1.1 The Office of Substance Abuse Services is staffed by:

1.1.1 An Administrator, who reports to the Programs Operations Officer.

1.1.2 Two Regional Substance Abuse Program Supervisors.

1.1.3 One Special Programs Supervisor assigned to the Sex Offender, Alcohol and Other Drug (AOD) Treatment Unit.

1.1.4 One Contract Monitor.

1.1.5 13 Correctional Addictions Officers (Substance Abuse Counselors).

1.1.6 An Administrative Secretary.

1.2 The Office of Substance Abuse Services is responsible for:

1.2.1 The community-based substance abuse services in terms of coordination or per contractual requirements in prison.

1.2.2 Administering prison-based contracted substance abuse education and treatment services.

1.2.3 Administering and delivering prison-based substance abuse education and treatment provided by the Department.

1.2.4 Administering technical operation of the prison-based inmate urinalysis system.

1.2.5 Collaborating with other agencies to access services.

1.2.6 Assisting and supporting the efforts of the Community Corrections Division in obtaining and managing community-based treatment for offenders.

1.2.7 Establishing data collection systems that document services provided, to include contracts that involve services that begin in prison and extend into the community.

1.2.8 Development and presentation of specialized training for Department staff and others in addictions-related topics. This training is in addition to, and more specific than, that provided by the Staff Development/Training Bureau.

1.2 Staff members working in areas considered to be "qualified service organizations" (See Definitions) who, in the course of their duties, have access to information which identifies that an inmate is a participant in a pre-treatment or treatment program shall not re-disclose any participant-identifying information.

1.3 Inmates participating in AOD pre-treatment and treatment programs shall be asked to sign an Alcohol or Drug Treatment Consent Form #917-1P, authorizing:

1.3.1 The documentation of their participation in and completion of the program in the Adult Information Management System (AIMS).

1.3.1.1 Inmates who do not authorize the documentation of their participation shall not be eligible for a reduction in their Alcohol/Drug Classification score upon successful completion of the program.

1.3.1.2 These inmates may be removed from the program and replaced by inmates who have signed or are willing to sign the form, in accordance with the U.S. Code of Federal Regulations.

1.3.2 Disclosure of confidential program-related information only to the person(s) specifically identified (by title) on the form.

1.3.2.1 Persons having a legitimate need to access program information may include: Department Administrators, Correctional Officers III or IV, Parole Officers, Board of Executive Clemency Members or Department contracted AOD treatment providers.

1.5 Clinical AOD files shall not be maintained for pre-treatment programming. Staff facilitators shall maintain a standardized attendance roster and a signed Alcohol or Drug Treatment Consent form for each participant. Upon completion of the program, these documents shall be submitted to the Complex Correctional Addictions Officer, who shall maintain them for one full year from the course completion date.

1.6 Professionally credentialed Correctional Addictions Officers may develop written treatment plans with an inmate, but shall not maintain clinical files or program notes. Treatment plans shall be kept by the inmate and reviewed periodically to identify progress and make necessary adjustments.

1.1.1 Substance Abuse Awareness - Offered by trained paraprofessional or professional staff to assist inmates in understanding the effect of alcohol and drug abuse on their lives. This program shall only be offered where inmates are permitted to participate in group activities.

1.1.2 The Hazelden Design for Living program - Offered in the following two levels.

1.1.2.1 A self-study format is available to inmates who are unable to participate in groups.

1.1.2.2 A group study format that is led by specially-trained staff and allows inmates to discuss materials they have studied with other inmates and the staff facilitator.

1.1.3 Thinking Straight - Offered in group format.

1.1.4 Other staff-facilitated programs, available on a limited basis at some institutions.

1.2 In each of the offered programs a limited amount of individual counseling is available for assessment, crisis intervention and discharge planning. Structured outpatient treatment programs are available, usually delivered in a group setting, as follows:

1.2.1 Non-medical AOD pre-treatment and treatment:

1.2.1.1 Options for Change - At the Arizona State Prison Complex (ASPC) Tucson-Winchester Unit, delivered in an intensive residential setting by a contracted substance abuse treatment provider.

1.2.1.2 Women's Recovery Academy - An intensive substance abuse pre-treatment program in an institutional setting delivered at ASPC-Perryville.

1.2.1.3 Turning Point - At the Marana Community Correctional Treatment Facility, delivered in an intensive residential setting within a privatized prison.

1.6.1 Parole Officers shall refer all offenders with a substance abuse history to a community based substance abuse treatment program in accordance with the Community Supervision Technical Manual.

1.1.1 Providing relevant cognitive/behavioral-based pre-treatment and treatment that addresses addiction and abuse.

1.1.2 Monitoring the progress of inmates and offenders in maintaining sobriety by periodic urinalysis.

1.1.3 Assisting inmates and offenders in identifying and accessing services available to them in prison and/or the community and teaching how to independently access the services when future needs arise.

1.2 In accordance with available resources, the Department provides access to some type of AOD pre-treatment or treatment to all inmates or offenders who request such services.

1.2.1 Treatment programs at the ASPC-Douglas-Papago Unit; ASPC-Tucson- Winchester Unit; Marana Community Correctional Treatment Facility; ASPC-Eyman-Cook; ASPC-Perryville; ASP-Phoenix West; ASP-Florence West; and SACRC have specific eligibility criteria for participation. These criteria are available upon request from the Central Office Classification Manager.

1.2.2 Offenders are matched with substance abuse education or treatment in the community as a condition of supervision based on reviews of their criminal history and their substance abuse history.

1.3 Institution-Based Programs (mandatory standards) - To meet the established mandatory program standards, institution-based substance abuse programming shall:

1.3.1 Ensure that confidentiality regulations are followed, in accordance with section 917.02.

1.3.2 Contain clearly stated program goals.

1.3.3 Contain measurable objectives, for example: attitude changes as documented by pre/post-attitude assessment, knowledge gain measured by pre/post- comprehension tests and in-program sobriety as measured by urinalysis.

1.3.4 Include a written program description, describing methodology and activities that shall occur over the course of the program.

1.3.5 Incorporate an accurate documentation system that records, at a minimum:

1.3.5.1 Inmate name, number, ethnicity and age.

1.3.5.2 Program start date.

1.3.5.3 Written and signed acknowledgment that inmate received orientation to the program and rules.

1.3.5.4 Each inmate's total hours of active participation, and whether this participation was in individual, small group or large group format.

1.3.5.5 Program completion date.

1.3.5.6 A certificate or other evidence of completion, for example: entry in the AIMS system.

1.3.6 Be delivered by qualified staff, contractors or volunteers.

1.3.7 Have specific admission and discharge criteria.

1.3.8 Have scored participant examinations (pre-treatment programs only).

1.3.9 Contain mechanisms for initial participant assessment and subsequent documentation of clinical progress by a qualified clinician (treatment programs only).

1.3.10 Conduct large group activities with 16-40 participants and small groups with 6-15 participants.

1.3.11 Be delivered in an environment that is reasonably soundproof, provides a chair for each participant and the facilitator and that offers adequate space and equipment, (example: whiteboards, VCR/monitor setups, flip charts) for the activity being conducted.

1.4 Community-Based Programs (mandatory standards) - To meet mandatory program standards, community-based substance abuse programming shall include the following characteristics:

1.4.1 Successful completion is contingent on regular attendance and active participation, as determined by the provider.

1.4.2 The program incorporates a documentation system that records offender attendance.

1.4.3 The program's participation fee is structured based on an offender's ability to pay and/or is contingent on available funds.

1.5 Institution-Based Programs (preferred standards) - The Department establishes preferred program standards to encourage programming that integrates with other institutional activities. To meet preferred program standards, institution-based substance abuse programming shall:

1.5.1 Provide for incentives and disincentives to program participation.

1.5.2 Include a built-in mechanism to evaluate the program's effectiveness.

1.5.3 Include linkage with or support to other prison programs or healthy community living activities.

1.6 Community-Based Programs (preferred standards) - To meet preferred program standards, community-based substance abuse programming shall include the following characteristics:

1.6.1 Providers offer crisis intervention services in conjunction with regular substance abuse education and treatment services.

1.6.2 Providers offer a full range of substance abuse education and treatment services and modalities.

1.7 The standardized unit of service for institution-based substance abuse treatment shall include fifty minutes of direct service and ten minutes for documentation and record keeping.

1.8 Wardens and Deputy Wardens are responsible for ensuring a minimum threshold of institution-based substance abuse services and shall notify the Substance Abuse Services Administrator if this minimum threshold cannot be maintained. Correctional Officer IIIs or other staff may be trained to deliver required pre-treatment programs. Minimum required services include:

1.8.1 Substance Abuse Awareness intervention group. This program shall not be offered at privatized prisons and is optional at units with formal contracted substance abuse treatment programs.

1.8.2 Hazelden Design for Living in self study or group study format. This program shall not be offered at the Marana Community Correctional Treatment Facility, ASPC-Phoenix West, ASP-Florence West and ASPC-Phoenix Alhambra (reception) Unit.

1.8.3 Thinking Straight pre-treatment group. This program shall not be offered at the institutions identified in 1.8.2 of this section.

1.8.4 Individual assessment, intervention, treatment plan development and similar services performed by the complex Correctional Addictions officer.

1.8.5 AOD therapeutic groups conducted by the complex Correctional Addictions Officer.

1.8.6 Self-help/mutual-help support group meetings such as Alcoholics Anonymous (AA), Narcotics Anonymous (NA), S.M.A.R.T. Recovery, Adult Children of Alcoholics (ACOA) or similar groups.

1.8.6.1 Self-help/mutual help support groups and similar groups are not inmate clubs; they are Department-sanctioned treatment support groups.

1.9 Staff and/or volunteers delivering AOD pre-treatment, providing AOD treatment or managing self-help/mutual help meetings shall meet the following minimum qualifications:

1.9.1 AOD pre-treatment - Sixteen hours of annual Department-recognized training in the delivery of the program.

1.9.2 AOD Treatment - Arizona Board of Behavioral Health Examiners Certification as a Certified Substance Abuse Counselor or Level II Certification by the Arizona Board of Certification of Addiction Counselors.

1.9.2.1 Employees newly hired by contracted treatment providers may be granted up to six months to apply, be tested and receive certification.

1.9.2.2 Extensions may be requested on a case-by-case basis.

1.9.3 Self-Help/Mutual-Help Support Groups - A Hospital and Institution Committee-approved member cleared for entry into Department prisons with a minimum of one year of regular participation with a Twelve Step group, and at least one year of sobriety.

1.10 The Department's use of methadone as a drug treatment medication is administered by the Inmate Health Services Division.

1.11 Inmates or offenders who are stabilized on psychotropic medications may participate in AOD pre-treatment, treatment or self-help/mutual help support groups to the extent that they are physically and mentally capable.

1.12 Inmates participating in formal treatment programs at ASPC-Tucson, Winchester Unit; the Marana Community Correctional Treatment Facility; ASPC-Eyman-Cook; ASPC-Perryville; SACRC; ASPC-Douglas-Papago Unit; ASP-Phoenix West; and ASP-Florence West shall be urinalysis tested at a frequency of once per month.

1.12.1 Inmates involved in treatment programs who submit urine specimens that test positive for illegal drug or alcohol use shall experience immediate consequences as outlined in the Department's Inmate Discipline System.

1.13 Offenders participating in community-based programming who submit a urine specimen that tests positive shall be subject to immediate sanctions as outlined in the Community Supervision Technical Manual.

1.1.1 Until such time as a psychometric intake instrument is developed and available, this classification score shall serve as the basis for determination of an inmate's need for substance abuse services.

1.2 More specific assessment of substance abuse treatment needs shall be performed using approved test instruments as part of an inmate's participation in a formal treatment program.

1.3 Inmates who meet eligibility criteria for any of the Department's formal AOD treatment programs, or inmates who are referred as a result of a urinalysis-related disciplinary action, shall be classified to the appropriate treatment program's waiting list.

1.4 Inmates may earn reduction in their Alcohol/Drug Classification scores only by maintaining records free of alcohol/drug related disciplinary charges/convictions and by participating in Department-recognized substance abuse education and treatment programs.

1.4.1 Further guidance on how this reduction is earned can be found in the Prison Operations Substance Abuse Services Technical Manual.

1.5 In accordance with available resources, inmates being released from prison after completing formal prison-based drug treatment programs shall be referred to continuing treatment services in the community.

1.6 In accordance with available resources, transitional substance abuse treatment or aftercare services may be provided until an offender is no longer under supervision. At that time, the offender shall be assisted in transitioning to continuing services at his/her expense.

1.7 Unit Correctional Officer IIIs or Parole Officers are responsible for the facilitation of individual inmate participation in programs, recognizing and encouraging continued sobriety, ensuring personal accountability for sobriety through urinalysis and promoting the continuity of care by connecting the prison-based programming with programming to occur during community supervision.

1.1.1 Fund monies shall be used to:

1.1.1.1 Pay for alcohol abuse treatment for inmates housed in Department-operated DUI units.

1.1.1.2 Pay for program materials for pre-treatment and treatment services for DUI inmates housed in general population units.

1.1.2 Expenditure of Alcohol Abuse Treatment Funds is carefully monitored by the Administrator for Substance Abuse Services to ensure spending is compliant with A.R.S. 31-255.

1.2 The Deputy Warden at ASPC-Douglas, Papago Unit shall:

1.2.1 Administer intergovernmental DUI inmate labor contracts and other approved service contracts by ensuring that the Department complies with its contract responsibilities, and by verifying inmate payroll statements submitted by contractors.

1.2.2 Prepare, sign and forward Requests for Purchase for alcohol treatment-related expenditures to the Substance Abuse Services Administrator.

1.2.3 Assist in resolving discrepancies on inmate payrolls or in answering questions relative to approved purchases.

1.2.4 Participate in Request for Proposal development and evaluation for treatment services to be funded from the Alcohol Abuse Treatment Fund.

1.3 All applicable Deputy Wardens shall ensure DUI inmate labor contracts are established and monitored at private DUI units or treatment facilities.

1.4 The Prison Operations Fiscal Services Operations Manager shall:

1.4.1 Encumber funds at the beginning of each fiscal year for the annual amount of all direct treatment service contracts.

1.4.2 Process approved Requests for Purchase.

1.4.3 Ensure money accrued by the Department for work performed by DUI inmates is deposited into the Alcohol Abuse Treatment Fund.

1.4.4 Provide fiscal reports of receivables, expenditures and the fund balance upon request.

FORMS

917-1P, Alcohol or Drug Treatment Consent

The Deputy Director for Administration and the Assistant Director for Community Corrections shall include all necessary AOD treatment and treatment-related guidelines for offenders in the Community Supervision Technical Manual.

Structured Outpatient Treatment Programs for inmates housed at the Sex Offender Unit will be funded by a Federal Grant under the Residential Substance Abuse Treatment Program and shall be operational in Fiscal year 2000.

HOSPITALS AND INSTITUTIONS COMMITTEE - A committee within a Twelve Step organization responsible for managing outreach programs to hospitals and other institutions, where potential meeting participants are unable to attend meetings in the community.

PRE-TREATMENT - Educating, preparing and motivating individuals for treatment when other programs are not immediately available. The pre-treatment process prepares inmates for treatment by; providing recovery information, increasing self-awareness about abuse and addiction and their effects on themselves and their families, understanding the need for treatment, increasing awareness about solutions and resources and generating treatment motivation.

QUALIFIED SERVICE ORGANIZATIONS - Staff in various offices, systems and functional areas within the Department become aware of specific participant-identifying information in the course of their routine duties. Examples within the Department are: classification, inmate payroll, medical or mental health staff, correctional officers (custodial, programmatic or administrative), contracted AOD treatment providers, correctional teachers, institution administrators, Department-approved researchers and others.

SELF-HELP OR MUTUAL-HELP SUPPORT GROUPS - Semi-structured group activities directed toward maintenance of substance-free lifestyles through peer support and encouragement.

SUBSTANCE ABUSE - The use of any chemical substance that causes physical, mental, emotional, legal, financial, economic or social harm to the individual and/or others.

SUBSTANCE ABUSE AWARENESS - A four-module intervention process designed for use with inmates who may not have assessed the extent to which alcohol and drug abuse has affected the quality of their lives.

THINKING STRAIGHT - A 20 module pre-treatment program based on a cognitive behavioral approach to recovery.

TREATMENT - Structured programs that engage the participant's intellect and emotions, employing generally-accepted therapeutic techniques of a non-medical nature common in the chemical dependency and recovery fields that are led by a professional trained to deliver such programs. Treatment programs have, as a basis, a written individual treatment plan for each participant, mutually developed by the participant and the counselor. Treatment programs may be comprised of several elements including group therapy, didactic instruction, written assignments, crisis intervention, structured residential settings with attendant behavioral expectations and limited individual (intensive) therapy.

A.R.S. 28-692.02, Increased Punishment for Conviction of Driving While Under The Influence of Intoxicating Liquor or Drugs While License Suspended, Canceled, Revoked or Refused or If Person Has Not Applied for or Obtained A License

A.R.S. 31-255, Alcohol Abuse Treatment Fund

A.R.S. 32-3321, Certified Substance Abuse Counselors; Qualifications

A.A.C. R4-6-701 et seq, Certification of Professional Counselors