Md. Code Regs. 10.47.03.04

Current through Register Vol. 51, No. 25, December 13, 2024

Section 10.47.03.04 - Correctional Level II.1

A. Program Description.

(1) A program shall provide structured evaluation and treatment to patients who require services from 9 to 20 hours weekly in a correctional facility.

(2) Inmates receiving treatment may be housed throughout the institution.

B. Inmates who are appropriate for this level of treatment shall:

(1) Meet the current edition of the American Society of Addiction Medicine Patient Placement Criteria for Level II.1, or its equivalent as approved by the Administration, for the 30 days before incarceration; and

(2) Have a physical and emotional status that allows the inmate to function in the inmate's usual environment.

C. Staffing. Services shall be provided by appropriately credentialed staff as described in COMAR 10.47.01.06A.

D. Program Services. A program shall provide the following services:

(1) An assessment as described in COMAR 10.47.01.04A within 30 days of admission;

(2) An individualized treatment plan as described in COMAR 10.47.01.04A with a treatment plan update completed every 30 days in accordance with the following:

(a) The alcohol and drug counselor and patient shall complete and sign the initial treatment plan within 10 working days of the comprehensive assessment; or

(b) 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:

(i) Determine the reason for a delay in development of a treatment plan;

(ii) Document the reason in the patient's record; and

(iii) 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;

(3) Case management services;

(4) At least one group counseling session a week; and

(5) At least one individual session every 2 weeks.

E. Documentation. A designated clinical staff person shall:

(1) Write a patient progress note at the end of each week that services are provided; and

(2) Place the progress note in the patient's record.

F. Referral Services. The program shall have available through referral the following at the time of the patient's release from the institution:

(1) Medical services;

(2) Services through the Division of Rehabilitation Services;

(3) Vocational assistance;

(4) Mental health services;

(5) Substance abuse treatment programs;

(6) Legal assistance; and

(7) Social services.

Md. Code Regs. 10.47.03.04