Code of Colorado Regulations
500 - Department of Human Services
502 - Behavioral Health
2 CCR 502-1 - BEHAVIORAL HEALTH
Chapter 10 - Services for Criminal Justice-Involved Individuals
Section 2 CCR 502-1-10.9 - Level II Four Plus Treatment (Track F)
Universal Citation: 500 CO Code Regs 2 CCR 502-1-10.9
Current through Register Vol. 48, No. 6, March 25, 2025
10.9.1 General provisions
A. BHEs endorsed to provide Level II Four Plus services shall meet the requirements in part 4.3 of these rules and parts 10.1, 10.5 of this Chapter, and this part 10.9.
B. BHEs endorsed to provide DUI/DWAI Level II Four Plus programming shall:
1. Have an active BHE license issued by the BHA, pursuant to Chapter 2 of these rules.
2. Have provided Level II DUI/DWAI treatment services for at least twelve (12) months.
C. BHEs endorsed to provide DUI/DWAI Level II Four Plus programming must:
1. Document active collaboration with referral sources and concurrent treatment entities to meet individualized cross-system needs; and
2. Be able to provide or refer to clinically relevant in-person services.
10.9.2 Training
A. In addition to meeting training requirements in part 2.5 of these rules and this part 10.5.6, the BHE endorsed to provide Level II Four Plus programming must ensure that personnel involved in the provision of Level II Four Plus services attend no less than two (2) BHA-provided sessions during their active approval or licensing term that address the provision of Level II Four Plus services.
B. BHEs must maintain documentation of all training sessions attended in personnel records and provide verification to the BHA, upon request.
10.9.3 Service Provisions
A. Level II Four Plus must be completed as in-person services.
1. Telehealth may only be utilized if clinically indicated for the individual, or if the individual is unable to attend in-person. Documentation must be present in the individual record stating why telehealth was utilized.
B. There must not be a designated "Level II Four Plus Treatment Group," as all services must be individualized and based on the individual's assessment.
C. Length of stay in Level II Four Plus must be determined by competency and phase progression with a minimum of one-hundred eighty (180) clinical contact hours received in no less than eighteen (18) months.
1. The number of clinical contact hours attended will vary throughout an individual's treatment episode, depending upon the current phase and individual's treatment needs and progress.
2. Contact hours must not include DUI/DWAI education unless clinically indicated for the individual.
10.9.4 Level II Four Plus Competencies and Phases
A. Level II Four Plus must be structured and provided as follows:
1. The individual must demonstrate proficiency in all of the competencies contained within each phase prior to progressing into the next (higher) phase.
2. The BHE endorsed to provide Level II Four Plus programming must document that each individual was provided a copy of the phases and competencies as part of the orientation phase of treatment.
3. Individual progress towards Level II Four Plus completion must be a combination of treatment and phase competency progress.
4. The BHE endorsed to provide Level II Four Plus programming must review each individual's phase and competency achievements at a minimum every sixty (60) days in collaboration with available members of the individual's multidisciplinary team.
a. For the purposes of Level II Four (4) Plus Treatment, multidisciplinary team means a team consisting of at least the endorsed DUI/DWAI program and the supervising entity. The MDT may include other professionals relevant to the individual's assessed treatment needs. Available members of the MDT must be consulted by the agency in Level II Four Plus phase progression, service planning, changes in levels of treatment, and discharge process.
B. All individuals in Level II Four Plus who have an interlock device installed in their vehicle must complete IEC.
1. The BHE endorsed to provide Level II Four Plus programming must make every effort to ensure the individual completes IEC prior to the end of phase 3.
10.9.5 Level II Four Plus Care Coordination
A. The BHE endorsed to provide Level II Four Plus programming must establish and regularly maintain collaborative relationships with other agencies, treatment providers, referral sources, or any other entities involved in the individual's multidisciplinary team.
B. BHEs endorsed to provide Level II Four Plus treatment must provide care coordination, where applicable, to ensure individual service needs are addressed.
10.9.6 Level II Four Plus Assessments
A. All Level II Four Plus services must be driven by an evidence-based or best practices assessment process and resulting individualized service plan.
B. Level II Four Plus assessments must include incorporation of standardized screening tools specifically designed to evaluate individuals in each of the following areas:
1. Cognitive functioning;
2. Traumatic brain injury;
3. Adverse childhood experiences (ACEs);
4. Grief and loss;
5. Co-occurring mental health issues; and
6. Polysubstance use concerns.
C. Level II Four Plus assessment must inform the determination of what combination of services the individual must complete that are non-DUI/DWAI Therapeutic Education and Treatment strategies. These services include, but are not limited to:
1. Individual counseling;
2. Group therapy, unless clinically contraindicated;
3. Family/other supportive therapy, if applicable;
4. Medication-assisted treatment, if applicable;
5. Residential treatment, if applicable;
6. DUI/DWAI Level II Therapeutic Education or Level II Treatment, if applicable;
7. Other education or treatment as indicated by the initial and ongoing clinical assessment.
D. BHEs endorsed to provide Level II Four Plus programming must ensure that personnel completing the assessment are properly credentialed and hold a valid certification to use the specific assessment instrument. Certification must be attained from entities or professionals authorized to provide such training regarding the instrument.
E. Clinically indicated services may be offered within the BHE or via external referral.
1. If at any time during the treatment episode a need is identified that the BHE endorsed to provide Level II Four Plus programming does not provide, the program must refer the individual to an appropriately licensed and/or credentialed facility or professional.
2. The BHE endorsed to provide Level II Four Plus programming must document evidence of communication with the other agency regarding assessment results, service plans, the individual's participation, and progress.
10.9.7 Level II Four Plus Service Planning and Reviews
A. Level II Four Plus service planning and reviews must be administered in accordance with part 2.13.1 of these rules and this Chapter 10.
B. BHEs endorsed to provide Level II Four Plus Treatment must conduct service plan, phase, and competency reviews at a minimum of every sixty (60) days. Reviews must be conducted in collaboration with available members of the individual's multidisciplinary team, in accordance with state and federal confidentiality laws.
C. All services determined to be necessary for the individual must be incorporated into the service plan, whether offered by the BHE endorsed to provide Level II Four Plus programming or another provider.
10.9.8 Level II Four Plus Discharge Planning and Process
A. Level II Four Plus discharge planning must be administered in accordance with part 2.10 of these rules and must include a warm handoff when possible. A validated copy of the discharge DRS must be provided to the individual and receiving BHE endorsed to provide Level II Four Plus programming, when applicable, and as appropriate under state and federal confidentiality laws.
B. Consideration must be given to an individual's needs for post-discharge clinical needs and peer recovery support services.
Disclaimer: These regulations may not be the most recent version. Colorado may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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