All practitioners providing services to program participants must be appropriately licensed and supervised according to the rules and requirements of the NM Counseling and Therapy Practice Board (CTPB) and 16 NMAC 27. Counselors must not operate outside their level of expertise or licensure. Regarding Licensed Substance Abuse Associate (LSAA) Scope of Work: As noted by the CTPB, "The license IS a restricted license ... and the licensee MUST have a supervisor who directs that individual's work and ensures the quality of the services provided to clients. The licensee CANNOT work without a clinical supervisor. There are several ways to provide clinical supervision within the counseling and behavioral health industry. These methods include regular case reviews, audiotape reviews, videotape reviews, and direct observation." Supervision of LSAAs and other counselors as required by the CTPB must be documented and available for inspection by the COORDINATOR. The National Provider Identifier (NPI) numbers associated with the healthcare provider organization, the supervising provider, and individual providers of clinical services must be available for inspection by the COORDINATOR. The focus of the Substance Use Treatment professional service is to provide substance use treatment and drug testing services to the participants of the Rio Arriba County DWI Treatment Court Program. This is including, but not limited to, coordination of continuum of services such as; detoxification, outpatient, intensive outpatient. day treatment. and residential services, and drug testing. (Reference: New Mexico Treatment Court Standards, April 01, 2025) The professional services shall include: o Screening & Assessment - A diagnostic evaluation / assessment shall be conducted by the treatment provider on all incoming participants to identify, diagnose, and determine appropriate level of care that is SPECIFIC TO THE INDIVIDUAL. Persons with co-occurring disorders shall be accurately identified. Psychosocial issues that may affect participant engagement in Treatment Court shall be identified. Assessment shall include evidence based and validated instruments, including structured diagnostic interviews, psychosocial assessment instruments, psychological tests, laboratory, or other types of testing, and collateral information (e.g., from family members and COORDINATOR). To expedite participant program entry, clinical assessments shall be conducted by the treatment provider as quickly as possible, but no later than five days from the date of referral. The CONTRACTOR agrees to provide the COORDINATOR with written notice of all screenings and assessments within 24 hours of the completed appointment. Notice of screenings and assessments may be provided to the COORDINATOR via e-mail. fax or hard copy. o Individualized Service / Treatment Plan - An individual treatment plan will be prepared as soon as possible by a licensed/certified practitioner for each program participant to be reviewed by the presiding Treatment Court Judge and/or COORDINATOR. The plan must state the type, amount, frequency, and duration of the services to be furnished and indicate the diagnoses and anticipated goals as well as other agencies involved in service provision and the plan to coordinate services. o Individual Therapy- Individual therapy will be provided for each participant by an appropriately licensed/certified practitioner as determined by the individual treatment plan. The CONTRACTOR agrees to allow the COORDINATOR to observe sessions, at the request of the client. o Group Therapy- Group therapy will be provided for each participant by an appropriately licensed/certified practitioner as determined by the individual treatment plan. The CONTRACTOR will use the Moral Reconation Therapy (MRT} or similar manualized modality that includes a focus on criminogenic thinking. If this is not possible at the time of execution of a contract, the COORDINATOR/COURT will review and approve an acceptable criminogenic modality and timeline for implementation. All groups must be operated by certified facilitators in the approved modality. The CONTRACTOR agrees to allow the COORDINATOR to observe sessions, at the request of the client. o Outpatient and/or Intensive Outpatient Treatment as required pursuant to the client's clinical needs as stated in the treatment plan - Services will be provided for each participant by an appropriately licensed/certified practitioner on a weekly basis according to the assessed needs of the client and according to recognized best practice. IOP programs must be based on research and evidence-based interventions approved by the COURT, be culturally sensitive, incorporate recovery and resiliency values into all service interventions, address co-occurring mental health disorders as well as substance use disorders when indicated, and will attempt to address the following general goals: 1. To achieve abstinence 2. To foster behavioral changes that support abstinence and a new lifestyle 3. To facilitate active participation in community-based support systems (e.g., peer recovery groups, 12-Step fellowship, etc.) 4. To assist clients in identifying and addressing a wide range of psychosocial problems (e.g., housing, employment, adherence to probation requirements) 5. To assist clients in developing a positive support network 6. To improve the client's problem-solving skills and coping strategies 7. CONTRACTOR records must contain documentation of training of staff according to the agency's treatment model. To the extent possible, the CONTRACTOR agrees to provide gender specific groups on a weekly basis as appropriate to Treatment Court clientele. o Aftercare Group Sessions - Aftercare group sessions will be provided for each participant by an appropriately licensed/certified practitioner as determined by the individual treatment plan and in accordance with Treatment Court policy. The CONTRACTOR agrees to allow the COORDINATOR to observe sessions, at the request of the client.
