Designated Program

Section 2060.530  Designated Program a)         The DHS/SUPR designated program license authorizes organizations to provide SUD assessment and specialized case management services to Illinois courts for any individual charged with or convicted of an eligible offense and who may elect diversion to treatment, under the supervision of the designated program, as an alternative to incarceration, or as a condition of release after incarceration, pursuant to the specifications in Article 40 of the Substance Use Disorder Act.  The designated program shall provide the services specified in this Section in a uniform manner to circuits of the Illinois courts throughout the State, either directly or by subcontract or referral. b)         Staff who provide designated program services shall meet at least one of the professional staff requirements specified in Section 2060.320(a) or (b). c)         Organizations authorized to provide designated program services shall establish policies and procedures, and submit them at the time of application for licensure or anytime thereafter if changes are made, that shall: 1)         Identify the proposed court or jurisdiction where designated program services will be delivered; 2)         Specify how each service in this Section will be provided in relation to the operation of the referring circuit court; 3)         Include a copy of any applicable court rules or procedures for the provision of the service; and 4)         Identify how the designated program will adhere to these court rules and procedures. d)         Specialized Case Management:  The designated program shall have procedures for and deliver specialized case management as follows: 1)         Scheduling:  Manage scheduling so that designated program clients are given priority to initiate services as close as possible to the date of referral; 2)         Authorizations:  Obtain all authorizations for informed consent and release of any confidential information in accordance with specifications in Sections 2060.350 and 2060.360; 3)         Demographics:  Collect demographic data in accordance with the specifications in Section 2060.370(d)(10); 4)         Assessment:  Conduct an assessment, in accordance with the specifications in Section 2060.435, to determine if the client is likely to be rehabilitated through SUD treatment.  The designated program shall ensure that the assessment: A)        Evaluates the client's current severity of the disorder and comorbid conditions; B)        Identifies any criminogenic needs that should be targeted in treatment; C)        Determines if the client would benefit from additional social services or recovery supports or has a current need for MAR; and D)        Recommends the appropriate level of care for the client. 5)         Recommendation:  Make a recommendation in a findings letter to the referring circuit court regarding the result of the assessment and if the client is likely to benefit from participation in SUD treatment.  Such notification shall be made to the probation office unless otherwise ordered by the court.  Written notification regarding the result of the assessment and its subsequent recommendation shall also be given to the client. 6)         Referral:  Make appropriate referral for SUD treatment, so that clients can begin such services as soon as possible.  In making such referral, the designated program shall:  disclose which referrals are self-referrals to the same organization holding the designated program authorization, ensure that the client is given other treatment options and make the client aware of their right to a choice of services from any licensed organization. 7)         Case Planning:  Identify case planning goals that link to any need identified in the assessment and that include all referrals for treatment, other social services, or recovery support, including housing, education, and employment. 8)         Individual and Group Monitoring:  Identify all contacts scheduled with the client during the period of time that the client is under the supervision of the designated program.  Ensure, through regular contact with the treatment organization, that all individual and group services delivered by the designated program are not duplicative of any treatment services that the client may also be simultaneously receiving. 9)         Service Delivery:  Provide individual and group services designed to engage, motivate, or support the client's participation during their period of supervision under the designated program.  These services shall address needs identified in the ASAM assessment related to other social determinants of health and encourage the client's continued participation in any recommended treatment. 10)       Tracking and Measuring Compliance:  Identify the methods that the designated program will use to track and measure compliance, including a specification of the criteria the client must meet to continue participation in the designated program.  The criteria shall also include the factors that would require re-assessment or amended recommendations to the referring circuit court. 11)       Recovery Support:  Identify any recovery support needs the client may have that will assist in reducing barriers to accessing treatment or other needed services or for participation in individual or group monitoring with the designated program. Make referrals or arrangements for these supports as needed. 12)       Communications:  At a minimum, monthly reports shall be sent to the referring circuit court that indicate:  the status of the client, progress made toward completion of any designated program individual or group activities, information on admission to treatment and progress in achieving treatment goals and objectives, and any changes in status from the last report, including the date of last communication with the client, if applicable. 13)       Court Appearances:  Designated program staff shall be made available for all requested court appearances including any status or violation hearing.  All such activity shall be documented in each client file, including any decisions of the court and any subsequent required actions. e)         Documentation:  Client records shall be maintained, as specified in Section 2060.370.  In addition, each client record shall include: 1)         All informed consent and consent to release information forms; 2)         A copy of the assessment with recommended intervention; 3)         Copies of all correspondence; 4)         The service plan for the client, progress notes, and documentation of all attendance; 5)         Any toxicology results; 6)         Documentation of status reports (written or verbal) from treatment organizations; 7)         Documentation of all designated program staff court appearances; and 8)         Any documents related to the client's discharge from designated program services. f)         Discharge:  The designated program shall establish procedures for discharge of the client from all services.  These procedures, at a minimum, shall: 1)         Identify the process for review of a client's progress in treatment to determine if a change of status is justified; 2)         Identify the factors that determine successful or unsuccessful discharge; 3)         Contain the specific instances that would lead to discharge or a change in status; 4)         Identify the process for notification to the client and the referring circuit court when there is a change in status or prior to and upon successful or unsuccessful discharge; and 5)         Identify the procedure that will be used to ensure that written reports of successful discharge are sent to the referring circuit court within 10 calendar days after discharge and that reports of unsuccessful discharge are sent within three calendar days after discharge.