<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.47.02.03" title_num="10" subtitle_num="47" chapter_num="02" heading="Early Intervention Level 0.5.">
  <paragraph num="A.">
    <text>Prevention Program Description. The prevention program shall treat patients who are, for a known reason, at risk for developing alcohol or other drug abuse or dependence but for whom there is not yet sufficient information to document alcohol or other drug abuse or dependence.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Patients who are appropriate for this level of treatment shall meet the current edition of the American Society of Addiction Medicine Patient Placement Criteria for Level 0.5, or its equivalent as approved by the Administration.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Staffing. Services shall be provided by appropriately credentialed staff as described in COMAR 10.47.01.06.</text>
  </paragraph>
  <paragraph num="D.">
    <text>Program services include:</text>
    <paragraph num="(1)">
      <text>Assessments as described in COMAR 10.47.01.04 within 2 weeks of admission;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>An individualized treatment plan as described in COMAR 10.47.01.04, completed and signed by the alcohol and drug counselor and patient within 7 working days of the comprehensive assessment and updated every 90 days;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Group or individual counseling, or both, as clinically indicated;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Family counseling, as clinically indicated;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Alcohol and drug education; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Referral for further assessment or to another level of treatment, as clinically indicated.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Documentation. The clinical staff providing the service shall write a patient progress note after each counseling session and shall place the note in the patient's record.</text>
  </paragraph>
  <paragraph num="F.">
    <text>Referral Services. The prevention program shall offer the following services or maintain a listing of agency referral agreements for the following services:</text>
    <paragraph num="(1)">
      <text>Mental health services;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Social services; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Substance abuse treatment programs.</text>
    </paragraph>
  </paragraph>
</regulation>