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on the inmate with respect to previous treatment programming, severity of drug pattern, drug use<br />

pattern, chemical abuse and health history, his perception on his chemical abuse problems, and<br />

family history regarding chemical abuse. The evaluation form is an assessment of this<br />

information. It is used to formulate the initial treatment plan for the inmate. The individual<br />

treatment plan should be completed after the inmate has been in the program for 6 weeks. It<br />

should be developed by using the evaluation, inmate’s responses to questions, staff comments,<br />

and community member’s comments.<br />

Program Staff<br />

12. Provide a brief description of the €dl time AOD staff. [Source: DATS Supervisor/ Mgr.].<br />

Indicate which staff work regularly on the TC.<br />

Name of Staff Member:<br />

Job Title:<br />

;?,Tim Smith I DATS I BS<br />

Higbest<br />

Degree<br />

Academic<br />

Discipline<br />

or Major:<br />

Counselor<br />

Ed./<br />

Addictions<br />

Counseling<br />

Psychology<br />

Specialized<br />

Certification,<br />

if any:<br />

CISM<br />

Length Of -<br />

Employment<br />

With DOC:<br />

3 %yrs.<br />

14 % yrs.<br />

Number Of<br />

Years<br />

Experience<br />

Providing<br />

Direct DIA<br />

Treatment To<br />

Clients.<br />

9 yrs.<br />

8 yrs.<br />

4. Gary A. Griep DATS I1 M. Div.<br />

CN. ED<br />

Chemical<br />

Dependency<br />

Pastoral<br />

Counseling<br />

Clinical<br />

Certifications:<br />

I-IIV/AIDS<br />

Counselor;<br />

Impact of<br />

Crime Class<br />

Facilitator;<br />

Victim<br />

Advocate;<br />

Clinical<br />

Pastoral<br />

Education<br />

10 yrs.<br />

12 yrs.<br />

6%yrs.<br />

8 yrs.<br />

Approx. 20<br />

yrs-<br />

14 yrs.<br />

9 % MS.<br />

10 yrs.<br />

I<br />

I<br />

StaffDernographics (fbll the AOD staff only):<br />

Number of male staff -- 4<br />

Number of females 2<br />

Number of Caucasian staff<br />

Number of African American staff<br />

Number of Native American staff<br />

Number of Hispanic staff<br />

Number of Asian staff<br />

Number of Other staff<br />

6 --<br />

This document is a research report submitted to the U.S. Department of <strong>Justice</strong>. This report has not<br />

been published by the Department. Opinions or points of view expressed are those of the author(s)<br />

and do not necessarily reflect the official position or policies of the U.S. Department of <strong>Justice</strong>.<br />

5

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