Abba’s House Application

Helping young Women heal

Abba’s House is a two Phase Recovery Program. Phase one is a six-month Recovery Program focusing on the root issues around substance use and working through abuse/traumas. Once completion of recovery classes, parenting classes, etc… a graduation will take place. After graduation, the resident can decide to transition out on their own safely or remain at Abba’s House for Phase two. This is the transitional phase to help residents interview for employment, budgeting finances, getting transportation, and obtaining safe living opportunities. Overall, our program in its entirety is twelve Months if needed.

Our program is a faith-based program. Residents do not have to be Christian to be part of our program, but Biblical Principles will be implemented as a foundation in our recovery program.

Residents are required to be part of Chapel, group & individual sessions and other enrichment teachings that are geared towards their recovery.

Applicants MUST meet the following:

  • 18 years of age or older, born Female (ID must be provided)
  • Pregnant, post-partum or parenting a child under the age of 6 years old
  • Working a plan of reunification or to remain unified with child(ren)
  • No Methadone MAT, we do allow Suboxone or Subutex
  • Must have a history of Substance Abuse
  • Mental Health and Physical Diagnoses must be stable and not causing a threat to self or others
  • Residents must be able to climb 2 large flights of stairs to live on our residential hall
  • Must have a NEGATIVE COVID test or proof of vaccination in order to enter residency
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Referral From

Name

Contact Information

Name
Click or drag a file to this area to upload.
Emergency Contact First Name
Registered Sex Offender?
Charged for Child Abuse?

Please list Substance Abuse History in this section.

Any history of mental health treatment? If yes, when and where?
Any history of traumatic event? i.e., neglect, abuse, significant loses, domestic violence, sexual abuse or rape, or exploitation? If yes, when and where?
Do you have a mental health diagnosis? If so, what is it?
Are you taking medication for this diagnosis? If so, what?

Substance Abuse History

Please complete your mental history in this section.

Detox Needed?
Do you vape or smoke?

Medical History

Please fill out medical history below. *NOTE, we DO NOT take applicants with Methadone MAT. - OK for Suboxone or Subutex.

Are you currently on medication of opiate use disorder?
Allergic to any medications?

Child/Children Information

**** Note – must be pregnant or parenting a child under age 6 to qualify ***

Is applicant currently pregnant?

Legal Information

Are there any open warrants?
By submitting this application, I acknowledge and agree to all terms, conditions, and requirements of the Abba's House Program offered by Western Carolina Rescue Ministries (WCRM). I affirm that I meet all the eligibility criteria as outlined and commit to adhering to the rules and guidelines of the program. I understand and accept the faith-based nature of the program, including its incorporation of Biblical Principles. I am aware that providing false or misleading information in this application can lead to disqualification from the program or other actions as deemed appropriate by WCRM. Furthermore, I certify that all information provided in this application is true, accurate, and complete to the best of my knowledge.

Signature for Applicant

Clear Signature