Md. Code Regs. 10.47.03.06

Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.47.03.06 - Correctional Level III.1

A. Program Description.

(1) 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.

(2) Inmates receiving this level of treatment shall be housed:

(a) Together in a prerelease center or a correctional halfway house; and

(b) Separately from inmates not receiving this level of treatment.

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 III.1, or its equivalent as approved by the Administration, for the 30 days before incarceration; and

(2) Be capable of self care but not ready to return to independent living.

C. Staffing.

(1) Services shall be provided by appropriately credentialed staff as described in COMAR 10.47.01.06A.

(2) A correctional Level III.1 program shall employ:

(a) One individual as clinical supervisor, who may also be the program's administrator; and

(b) At least one staff member to be on duty at all times.

(3) Staff may not dispense medications.

D. Program Services. A correctional Level III.1 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 60 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 7 working days of the clinical director's or clinical supervisor's documentation of the delay;

(3) Periodic group counseling that focuses on relapse prevention;

(4) Case management services;

(5) Individual counseling, at least monthly; and

(6) Leisure and recreational activities.

E. Documentation. The clinical staff person providing the service shall:

(1) Write a patient progress note after each counseling session; and

(2) Place the 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 examinations;

(2) Services through the Division of Rehabilitation Services;

(3) Vocational assistance;

(4) Mental health services;

(5) Legal assistance;

(6) Substance abuse treatment programs;

(7) Social services; and

(8) Education.

Md. Code Regs. 10.47.03.06