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<regulation prefix="Regulation" num=".06" citation="COMAR 10.47.03.06" title_num="10" subtitle_num="47" chapter_num="03" heading="Correctional Level III.1.">
  <paragraph num="A.">
    <text>Program Description.</text>
    <paragraph num="(1)">
      <text>A program shall offer treatment services at least 5 hours a week directed toward preventing relapse, applying recovery skills, promoting personal responsibility, and reintegration into the community.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Inmates receiving this level of treatment shall be housed:</text>
      <paragraph num="(a)">
        <text>Together in a prerelease center or a correctional halfway house; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Separately from inmates not receiving this level of treatment.</text>
      </paragraph>
    </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 III.1, or its equivalent as approved by the Administration, for the 30 days before incarceration; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Be capable of self care but not ready to return to independent living.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Staffing.</text>
    <paragraph num="(1)">
      <text>Services shall be provided by appropriately credentialed staff as described in COMAR 10.47.01.06.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A correctional Level III.1 program shall employ:</text>
      <paragraph num="(a)">
        <text>One individual as clinical supervisor, who may also be the program's administrator; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>At least one staff member to be on duty at all times.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Staff may not dispense medications.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Program Services. A correctional Level III.1 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 60 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's or clinical supervisor's documentation of the delay;</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Periodic group counseling that focuses on relapse prevention;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Case management services;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Individual counseling, at least monthly; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Leisure and recreational activities.</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>Legal assistance;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Substance abuse treatment programs;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Social services; and</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Education.</text>
    </paragraph>
  </paragraph>
</regulation>