Program Description. Clinically managed low intensity treatment programs shall offer treatment services at least 5 hours a week directed toward preventing relapse, applying recovery skills, promoting personal responsibility, and reintegration. 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 III.1, or its equivalent as approved by the Administration; and Be capable of self-care but not ready to return to family or independent living. Staffing. Services shall be provided by appropriately credentialed staff as described in COMAR 10.47.01.06. A clinically managed low intensity treatment program shall employ: One individual as clinical supervisor who may also be the program's administrator; Another individual as house manager; At least one staff member to be on duty at all times; and At least one staff member who is certified in cardiopulmonary resuscitation, and who has been trained in crisis intervention to be on duty between 11 p.m. and 7 a.m. The patient to alcohol and drug counselor ratio may not exceed 15 patients to one full-time alcohol and drug counselor. Staff may not dispense medications. Program Services. A clinically managed low intensity treatment program shall provide the following services: An assessment as described in COMAR 10.47.01.04 within 2 weeks of admission; 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 60 days; Periodic group counseling that focuses on relapse prevention; Case management services; Individual counseling, at least monthly; and Leisure and recreational activities. 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. Referral Services. The program shall offer the following services or maintain a listing of agency referral agreements for the following services: Physical examinations as determined by medical condition, within a reasonable time; Services through the Division of Rehabilitation Services; Vocational assistance; Mental health services, which shall include: Medication monitoring for patients who are admitted on or are prescribed psychotropic medications; and Services appropriate to the severity and urgency of the patient's mental condition; Legal assistance; Substance abuse treatment programs; Social services; Family services; and Education.