### XIII. Treatment Protocol

The treatment protocol provides for intensive therapeutic interventions
for AOD dependent persons enrolled in the Montgomery County Adult Drug
Court program. The treatment model is outpatient. However, where
indicated, participants may be referred to and required to successfully
complete a residential treatment program (for detoxification and/or
other residential services) prior to beginning the outpatient program
or, if necessary, during the outpatient program. The program also will
develop procedures for those who have co-occurring disorders where the
AOD dependence masks the symptoms of the serious mental illness(es).
Having a co-occurring mental health disorder will not disqualify an
individual from participating in the Drug Court program, if they are
capable of full and active participation in every element of the Drug
Court program.

Consistent with the Drug Court model, treatment begins with a thorough
and complete assessment of an offender's history and level of
involvement with alcohol and other drugs. Based on this assessment, the
assigned therapist will develop a treatment plan to include the
following elements:

+-------------+-------------+-------------+-------------+--------------+
| **Program   | **Who**     | **When**    | **Where**   | *            |
| Element**   |             |             |             | *Frequency** |
+-------------+-------------+-------------+-------------+--------------+
| Eligibility | Drug Court  | Pre-court   | Court       | Once         |
|             | Monitor     |             | -Judicial   |              |
|             |             |             | Ctr.        |              |
+-------------+-------------+-------------+-------------+--------------+
| Screening   | Case        | Client      | Cou         | Once         |
|             | Manager     | Assessment  | rt-Judicial |              |
|             |             | Instrument  | Ctr.        |              |
|             |             | (CAI)       |             |              |
|             |             |             |             |              |
|             |             | and HIDTA   |             |              |
|             |             | Automated   |             |              |
|             |             | Tracking    |             |              |
|             |             | System      |             |              |
|             |             | (HATS)      |             |              |
+-------------+-------------+-------------+-------------+--------------+
| Initial     | Department  | Intake      | OAS --      | Once         |
| Assessment  | of Health   |             |             |              |
|             | and Human   |             | 751         |              |
|             | Services    |             | Twinbrook   |              |
|             | (HHS) --    |             | Parkway     |              |
|             | Outpatient  |             |             |              |
|             | Addiction   |             | CATS --     |              |
|             | Service     |             | Montgomery  |              |
|             | (OAS) or    |             | County      |              |
|             | Clinical    |             | Detention   |              |
|             | Assessment  |             | Center 1307 |              |
|             | & Triage    |             | Seven Locks |              |
|             | Services    |             | Rd          |              |
|             | (CATS) Case |             |             |              |
|             | Manager     |             |             |              |
+-------------+-------------+-------------+-------------+--------------+
| Ind         | DHHS -- OAS | Weekly      | OAS --      | Inpatient -- |
| ividualized |             |             |             | Per          |
| Treatment   | Therapist   |             | 751         | residential  |
| consistent  | II          |             | Twinbrook   | treatment    |
| with the    |             |             | Parkway     | plan.        |
| DHHS --     |             |             |             |              |
| BHCS        |             |             |             | Outpatient   |
| Continuum   |             |             |             | Level 1 - 2  |
| of Care     |             |             |             | days         |
| Model       |             |             |             |              |
|             |             |             |             | Level 2 -- 3 |
| See         |             |             |             | days         |
| Appendix    |             |             |             |              |
+-------------+-------------+-------------+-------------+--------------+
| Meetings    | DHHS -- OAS | Weekly      | OAS --      | At least     |
| with Case   |             |             |             | once per     |
| Manager     | Therapist   |             | 751         | week         |
|             | II          |             | Twinbrook   |              |
|             |             |             | Parkway     |              |
|             | Case        |             |             |              |
|             | Manager     |             |             |              |
+-------------+-------------+-------------+-------------+--------------+
| Mandatory   | DHHS -- OAS | Weekly      | Community   | Minimum of 3 |
| Attendance  |             |             |             | and/or based |
| Narcotics   |             |             |             | upon Initial |
| Anonymous   |             |             |             | Treatment    |
| (NA)        |             |             |             | Plan.        |
| Alcohol     |             |             |             |              |
| Anonymous   |             |             |             |              |
| (NA)        |             |             |             |              |
+-------------+-------------+-------------+-------------+--------------+
| Mandatory   | DHHS --     | Weekly      | ASC --      | Minimum of 3 |
| Urinalysis  | Addictions  |             |             | and/or based |
| and/or      | Services    |             | 255         | upon Initial |
| B           | C           |             | Rockville   | Treatment    |
| reathalyzer | oordination |             | Pike        | Plan.        |
|             | (ASC)       |             |             |              |
+-------------+-------------+-------------+-------------+--------------+
| Random      | PreRelease  | Weekends    | PRC --      | As above     |
| Urinalysis  | Center      |             |             |              |
| and/or      | (PRC)       |             | 11651 Nebel |              |
| B           |             |             | Street      |              |
| reathalyzer |             |             |             |              |
+-------------+-------------+-------------+-------------+--------------+
| Aftercare   | DHHS -- OAS | Phase III   | OAS --      | Once         |
| Planning    |             | -- Prior to |             |              |
|             | Case        | Graduation  | 751         |              |
|             | Manager     |             | Twinbrook   |              |
|             |             |             | Parkway     |              |
|             |             |             |             |              |
|             |             |             | Or other    |              |
+-------------+-------------+-------------+-------------+--------------+