Staff List and Background Information
HEAL SPECIAL REPORT:
enrollment packet REVIEW
HEAL has some concerns
regarding the Anasazi Foundation's (Anasazi) enrollment
agreement including apparent unethical and/or contradictory terms. We will be alternating between purple
background and/or words for HEAL critiques and questions and
a light pink with red words
for the words of
Anasazi in their
enrollment agreement (as was
downloaded from anasazi.org on September 18th, 2010). HEAL will not repeatedly
link to the enrollment agreement in full throughout this review,
and, we advise readers to scroll back and/or open the enrollment
agreement in a new window while reviewing our work for accuracy
or if additional contextualization is preferred. This is
an independent review and if you are in need of legal assistance
or advice, please
consult with an attorney.
Packet (Page 1)
Foundation's inpatient treatment program"
licensed by the Arizona Department of Health Services, Office of
Behavioral Health and the Department of Economic Security,
Administration for Children Youth and Families. ANASAZI is
accredited nationally by
Joint Commission on Accreditation of Healthcare Organizations
(Joint Commission) and the
on Accreditation of Services for Families and Children (COA)."
[This portion was taken from
anasazi.org/licensing.html on September 18th, 2010.]
[The social history forms will not be linked to throughout this
review. You many wish to open the forms in a new window
now if you prefer additional contextualization during this
"Inform and prepare
your child to enter the ANASAZI program."
"Your child may obtain
up to three high-school credits for his/her participation in
ANASAZI's 42-day program...Please contact Blueprint Education
direction directly ( ) to enroll your child."
child on Admissions day (Friday) to complete paperwork, attend
the Program Overview orientation, and meet your child's
therapist. Be prepared to participate in the 10-hour
Anasazi uses the
language of a mental health care provider by stating it is an
"inpatient treatment program". However, it is not licensed
as a mental health nor medical care provider nor does it appear
to be regulated by HIPAA. In researching Anasazi, HEAL
found it was
solely as a juvenile group home in the state of Arizona.
According to Arizona law: ""Group
home" means a residential setting for not more than six persons
with developmental disabilities that is operated by a service
provider under contract with the division and that provides, in
a shared living environment, room and board and daily
habilitation. Group home does not include an adult developmental
home, a child developmental foster home, a secure setting or an
intermediate care facility for the mentally retarded."
A "residential setting" appears to require an in-home setting
with the necessary amenities. There appears to be no
system of regulation for wilderness programs in Arizona.
Arizona law proscribes:
Requirement for Licensure An applicant shall obtain a license to
operate a group home from the Department before providing
supervision or habilitation to an individual with a
developmental disability in a group home. A license to operate a
group home is valid for the: 1. Address indicated on the
license, 2. Name of the licensee indicated on the license, and
3. Period of time indicated on the license."
By definition, Anasazi is
a wilderness program that takes place on public lands and
off-site of the home offices in Mesa. Anasazi is licensed
to run a group home at the location named on their license only.
It does not appear to be licensed as a mental health facility or
outdoor recreational program.
It also appears that the
primary qualification for licensing is that the home/program be
accredited by a valid accrediting agency. The
Joint Commission has been under fire by Congress for not
protecting client safety rights in facilities/programs they
accredit. In addition,
and the Council on Accreditation (COA) are membership
organizations that do not provide proper oversight or
regulation of programs they endorse/accredit/accept.
It is our concern that
Anasazi and/or Arizona provide the appearance of regulation
without real enforcement or oversight. And, it appears
that they will license programs outside of the perimeters of
licensing guidelines. This raises concerns both about
Arizona's state policies and procedures AND Anasazi's
representations of oversight where such oversight and regulation
are in actuality, lacking.
We hope Anasazi requires
parents to inform their child about the child's enrollment in
the Anasazi program and that they enforce the requirement that
parents participate in the program from the beginning. On
page 3 of the agreement, Anasazi claims such participation is
required. But, on page 26 of the agreement, it states
"parents will have the opportunity to spend 3 days and 2 nights
with their child in the wilderness." This implies that the
participation is optional. This is contradicted in other
portions of the contract that reiterate that at least one
parent/guardian must complete the seminar(s) and accompany the
child at the end of the program.
HEAL asks: Does Anasazi
require that children enrolled be enrolled voluntarily? (The
answer appears to be no. There are provisions discussed
below regarding a child's "runaway" or escape attempt and
resulting efforts to recapture the child. If a child is
attempting to run or does run from a program, it implies that
he/she is not in the program voluntarily. This is an
additional concern.) Does Anasazi ever recommend families
not inform their children of their upcoming placement in the
program? If so, does Anasazi recommend the use of
"escorts" to transport a child to the program? Affirmative
responses to the last two questions would raise additional
concerns as well as point to misleading and/or deceptive
Enrollment Packet (Page
"Upon arrival, an ANASAZI TrailWalker will greet your child at
the door and guide him/her through the admissions process.
This is the time to say goodbye to your child."
this seminar is required for parents wishing to join their
children for the final three days/two nights of their stay at
preparation for the Parent Seminar: Read Leadership and Self
Deception and/or The Anatomy of Peace by the Arbinger
Parents should ask
what their child's experience will be during the admissions
process. It appears a strip search is required. (page 16)
Strip searches are often traumatic for anyone to endure and if
conducted without legitimate probable cause are considered
violative of the civil rights of the searched individual.
How quickly will your child feel demoralized and/or dehumanized
by the Anasazi process?
The second segment
above is a concern, because, again it sounds like parents can
opt out of any participation in the program by refusing the
seminars and avoiding participation in the final three days of
their child's "wilderness experience".
One review of
Leadership and Self Deception reads: "The
Arbinger Institute was founded by C. Terry Warner, Philosophy
Professor Emeritus @ BYU. Faculty at BYU are required to
maintain themselves in conduct that qualifies them for temple
privileges, as well as requiring them to obtain yearly
endorsements from their "ecclesiatical leaders". Having
read this book, I think it is very biased in its view of
humanity, and reminded me of the "we are all sinners" view that
evangelical christianity espouses. It COULD be beneficial--but
it is TOO LIMITING in its simplistic formula for solutions."
(Linked text appeared on the linked page on September 18th,
2010.) This suggests a very heavy
in Anasazi practices and procedures.
Enrollment Packet (Page
accepts new clients every Friday throughout the year."
"Your child will
receive and send mail each Wednesday. Mail is restricted
to family members unless you and the Shadow agree there are
others who could assist in your child's progress."
required to spend the last three days and two nights of the
program with their child on the trail."
Anasazi suggests in
other portions of the agreement that "emergency placements" are
at times accepted at additional cost. Such a policy
appears to contradict the careful planning and appearance of
legitimacy presented in Anasazi's enrollment and promotional
It is a concern
that the child's contact with the outside world is being
strictly limited and that those limits are determined with
approval/denial authority granted to program staff. Such
limitations may violate the civil rights of the child.
Again, it is
clearly stated above that parents are required to spend the last
three days with their child, but, as stated above, this appears
to be optional in other areas of the contract. This is a
concern as the terms presented may not represent the full terms
or other arrangements available and/or required by the program.
Enrollment Packet (Page
"Ideally, all caregivers will be involved in all aspects of the
YoungWalker's experience; in all cases, at least one person is
"If you elect to
have the exam completed on the day of admission, there will be
an additional charge of $170 for boys and $200 for girls.
Our staff will transport your child to the office of Deseret
Family Medicine for the exam."
"Due to the
nature of our programs, scratches, cuts, and abrasions are
"The program fee
is $395 per day. A nonrefundable admissions/outfitting fee
of $750 is also required. All financial arrangements are
based on a 42-day stay and must be made prior to admission...If
your child's stay is extended beyond 42 days, the program fee is
$365 per additional day."
Is the child
included in the population from which the "at lease one person"
requirement is required? If so, this would mean that the
requirements of parental participation are for public relations
purposes only and are not indicative of the true requirements or
practices of the program.
What is the "nature" of
Anasazi programs? Why are scratches, cuts, and abrasions
(bruises) commonplace? Many HEAL coordinators adventure
outdoors regularly and these camping and hiking trips do not
regularly result in bodily harm or injury. Why are these
injuries common under the supervision of Anasazi staff?
That makes the
minimum fee for the entire 42-day program, $17,340. For a
non-profit, this seems like a pretty steep charge. It is
more than the minimum fee at some for-profit wilderness
programs. And, HEAL is concerned that the $750
"outfitting" fee may be paid to board-member, Dinah Lundell in
her clothing business "Random Drifter, Inc." If so, this
suggests a possible conflict of interest. Some HEAL folks
are working on starting a 501(c)3 non-profit and personal
benefit of board-members through monies obtained through the
non-profit is illegal/not allowed to our understanding.
So, this may suggest something that authorities may wish to
Agreement (Page 6)
Home, Foster Care, Detention, Treatment Facility, Other?"
The above questions
of the enrollment form cause concern. They imply that
Anasazi accepts adjudicated youth and children from foster care
and detention centers. They also imply that a child is not
always informed of their placement in Anasazi ahead of time.
And, they imply that family participation is not required given
that a child can be placed in the program without parental
consent or authorization through the judicial or foster care
system. So, all of these implications suggest that Anasazi
is trying to appear family-oriented, while operating in an
arguably non-inclusive manner. It further shows that the
program is not voluntary for at least some of the individuals in
the program. And, this is a concern as corruption in the
judicial system has shown problems with placements in private
programs that deny children access to the outside world as
opposed to placement in publicly run programs that at least
require some oversight.
Agreement (Pages 7 & 9)
"I/we hereby release
ANASAZI from all liability that may arise from the release of
the information requested to the below identified person(s),
professionals, institutions, or agencies."
"I recognize that
there is a significant element of risk in any adventure, sport,
or activity associated with the outdoors...I assume full
responsibility for my family and myself, including any minor
children, for bodily injury, death, loss of personal property
and expenses thereof, as a result of my negligence or my
Neither of the above
passages are unreasonable. However, additional liability
waivers are required by other terms included on page 16 of the
agreement. Does Anasazi believe it is negligent of
families to enroll in or participate in their program?
Would a court of law? These are questions to consider in
regards to this program.
Packet (Pages 10)
"I hereby give
permission to ANASAZI Foundation to video record, photograph,
and/or audio record me and my comments in a taped presentation
to be recorded and shown for educational, marketing, and/or
public relations purposes including, but not limited to, public
display on the ANASAZI Internet website(s)."
and/or family has the right to rescind consent for use up until
a reasonable time established by ANASAZI before the recording or
film is used."
HEAL finds it
inappropriate for programs like ANASAZI to request and/or
require the use of a child's name and/or likeness for marketing
of the program. The reasons are multifold and include the
fact that the child is likely being coerced or forced to agree
to this while under the complete control of the program.
Also, it seems
that they will not remove a former client's photo/video/likeness
if it has already been put to use in their promotional
materials. This is an additional concern as many survivors
of programs have reported that their photos are being used
without their consent to promote programs they felt were
abusive. We also find the general practice of requiring
promotional/marketing assistance from clients, prior to their
experiencing the program and judging if it would merit such
participatory assistance (especially without compensation) in
the marketing of the program, to be unethical.
Packet (Pages 11-13)
"All clients have the
"If enrolled by
the Department or a regional behavioral health authority as an
individual who is seriously mentally ill..."
"To receive a
referral to another agency if ANASAZI Foundation is unable to
provide a behavioral health service that the client requests or
that is indicated in the client's treatment plan..."
with individuals of the client's choice, receive visitors, and
make telephone calls during the hours established by the
licensee and conspicuously posted in the facility, unless:
i. The medical director or clinical director determines and
documents a specific treatment
purpose that justifies restricting this right;
ii. The client is informed of the reason why this right is being
iii. The client is informed of the client's right to file a
grievance and the procedure for filing a
"To privacy in
correspondence marked confidential, communication, visitation,
financial affairs, and personal hygiene, unless:
i. The medical director or clinical director determines
and documents a specific treatment
purpose that justifies waiving this right..."
"To send and
receive uncensored and unopened mail, unless restricted by court
order or unless:
i. The medical director or clinical director determines
and documents a specific treatment
purpose that justifies restricting this right..."
opportunities for social contact and daily social, recreations,
or rehabilitative activities; (Will have no access to
telephones, recording, CD players)..."
"To be informed
of the requirements necessary for the Client's discharge or
transfer to a less restrictive physical environment."
"To receive, at
the time of discharge or transfer, recommendations for any
treatment needed when the Client is discharged."
It is a serious
concern that Anasazi suggests it accepts children that are
severely mentally ill. It does not appear that they are
licensed or equipped to manage children with serious mental
illness. And, taking children with such diverse issues,
including: substance abuse, criminal activity, and severe mental
illness, seems to create an environment of severe risk of
adverse influences and/or harm and trauma for children with more
The listing of "rights"
on these pages appear to be driven by requirements on Juvenile
Group Homes by the State of Arizona. The concern here is
that children are to be given reasonable access to a telephone
and that such access and the requirement of such access is to be
communicated by conspicuously posting that requirement in the
facility. Since Anasazi is a wilderness program, posting
it at the home office for the sake of the licensing agents to
review and check-off may meet a technical requirement of the
law, but, does not go to the purpose and intent of the law.
Further in the same list Anasazi admits that no child in the
program will be given access to a telephone. This
certainly doesn't suggest that children are individually and
specifically told why each individual child in each particular
circumstance is denied access to a telephone. This is a
serious concern and shows at least some suggested violations of
the laws, regulating juvenile group homes, are occurring.
How often does
Anasazi refer to long-term residential treatment programs for
children as an after-care plan? What facilities does
Anasazi refer to and are they known to be abusive and/or
On page 13,
Anasazi suggests questions about treatment policies be directed
to the Joint Commission, the Office of Behavioral Health, and
Child Protective Services. In contacting the Joint
Commission regarding concerns, you would likely be redirected to
the licensing department (Office of Behavioral Health) and Child
Protective Services. The licensing department will likely
suggest you contact the Joint Commission and/or Child Protective
Services. And, Child Protective Services will likely
suggest you contact the licensing department and/or law
enforcement. Law enforcement will generally not
investigate claims about abuse that occurred more than 48-hours
prior to the time of the report. So, if your child gets a
letter out reporting abuse, the time for reporting to law
enforcement will have passed and everyone else will likely give
you the run-around. At least, that has been the experience
of many dealing with serious concerns about child welfare
responding to reports of abuse at wilderness and residential
programs in the industry.
Packet (Page 14)
"This policy is to
provide Clients and/or families with a means to grieve alleged
violations through a four-step grievance procedure..."
any step in this procedure, the Client may request the
assistance in presenting the problem.
Step I: When a
problem arises, the Client is encouraged to address/resolve that
difference with the Therapist/Shadow. In the event the
problem is with the Therapist/Shadow and cannot be resolved; the
Clinical Director should be notified. If the Client does
not receive a prompt answer or is not satisfied with the answer,
Step II may be initiated.
Step II: To
initiation this part of the procedure, the Client should contact
the Clinical Director. The Clinical Director will respond
to the grievance in writing within seven working days from the
receipt of the grievance. If the Client is not satisfied
with the response, Step III may be initiated.
Step III: At this
level the Clinical Director will arrange a meeting between the
Administrator, the complainant, and anyone who may have been
involved. The Administrator will respond in writing within
seven working days from the first meeting.
Grievances unable to be resolved by the Administrator may be
submitted to one or all of the following:
HEAL is deeply
concerned about this "grievance procedure". It appears it
may take over two weeks before outside authorities are even made
aware of any violations, if such step is ever taken. And,
if the incident involved abuse or criminal acts against the
client, it may prevent the ability of proper authorities to
effectively investigate and prosecute. This is a serious
concern. Also, it seems if a child were being abused, that
they would be left to the decisions of those who have a vested
interest in protecting the abuser (if staff or other program
client) at the expense of the victim. This appears to be a
procedure that protects Anasazi's interests and not the
interests of children and families enrolled in the program.
Since the grievance procedure requirement of the State of
Arizona is likely intended to protect the interests of children
and families enrolled in programs they license, it suggests that
this procedure may also be a violation. The minimum stay
requirement is 42-days. And, that is 6 weeks. If you
give a two-week or more timeframe and during that time keep the
child in the company of the person(s) alleged to have abused the
child, how much opportunity does that give the alleged abusers
to bully the child into silence or create symptoms of Stockholm
Syndrome that make the child dependent on his/her abusers and
therefore seemingly willing to explain away or forgive abuses?
It is not a good or effective policy for protecting the
interests of children made vulnerable by the "nature" of the
Packet (Page 15-17)
"The sponsor represents
and warrants that the sponsor...is the legal custodian of the
Client with the right and authority to admit the Client into the
to provide the Client with a wilderness experience consistent
with the ANASAZI program in which the Client is enrolled."
agrees to support the Client's activities in the ANASAZI
program...and to cooperate with the ANASAZI personnel in working
towards a successful completion of the program by the Client."
accepted for the enrollment are accepted on the condition that
they will complete the entire program. The sponsor agrees
that the Client shall continue in the program chosen until the
completion of the program by the Client, as determined in the
judgment of the ANASAZI program director, unless either party
terminates this agreement by giving written notice to the other
hereby releases ANASAZI from any liability for any injury,
illness, loss, cost, expense or other damages to the Client
resulting from the involvement of the Client in the ANASAZI
agrees to pay and to indemnify and hold ANASAZI harmless from
all costs and expenses incurred in connection with such medical
or hospital care."
consents to and authorizes ANASAZI to search the personal
effects and person of the Client, and to confiscate any and all
items not on the approved equipment list."
"All fees are
considered to be earned upon admission."
"When there is
any deviation to the program structure i.e. emergency
admissions, additional trips to and from the trail at the
sponsors request, etc an additional fee of $500 is required per
"ANASAZI is not
responsible for the loss, damage, or destruction of the Client's
"The sponsor will
be responsible for one-half (1/2) of all expenses incurred where
the Client runs away during the program."
"In the event the
Client's stay extends beyond 42 days, sponsor agrees to pay a
reduced program fee of $365 per day ($2,555 per week) for the
remainder of the stay. Sponsor also agrees to pay for all
additional expenses related to the extension."
"The sponsor has
the right to withdraw the Client from the program at any time."
"In the event of
a termination prior to completion by either ANASAZI or the
sponsor, the parties agree that the sponsor shall not be
entitled to a refund of any amounts paid, nor shall there be a
reduction in the obligation for basic charges or other expenses
due from the sponsor."
parties agree that the Arizona law shall govern this agreement."
sponsor acknowledges and understands that ANASAZI has made no
representations or warranties with respect to the results which
may be achieved from the Client's admission to the ANASAZI
Parents may not
have the authority to place their child in Anasazi's program and
may wish to review the
page for additional information to insure they are not
violating the law by placing their child in the program.
What is the Anasazi
"wilderness experience"? This is a question that should be
answered quite explicitly by Anasazi regarding their methods and
practices. The second quote above is too vague and
suggests an intent to conceal the conditions of this program.
It is a concern that
Anasazi requires complete support and cooperation from parents.
These terms resemble terms in similar contracts for other
programs that require families obey the program and avoid
questioning methods that they feel may be ineffective or harmful
to their child. This is a concern and coupled with the
grievance procedures reviewed above; a very serious concern.
Anasazi follows up
by refusing to take any responsibility for any harm to the child
caused by the program. Again, this shows a program that is
concerned about their own interests as opposed to the interests
of families they claim to serve. These exculpatory clauses
appear to be unethical and/or unconscionable.
have the right to waive their own rights, but, not those of
their minor children. This likely includes the right
to be free from unreasonable searches and seizures. And,
the Supreme Court recently ruled that schools cannot search
students without probable cause and doing so violates the rights
of the student. Including the right to search the body of
a child in seclusion without access to a telephone or outside
help in the event of an abusive or violative search is a serious
concern. Since Anasazi infers that they accept adjudicated
youth and youth from foster care, then they likely receive
federal and state funds for doing so. This suggests that
they are not in a position to violate the rights of children in
their program in this manner. And, is another point of
Anasazi requires you
equip your child for the wilderness and denies any and all
liability regarding any loss, destruction, or damage to the
equipment they require you to provide. It is a concern as
these types of clauses leave the situation open to theft and
loss of your personal property without any accountability to
those in the best position to insure it is protected.
The additional costs
associated with the program are included to show that they
likely do accept new inductees on days other than Friday if you
pay an extra $500.
What is the
average length of stay in Anasazi? Do children often stay
for longer than 6 weeks? If so, how long? If Anasazi
is a non-profit and a family is dissatisfied, why do they
believe it is fair to keep all monies you have already paid and
demand payment of any additional fees for the minimum of the
What are the typical results of the Anasazi program and how are
these results and/or success rates determined? What are
families getting for their $17,000+? Are they getting an
expensive introduction to the teen program industry? And,
does Anasazi act as a short-term holding program until a
long-term program is chosen and/or referred to by Anasazi?
Does Anasazi receive a pecuniary benefit from the outside
programs to which they refer?
Agreement (Page 19)
"The physical exam must
be performed by a licensed primary care practitioner who is
informed as to the physical demands of participating in ANASAZI
(i.e. backpacking and hiking from 5-20 miles per week, while
carrying a 30-40# pack, in various wilderness terrains, in a
variety of elevations and temperatures with sun exposure,
primitive living conditions, etc.)"
Placing a child
in a program where they may be forced to carry an extra
forty-pounds up 20 miles per week in the wilderness seems very
punitive and not therapeutic at all. Carrying such extra
weight while doing strenuous exercise for long-periods can cause
permanent physical harm to growing bodies. Parents should
choose against Anasazi if they wish their children to grow up
healthy and strong. This is HEAL's opinion and we
recommend against Anasazi.
History" (Pages 3 & 4)
"Does the family
participate in religious activities?"
"Does your child
your child's participation in: Church/Temple/Synagogue
attendance, Prayer, Reading (scripture. religious materials),
Compliance with religious behaviors and values
Attitude towards religious leaders/clergy..."
"Does the child
express enjoyment/satisfaction through participation?"
"Does your child
believe in God?"
"To the best of
your knowledge, is your child sexually active?"
"Is this a
concern for you?"
"With one or
"To the best of
your knowledge, how involved is your child with pornography?"
The above questions
would likely not be effectively answered by a parent and are
very personal in nature. Discussing these issues without
the participation of the child is inappropriate. Is
Anasazi involved in pornography? Do they believe in God?
Are they sexually active? Have they revealed this to you
or your child? Is that appropriate? In earlier
documents, Anasazi suggests that they are not faith-based and/or
that they welcome children from diverse ethnic and religious
backgrounds. Why do they need to know so much about your
religious practices and how will this information be used by the
"When did you first
notice that your child's behavior was changing?"
"What do you
estimate has been the total cost of mental health/behavioral
health treatment for your child prior to but NOT including
Check all that
Therapeutic Boarding School
Residential Treatment Center"
including children, change their behavior all the time.
Typing is different from talking and walking a different
behavior than sitting. This is too vague a question and
really warrants qualification to be effective.
Why does ANASAZI need
to know how much you spend on treatment? Are they trying
to gauge how much more you may be willing or able to spend?
Does this help them determine what program to refer to for their
"after care" recommendations? What programs does ANASAZI
refer to and do they receive any incentives for placing children
in those programs?
At this point,
HEAL believes it would be best for families to avoid ANASAZI.
For parenting suggestions and alternative resources, please
Staff List and Background Information