Your rights matter. We are committed to listening and responding with fairness and respect.

Grace House — Residence Rules & Resident Rights

Controlling revision: October 22, 2026. Handbook-aligned resident reference.

Grace For Addictions · 1311 9th Street, Des Moines, Iowa 50314
Office: 515-220-8771 · Warmline: 515-310-DIAL (3425)
gracehouse@graceforaddictions.org

01 · Non-Negotiable Safety Standards

These behaviors create immediate danger to the household. Any program-initiated removal or discharge follows the Unified Removal and Discharge Process:

When a program-rule violation or conduct that threatens another resident’s life, safety, or recovery results in immediate termination of program participation, Grace House will explain the decision verbally and give the resident two hours from that notice to leave the property, subject to any longer notice or other process required by applicable law. Staff will document the reason and notice time and provide written confirmation. During an active emergency, staff may take lawful protective action immediately. Grace House will make reasonable efforts to assist with next steps. Belongings that cannot accompany the resident will be documented, securely stored and made available for later retrieval under the belongings policy. Any required legal process will be followed.

Violence & Threats

Physical violence or assault toward any person; Threats of violence or intimidation; Weapons of any kind on the property — firearms, knives, or other dangerous objects

Substances & Property

Bringing alcohol or illicit substances onto the property; Possession of drug paraphernalia; Selling, sharing, or distributing substances to others; Theft or deliberate destruction of property

Sexual Misconduct & Harassment

Sexual harassment, assault, or coercive behavior; Non-consensual physical contact; Creating a sexually hostile environment

Endangerment

Behavior creating serious, ongoing risk to self or others; Refusing to follow safety protocols during an emergency; Intentionally putting others at risk

02 · Sobriety & Recovery

Substance-Free Living

Grace House is an alcohol-free and illicit-substance-free environment, on and off the property.

Drug testing follows the house schedule and includes random tests. Refusing a test is treated the same as a positive result.

If you return to use, tell someone immediately. We will support you, not shame you. See Section 14.

Medications Are Supported

All FDA-approved medications are permitted and encouraged, including Medication for Opioid Use Disorder — methadone, buprenorphine (Suboxone), and naltrexone (Vivitrol).

Mental health medications are fully supported.

Disclose all prescriptions to the House Manager at intake and whenever a new prescription begins.

Medications must be stored in a secure, designated personal lockbox. Controlled substances (including MAT medications) must be stored in a house-provided locked medication safe if a personal lockbox is not available. Never share medications. Provide prescriber documentation for all controlled substances.

Coaching & Your Recovery Plan

Select a life coach or recovery coach at intake. Complete daily check-ins in the VRCC app in every phase.

Coaching sessions: weekly in Phase 1 · biweekly in Phase 2 · monthly in Phase 3.

Complete your Individual Recovery Plan within 72 hours of intake; review and update it monthly. Your plan belongs to you and is written in your voice.

Treatment Choice Is Yours

You may seek clinical treatment from any provider you choose. You are never required to use a specific program or counselor.

03 · Weekly Recovery Activities

Complete the supportive activities required for your current phase each week. The weekly house meeting does not count toward this total.

Your Phase Activities Per Week

Phase 1: 4 activities per week

Phase 2: 3 activities per week

Phase 3: 2 activities per week

Change Course Leaders: 2 additional supportive activities per week

Qualifying activities: 12-step meetings · SMART Recovery · Celebrate Recovery · individual therapy or counseling · sessions with your life or recovery coach · church, worship, or Bible study · the Tuesday GFA Recovery Community (GFARC) gathering · other community-based recovery activities approved by staff.

Change Course Leaders: Monday–Thursday programming counts as substantial structured engagement, so only 2 additional activities per week are required. Everything else — house meeting, curfew, coaching, fees, community standards — applies exactly as to every resident. If you exit or pause Change Course, the standard phase requirement resumes the next week. Questions about Change Course go to Change Course staff.

04 · Schedule & Attendance

Curfew: Phase 1 (Days 1–30): 9:00 PM Sunday–Thursday; 10:00 PM Friday–Saturday. Phase 2 (Days 31–90): 10:00 PM Sunday–Thursday; 11:00 PM Friday–Saturday. Phase 3 (Days 91+): 11:00 PM Sunday–Thursday; midnight Friday–Saturday.

Policy ID GH-CURFEW-001 v3.0 — supersedes all prior curfew tables.

Hard ceiling: No curfew at Grace House extends past midnight in any phase, for any reason other than verified current employment.

The only curfew exception is current employment. A participant whose verified work schedule conflicts with curfew may be granted an employment-based adjustment covering scheduled shifts plus reasonable travel time. A copy of the work schedule must be on file with the House Manager. No other exceptions (social, family, recreational, or recovery-activity) extend curfew.

Curfew adjustments are granted only for verified current employment. Submit your work schedule to the House Manager; the adjustment covers scheduled shifts plus reasonable travel time.

Overnight passes may be granted after 60 days of residency to residents in good standing.

Overnight passes require a written request submitted 48 hours in advance, including the location and host name.

More than three curfew violations in a 30-day period will result in a community accountability conversation and potential curfew reset.

Quiet hours: Sunday–Thursday 10:00 PM–7:00 AM; Friday–Saturday 11:00 PM–7:00 AM. House meeting: Thursdays at 7:00 PM. Attendance is mandatory; notify the House Manager in advance if you must miss. Sign out at the front door: time out, destination, expected return. Tell staff if you will be late, away overnight, or your schedule changes.

05 · Visitors & Guests

Visitor Hours

Monday – Thursday 10:00 AM – 9:00 PM

Friday – Saturday 10:00 AM – 10:00 PM

Sunday 12:00 PM – 8:00 PM

All visitors must be pre-approved by the House Manager. No visitors who are actively using substances. Visitors stay in common areas only — living room and kitchen. No visitors in bedrooms at any time. No overnight guests without advance approval. You are responsible for making sure your visitors respect house rules and other residents.

06 · Work, School & Service

Be engaged in employment, education, job training, volunteering, or caregiving at least 30 hours per week by Day 30 (Policy GH-ACTIVITY-001). If unemployed, actively seek work with documented applications. Keep the House Manager informed of your schedule. Exceptions may be approved for intensive outpatient treatment, documented medical conditions, or short-term transitions.

07 · Program Fees

Fee schedule per Policy GH-FEES-001. Cash, money order, or electronic transfer. If you cannot pay, talk to the House Manager before the due date. We will work out a payment plan or hardship accommodation. Do not avoid staff or hide financial difficulty. Fees unpaid more than 7 days without an approved plan begin an administrative review.

08 · Home Care & Shared Space

Keep your bedroom clean and organized. Respect a roommate's space and belongings.

No eating or storing open food in bedrooms — this prevents pests.

Do laundry regularly and put clean clothes away.

Clean up after yourself immediately in the kitchen, bathrooms, and common areas.

Complete assigned chores on schedule. Assigned at move-in, rotated monthly, posted in the kitchen.

Return shared items to their place. Ask before borrowing anything.

Report maintenance issues to the House Manager.

09 · Community & Respect

Respectful Communication

Use kind, respectful language with all residents, staff, guests, and neighbors. No yelling, name-calling, or verbal abuse.

Address conflict directly and calmly. Ask staff for support if you need it.

Confidentiality

What you hear here stays here. What you see here stays here.

Do not share another resident's information, story, or struggles outside Grace House, or post about them without consent.

Boundaries

Knock before entering someone's room. Respect "no." If someone sets a boundary, honor it.

Romantic or sexual relationships between residents are strongly discouraged during early recovery and may be addressed in accountability conversations if they become disruptive to the community.

Report boundary violations to staff.

Inclusive Community

Welcome and respect people of all backgrounds. No discrimination based on race, ethnicity, religion, gender identity, sexual orientation, age, or disability.

Challenge your own biases. Be willing to learn and grow.

Technology, Photos & Social Media

Use headphones for music, video, and games. No loud phone calls during quiet hours.

No pornography, content glorifying substance use, or violent content.

Do not photograph or record anyone without their consent. No live streaming, and no public posting of Grace House or residents without permission.

10 · Health & Self-Care

Attend your medical and mental health appointments. Take medications as prescribed.

Shower daily, wash hands before meals, do laundry weekly, and take precautions when you are ill.

Get adequate sleep and eat nutritious meals.

Know the fire exits, naloxone locations, and posted emergency numbers. Participate in drills and follow staff instructions during emergencies.

11 · Good Neighbor Standards

Grace House succeeds when our neighborhood trusts us. We commit to being among the best-kept, quietest, most

considerate homes on the block. (NARR good-neighbor practices.)

Move outdoor conversations inside after dark. No amplified sound outdoors. Gatherings stay indoors.

Park considerately — never blocking driveways or sidewalks, never accumulating vehicles.

Smoke in the designated rear area only — never the front porch or sidewalk. Containers emptied daily.

Keep lawn, porch, walkways, trash, and bins maintained on schedule.

Any neighbor may call the House Manager at 515-220-8771. Concerns are acknowledged within 24 hours and logged.

12 · Your Rights

As a Grace House resident, you have the right to — and these rights cannot be waived or removed as a condition of residency.

Be treated with dignity and respect.

Have privacy in your personal space.

Choose your own treatment providers.

Take all prescribed medications, including MOUD.

Practice your spiritual or religious beliefs.

File a grievance if you feel mistreated.

Leave the program voluntarily at any time.

Be free from discrimination.

Access your own file with 48 hours' notice.

Have your personal information kept confidential, within legal limits.

You will not face retaliation for exercising any right on this list.

13 · Our Commitment to You

By welcoming you into this home, Grace For Addictions commits to:

Treat you with dignity, respect, and compassion at every stage of your recovery.

Provide a safe, clean, and supportive home environment.

Support your chosen recovery pathway without judgment or coercion.

Be transparent about policies, decisions, and any changes that affect your residency.

Respond to your needs, concerns, and grievances in a timely and fair way.

Celebrate your growth and walk with you through the hard days as well as the victories.

14 · If You Return to Use

A return to use is not automatic grounds for discharge. We work with you, not against you.

Tell someone immediately. Your safety is the first priority.

We assess your medical needs, and we will call 911 if necessary.

Together we determine next steps: staying with increased support, a temporary return to treatment or detox with a plan to come back, an adjusted recovery plan, or additional resources and connection.

You will not be automatically removed. Discharge after a return to use is considered only if you refuse to engage with support, repeatedly bring substances onto the property, create imminent danger to the community, or are unable to maintain sobriety despite all available support.

Grace means second chances. And third. And fourth.

15 · How Accountability Works

Our approach is grace-centered and focused on growth, not punishment. Concerns are addressed at the lowest level that works.

Level 1 — Verbal Conversation: An informal, supportive discussion. We understand what happened, agree on a plan going forward, and note it in your file.

Level 2 — Written Warning: A formal written notice naming the specific expectation to be met, a timeline for improvement, and increased check-ins. A copy is given to you.

Level 3 — Accountability Meeting: A meeting with the House Manager and your peer coach to review concerns and build an accountability plan. May include temporary restrictions such as an earlier curfew, a return to the Phase 1 support structure, or added recovery requirements.

Level 4 — Housing Review: A care team meeting — you are invited to participate. Options include continued residence with maximum support, transition to a higher level of care, voluntary exit with a warm handoff to alternative housing, or involuntary discharge only if a safety concern persists. Any program-initiated removal or discharge follows the Unified Removal and Discharge Process, including its notice, departure period, written confirmation, belongings arrangements, and applicable-law safeguards.

16 · Grievance Process

Step 1 — Informal Resolution (Within 3 Days)
If you are comfortable doing so, speak directly with the person involved.
Be specific about what occurred, how it affected you, and what resolution you are seeking.
If the concern involves a housemate, a peer mediator can be requested.
Many concerns can be resolved quickly through honest conversation.

Step 2 — Formal Written Grievance (Within 10 Days of Incident)
Complete a Grace House Grievance Form (available from the House Manager or in the resident binder).
Submit the completed form to the House Manager.
You will receive a written acknowledgment within 24 hours confirming receipt.
Your grievance will be reviewed within 5 business days.

Step 3 — House Manager Response (Within 5 Business Days)
The House Manager will investigate the grievance by reviewing the facts and speaking with relevant parties.
A written response will be provided to you within 5 business days of receiving your form.
The response will include findings, any action taken, and the reasoning behind the decision.

Step 4 — Appeal (Within 5 Days of House Manager Response)
If you are not satisfied with the House Manager's response, you may appeal to Grace For Addictions leadership.
Submit a written appeal to thomas@graceforaddictions.org with a copy of your original grievance and the response received.
A final decision will be provided within 10 business days.

No resident will face any negative consequences — including threats, changes in privileges, or pressure toward discharge — for filing a grievance in good faith. Retaliation is itself a serious violation and will be addressed through the same process.

17 · Leaving Grace House

You may leave at any time. If you choose to go, we want to help you land well.

Give a minimum of 14 days' written notice before voluntarily departing. Leaving without notice forfeits any refund claim for the current payment period. Belongings that cannot accompany the resident will be documented, securely stored and made available for later retrieval under the belongings policy. Complete an exit interview, return keys and borrowed items, and let us help plan your next steps. You are welcome back at Grace House community events and support as an alum. If you depart for a higher level of care, you are encouraged to apply for readmission when you are ready.

Discharge May Occur If

You violate a non-negotiable safety standard (Section 01). You refuse support after multiple interventions. Your behavior creates ongoing risk to the community. You stop paying fees and refuse to create a plan.

Even in discharge, we provide referrals, support, and a warm transition whenever possible.

18 · When to Call 911

Call 911 immediately — do not wait, and do not call staff first.

Overdose — unresponsive or not breathing; Suicide attempt, or an imminent threat of suicide; Violence with weapons, or serious injury; Medical emergency — chest pain, seizure, severe bleeding; Any life-threatening situation

24-Hour Crisis Lines

988 Suicide & Crisis Lifeline Call or text 988

Your Life Iowa 1-855-581-8111

Grace House Warmline 515-310-DIAL (3425)

House Office / Manager 515-220-8771

Naloxone is available in the Grace House medication cabinet and near the front door. All residents will receive naloxone training within 7 days of intake. Call 911 immediately for a suspected overdose. Iowa law provides limited protections for qualifying people who seek medical help for a drug-related overdose; it does not guarantee immunity from all legal consequences.

19 · Where to Get Help First

A house or roommate concern: House Manager

A recovery or plan concern: Your coach

A money or fee concern: House Manager, before the due date

A rights or fairness concern: Grievance, Section 16

After hours, not an emergency: Warmline 515-310-DIAL (3425)

Any emergency: 911

You are never in trouble for asking. Reaching out early is always the right move.

24-HOUR CRISIS LINES 988 Suicide & Crisis Lifeline — call or text 988 · Your Life Iowa 1-855-581-8111

This reference reflects the controlling Grace House Resident Handbook revised October 22, 2026. Existing signed agreements and legal rights are not silently overwritten; applicable legal notice and process will be followed. Full governing documents are available from Grace House.

Change Course Leaders Policy (Partner Program)

Grace House · Grace For Addictions 1311 9th Street, Des Moines, Iowa 50314 · Office: 515-220-8771 · Warmline: 515-310-DIAL (3425) · gracehouse@graceforaddictions.org

Relationship

Change Course is an independent, outside program operated separately from Grace House and Grace For Addictions. Grace House does not set, administer, or modify Change Course requirements.

Structure and Qualification

Change Course has Leaders only — there is no “participant” tier. Qualification and acceptance as a Change Course Leader is determined solely by Change Course. Grace House plays no role in selecting, qualifying, or approving Leaders.

Grace House Expectations for Change Course Leaders

Change Course compliance: Leaders are expected to comply with all Change Course program requirements, including the program’s extensive Monday–Thursday participation. Those requirements belong to Change Course; questions about them go to Change Course program staff.

Adjusted Grace House activity requirement: because Monday–Thursday Change Course programming is substantial structured recovery engagement, Grace House requires Change Course Leaders to complete only two (2) additional supportive activities per week, in place of the standard phase-based requirement (4/3/2). Qualifying activities follow the standard Grace House list; the weekly house meeting does not count.

Everything else unchanged: house meeting attendance, curfew for current phase, coach selection with daily VRCC check-ins and phase-cadence sessions, fees, and all community standards apply to Change Course Leaders exactly as to every Grace House participant.

Status changes: if a Leader exits or pauses Change Course, the standard phase-based activity requirement resumes the following week.

I understand my Grace House activity requirement is two additional supportive activities per week while I remain in active compliance with all Change Course requirements, and that my standing as a Change Course Leader is determined by Change Course.

Code of Ethics — Staff, House Leads, Peer Mentors & Volunteers

Grace House · Grace For Addictions 1311 9th Street, Des Moines, Iowa 50314 · Office: 515-220-8771 · Warmline: 515-310-DIAL (3425) · gracehouse@graceforaddictions.org

Required of every person serving Grace House in any capacity. (NARR core requirement.)

I commit to:

Primacy of residents’ interests. Every decision serves residents’ recovery, safety, and dignity first.

Scope of role. I provide peer and operational support only. I do not diagnose, prescribe, counsel clinically, or give legal or medical advice. I connect residents to qualified providers of their choice.

No exploitation. I will never exploit residents financially, sexually, emotionally, or for labor. I will not lend to, borrow from, sell to, or buy from residents, nor accept gifts beyond token value.

Boundaries. No romantic or sexual relationships with residents. No dual relationships that compromise judgment. If a prior relationship exists, I disclose it immediately.

Confidentiality. Resident information is shared only with signed consent or as required by law (mandatory reporting, imminent danger, court order). Residency itself is confidential.

Medication respect. I affirm all FDA-approved medications and every legitimate recovery pathway. I never disparage MAT/MOUD or any resident’s chosen path.

Honesty in records. I document truthfully, completely, and on time. I never falsify, backdate, or omit.

Cultural humility & fair housing. I serve without discrimination and honor each person’s culture, faith, identity, and story.

My own wellness. If I am in recovery, I maintain my own program. I model what I ask of others.

Accountability. I report ethical concerns — including my own mistakes — promptly to the Executive Director. Retaliation for good-faith reports is itself an ethics violation.

Curfew & Pass Policy + Overnight Pass / Furlough Request Form

Grace House · Grace For Addictions 1311 9th Street, Des Moines, Iowa 50314 · Office: 515-220-8771 · Warmline: 515-310-DIAL (3425) · gracehouse@graceforaddictions.org

Curfew Policy (GH-CURFEW-001 v3.0 — supersedes all prior versions)

Hard ceiling: no curfew extends past midnight in any phase.

The only exception is current employment. A verified work schedule on file with the House Manager adjusts curfew for scheduled shifts plus reasonable travel time. No other exceptions.

More than three curfew violations in 30 days results in a community accountability conversation and possible phase-curfew reset.

Overnight Pass / Furlough

Available after 60 days of residency, in good standing.

Written request 48 hours in advance; bed is held; weekly fee continues.

Check-in expectations during leave are set at approval.

Support plan while away (meetings, coach contact, medication plan):

Drug & Alcohol Screening Policy & Consent

Grace House · Grace For Addictions 1311 9th Street, Des Moines, Iowa 50314 · Office: 515-220-8771 · Warmline: 515-310-DIAL (3425) · gracehouse@graceforaddictions.org

Purpose

Screening protects the substance-free environment every resident depends on. It is a community-safety tool, not a surveillance or punishment tool.

Schedule

Phase 1 (Days 1–30): upon intake, then randomly up to twice weekly.

Phase 2 (Days 31–90): once weekly (random day).

Phase 3 (Days 91+): randomly, minimum once monthly.

For cause: at any time based on observable, documented indicators.

Return-to-use follow-up: per the individualized support plan.

Standards

Same-gender observation only where observation is used; dignity preserved at every step.

Prescribed MAT/MOUD and disclosed prescriptions are recorded as prescription-consistent — never as violations (see Medication Policy).

A refused screen is treated as a positive result.

A positive result triggers the Return-to-Use Response Policy — a support conversation and safety assessment, not automatic discharge.

Results are confidential: House Manager and Executive Director access only; stored in the locked/encrypted resident file; retained per records policy.

Consent

I consent to drug and alcohol screening according to this policy. I understand refusal is treated as a positive result, that my prescribed medications are protected, and that a positive result initiates a supportive response process.

Grace House Emergency Safety Information

Public resident-facing extract — October 22, 2026. This is not the full internal Emergency Response Protocols manual.

Immediate safety

Call 911 immediately for a suspected overdose, imminent danger, or a life-threatening medical emergency. Follow dispatcher instructions. Stay with the person when it is safe to do so until emergency assistance arrives.

Overdose response

If naloxone is available, administer it according to the product instructions. Naloxone is temporary emergency support and does not replace medical care. Do not delay calling 911. An overdose does not automatically result in discharge; once medically stable, the person is offered peer support, resource navigation and care planning.

Dignity and support

Emergency responses prioritize safety, dignity, compassionate care, privacy and connection to ongoing support. Return to use alone is not an automatic reason for discharge. Staff assess safety and support needs with the person.

Program-initiated removal and discharge

When a program-rule violation or conduct that threatens another resident’s life, safety, or recovery results in immediate termination of program participation, Grace House will explain the decision verbally and give the resident two hours from that notice to leave the property, subject to any longer notice or other process required by applicable law. Staff will document the reason and notice time and provide written confirmation. During an active emergency, staff may take lawful protective action immediately. Grace House will make reasonable efforts to assist with next steps. Belongings that cannot accompany the resident will be documented, securely stored and made available for later retrieval under the belongings policy. Any required legal process will be followed.

Source

Derived from Grace House Emergency Response Protocols, controlling revision October 22, 2026, and the current Resident Handbook. Staff documentation and internal response procedures are not part of this public extract. Emergency guidance: https://www.cdc.gov/stop-overdose/response/ and https://www.fda.gov/consumers/consumer-updates/access-naloxone-can-save-life-during-opioid-overdose .

Fee Schedule & Financial Agreement

Grace House · Grace For Addictions 1311 9th Street, Des Moines, Iowa 50314 · Office: 515-220-8771 · Warmline: 515-310-DIAL (3425) · gracehouse@graceforaddictions.org

Current Fee Schedule (Policy GH-FEES-001)

Program fees cover housing, utilities, household supplies, and program participation. Grace House charges program participation fees. The participant agreement and applicable law govern residents’ rights and obligations; this fee schedule does not waive legal rights or required notice or process.

I understand and agree:

Fees are due on the agreed day. If I anticipate difficulty, I will speak with the House Manager before the due date — hardship payment plans are always available and never punitive.

Non-payment for more than 7 days without an approved plan may begin an administrative review.

Fees are non-refundable for the current period except in emergency or administrative error.

Grace House never manages, holds, or controls my personal finances.

My fee continues during an approved furlough (my bed is held).

Good Neighbor Policy

Grace House · Grace For Addictions 1311 9th Street, Des Moines, Iowa 50314 · Office: 515-220-8771 · Warmline: 515-310-DIAL (3425) · gracehouse@graceforaddictions.org

Our Commitment

Grace House succeeds when our neighborhood trusts us. We commit to being among the best-kept, quietest, most considerate homes on the block. (NARR Standard: good neighbor practices.)

Standards

Property appearance: lawn, porch, and walkways maintained weekly; trash and bins managed on schedule; the house looks like every other well-kept home on the street.

Noise: quiet hours are 10:00 PM–7:00 AM Sunday–Thursday and 11:00 PM–7:00 AM Friday–Saturday; outdoor conversations moved inside after dark; no amplified sound outdoors.

Parking: residents and guests park considerately — never blocking driveways, sidewalks, or accumulating vehicles.

Smoking: designated rear area only; never on the front porch or sidewalk; containers emptied daily.

Guests: visitor policy applies; gatherings stay indoors and within noise standards.

Neighbor concerns: any neighbor may contact the House Manager (515-220-8771). Concerns are acknowledged within 24 hours, addressed promptly, and logged.