I. POLICY II. PURPOSE

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1 ADMINISTRATIVE REGULATION REGULATION NUMBER PAGE NUMBER 1 OF 11 CHAPTER: Offender Health Services COLORADO DEPARTMENT OF CORRECTIONS SUBJECT: Alcohol and Drug Services Program RELATED STANDARDS: ACA Standards 2-CO-4B-04, 2-CO-4F-01, , , through EFFECTIVE DATE: November 1, 2009 SUPERSESSION: 11/01/08 OPR: OCS REVIEW MONTH: August Aristedes W. Zavaras Executive Director I. POLICY It is the policy of the Department of Corrections (DOC) to provide standardized substance abuse assessment and treatment [ ] programs for offenders with drug and alcohol addiction problems, [2-CO-4B-04] [2- CO-4F-01] [4-4437] in order to encourage motivation to change to a more socially appropriate lifestyle and reduce the risk of re-offense and recidivism. II. PURPOSE The purpose of this administrative regulation (AR) is to establish the general scope and limits of substance abuse treatment services provided to DOC offenders. [2-CO-4B-04] The mission of the DOC Alcohol and Drug Services Program is to provide substance abuse treatment/education that produces long term change, increases quality of life, reduces substance abuse and criminal conduct, and facilitates successful reintegration into the community. [4-4438] III. DEFINITIONS A. Adult Substance Use Survey- Revised (ASUS-R): A self-report assessment instrument designed to provide an 18 domain profile of characteristics related to offenders substance abuse history. B. Alcohol and Drug Abuse Division (ADAD) Licensed Treatment Program: A substance abuse treatment program that has been licensed by the Colorado Department of Human Services, Alcohol and Drug Abuse Division (ADAD). C. Approved Treatment Provider (ATP): An individual, group, or agency who, after applying to the review board, is determined qualified to provide mental health, substance abuse treatment, sex offender treatment, or assessment, to DOC offenders in the community. D. Certified Addictions Counselor (CAC): A counselor who has met training and experience qualifications and who is certified by the Colorado Department of Regulatory Agencies (DORA). E. Cognitive Behavioral Therapy: Therapy that addresses the offender s thoughts as a basis for changing feelings and behavior. New pro-social behavior patterns and problem solving skills are also developed. F. Community Parole Supervising Officer: Any Department of Corrections employee who supervises DOC parolees or DOC offenders in the Community Corrections program.

2 CHAPTER SUBJECT AR # Page 2 G. Confidentiality Requirements: Federal Department of Health and Human Services, 42 CFR Part 2, entitled Confidentiality of Alcohol and Drug Abuse Patient Records. These statutes govern all substance abuse services within the DOC. H. Continuously Improving Systems Counseling Offenders (CISCO): A bi-monthly meeting of DOC employees to ensure and improve the quality of substance abuse services provided to offenders under DOC supervision. I. Contract Worker: Any person employed under contractual arrangement to provide services to the DOC: any person employed by private or public sector agencies who is serving under DOC special assignment to provide services or support to DOC programs. The employee/employer relationship lies with the contractor. All Department agreements are for a specified period and are renewable. J. Contractor: Any of a number of substance abuse treatment agencies under contract with the DOC to provide services for the DOC. K. DOC Employee: Someone who occupies a classified, full or part-time, position in the State Personnel System in which the Department has affect over pay, tenure, and status. L. Manager of Drug and Alcohol Services: The administrator of the Alcohol and Drug Services Program. M. Multi-Cultural Competence: The acknowledgment of and inclusion of a variety of cultural considerations in the distribution and design of institutions resources, services, opportunities, customs, and other areas of human interaction; the celebration of the richness and exponential strengthening derived from the blending and cooperation of various cultures. It is the effective combination of cultural scholarship, experience, and training design. (ADAD 2.59). [4-4439] N. Offenders with Mental Illness (OMI): Offenders that meet the diagnostic criteria for one of the diagnoses identified in the Clinical Services Mental Health Standards. These disorders usually produce significant impairment in the individual s level of functioning. O. Reassessment Committee: A committee of at least three members that review reassessment requests, reach consensus, and approve or deny the reassessment requests. All members of the committee must be trained in the SOA-R tools (CRS ). Committees will be comprised of one CAC Level III, one CAC Level I or II, and one alternate member who may or may not be an Alcohol and Drug Services Program DOC employee or contract worker. The committee members shall come from different facilities or community programs. The chairperson must be a CAC Level III. P. Required/Recommended Programs: Programs that are required by state statute, law, or recommended by diagnostic assessment, mental health evaluation, or case management. Q. Research: A procedure for a systematic and objective inquiry into an area of experience to increase knowledge or to facilitate problem solving. R. Simple Screening Instrument Revised (SSI-R): The SSI-R is a self report screening instrument designed to identify five domains relative to an offender s substance abuse: alcohol and drug consumption, preoccupation and loss of control, adverse consequences, problem recognition, and tolerance and withdrawal. S. Standardized Offender Assessment Revised (SOA-R): Colorado Revised Statute (CRS) (a) requires a standardized assessment process be used to provide an evaluation of the extent of an offender s abuse of substances, if any, and recommended treatment which is appropriate to the needs of the particular offender. At present, this consists of the Simple Screening Instrument Revised (SSI-R), Level of Supervision Inventory - Revised (LSI-R), Adult Substance Use Survey Revised (ASUS-R) and the Treatment Recommendation Worksheet (TxRW).

3 CHAPTER SUBJECT AR # Page 3 T. Treatment: The therapeutic relationship and activities between a mental health clinician and an offender with the goal of bringing about change in the offender s attitudes and behaviors that result in favorable, pro-social adjustment. U. Treatment Accountability for Safer Communities (TASC): A specialized program designed to evaluate substance abusers on parole, ensure their ongoing treatment, and monitor relapse risk for the purpose of enhancing treatment effectiveness and public safety. Model TASC programming includes four primary adjunct services: identification, assessment, referral, and case management. V. Treatment Recommendation Worksheet (TxRW): The TxRW is a summary of an offender s substance use, assessment results, placement criteria, and recommended treatment level from the standardized assessment mandated by CRS through 106. IV. PROCEDURES All alcohol and drug service programs are under the supervision of the manager of Drug and Alcohol Services. Operational supervision within facilities is provided by the facility Mental Health supervisor or facility Health Services administrator. The following guidelines and procedures will be followed in determining appropriateness for referral to a designated Alcohol and Drug Services program: A. Identification of Substance Abusers: [ ] [4-4439] All offenders sentenced to the custody of the executive director of the DOC are programmed at the Denver Reception and Diagnostic Center (DRDC). DRDC programmers using information obtained from offender interviews, along with National Crime Information Center (NCIC) and Colorado Crime Information Center (CCIC) data, complete the Level of Supervision Inventory - Revised (LSI-R) and compute a substance abuse diagnostic level. The substance abuse diagnostic level is a combined factor that represents an offender s SSI-R score and the number of confirmed alcohol and drug related arrests in the past five years. The diagnostic level is entered in the Department of Corrections Information System (DCIS) as follows: 1. SA1: Minor alcohol and/or drug problem. 2. SA2: Minor to moderate alcohol and/or drug problem. 3. SA3: Moderate alcohol and/or drug problem. 4. SA4: Moderate to severe alcohol and/or drug problem. 5. SA5: Severe alcohol and/or drug problem. B. Diagnostic Unit Assessment: [ ] [4-4377] Substance abusers identified at DRDC will be processed in the following manner: 1. Programmers at DRDC will enter an offender s substance abuse diagnostic level in DCIS. 2. Offenders who receive a substance abuse code 3 or greater will be referred to a DRDC alcohol and drug evaluation specialist. The alcohol and drug evaluation specialist will administer the remaining two instruments of the Standardized Offender Assessment Revised (SOA-R): the Adult Substance Use Survey Revised (ASUS-R) and Treatment Recommendation Worksheet (TxRW). 3. Offenders with an SA3 or greater, who did not complete an SOA-R at DRDC, will be referred by a Mental Health or case management DOC employee or contract worker to a certified addiction s counselor (CAC) for evaluation. 4. Substance abuse service levels, established through CRS (b), are as follows: a. Level 1: No treatment. b. Level 2: Education and increased urinalyses. c. Level 3: Weekly outpatient treatment. d. Level 4a: Enhanced outpatient treatment.

4 CHAPTER SUBJECT AR # Page 4 e. Level 4b: Intensive outpatient treatment. f. Level 4c: Intensive residential treatment (IRT). g. Level 4d: Therapeutic community (TC). h. Level 5: Medical/mental health referral. 5. Medical exams are conducted during the intake process at DRDC. C. Standardized Offender Assessment Revised Qualifiers 1. The Alcohol and Drug Services Program recognizes that the assessment and treatment of substance abuse and dependence with its associated criminality is an ongoing, dynamic process that must incorporate current and historical information. The DCIS substance abuse treatment needs classification system will reflect current and historic risk factors and risk mediators by adding alphabetical qualifiers to the numeric, CRS (b) clinical recommended treatment level. The SOA-R qualifiers are used to establish the current substance abuse treatment needs level. The qualifiers will be as follows: a. M = monitoring only, no treatment. b. R = relapse prevention treatment. c. A = continuing care. d. N = noncompliant with treatment. e. P = pending reassessment. f. Q = evaluate for qualifier. 2. The criteria for the SOA-R qualifiers shall be established and maintained through the CISCO quality assurance meeting. The treatment need qualifier will be added to the CRS treatment need level only after the offender has completed the level of treatment recommended by the CRS assessment, except the N and P qualifiers. Offenders who refuse to participate in substance abuse assessment or evaluation shall receive an N qualifier. Offenders with an N qualifier shall receive punitive sanctions, according to AR , Restriction of Offenders Privileges in Correctional Facilities. The N qualifier shall terminate two years after it was assigned, or sooner, if the offender complies with recommended assessment or treatment placement. Offenders may be reassigned an N qualifier for continued noncompliance, as determined by a substance abuse counselor or case manager. 3. The qualifier is not intended to replace the reassessment process. If a substance abuse counselor discovers information which indicates an offender s CRS recommended treatment level is incorrect, the counselor shall follow the reassessment procedures outlined below and add the P qualifier indicating that a reassessment has been approved. The Q qualifier shall be added when the offender has had a DOC system regression from parole status. D. Periodic Reassessment of Substance Abusing Offenders [ ] 1. Screening, assessment instruments, and the medical exam completed at DRDC shall serve as the baseline measure of an offender s risk and needs. The CAC shall exercise clinical prudence when faced with the decision to re-administer the SOA-R battery. It may not be necessary to re-administer these instruments, unless the clinician possesses significant clinical and/or behavior information that would render the initial assessment invalid. 2. The reassessment of an offender s treatment needs following the initial assessment shall occur following a thorough file review and individual contact with the offender. a. The substance abuse counselor will fill out a reassessment request form and submit it to the program clinical supervisor for review. b. After reviewing the reassessment form for completeness and clinical viability, the clinical supervisor will submit the request to the reassessment committee responsible for the region.

5 CHAPTER SUBJECT AR # Page 5 c. After the reassessment committee has made a decision, a copy of the request form with the committee s decision and the chairperson s signature will be sent to the submitting substance abuse counselor to be filed in the mental health file. Another copy will be sent to the Alcohol and Drug Services research department. The reassessment committee chairperson is also responsible for sending a letter to the case manager supervising the offender to be filed in the DOC working file. d. In cases where the reassessment committee approves the reassessment, the reassessment will be performed by a substance abuse counselor who has received CRS (b) SOA-R training from an approved interagency committee trainer. e. The written results of the reassessment shall be documented on an updated Treatment Recommendation Worksheet (TxRW), and upon completion of the DOC Mental Health status report/individual contact form. f. A copy of the updated (TxRW) shall be sent to the Alcohol and Drug Services research department. This department shall make any changes in DCIS, or to the Alcohol and Drug Services database, to reflect any changes to the offender s substance abuse treatment level which may have resulted from the reassessment. g. If the offender chooses to file a grievance regarding the reassessment committees decision, procedures shall be followed, per AR , Grievance Procedure. 3. The case manager or supervising officer shall be informed, in writing, when an offender has willfully refused to participate in an SOA-R, or any part thereof. The counselor shall assign an N to indicate the offender is noncompliant with recommendations for assessment. 4. If an offender requests a second opinion regarding his/her SOA-R and resulting treatment recommendation, the reassessment committee s review of the offender s SOA-R will serve as the second opinion. At no time shall the committee make a clinical determination in the absence of the primary counselor s supporting documentation. E. Recommendation to Participate in Required Programs [ ] 1. An offender s appropriateness, recommendation, and admission to substance abuse treatment shall be determined by a CAC. This determination shall take into consideration results of the SOA-R, as well as other documented clinical and behavioral information, and ADAD recognized assessment tools. 2. Per CRS (a), the Standardized Offender Assessment Process shall provide an evaluation of the extent of an offender s abuse of substances, if any, and recommended treatment which is appropriate to the needs of the particular offender. At no time shall an offender be referred or admitted to treatment in the absence of a valid Standardized Offender Assessment Revised regardless of the intent, mandate, or order. Court orders, including Parole Board recommendations to participate in treatment, must be based upon the recommendation of the assessment made pursuant to CRS or any assessment or subsequent reassessment made regarding such parolee during his or her incarceration or period of parole. 3. Court orders, including Parole Board recommendations to participate in specific treatment milieu in the absence of a valid SOA-R, per CRS , shall be responded to in writing by a certified addictions counselor (CAC). The CAC shall respectfully submit the offender s recommended treatment level on the Department of Corrections Mental Health Referral and Consultation form to the offender s case manager or supervising officer. The form shall be co-signed by the CAC s clinical supervisor and/or Mental Health coordinator, when indicated. 4. Certain programs (e.g., Substance Abuse Programming CRS ) for offenders required by state statute, law, or recommended by diagnostic assessment, mental health evaluation, or case management are not regarded as voluntary. When availability to the program exists, offenders are expected to participate in required programs. Failure to participate or complete these programs

6 CHAPTER SUBJECT AR # Page 6 will result in a restriction of privileges (see administrative regulation , Restriction of Offenders Privileges in Correctional Facilities). [4-4441] F. Assignment to Recommended Treatment [4-4439] 1. Drug and alcohol evaluation by DOC employees and contract workers initiate a referral to substance abuse treatment by completing the mental health referral form. Documentation of mental health referrals are placed in the offender s mental health and case management files. [ ] Recommended treatment levels may also be entered on the Admission Data Summary (ADS) of DCIS. 2. Recommended treatment shall, to the extent practicable, match the levels established through the SOA-R. A treatment assignment may be at a more intense level when: a. A less intense treatment level is unavailable (e.g., assignment to a Level 4d therapeutic community in the absence of a Level 4c intensive residential program). b. A refusal to submit to urinalysis testing or a positive urinalysis has occurred in the past year. c. A failed treatment episode has occurred in the past year. d. There is continued substance use despite adverse consequences. e. Other relevant clinical and/or behavioral information. 3. In order to ensure that appropriate clinically determined treatment matching occurs (e.g., risk and need), while at the same time maximizing offenders chances of successfully completing their course of treatment, priority will be placed on offenders that have: a. Moderate to severe substance abuse and criminal risk, as determined by the SOA-R. b. Five years or less to parole eligibility date (PED) and/or mandatory release date. c. Official court documentation stating they will be eligible for reconsideration if they participate in substance abuse treatment. d. Been court mandated to participate in the DOC Inmate Drug Reduction Program. 4. Prioritized offenders identified above (3.a-d) shall be placed in the next available slot for substance abuse education/treatment programming should a wait list exist at their facility. 5. Those offenders identified as a lower priority for substance abuse treatment programming may be considered for treatment programming after the needs of high priority offenders are adequately met with existing resources. 6. Pursuant to administrative regulation , Sentence Computation, case managers assess an offender s progress, lack of active involvement, or documented refusal to participate in programmed or recommended treatment programs from record or direct contact with DOC employees and contract workers when determining the total number of earned time awarded. [4-4441] The case manager shall keep in mind the availability of facility programs. Program recommendations may be initiated by DOC employees and contract workers or the assigned case managers. [4-4441] The appropriate days can be recommended for those on waiting lists to these programs.

7 CHAPTER SUBJECT AR # Page 7 7. In the event that an offender refuses to participate in and complete recommended treatment programs (e.g., Substance Abuse Programming CRS ), his/her facility assignment will not be lower than a Level III facility, regardless of the scored custody level [4-4441] (see administrative regulation , Offender Classification). G. Criteria for Treatment: The substance abusing offender must acknowledge having negative substance abuse related behavioral life changes (e.g., legal, familial, financial, employment) and be willing to actively participate in a recommended treatment program. Substance abusers will be considered for a program when they meet the following requirements: 1. An active and valid Colorado Standardized Offender Assessment Revised, containing a clinical treatment recommendation level. 2. The offender must demonstrate a willingness to behaviorally address the negative consequences of his/her substance abuse and criminal behavior by attending and actively participating in group and/or individual counseling sessions. [4-4439] 3. The offender must make substantial and consistent progress toward accomplishing the goals of his/her individualized treatment plan. [4-4439] H. Urinalysis Testing for Offenders Participating in Alcohol and Drug Programs: The Office of Alcohol and Drug Services supports the use of increased urinalysis testing for offenders engaged in alcohol and drug program services [4-4437] to: 1. Reduce the introduction and use of dangerous drugs in DOC facilities. 2. Ensure that offenders can begin and maintain the process of recovery in a safe, healthful, and efficient working environment. 3. Promote abstinence through a range of punitive sanctions for positive UA test results, as well as incentives for participating in and completing recommended treatment. 4. The DCIS program will randomly select (by facility) a number of offenders currently involved in alcohol and drug education and/or treatment services, contingent upon available staffing and appropriate legal standards. Random testing shall include monthly urinalysis testing at the rate of ten percent of the total alcohol and drug services program population at each facility providing Level 2-6 alcohol education and/or treatment services. 5. The facility drug screen coordinator will ensure that random collections are made and reasonable suspicion tests are conducted, when appropriate. All procedures for urinalysis testing including, but not limited to follow-up testing and criminal prosecution of positive UAs, will be in accordance with AR , Offender Drug Screening. 6. It is the intent of the general assembly that any offender s test which is positive for the use of controlled substances or alcohol shall result in an intensified level of testing, treatment, supervision, or other sanctions designed to control abuse of substances for such offender. (CRS (2)) 7. Alcohol and other drug related COPD charges brought against an offender shall undergo formal disciplinary procedures, in accordance with AR , Code of Penal Discipline. Pursuant to AR Offender Visiting Program, the verified possession or use of alcohol or illegal drugs or participation in alcohol or drug related activities, to include refusals of drug screening procedures, shall result in a forfeiture of the offender s social visiting privileges.

8 CHAPTER SUBJECT AR # Page 8 I. Description and Levels of Programs: Counselors are responsible for developing and updating an offender s individualized treatment plan and goals. Individualized treatment planning uses a multidisciplinary approach and complies with the Colorado Department of Human Services, Alcohol and Drug Abuse Division (ADAD) standards for approved treatment programs, which require the input and consideration of the medical and mental health needs of the client. [4-4377] [4-4439] A coordinated approach in the identification of treatment needs and the provision of treatment services [4-4440] shall be documented in each offender s treatment record. The evaluation of treatment needs will be based on clinical and behavioral observations, [ ] as well as the offender s eligibility and progress in treatment. Currently there are eight treatment service levels within the Colorado criminal justice system. Treatment levels 2 through 4b may include the Programs Division Core Curriculum. While levels 2 through 4d constitute the largest segment of the DOC s continuum of care, other programs not described below are accessible to substance abusing offenders. These may include, but are not limited to; facility and community based transitional services, aftercare programs, bilingual support groups, and relapse prevention programs. [4-4377] [4-4439] Specific descriptions, referral sources, and locations of programs under the direction of the DOC can be found in Overview of Prison Based Substance Abuse Treatment Services, published annually by the Office of Planning and Analysis. 1. Level 1: No Treatment: No formal treatment is recommended. Voluntary participation in self-help groups and personal recovery efforts may be encouraged. 2. Self-Help Groups [4-4439]: These include voluntary Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) groups chaired by community volunteers who bring the fellowship of these meetings to incarcerated individuals who have a desire to abstain from alcohol and other drugs. Twelve step groups may include Speakers meetings, Big Book meetings, and 12 Step study meetings. Self-help group attendance may be included as a supplemental activity, in combination with other formal treatment levels. 3. Level 2: Education and/or Increased Urinalyses: A didactic program provided in a number of DOC facilities, which last from 20 to 36 hours in duration. These programs will incorporate the core curriculum requirements of the Basic Mental Health and Life Skills Program. The Alcohol and Drug Services subprogram does not provide a DUI Level 2 Education Class. TASC case management programs are available in each of the four Adult Parole supervision areas. [4-4439] 4. Level 3: Weekly Outpatient Treatment: An ADAD licensed didactic and group therapy program provided by certified substance abuse counselors who provide a more comprehensive approach to help offenders personalize and take responsibility for their substance abuse, relapse prevention, and criminal behavior. Level 3 programs meet for one to three hours, per week, over the course of three to 12 months and may include up to 12 offenders, per group, per ADAD approved program requirements. Individuals may be appropriate for weekly outpatient treatment if they complete a more intensive program and need continuing support. 5. Level 4a: Enhanced Outpatient Treatment: An ADAD licensed didactic and group therapy program that meets two to four sessions, per week, for three to nine hours, per week, and extends less than 12 weeks in duration. Level 4a treatment shall be followed by level 3 treatment. 6. Level 4b: Intensive Outpatient Treatment: An ADAD licensed, didactic and group therapy program that meets three to seven sessions, per week, nine to 21 hours, per week, four to six weeks in duration, totaling 36 to 126 total program hours in its initial phase. The initial phase is followed by a continuance program; either 4a enhanced outpatient treatment or level 3 weekly outpatient treatment. Level 4b groups may include up to 12 offenders per group per ADAD approved program requirements. 7. Level 4c: Intensive Residential Treatment (IRT): A group therapy program located in a housing unit apart from general population offenders. Treatment participants meet daily for a minimum of 14 days and a maximum of 45 days.

9 CHAPTER SUBJECT AR # Page 9 8. Level 4d: Therapeutic Community (TC): A highly structured ADAD approved treatment modality located in a housing unit apart from general population offenders. Structured activities are generally provided seven days, per week. Although admission criteria for each of the DOC facility based therapeutic communities are different, a minimum six month length of stay should be anticipated. 9. Level 5: Medical/Mental Health Referral: Assigned to individuals who have a psychiatric disorder or severe medical issue that warrants a suspension of substance abuse treatment until the issue can be addressed or evaluated by a mental health or medical professional. J. Continuing Care and Treatment Discharge Recommendations: Offenders following the active involvement and successful completion of treatment programming shall be referred for ongoing continuing care in the form of a referral and assignment to additional ancillary case management and/or treatment services. These services may include, but are not limited to: weekly outpatient treatment; relapse prevention programming; 12 step support groups; or other support services. [4-4377] 1. Alcohol and Drug Services DOC employees and contract workers shall complete the Department of Corrections Alcohol and Drug Services Treatment Discharge Recommendation(s) form for each treatment episode, (regardless of the disposition) and distribute copies to the agency, Mental Health, working and department case files. 2. The Alcohol and Drug Services Treatment Discharge Recommendation(s) form shall be used by Mental Health DOC employees and contract workers to complete relevant sections of the Mental Health Transition form, pursuant to ARs , Continuity of Care Standards for Mental Health Treatment, and , Community Corrections Referral and Placement Process. K. Treatment Accountability for Safer Communities (TASC) [4-4439] 1. Per CRS , each person placed on Parole by the State Board of Parole on or after July 1, 1992, shall be required, as a condition of such parole, to undergo periodic testing and treatment for substance abuse which is appropriate to such parolee based upon the recommendation of the assessment made pursuant to section or any assessment or subsequent reassessment made regarding such parolee during his or her incarceration or period of parole. Any such testing or treatment shall be at a facility or with a person approved by the Division of Alcohol and Drug Abuse, established in Part 2 of Article 25, CRS. 2. TASC case managers shall provide four primary adjunct services to offenders under parole and community supervision: identification, assessment, referral, and case management. TASC adjunct services are based on information derived from the Standardized Offender Assessment Revised Battery, as well as other clinical and behavioral information when indicated. 3. TASC case managers shall be provided a copy of the LSI-R completed by the offender s supervising officer/agent. TASC case managers shall then complete the ASUS-R, TxRW, and other ADAD approved assessment tools in order to produce a clinical recommendation level and subsequent referral to treatment. 4. TASC program treatment referrals shall only be made to approved substance abuse treatment providers. Approved treatment providers in receipt of non-tasc referrals will not be paid for through the Office of Alcohol and Drug Services; an exception would be non-tasc referrals in remote Parole operations where TASC services are not available. L. Treatment Considerations 1. Each DOC facility shall establish substance abuse programming with the concurrence of the administrative head. Programs shall be developed and established by the manager of Drug and Alcohol Services, in conjunction with the chief of Behavioral Health and Mental Health supervisors.

10 CHAPTER SUBJECT AR # Page All Alcohol and Drug Services programs shall prohibit discrimination against program beneficiaries and participants on the basis of race, color, national origin, religion, age, sex, marital status, handicap, or political affiliation. 3. All alcohol and drug treatment programs within the DOC shall be licensed by Colorado State Alcohol and Drug Abuse Division (ADAD) approved program standards. 4. Alcohol and Drug Treatment DOC employees and contract workers shall provide education and treatment programs that are ADAD approved and multi-cultural competent. [4-4439] 5. Where applicable, all alcohol and drug treatment programs shall be governed by 42 CFR part 2, Federal Register: Confidentiality of Alcohol and Drug Abuse Patient Records. 6. DOC employees and contract workers employed to provide substance abuse assessment and treatment services shall be certified addictions counselors, as defined by the Colorado Department of Regulatory Agencies (DORA). Certified addictions counselors shall only perform assessment and treatment services, consistent with their certification level, as defined by DORA and state statute. All DOC employees and contract workers will observe the requirements of 42 CFR part 2, Federal Register: Confidentiality of Alcohol and Drug Abuse Patient Records. 7. Where possible, alcohol and drug treatment staff will initiate and provide in-service training to DOC employees on substance abuse and other related issues consistent with their training, experience, and professional scope. 8. Individuals recovering from alcohol and other chemical addictions will be recruited and trained to chair self-help groups. Volunteers shall comply with the provisions of administrative regulation , Volunteer Programs, and other applicable administrative regulations and operational memoranda. V. RESPONSIBILITY A. The manager of Drug and Alcohol Services is responsible for the system-wide functioning of all alcohol and drug services programs in DOC facilities, Adult Parole, and Youthful Offender System. B. It shall be the responsibility of the chief of Behavioral Health and the manager of Drug and Alcohol Services to ensure compliance with this AR, in conjunction with the administrative head. C. It shall be the responsibility of the administrative head to ensure the program manager and correctional DOC employees and contract workers are aware of and comply with this AR. D. It shall be the responsibility of each substance abuse counselor to use this AR as a guide to practice. E. It shall be the responsibility of each case manager to use this AR as a guide to refer, assign, and promote offender compliance with recommended programs (CRS Standardized Offender Assessment) and to ensure a continuum of supervision and treatment while the offender is under DOC facility supervision. [4-4439] F. It shall be the responsibility of each community/parole officer to use this AR as a guide to refer, assign, and promote offender compliance with recommended programs and to ensure a continuum of supervision and treatment while the offender is under DOC community supervision. [4-4439]

11 CHAPTER SUBJECT AR # Page 11 VI. AUTHORITY A. CRS Legislative declaration. B. CRS Substance abuse assessment - standardized procedure. C. CRS Departments shall develop testing programs - punitive sanctions. D. CRS Samples for testing of offenders - collected by probation or parole officers or contract providers of testing services. E. CRS Earned time. F. CRS Substance abuse assessment required - convicted felons - controlled substance offenders. G. CRS Sentencing of felons - parole of felons - treatment and testing based upon assessment required. H. Colorado Department of Human Services, Alcohol & Drug Abuse Division (ADAD), Standards and Regulations for Alcohol and Drug Abuse Treatment. VII. HISTORY November 1, 2007 November 1, 2006 November 1, 2005 September 15, 2005 September 15, 2004 August 1, 2004 August 1, 2003 August 1, 2002 ATTACHMENTS: A. AR Form A, Administrative Regulation Implementation/Adjustments

12 ADMINISTRATIVE REGULATION IMPLEMENTATION/ADJUSTMENTS AR Form A (04/15/08) CHAPTER SUBJECT AR # EFFECTIVE Offender Health Services Alcohol and Drug Services Program (FACILITY/WORKUNITNAME) WILL ACCEPT AND IMPLEMENT THE PROVISIONS OF THE ABOVE ADMINISTRATIVE REGULATION: [ ] AS WRITTEN [ ] NOT APPLICABLE [ ] WITH THE FOLLOWING PROCEDURES TO ACCOMPLISH THE INTENT OF THE AR (SIGNED) Administrative Head (DATE) Attachment A Page 1 of 1