<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.47.03.03" title_num="10" subtitle_num="47" chapter_num="03" heading="Correctional Level I.">
  <paragraph num="A.">
    <text>Program Description.</text>
    <paragraph num="(1)">
      <text>The program shall provide evaluation and treatment to patients who require services for less than 9 hours weekly in a correctional facility.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Inmates receiving treatment may be housed throughout the correctional facility.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Inmates who are appropriate for this level of treatment shall:</text>
    <paragraph num="(1)">
      <text>Meet the current edition of the American Society of Addiction Medicine Patient Placement Criteria for Level I, or its equivalent as approved by the Administration, for the 30 days before incarceration; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Have a physical and emotional status that allows the inmate to function in the inmate's usual environment.</text>
    </paragraph>
  </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. A program shall provide the following services:</text>
    <paragraph num="(1)">
      <text>An assessment as described in COMAR 10.47.01.04 within 30 days of admission;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>An individualized treatment plan as described in COMAR 10.47.01.04 with a treatment plan update completed every 90 days in accordance with the following:</text>
      <paragraph num="(a)">
        <text>The alcohol and drug counselor and patient shall complete and sign the initial treatment plan within 10 working days of the comprehensive assessment; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>If the alcohol and drug counselor is unable to develop a treatment plan within the required time, the clinical director or the clinical supervisor shall:</text>
        <paragraph num="(i)">
          <text>Determine the reason for a delay in development of a treatment plan;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Document the reason in the patient's record; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Direct an appropriate clinical staff person to develop a treatment plan within 7 working days of the clinical director or clinical supervisor's documentation of the delay;</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Case management services; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Group or individual counseling sessions.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Documentation. The clinical staff person providing the service shall:</text>
    <paragraph num="(1)">
      <text>Write a patient progress note after each counseling session; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Place the note in the patient's record.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Referral Services. The program shall have available through referral the following at the time of the patient's release from the institution:</text>
    <paragraph num="(1)">
      <text>Medical examinations;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Services through the Division of Rehabilitation Services;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Vocational assistance;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Mental health services;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Substance abuse treatment programs;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Legal assistance; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Social services.</text>
    </paragraph>
  </paragraph>
</regulation>