<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.47.03.05" title_num="10" subtitle_num="47" chapter_num="03" heading="Correctional Level II.5.">
  <paragraph num="A.">
    <text>Program Description.</text>
    <paragraph num="(1)">
      <text>A program shall provide structured evaluation and treatment to patients who require programming from 20 to 35 hours weekly in a correctional facility.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Inmates receiving treatment may be housed together in a separate unit.</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 II.5, 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 30 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 3 working days of the clinical director's or clinical supervisor's documentation of the delay;</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Case management services;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>At least one group counseling session a week; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>At least one individual session every 2 weeks.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Documentation. A designated clinical staff person shall:</text>
    <paragraph num="(1)">
      <text>Write a patient progress note at the end of each week that services are provided; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Place the progress 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 services;</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>