1. (a) Programs requesting licensure to provide alcohol and drug treatment within the criminal justice system that may include therapeutic community or drug court shall, in addition to the General Standards, meet the requirements of the appropriate standards as it relates to their program found in this section.

2. (b)

   1. (1) Any person providing direct treatment services must receive at least four (4) hours of individual supervision or six (6) hours of group supervision monthly.
   2. (2) Such supervision must be documented.
   3. (3) Persons authorized to approve treatment plans, as specified in this part, must perform this supervision.
3. (c) Provides sufficient privacy to maintain confidentiality of the communication between counselor and client.
4. (d) If the program uses space provided by another organization, there is a written agreement specifying the terms of such usage.
5. (e) The program has at least one (1) staff person present at all times who maintains a valid certification in first aid, CPR, and nonviolent crisis intervention.
6. (f) The program shall not operate a new treatment site or make major programmatic changes at a present site without the Office of Alcohol and Drug Abuse Prevention approval.

7. (g)

   1. (1) Residential treatment provides for a minimum of twenty (20) hours weekly, Sunday through Saturday, of structured treatment.
   2. (2) See 20 CAR § 433-101 for an explanation of structured treatment.
8. (h) A counselor’s caseload shall not exceed the twenty-five (25) to one (1) client/counselor ratio.
9. (i) The initial treatment plan is completed within seven (7) days of admission.

10. (j) The comprehensive treatment plan is developed and implemented no later than:

    1. (1) Twenty-one (21) days from admission to residential services;
    2. (2) Thirty (30) days to outpatient services, including drug courts; and
    3. (3) Within forty-five (45) days from admission to therapeutic community programs.

11. (k)

    1. (1) Residential treatment shall be documented at least weekly and shall minimally document:

       1. (A) Treatment provided during the week;
       2. (B) The time frame that the note covers;
       3. (C) The client's response to the treatment provided;
       4. (D) Significant client events that occurred; and
       5. (E) The name, signature, and title of the staff person who wrote the note.

    2. (2)

       1. (A) Therapeutic community programs will meet this requirement using a monthly (every thirty (30) days), treatment plan review.
       2. (B) Additionally, therapeutic community units will adhere to the following standards:

12. (i) Develop and implement a written mission and philosophy that addresses the beliefs, attitudes, and purpose of the therapeutic community;

    1. (ii) The therapeutic community program operates within a distinct space separate from the main prison population;

       1. (iii)

13. (a) (a) The therapeutic community shall provide a handbook or manual providing an explicit and comprehensive outline of:

    1. (1) (1) The program;
    2. (2) (2) Its mission; and
    3. (3) (3) Its philosophy.

14. (b) (b) The handbook will be given to each participant upon entering the program and each staff member upon onset of employment.

    1. (c) (c) The handbook shall provide a comprehensive section on the therapeutic community perspective on the substance abuse disorder;

       1. (iv) The program will ensure that confrontation and consequence tools used by the therapeutic community shall not infringe upon the clients rights as defined and posted; and

          1. (v) The staff member facilitating the confrontation group shall closely monitor and provide appropriate supervision.

Codification Notes: "CPR" means cardiopulmonary resuscitation.