INTAKE APPLICATION

Please make sure you have reviewed the intake considerations and FAQs here or at the bottom of this page.

If you decide our program would be a good fit for you complete the application form on this page (below). Any applicants to Rose House must go through our screening process. If our services are not appropriate we will refer you to an appropriate agency.

Step 1: Complete the application form below.

Step 2: A phone call will be initiated by an Action169 trained advocate.

Step 3: Complete intake requirements, including phone screening, with an Action169 advocate.

Step 4: Set admission date.

IF YOU ARE INTERESTED IN OUR RESIDENTIAL HOUSING (ROSE HOUSE) PLEASE COMPLETE THE FORM ON THIS PAGE. ONE OF OUR ADVOCATES WILL BE IN TOUCH.

ROSE HOUSE INTAKE APPLICATION

(please complete this form and click the submit button to apply)

Intake Considerations

  • 18 years of age or older

  • Survivor of commercial sexual exploitation, sex trafficking, and/or problematic substance use

  • Biologically female

  • Free of mood altering substances, drugs and/or alcohol for at least 20 days

  • ​US citizen or foreign National who speaks english

  • Ready for change and willing to follow a restoration plan specific to individual needs and goals

  • Willing and able to stay sober

FAQ

  • Length of stay varies per individual; however, 12 months in average time. Time may be less or more depending on the individual.

  • There are no costs to the participant to be a part of the restoration program.

  • There is space for up to four women at Rose House; however, it is likely there will only be three women in the main house. One space/bed is available for emergency care in a separate space.

  • We focus on your own needs. After the first phase, which is about 30 days, your individual goals will determine visits with safe individuals.

  • We ask that your cell phone be put away for your safety and the safety of others in our home, particularly during your first and second phase. A cell phone provided to you can be taken into consideration after your second phase is complete. Supervised phone calls to your safe contacts can be made from the house phone. The frequency and duration of those calls will be determined by your individual goals. There will be no access to social media during your stay.

  • Yes, we will provide you with transportation while you are in our home.

  • Rose House is a drug and alcohol free program. We do not allow the use of drugs or alcohol while you are a part of the program and take this aspect of the program very seriously.

Program Phases

  • Intake

  • 20–30 sober days detox

  • Medical care

  • Individual restoration plan

  • Group session

  • Spirit-soul care

(ONE MONTH)

Phase One

  • Trauma-informed care

  • Access to substance abuse counseling and sober support

  • Life skills

  • Health-wellness group

  • Spirit–soul care

(FIVE–SEVEN MONTHS)

Phase Two

(12+ SESSIONS)

Phase Three

  • Independent living (if appropriate)

  • Groups, support, life skills

  • Part time work and/or academic exploration

  • Prepare for graduation

Phase Four

  • Living out of the home

  • Weekly check-in

  • 12–24 sessions of aftercare support

(SEVEN–TWELVE MONTHS)