**Merced County Adult Drug Treatment Court**

**Pre-Graduation Packet**

Name:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_Reviewed
By:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Address:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_Date
Packet Issued:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Phone:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_Date
Submitted:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Primary
Counselor:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_Case
Manager:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Graduation Review Date:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

The Graduation Review Panel will usually consist of the following:

1\. Client

2\. Judge/Commissioner

3\. Drug Court Coordinator

4\. Case Manager

5\. District Attorney

6\. Public Defender

7\. Probation Officer

As a prospective Drug Court Program Graduate, you must complete the
Pre-Graduation Questionnaire and return it to the Drug Court Case
Manager one week prior to your Graduation Review Date.

The Graduation Review Panel will ask you questions about your responses
to the Pre-Graduation Questionnaire and your overall plan for continued
sobriety.

Your Pre-Graduation Questionnaire is to be taken seriously. Answer all
questions completely and as thoroughly as possible. Punctuality,
personal appearance, and the neatness of your Pre-Graduation
Questionnaire responses will be considered indicators of the depth of
your commitment to your sobriety. This questionnaire is intended to
assist the Graduation Review Panel in making a fair determination of
your readiness to graduate the Drug Treatment Court Program. You will
have the opportunity to address the Graduation Review Panel in support
of your belief that you are ready to graduate.

**Merced County Adult Drug Treatment Court**

**Pre-Graduation Packet**

**Graduation Requirements:**

No positive (dirty) drug tests for 180 consecutive days prior to
graduation;

No unexcused absences from drug testing within 180 days prior to
graduation;

No unexcused absences from Support Groups, Treatment Groups, or AA/NA
meetings for 60 consecutive days prior to graduation;

Payment in full of the Drug Treatment fees;

Employed or positive response to educational/vocational goals;

Fulfillment of treatment plan goals;

No new crimes committed while participating in the program;

Be willing to attend a weekly aftercare program (Social Support) for 12
months.

**Merced County Adult Drug Treatment Court**

**Pre-Graduation Packet**

On a separate sheet of paper, answer the following questions. Use white,
standard size paper, single-sided only. Please use pen (black ink only)
or type your responses. Include the questions, then the answer.

If is to your advantage to provide as much detail and information as
possible when answering these question. Make sure your name is on every
page and remember this is a reflection of your time spent here in Drug
Treatment Court.

1\. How long have you been clean and sober?

2\. Has having a sponsor been helpful to you?

3\. How long have you had this sponsor?

4\. What step are you currently working on with your sponsor? How are
you working this step? If you are completed with your steps, what are
you working on with your sponsor?

5\. Describe your relationship with your sponsor?

6\. Other than your sponsor, describe your support system.

7\. Where are you currently employed?

8\. How long have you been employed?

9\. What kind of work do you do?

10\. Is there room for advancement where you work?

11\. What are your educational plans or goals?

12\. Describe your life prior to your entry into the Drug Treatment
Court Program.

13\. Describe how your life is different today (after Drug Treatment
Court).

14\. What did you like most about the Drug Treatment Court Program? Why?

15\. What did you like least about the Drug Treatment Court Program?
Why?

16\. Describe, in detail the following:

Two of your 90 day goals after graduating from the program.

Two of your 6 month goals after graduating from the program.

Two of your one year goals after graduating from the program.

Do you have "life goals" and how do you intend to attain them?

17\. Do you intend to stay alcohol/drug free? Why? How?

18\. Do you intend to stay crime free? Why? How?

19\. Describe how your recovery has affected your relationship with
others (spouse, children, parents, sisters/brothers, and close friends).

20\. How will you handle stressful situations?

21\. Where do you live? Who else lives with you?

22\. What 12-Step Meetings are you attending?

23\. Do you have any commitments in the 12-Step Community?

24\. Do you remember your arresting officers name(s) and would you like
to invite him/her to the graduation?

25\. Have you re-united with any of your children during your
participation in the Drug Treatment Court Program?

26\. Has anyone in your family gone into recovery because of your being
in the Drug Treatment Court Program?

27\. Do you have a valid drivers license?

When you have completed the questionnaire, please return the entire
package, including your responses, to the Drug Court Coordinator at
least two weeks prior to your appointment with the Graduation Review
Panel.

**Merced County Adult Drug Treatment Court**

**Pre-Graduation Packet**

Counselor Comments:

Counselor Recommendation: Approved: Disapproved: Signature:

Case Manager Comments:

Case Manager Recommendation:

Approved: \_\_\_\_ Disapproved: \_\_\_\_Signature:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_ Approved:
\_\_\_\_\_ Denied \_\_\_\_**

**Judge's Signature Date**