1. (a) An individual shall be removed from SOTS for:

   1. (1) Disciplinary infractions related to sexual behaviors;
   2. (2) Multiple instances of non-compliance with program expectations;
   3. (3) Repeatedly not engaging in treatment;
   4. (4) Criminal behaviors; and
   5. (5) Multiple instances of disrupting the treatment milieu.
2. (b) Termination from treatment shall be utilized as a last resort after all other possible methods to correct behavior has been exhausted.
3. (c) All potential removals occurring as a result of founded disciplinary or criminal action as determined by security or investigations shall be reviewed as a team with the SOTS administrator, unless emergent removal is required. A meeting shall be offered to the resident to outline reasons they are being considered for removal from treatment.
4. (d) All removals shall be reviewed by the administrator of SOTS in conjunction with the deputy director of forensic services within 5 calendar days of the removal.
5. (e) The primary therapist shall notify a participant of any concerns regarding quality of work, behavioral issues, non-compliance with treatment rules, and expectations, and any other area in which the participant is failing to progress in treatment or causing a major disruption to the successful treatment of other group members.
6. (f) Notification of concern shall occur within 7 working days of identification of the concern(s) as it relates to progress in treatment in order to provide the participant the opportunity to improve in the area of concern and to stay in treatment.
7. (g) If a participant fails to complete one assignment, or has one absence from any treatment group or meeting, the notification shall occur within 7 days.

8. (h) If the clinician, after providing written notification, continues to see lack of improvement in the specified areas, then the clinician shall refer the participant to the treatment team for further consideration such as:

   1. (1) Development of a behavioral contract;
   2. (2) Addendum to a behavioral contract; or
   3. (3) Termination from the program.
9. (i) A plan for re-admittance shall be completed by the resident and reviewed by the primary sexual offender clinician if submitted within 30 calendar days of being removed. A letter shall be sent to the resident who is removed from treatment, explaining why he or she was removed and what he or she was needs to work on for consideration of remittance.
10. (j) Participants terminated from the program shall be allowed the opportunity to request to re-enter treatment. The former participant shall be eligible to request to return to treatment or placement on the waiting list for previously terminated participants, if applicable, once they have been out of treatment. This request shall only place them on the waiting list and shall not guarantee an automatic entry into treatment. Previously terminated participants shall be taken back into treatment as space allows.
11. (k) Residents who have previously completed SOTS or community treatment but who have returned on a parole violation shall be assessed within 90 days to determine treatment needs. A treatment plan shall be developed as a result of the new assessment and documented in the electronic health record.

Source. (See Revision Note at chapter heading for Cor 500) #12793, eff 5-25-19