Program Description. A correctional Level III.5 program: Shall provide a highly structured environment in combination with moderate to high intensity treatment and ancillary services to support and promote recovery; Shall be characterized by its reliance on the treatment community as a therapeutic agent; and May not allow a structure whereby inmates have authority over one another. Inmates 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.5, or its equivalent as approved by the Administration, for the 30 days before incarceration; and Be housed separately from inmates not receiving this level of treatment. Staffing. Services shall be provided by appropriately credentialed staff as described in COMAR 10.47.01.06. A program shall have sufficient medical services to: Provide initial diagnostic work-up; Provide identification of medical and surgical problems for referral; and Handle medical emergencies when necessary. Program Services. A program shall provide the following services: An assessment as described in COMAR 10.47.01.04 within 2 days of admission; An individualized treatment plan as described in COMAR 10.47.01.04 with a treatment plan update every 30 days in accordance with the following: The alcohol and drug counselor and patient shall complete and sign the initial treatment plan within 10 working days of the comprehensive assessment; or 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: Determine the reason for a delay in development of a treatment plan; Document the reason in the patient's record; and Direct an appropriate clinical staff person to develop a treatment plan within 2 working days of the clinical director's or clinical supervisor's documentation of the delay; and A minimum of 36 hours of therapeutic activities a week, including but not limited to: One individual counseling session a week; Group counseling; Alcohol and drug education; Career counseling; and Nutrition education. Documentation. A designated clinical staff person shall write a patient progress note at the end of each week that services are provided and place the progress note in the patient's record. Referral Services. At the time of the patient's release from the institution, the program shall have available through referral the following: Medical care; Services through the Division of Rehabilitation Services; Vocational assistance; Mental health services; Substance abuse treatment programs; Legal assistance; and Social services.