Virtual / In-Person Speaker Guidelines and Agreement

First, thank you for the investment that you are making with our patients, staff, and organization! In order to maintain the standard of excellence that the Ashley Model of Care has achieved, we ask that all of our volunteers adhere to the following guidelines:

1. Guest speakers addressing the patient community virtually and/or in-person must be working a solid program of recovery (to include active participation in community support; 12-Step, SMART recovery Celebrate Recovery, etc.) and/or a professional in the capacity which they are speaking.
   *Ashley staff reserves the right to deny any guest speaker and/or volunteer at any time before or after a thorough vetting process, if the speaker or content of the disclosure is deemed unsafe or inappropriate for the patient community

2. Speakers, virtual and/or live, MUST respect the confidentiality of the patient community at all times; no cell phones, cameras or audio recording is allowed at any time.
3. Please try to limit the use of profanity and vivid war stories and focus on a message of recovery.
4. Please dress appropriately.
5. If you have a monthly commitment to speak at Ashley and wish to bring a guest to speak with you, please give your guest’s name to the Alumni Office, or designated staff, at least one day prior to your commitment. You can contact alumni representative at 410-273-2303 or email at alumni@ashleytreatment.org
6. The diverse needs of the community will be observed in the scheduling of speakers. This includes gender, age, ethnic, cultural, education, sexual identity and religious backgrounds.
7. If a speaker is unable to keep the commitment, please notify Alumni Services, or Ashley staff member, a minimum of 48 hours in advance so that the staff may arrange for a substitute. Failure to do so will result in being removed from the schedule. If you have been tasked with bringing in a topic meeting, please make sure you are prepared to do so, as failure to provide these types of meetings will result in being removed from the schedule.
8. Special request for a speaking commitment need to be communicated to Alumni Services, or Ashley staff member, well in advance of the date being requested.
9. A speaker/volunteer that wants to use audio and video communication technology to provide telehealth to patients during the COVID-19 nationwide public health emergency can use an Ashley approved HIPAA compliant vendor.

Self-Help Recovery Meeting

Virtual / In-Person Speaker Agreement

I(Required)

Insert Full Name

agree to abide by the guidelines above. I understand that failure to respect these guidelines may result in me being barred from future Ashley speaking opportunities and/or from future Ashley events including virtual, on campus and/or off campus. These guidelines were created to ensure that the Ashley’s standards of excellence are upheld. I agree to notify an Ashley staff member immediately if I have questions or concerns regarding these guidelines.

I signify that I have read and will comply with the above agreement.

Speaker / Volunteer Name(Required)

First Last

Email(Required)

Signature(Required)

Date(Required)

MM slash DD slash YYYY

Please read the following rules regarding confidentiality. Please sign, date and return to Alumni Services or Ashley staff member prior to your scheduled virtual or live speaking commitment. 1. I understand that for safety and for legal reasons, all information pertaining to anyone who seeks or has received the services of Ashley, Inc. must be kept confidential. This includes the identity of those who seek services, their names, gender, age, number of children, addresses, types of services received, and place where services were sought or received, and any other information that could identify the individual. I understand that this information is NOT to be shared with anyone including other agencies, treatment providers, law enforcement, or the Department of Social Services, etc. 2. I will maintain the confidentiality of those people I see/meet through Ashley programs, including personal details of the Ashley staff or volunteers. I understand that my confidentiality obligation is on-going and it does not end when my visit to or relationship with Ashley, Inc. ends.

I signify that I have read and will comply with the above agreement.

Speaker / Volunteer Name(Required)

First Last

Signature(Required)

Date(Required)

MM slash DD slash YYYY

Remember, this is most people’s first experience with recovery and community support groups. Be a role model, make a good impression, and show people that we have found a solution! Feel free to give out your phone number, and encourage participation in support groups. Thank you for following these guidelines and for being of service to our inpatient community!

Submit