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					16th Judicial Circuit
County of DeKalb
Adult Drug/DUI Court Program




          DeKalb County Drug/DUI Court: C.L.E.A.N. Program
                (Choosing Life and Ending Abuse Now)




               Sobriety Checkpoint




                             PARTICIPANT HANDBOOK

                       Your Name ________________________


 Approved 10/12/06
Updated 11/22/06, 12/11/06, 6/20/07, 11/26/07, 4/07/08,1/15/09, 1/20/09, 4/20/09, 6/8/09,10/2/09,3/3/10, 8/17/10,
3/1/11, 6/1/11
                                                  1


                  Table of Contents
Welcome                                 Page 2
Overview                                Page 3
The Drug/DUI Court Team                 Page 3
Program Components                      Page 4
Treatment                               Page 4
Progress Reports                        Page 5
Drug/DUI Court Hearings                 Page 5
Phases of Drug/DUI Court                Page 6
Confidentiality                         Page 8
Drug/DUI Court Program Rules            Page 9
Dress Code for Court                    page 10
Rewards                                 Page 10
Sanctions                               Page 11
Termination from Drug/DUI Court         Page 12
Electronic Home Monitoring              Page 12
SCRAM                                   Page 13
Chemical Testing                        Page 13
Education, vocation and employment
   Programs                             Page 14
Commencement                            Page 15
Aftercare Program                       Page 15
Important Phone Numbers                 Page 16
Rules Summary                           Page 17
Tips to Succeed                         Page 20
Forms Drug/DUI Court Participants Use   Page 21
Conclusion                              Page 57
Acknowledgement of Handbook             Page 58
                                                           2


                     WELCOME




Welcome to the DeKalb County Drug/DUI Court:
C.L.E.A.N. Program. This Handbook is designed to answer
your questions and provide overall information about the
Drug and DUI Court Programs. As a participant, you will
be expected to follow the instructions given in Court by the
Judge and comply with the treatment plan developed for
you by the DeKalb County Drug/DUI Court Team.

This Handbook will detail what is expected of you as a
Drug/DUI Court participant. It will review general program
information. If you are reading this Handbook it means that
you have been accepted into Drug or DUI Court based on a
look at your history of drug and or alcohol use and other
contact with law enforcement. It also means that we are
confident that Drug/DUI Court will help you to learn how
to make successful choices free of the influence of drugs
and alcohol.
                                                                                  3




                                  OVERVIEW
Drug Court is a five-phase intervention program and DUI Court is a four-phase
program for adults who have plead guilty to one or more non-violent felony offenses
and who are having difficulty staying clean and sober. It is a collaborative effort
between the 16th Judicial Court Circuit County of DeKalb, State’s Attorney Office,
Public Defender’s Office, Drug Court staff, Court Services, law enforcement
agencies and treatment providers. By working together, they seek to provide a
variety of programs and consistent supervision geared toward supporting and
helping you maintain a drug-free life. Drug/DUI Court involves frequent court
appearances, random drug and alcohol testing and SCRAM as well as group and
individual counseling. The Court awards incentives for compliant behavior and
imposes sanctions for negative behavior. Participants who do not comply with the
rules may be placed in short-term custody, moved back to the previous phase of
Drug/DUI Court or a variety of other sanctions. They may also be terminated from
Drug/DUI Court. All of the staff working with Drug/DUI Court will assist you to be
sure you understand what is expected of you.


         THE DEKALB COUNTY DRUG/DUI COURT TEAM
The Drug Court Judge and Drug/DUI Court Team work together to make all
decisions regarding your participation in the Programs. In addition to the Judge,
the Drug Court Team consists of the following members:
       Drug/DUI Court evaluator
       Drug/DUI Court staff –Drug/DUI Court Coordinator and Compliance Officer
       Law Enforcement and Electronic Home Monitoring (EHM) representatives
       Public Defender (your attorney)
       State’s Attorney
       Treatment Providers and Court Services (Probation)
Prior to the Court session, the Drug/DUI Court Team members familiarize
themselves with your progress so that they may discuss that progress with you
during the Drug/DUI Court session.




                                                      Drug/DUI Court Team 2011
                                                                                              4




                      PROGRAM COMPONENTS
To successfully complete Drug/DUI Court, you are required to be involved in
several activities which will benefit and sustain your recovery. As a participant in
the DeKalb County Drug/DUI Court: C.L.E.A.N. Program, you will be required to:
   • Engage in substance abuse counseling.
   • Attend frequent court sessions.
   • Meet with Drug/DUI Court staff.
   • Submit to frequent & random breath and urine
       screenings.
   • Have home visits by EHM and Drug/DUI Court
       staff.
   • Attend support meetings.
   • Obtain employment and/or attend school.
   • Obtain your high school diploma or GED.
   • Pay court fines and restitution (if applicable).
   • Submit your self, residence and car to search.
   •   Pay treatment costs based on a sliding scale.


                                    TREATMENT

Residential 90-Day Programs: The DeKalb County Drug/DUI Court has contracts with
various residential substance abuse programs throughout northern Illinois for participants
who can not pay for residential treatment. These contracts provide for the Drug/DUI Court
to pay a portion of your residential treatment. Once the funds from Drug/DUI Court end,
the residential treatment provider shifts to available state dollars from the Illinois
Department of Alcohol and Substance. The Drug/DUI Court staff coordinates substance
abuse treatment delivery between the criminal justice system and the residential substance
abuse treatment facilities.
Intensive Out Patient (IOP): An initial plan will be developed by you and Dr. Oday Kingsavanh
at Ben Gordon Center following an overall assessment of your problems. Dr. Kingsavanh is
employed by the DeKalb County Drug/DUI Court and housed at Ben Gordon Center, 12
Health Services Drive, DeKalb, Illinois General Phone: 815-756-4875. The treatment plan
will act as a guide for your first phase in Drug/DUI Court, during which a more permanent
treatment plan will be developed by Dr. Kingsavanh. This plan will help you set goals, select
methods for meeting those goals, and develop target dates for achieving those goals. You
are to provide the Court with your treatment plan every time it is updated

When participants have a one-on-one appointment with Dr. Kingsavanh or when Dr.
Kingsavanh is the leader of the group the participant is assigned, they are not charged for
the appointment. However, participants assigned to groups lead by other counselors will be
charged. Ben Gordon has a sliding fee scale that is used to determine counseling charges.
                                                                                       5

There is an expectation that as you advance in Drug/DUI Court program that you start
paying for your IOP treatment based on a sliding scale.
                             PROGRESS REPORTS

Before your Drug/DUI Court hearing, the Judge will be given a progress report
presented by your Treatment Provider and the Drug/DUI Court staff. The
progress report will discuss your drug and/or alcohol testing results, attendance,
participation and cooperation in the treatment program, employment or other
                      requirements that may have been imposed. The Judge may ask
                      questions about your progress and discuss any problems you
                      may be having. If you are doing well you may be rewarded with
                      reduced program requirements or, at times, other incentives
                      like selecting prizes from the “goody bag”. If your progress
                      reports show that you are not doing well, the Judge will
                      discuss this with you and determine future action, which could
                      include a sanction in order to help you remember your goals in
                      the program. Sanctions can be anything from increased
program requirements to jail custody.


                          DRUG COURT HEARINGS

As a Drug/DUI Court participant, you will be required to appear in Drug/DUI Court
on a regular basis. The number of times you must appear depends upon the phase of
Drug/DUI Court you are currently in. Failure to appear will result in a warrant being
issued for your arrest and detention in jail until you can appear before the court. If
you have questions about your court appearances you may contact the Drug/DUI
Court staff. The phases of Drug/DUI Court are listed on the next few pages.
                                                                                                6




                       PHASES OF DRUG COURT
The Drug Court program is a minimum of 14-months divided into five phases.
A participant must successfully complete each phase before transitioning to the
next phase. Each phase has a key concept or focus.
                                  PHASE ONE
 Key Concept:        Recovery and Responsibility to Self
 Length of phase:    At least 90 days (3 months)
 Requirements:       Drug Court attendance weekly; treatment plan from provider handed
                     into court & whenever it changes; frequent & random breath/urine
                     tests-charge is $5 per test; individual/group counseling as indicated in
                     your individual treatment plan; regular attendance at self-help sobriety
                     group meetings as determined by treatment provider; start seeking
                     employment or vocation training; keep daily journal and hand in to the
                     Judge each week; Electric Home Monitoring for 3 weeks; call in
                     everyday before 8:30 am.
                                PHASE TWO
 Key Concept:        Maintenance of Recovery and Responsibility to Others
 Length of phase:    A minimum of 90 days (3 months)
 Requirements:       Drug Court attendance every other week; treatment plan from provider
                     handed into court & whenever it changes frequent & random breath/
                     urine tests-charge is $5 per test; individual/group counseling as
                     indicated in your individual treatment plan; regular attendance at self-
                     help sobriety group meetings as determined by treatment provider;
                     actively paying restitution, court fees or treatment costs (based on
                     sliding scale); keep daily journal and hand in to the Judge weekly. Hand
                     in Relapse Prevention Plan to Drug Court staff; call in everyday before
                     8:30 am.
                               PHASE THREE
 Key Concept:        Maintenance of Recovery and Responsibility to Self and
                     Others
 Length of phase:    A minimum of 90 days (3 months)
 Requirements:       Drug Court attendance at least 1 time a month; treatment plan from
                     provider handed into court & whenever it changes; frequent & random
                     breath/drug tests-charge is $5 per test; group/individual counseling as
                     indicated in your individual treatment plan; regular attendance at self-
                     help sobriety group meetings as determined by treatment provider;
                     actively paying restitution, court fees or treatment costs (based on
                     sliding scale); keep daily journal and hand in to the Judge each week;
                     employment or in school/vocational training. Relapse Prevention Plan is
                     handed into Drug Court staff; call in everyday before 8:30 am.
                                PHASE FOUR
 Key Concept:        Reinforce a Clean, Sober and Legal Lifestyle

 Length of phase:    A minimum of 90 days (3 months)
                                                                                                 7


 Requirements:       Drug Court attendance at least 1 time a month; treatment plan from
                     provider handed into court & whenever it changes; frequent & random
                     breath/drug tests as indicated in your individual treatment plan; regular
                     attendance at self-help sobriety group meetings as determined by
                     treatment provider; group/ individual counseling as indicated in your
                     individual treatment plan; employed or attending a vocational program;
                     keep daily journal and hand in to the Judge weekly. Mandated
                     attendance at monthly alumni association meetings. Relapse Prevention
                     Plan is handed into Drug Court staff and Financial Obligations Sheet;
                     call in everyday before 8:30 am.
                                PHASE FIVE
 Key Concept:        Relapse Prevention
 Length of phase:    A minimum of 60 days (2 months)
 Requirements:       Mentoring other drug court participants; frequent & random drug tests
                     as ordered by Court; secured permanent sponsor in self-help sobriety
                     group; restitution or fees paid in full; stable employment or positive
                     reports from vocational/educational program; keep daily journal and
                     hand in to the Judge weekly. Mandated attendance at monthly alumni
                     association meetings. Relapse Plan and request to graduate, graduation
                     survey, and post-program survey tools handed into Drug Court staff.
                     See Phase V Step Down instructions.




                    PHASES OF DUI COURT
The DUI Court program is a minimum of 12-months divided into four phases.
A participant must successfully complete each phase before transitioning to the
next phase. Each phase has a key concept or focus.
                                  PHASE ONE
 Key Concept:        Stabilization and Treatment
 Length of phase:    At least 90 days (3 months)
 Requirements:       Drug Court attendance as indicated; SCRAM is applied; treatment plan
                     from provider handed into court & whenever it changes; frequent &
                     random breath/urine tests if SCRAM is not applied; individual/group
                     counseling as indicated in your individual treatment plan; regular
                     attendance at self-help sobriety group meetings a minimum of 3 a week;
                     start seeking employment or vocation training; keep daily journal and
                                                                                                    8

                        hand in to the Judge each week; call in everyday before 8:30 am.
                                    PHASE TWO
 Key Concept:           Healthy Living Plan
 Length of phase:       A minimum of 90-180 days (3-6 months)
 Requirements:          Drug Court attendance every other week; treatment plan from provider
                        handed into court & whenever it changes frequent & random breath/
                        urine tests-charge is $5 per test; individual/group counseling as
                        indicated in your individual treatment plan; regular attendance at self-
                        help sobriety group meetings a minimum of 3 a week; actively paying
                        restitution, court fees or treatment costs (based on sliding scale); keep
                        daily journal and hand in to the Judge weekly. BAIID installed on auto if
                        individual has valid driver’s license; daily urine and breath analyzer
                        testing for 30 days. Relapse Prevention Plan handed into DUI Court
                        staff; call in everyday before 8:30 am.
                                   PHASE THREE
 Key Concept:           Giving Back to the Community
 Length of phase:       A minimum of 90-180 days (3-6 months)
 Requirements:          Drug Court attendance at least 1 time a month; treatment plan from
                        provider handed into court & whenever it changes; frequent & random
                        breath/drug tests-charge is $5 per test; group/individual counseling as
                        indicated in your individual treatment plan; regular attendance at self-
                        help sobriety group meetings minimum of 3 a week; actively paying
                        restitution, court fees or treatment costs (based on sliding scale); keep
                        daily journal and hand in to the Judge each week; employment or in
                        school/vocational training. Mandated attendance at monthly alumni
                        association meetings. Relapse Prevention Plan handed into DUI Court
                        staff & Financial Obligations Sheet; call in everyday before 8:30.
                                        PHASE FOUR
 Key Concept:           Exit Stage

 Length of phase:       A minimum of 90-180 days (3-6 months)
 Requirements:          Drug Court attendance at least 1 time a month; treatment plan from
                        provider handed into court & whenever it changes; frequent & random
                        breath/drug tests as indicated in your individual treatment plan; regular
                        attendance at self-help sobriety group meetings as determined by
                        treatment provider; group/ individual counseling as indicated in your
                        individual treatment plan; employed or attending a vocational program;
                        keep daily journal and hand in to the Judge weekly. Mandated
                        attendance at monthly alumni association meetings. Relapse Plan and
                        request to graduate, graduation survey, and post-program survey tools
                        handed into DUI Court staff. See Phase IV Step Down instructions.


                               CONFIDENTIALITY
State and federal laws require that your identity and privacy be protected. In response to
                       these regulations, Drug/DUI Court, Drug/DUI Court staff and
                       treatment providers have developed policies and procedures that
                       guard your privacy. You will be asked to sign Consent for Disclosure
                       of Confidential Substance Abuse Information. This disclosure of
                                                                                          9

information is for the sole purpose of hearings and reports concerning your specific
Drug/DUI Court case.



                             DRUG/DUI COURT PROGRAM RULES
                             As a participant you will be required to abide by the
                             rules outlined in the participant contract, including, but
                             not limited to the following:

                             1.      Totally abstain from the use of illegal drugs,
                                     alcohol, and any legal “date drug” (Spice, K-2,
                                     Black Mamba).

                             2.      Inform your treating physicians/dentists that you
                                     are a recovering addict and may not take narcotic
                                     or addictive medications, drugs, or any medication
                                     containing alcohol.

3.     Attend court sessions and treatment sessions as scheduled, submit to
       random drug and alcohol testing, remain clean and sober and law abiding.

4.     You will not be in any establishment whose primary purpose is to sell alcohol.

5.     Do not associate with people who use or possess drugs or be in areas known
       to have drug activity.

6.     Do not possess any weapons while in the Drug/DUI Court program.

7.     Keep the Drug/DUI Court team, Drug/DUI Court staff, and treatment
       providers informed of your current address and phone number at all times.

8.     As a condition of participation in the Drug/DUI Court program, your person,
       property, place of residence, car or personal effects may be searched at
       any time with or without a warrant, and with or without reasonable cause,
       when required by a law enforcement officer or Drug Court staff.

9.     Dress appropriately for court and treatment sessions. No new tattoos or
       piercing during time in the DeKalb County Drug/DUI Court.

10.    Abide by all other rules and regulations imposed by the Drug/DUI Court
       Team and listed in the DeKalb County Drug/DUI Court: C.L.E.A.N. Program
       Contract.
                                                                                  10



11.   Treatment takes priority over work. No one gets cured by going to work.
                     DRESS CODE FOR COURT
Program participants will be assisted with obtaining education and skills
assessments and will be provided referrals for vocational training, educational,
and/or job placement services. Drug/DUI court’s program for preparation for the
workplace includes dressing appropriately for court. The participants will dress for
court as follows:
           No tank tops, muscle shirts, crop-tops, starter jackets or shirts with
                                      obscene words or pictures.
                                      No clothes with language or pictures
                                      advocating tobacco, alcohol or drug use.
                                      No sagging (i.e., pants or shorts that hang
                                      below the waist).
                                      No unbuttoned shirts.
                                      No shorts, even in the summertime.
                                      No hats, caps or bandanas.
                                      No gang attire or colors of any kind.
                                      No phones, pagers or personal electronic
                                      devices in the courtroom.
If the participant wears any of the above to the courtroom, they will be sent
home and it will be counted as a court absence and appropriate sanctions
imposed.


COMPLIANCE WITH DRUG/DUI COURT RULES WILL RESULT
IN INCENTIVES CALLED “REWARDS”, FAILURE TO COMPLY
WITH RULES MAY RESULT IN SANCTIONS.

                                   REWARDS
Upon the recommendation of the DeKalb County Drug/DUI Court Team,
participants may be given rewards or incentives for compliant behavior. Common
rewards may be as follows:
       In court praise, encouragement, applause or
        certificates of achievement.
       Reduced frequency of status hearings.
       Decreased urinalysis testing.
       Reduction of pending fines and fees.
       Selecting something from the “goody jar” which has
        gift certificates to restaurants, retail stores, etc.
       Celebration of one year sobriety with special gift
                                                                                11


      Promotion to next Phase, shorten current Phase.
      Restoration of lost privileges because of relapse.
                           SANCTIONS
You may wonder how you will be held accountable. If you do not do what is required
by Drug/DUI Court, this is what may happen:
            Warning from the team.
            Reading/writing assignments.
            Letter of apology to the court.
            Increase the number of self-help group meetings you must attend
            each week.
            Sit in the court for the entire morning or day or more than one day,
            writing about the experience, and giving the report to the Court.
            A curfew will be imposed.
            Perform public service work.
            Increased frequency of status hearings.
            Increased urinalysis testing.
            Increased frequency of contacts with Drug/DUI Court staff.
            Extension of duration in DeKalb County Drug/DUI Court program.
            More intensified outpatient treatment; i.e. more sessions per week.
            Change of outpatient treatment to inpatient treatment.
            Electronic Home Monitoring reinstated.
            Serve a work release sentence.
            Last participant at the next court date.
            Demotion to previous Phase.
            Jail for an afternoon, day, weekend, week, month, etc.
            Instant jail or incarceration until a residential bed is available.
            Shock incarceration.
            PTR, Program termination and sentencing.


Remember, as you progress through drug/DUI court your actions
                  speak louder than words!!
                                                                                   12




              TERMINATION FROM DRUG/DUI COURT
Warrants, new arrests or a violation of any aspect of your treatment plan may
result in your being terminated from the Drug/DUI Court Program. Other
violations, which may result in sanctions or a termination hearing include the
following:
    • Dishonesty to Court Personnel and Drug/DUI Court staff.
    • Positive or diluted urine test.
    • Attempts to interfere with Portable Breathalyzer.
    • Attempts to interfere with SCRAM or BAIID.
    • Failure to submit urine sample.
    • Unexcused absence and/or absences from counseling
        session or support group.
    • Failure to follow treatment conduct rules.
    • Willful failure to pay fees, as ordered.
    • Failure to attend scheduled status hearings without
        just cause.
    • Curfew violation.
    • Charged with a non-violent offense.
    • Failure to comply with Court, Drug/DUI Court staff and/or
        treatment provider’s recommendations.
    • Leaving the jurisdiction without permission of the Drug/DUI Court team.
    • Failure to attend self-help group per treatment plan recommendation.

Other violations, which will result in a termination hearing, include the following:
   • Possession or delivery of drugs at treatment site.
   • Violent or abusive behavior at treatment site, program site, or other place
       of contact or participation.
   • Charged with a violent offense.
                                                                                  13


    •   Failure to comply with directives given by the Court, Drug/DUI Court staff,
        or treatment providers.


                  ELECTRONIC HOME MONITORING
During Phase One DRUG COURT participants are on Electronic Home Monitoring
(EHM for a minimum of 3 weeks. Participants must follow the EHM rules which
include always informing the DeKalb County deputies of their location and obtaining
permission to leave their home. Cost of EHM is $7.50/day.




        SCRAM (Secure Continuous Remote Alcohol Monitor)
The participant who enters DUI COURT will be attached to a SCRAM device.
SCRAM monitors alcohol 24 hours a day. The individual will pay upfront an initial fee
of $150 for coverage for the initial 15 days ($10 a day). DUI Court may assist the
participant in paying for SCRAM based on their tax return or pay stub from work.
DUI participants will have SCRAM as determined by the DUI Court Team.




                            CHEMICAL TESTING
You will be drug tested randomly throughout your entire Drug/DUI Court Program.
       All participants are to check the drug testing schedule each and every day
       by calling 815-895-7224 before 8:30 am.
       Participants must be tested the day they are told to come in for testing.
       You will be directly observed by a person of the same gender to ensure
       freedom from errors.
       If you miss a test, it will count as a positive (dirty) test.
                                                                                    14



                 •    If you have a positive test in any drug/DUI court phase, the
                      Judge, based on recommendations from the Drug/DUI Court
                      staff or treatment staff, will apply immediate sanctions
                      including time in jail to help you stop your drug and or alcohol
                      using behavior.
                  • Participants who feel the test done on site is incorrect, have 24
                      hours to tell the Drug/DUI Court staff they want the urine
                      sample sent out for a confirmation test ($30 fee for sending
                      samples out for confirmation). Participants who test positive
                      will be tested everyday until they test negative and that will be
                      their new sobriety date.
•   Participants who have a “patch” attached will be responsible for coming to the
    Drug/DUI Office once a week to have it changed and will be charged a fee of
    $31/week for the “patch”.
•   Diluting or falsifying urine samples which will result in the following:
     o First offense—up to 14 days in jail
     o Second offense—Termination from drug/DUI court program & prosecution.

Drug/DUI Court uses a specialized urine test that measures alcohol intake from
the previous 80 hours (3 days). This urine test is used with both Drug and DUI
Court participants. The Drug/DUI Court also uses a specialized urine test that
measures intake of “date drugs” such as K-2, Black Mamba, Spice.


EDUCATION, VOCATION AND EMPLOYMENT PROGRAMS
Recovery from substance addiction means developing self sufficiency and becoming
a productive and responsible member of the community. Prior to commencement,
you will be expected to be employed, or involved in an educational/vocational
training program. The Drug/DUI Court staff will be referring you to community
resources such as “Wings to Freedom” that will assist you in obtaining an
assessment of your needs and skills and then refer you to the proper agencies. You
will also be expected to complete 10-12 hours of a cognitive skills class (i.e., anger
management, life skills or parenting classes).
                                                                           15




                         COMMENCEMENT

Upon your successful completion of a treatment program and satisfaction of all
other court requirements including continued sobriety, you will have a
commencement from Drug/DUI Court. Commencement
from DeKalb County Drug/DUI Court: C.L.E.A.N. Program
is recognized as a very important event. Your loved ones
will be invited to join you at a special ceremony as the
Drug/DUI Court Team congratulates you for successfully
completing Phases I-V of the Drug Court Program and
Phases I-IV of the DUI Court Program and achieving your
goal to establish a drug and/or alcohol free life.




                   AFTERCARE PROGRAM
                                                                                 16


Because of the success of aftercare programs in drug courts throughout the U.S.,
the DeKalb County Drug/DUI Court program has established an aftercare program
called The Clean Slate Alumni Association. This aftercare program allows us to
continue our contact with you and for you to serve as a role model to people in the
program by remaining drug-free. The Clean Slate Alumni Association meets once
per month and members serve as mentors to drug/DUI court participants, speak to
community and church groups, plan social and recreational events, conduct fund
raising activities, serve as ushers at commencement and the reception that follows,
publish a newsletter, and speak to potential drug court participants. Part of the
Clean Slate Alumni Association is to visit drug/DUI court once every 3 months so
that the Judge and participants in the program can visit with you and see a
successful graduate.




                          DRUG/DUI COURT PHONE NUMBERS

                              Drug Court Staff                 815-895-7224
                              Marilyn Stromborg-Drug Court Coordinator
                              mstromborg@dekalbcounty.org

                              Drug/DUI Probation Officer          815-899-0705
                              Greg Dammann
                              gdammann@dekalbcounty.org

                              Treatment Provider                  815-756-4875
                              Ben Gordon Center
                              Dr. Oday Kingsavanh
                                                                                 17



                            Testing Phone                       815-895-7224

                            EHM personnel                       815-895-7277
                            EHM FAX                             815-895-7185

                            Public Defender (your attorney)      815- 899-0760
                            Regina Harris, Public Defender
                            rharris@dekalbcounty.org

                            State’s Attorney                     815-895-7109




SUMMARY OF DEKALB COUNTY DRUG/DUI COURT: C.L.E.A.N.
             PROGRAM PARTICIPANT RULES

                1.       You will totally abstain from the use of illegal drugs and
                         alcohol.
                  2.     You will not be in any establishment whose primary
                         purpose is to sell alcohol.
                  3.     You will inform all treating physicians that you are a
                         recovering addict and may not take narcotic or addictive
                         medications or drugs or any medication containing
                         alcohol.
  4.   You will be on time and attend all court and treatment sessions as
       scheduled, submit to random drug/alcohol testing, remain clean and sober
       and law abiding.
  5.   You will not associate with people who use or possess drugs, nor will you
       be present while drugs are being used by others.
  6.   You will not possess any weapons while in the Drug Court program and will
       disclose the presence of any weapons possessed by anyone else in your
       household.
  7.   You will keep the Drug/DUI Court team, Drug/DUI Court staff, and
       treatment providers informed of your current address and phone number
       at all time.
  8.   You will not associate with known gang members.
  9.   You will not get any new tattoos or piercing while in drug/DUI court.
                                                                               18


 10.   You will be employed and inform the Court of any employment changes. If
       you are not employed, you will be either be a full-time student or a
       combination of attending school and being employed.
 11.   You will be subject to search by the Drug/DUI Court or
       representative(s) of the Drug/DUI Court or any law enforcement agency.
       In addition, your car, your home and property are subject to search,
       should a representative decide it is necessary.
 12.   If stopped by a member of the law enforcement community, you will
       inform them you are a member of drug/DUI court.




 13.   Courtroom rules and behaviors:
          You will not use any personal electronic devises during court such as a
          phone or I-pod. All phones will be off in the courtroom.
       • You will initially bring your Participant Handbook to each court
          appearance.
       • You will not bring any food or drink into the courthouse or treatment
          provider meetings.
       • You will bring $5 to court each week to give to the Court for
             urine testing.
       •     You will show the utmost respect to the Judge when in the courtroom
             and speak appropriately and clearly enough so everyone can hear you.
       •     You will not talk in the courtroom during Drug/DUI Court session.
       •     You will not bring children to Drug/DUI Court.
       •     You will remain in the courtroom until dismissed by the Judge.
       •     If you do not appear in court when scheduled to appear, the Judge
             will issue a warrant for your arrest.
14. Rules   about where you can live while in drug/DUI court:
       •     You are expected to remain in the county for the duration of your
             time in the Drug/DUI Court program.
       •     You will turn in your new address to Drug/DUI Court staff if you
             move within the county.
                                                                                 19


      •      You cannot leave DeKalb County or Illinois without the prior approval
             of the Drug/DUI Court team. You will make the request to leave by
             10 days before you intend to leave the county or state and give your
             written request to the Drug/DUI Court staff for the Drug/DUI
             Court Team to consider. You will give all necessary information in
             your written request (i.e., dates, location, phone number, purpose of
             trip). You will give a urine and breath sample immediately after
             returning to DeKalb County at the DeKalb County Jail.
15. Rules   related to missing a Court or treatment date:
       •     You will be excused from Court or allowed to leave early only in the
             event of an emergency. You will contact the Drug/DUI Court staff as
             soon as you are aware of the non-work related emergency to inform
             them what the emergency is, where you are going, and when you will
             return. You will submit a written request from your employer to the
             Drug/DUI Court staff if there is a work related emergency. The
             Drug/DUI Court Team will evaluate your work related emergency and
             advise the Judge.
      •      You may be excused from a treatment session for a non-work related
             emergency by presenting a short handwritten statement of the non-
             work related emergency to the treatment provider when possible.
             Otherwise, you must inform the treatment provider verbally (ex:
             illness, family emergencies, etc.). The treatment provider will present
             the request to the Drug/DUI Court Team for staffing and the Judge
             will advise the participant of approval or denial.
      •      Only under extraordinary circumstances can the date of treatment
             be changed. Approval must be obtained from the treatment provider
             for any changes in your treatment plan or schedule.
      •      Missed treatment appointments without prior approval of the
             treatment planned will be reported to the Drug/DUI Court staff.
                                                                          20




                  DeKalb County Drug/DUI Court in action.

     TIPS ON HOW TO SUCCEED IN THE DEKALB COUNTY
                  DRUG/DUI COURT: C.L.E.A.N. PROGRAM
                    (Choosing Life and Ending Abuse Now)




Keep all your appointments and make all court appearance. Making
appointments is as important as coming to court.

If you have problems remembering your appointments and court dates, use
the notebook given to you. Write the dates down!!!
                                                                            21


Plan your schedule (work, school, treatment) in advance.

If you have a problem making early morning appointment and court
appearances, go to bed early, and buy an alarm clock.

Know your treatment schedule as well as you know your date of birth.

Remember treatment takes priority over work.

If you absolutely cannot make an appointment or court appearance, CALL—
before not after.

Plan ahead. If transportation is a problem, have a back-up plan to get to
where you have to be. Failure to have adequate transportation is not an
acceptable excuse.

Keep all your paperwork. Do not throw anything away.

Be honest. Honesty is essential to your recovery.

Carry a photo ID with you at all times.
    PARTICIPANT CONTRACT, DEKALB COUNTY DRUG/DUI COURT: C.L.E.A.N.
            PROGRAM (CHOOSING LIFE AND ENDING ABUSE NOW)
        IN THE CIRCUIT COURT FOR THE SIXTEENTH JUDICIAL CIRCUIT
                        DEKALB COUNTY, ILLINOIS



                  PARTICIPANT CONTRACT
1) I, __________________________________________________________________,
with a birth date of __________________________________, and an address of
________________________________________________________________________
have entered a guilty plea in:

Charge _________________________________________ Case No. ______________
Charge _________________________________________ Case No. ______________
Charge _________________________________________ Case No. ______________
to wit; I understand that by entering into the DeKalb County Drug/DUI Court:
C.L.E.A.N. Program (Choosing Life and Ending Abuse Now) Participant Contract,
I am bound by its terms.

General Provisions:
                                                                                   22



2) I agree that I am a DeKalb County resident, and will live in DeKalb County
throughout the drug court program, unless the Judge and Drug/DUI Court Team
gives me permission to live outside of DeKalb County.
                                                                            ______

3) I agree not to leave the state of Illinois without obtaining permission from the
Judge and Drug/DUI Court Team. I understand that I must make a written request
to leave the state 10 days before the anticipated trip and have a urine/breath test
immediately after returning to DeKalb County.
                                                                                ______

4) I understand that in the event of a work related emergency, I must present the
request to the Drug/DUI Court Team and the judge will advise me of approval or
denial to be excused from treatment or court date.
                                                                            ______

5) I understand in the event of a non-work related emergency, I must present a
short handwritten statement of the emergency to the treatment provider when
possible. The treatment provider will present the request to the Drug/DUI Court
Team and the Judge will advise me of approval or denial.
                                                                            ______




6) I understand that the validity of this contract is conditioned upon my eligibility
for the Drug/DUI Court Program. If at any time after the execution of this
agreement and in any phase of the Drug/DUI Court Program, it is determined that I
am, in fact, ineligible to continue in the program, I may be immediately terminated
from the program and proceed directly to sentencing on my guilty plea. I will not
be allowed to withdraw my previously entered plea of guilty unless my ineligibility is
based on facts or information which should have been known to the prosecutor
prior to Drug/DUI Court admission, or upon Constitutional grounds.
                                                                               _____

7) I may not participate in Drug/DUI Court if I am currently an affiliated gang
member. Therefore, I affirm that I am not a gang member.
                                                                             ______

8) I understand that if I enter this program and fail to complete it, I may be barred
from future participation.                                                      ______

9) I understand that I may not possess any weapons while I am in Drug/DUI Court.
I will dispose of any and all weapons in my possession, and disclose the presence of
any weapons possessed by anyone else in my household. Failure to dispose and/or
                                                                                      23


disclose may result in termination from Drug/DUI Court and possible prosecution
for any illegal possession of any weapon.                                 ______

10) I agree to inform any law enforcement officer that I come in contact that I am
in Drug/DUI Court.                                                            ______

11) For the purposes of regular Drug/DUI Court review hearings, I agree to waive
my right to have my attorney of record present. I understand that my case may be
discussed without my attorney or the prosecutor present.                    ______

12) Upon my successful completion of the Drug/DUI Court program, the State’s
Attorney office may make a motion to dismiss the Drug/DUI Court case(s), or the
pertinent charges as previously agreed upon unless there is objection from the
court.                                                                       ______

Assessments and Treatment:
1) I agree to execute the Consent for Disclosure of Confidential Substance Abuse
Information. I understand that any information obtained from this release will be
kept apart from the Court file.                                              ______

2) I understand that my individual course of treatment may include residential
treatment, intensive outpatient, one-on-one counseling, education, acupuncture
(voluntary program), and/or self-improvement courses such as anger management,
parenting or relationship counseling.                                        ______

3) I understand that my treatment plan may be modified by the treatment provider
of the DeKalb County Drug/DUI Court Team as circumstances arise, and I agree to
comply with the requirements of any such modifications.                   ______

4) I agree to participate in and successfully complete all substance abuse treatment
programs, psychological therapies, educational programs and vocational training
the Judge and Drug/DUI Court Team orders, and will sign releases to permit all
providers to communicate with the Judge and Drug/DUI Court staff.              ______

5) I agree if ordered by the Drug/DUI Court to wear a SCRAM bracelet and/or
install a BAIID device in my car to monitor any alcohol use. I understand that DUI
Court will assist me in payment of SCRAM based on my tax returns or pay stub
from work.                          `                                        ______


6) I will inform all treating physicians that I am a recovering addict, and may not
take narcotic or addictive medications or drugs or any medication containing
alcohol. If a treatment physician wishes to treat me with narcotic or addictive
medications or drugs or medication containing alcohol, I must disclose this to my
                                                                                     24


treatment provider and get specific permission from the Drug/DUI Court Team to
take such medication.                                                     ______

7) I agree to take all medications prescribed for me by my treating physician and/or
psychiatrist, and will sign releases for my treatment physician or psychiatrist to
communicate with the Judge and Drug/DUI Court staff.                            ______

8) I agree to attend a self-help sobriety group as often as the Judge and Drug/DUI
Court Team orders me to go.
                                                                              ______
9) I agree to abide by electronic home monitoring or house arrest if ordered by the
Judge and the Drug/DUI Court Team.
                                                                              ______

10) I agree that I will not withdraw from any treatment provider (residential or
IOP) without prior approval of my treatment provider and the Drug/DUI Court
Team. If I leave without permission of drug court a non bond warrant will be issued
for my arrest.                                                               ______

Use of Drugs and Other Substances and Testing for Their Presence:
1) I understand that I will be tested for the presence of drugs or alcohol in my
system on a random basis according to procedures established by the Drug/DUI
Court Team and/or treatment provider. I understand that I will be given a location
and time to report for my drug test. I understand that it is my responsibility to
report to the assigned location at the time given for the test. I understand that if I
am late for a test, or miss a test, it will be considered “dirty” and I may be
sanctioned.                                                                      ______

2) I understand that substituting, altering, diluting or trying in any way to change
my body fluids for purposes of testing could be grounds for immediate termination
from drug/DUI court.                                                            ______

3) I understand a “diluted” urine test will be interrupted as a positive test.
                                                                                 ______

4) I understand that I may dispute positive test results, but that re-testing will
be at my expense, and that I may face more severe sanctions for a re-test that is still
positive. If I am unable to pay for the confirmation test and the court pays for it, a
positive result will result in more severe sanctions that if I had paid for the
confirmation test.                                                              ______

5) I understand that participating in Drug/DUI Court requires me to be drug free
at all times. I will not possess drugs (including marijuana), alcohol, or drug
paraphernalia. I will not associate with people who use or possess drugs, nor will I
                                                                                    25


be present while drugs are being used by others.
                                                                                ______
6) I agree to be drug and alcohol tested at any time by a police officer, probation
officer, treatment provider, case manager, drug court staff, or at the request of the
court or any agency designated by the court.                                    ______

7) I agree to be responsible for what goes into my body that may affect drug test
results. Before taking medication of any kind, I will check with the pharmacist to
ensure that it is non-narcotic, non-addictive and contains no alcohol. I will get
permission for any and all medications, prescribed or over-the-counter, with my
treatment provider and/or with the Drug/DUI Court Team.                          ______

 8) I agree not to abuse any over-the-counter medication. I understand that abuse is
defined as taking dosages in excess of label guidelines, taking an over-the-counter
medication designed for a condition which I do not have, and taking an over-the-
counter medication in a manner in which it was not designed to be ingested (such as
crushing and inhaling a medication designed to be taken orally with liquids). I will
not use over the counter medications containing “dextromethorphan.”
                                                                               ______
9) I agree to furnish the Drug/DUI Court Team verification from my physician for
any prescribed medication in advance of testing to reduce the claims of cross-
reactions. I understand that any medication that is prescribed must be documented
and approved by my substance abuse treatment provider prior to its use. (Except in
cases of a certifiable medical emergency).                                     ______

10) I agree not to eat foods containing “poppy seeds”, any item containing
“alcohol”, and prescription medications not prescribed to the client.
                                                                               ______


Cooperation with Judge and Drug Court Staff:
1) I agree to follow all the Courtroom Behavior and Rules that are listed in the
Participant Handbook that I was given.                                         ______

2) I understand that during the entire course of the Drug/DUI Court program, I
will be required to attend court sessions, treatment sessions, submit to random
drug/alcohol testing, remain clean and sober, and law-abiding. I agree to abide by
the rules and regulations imposed by the Drug/DUI Court Team. I understand that
if I do not abide by these rules and regulations, I may be sanctioned or terminated
from the program.
                                                                               ______

3) I understand that if I miss a court date without prior permission from the Drug
/DUI Court staff a warrant for my arrest may be issued.                      ______
                                                                                    26


4) I understand that participation in the DeKalb County DRUG COURT program
involves a minimum time commitment of fourteen months, and an aftercare
component consisting of up to an additional six months. I understand that in order
to be successfully discharged, I must have a minimum of 12 consecutive months
immediately prior to discharge during which I have not used any prohibited
substances.                                                                  ______

5) I understand that participation in the DeKalb County DUI COURT program
involves a minimum time commitment of twelve months, and an aftercare
component consisting of up to an additional six months. I understand that in order
to be successfully discharged, I must have a minimum of 12 consecutive months
immediately prior to discharge during which I have not used any prohibited
substances.                                                                  ______

6) I agree to meet with the DeKalb County Drug/DUI Court staff as often as
directed.                                                                  ______

7) I agree to permit Drug/DUI Court staff to visit me at my residence and
employment and anywhere else necessary to perform their duties.
                                                                                ______

8) I understand that during the early phases of treatment recovery, I may be
precluded from working or from gaining employment. I further understand that
within the time directed by the Drug/DUI Court Team, I will seek employment, job
training and/or further education as approved by the Drug/DUI Court Team, and
that failure to do so may result in sanctions or termination.
                                                                             ______

9) I agree to keep the Drug Court Team, treatment provider and law enforcement
liaison, if any, advised of my current address and phone number at all times and
whenever changed. My place of residence is subject to Drug/DUI Court approval,
and I will not leave the DeKalb County without prior approval from the Judge and
Drug/DUI Court Team.
                                                                              ______

Searches of Defendant’s Person or Property:
1) As a condition of participation in this program, I agree to the search of my
person, property, place of residence, vehicle or personal effects at any time with or
without a warrant, and with or without reasonable cause, when required by a
Drug/DUI Court staff, probation officer, case manager or other law enforcement
officer when accompanying Drug Court staff.
                                                                                ______
Other Program Requirements:

1) I agree to pay a portion of the costs of assessment, treatment, education,
                                                                                   27


vocational training, and Drug/DUI Court staff monitoring based upon my ability to
pay such costs. Such payment shall be in cash, cashier’s check or money order to the
Circuit Clerk’s Office.                                                     ______

2) I agree to pay court costs, fine, and/or restitution as ordered by the Judge and
Drug/DUI Court Team.                                                            ______

3) I agree to participate in community service work program, as ordered by the
Judge and Drug/DUI Court Team.                                              ______

4) I agree to participate in a speakers program if ordered by the Judge and
Drug/DUI Court Team.                                                        ______

5) I agree not to have any new body tattoos or piercing while in the Drug/DUI
   Court program.
                                                                            ______
6) I agree not to be in any business where selling alcohol is its primary
purpose.                                                                    ______

Violations, Sanctions and Termination from the DeKalb County Drug
Court:

1) I understand that sanctions may include time in custody, increased treatment
episodes, increased testing, community service and such other sanctions as listed in
the Participant Handbook I have been given and as may be deemed appropriate by
the Drug/DUI Court Team.
                                                                               ______

2) I agree that the Judge may, without prior notice, receive evidence including but
not limited to reports from the drug court professionals and staff, that:

       a) I am not performing satisfactorily in my assigned program; or
       b) I am not benefiting from education, treatment or rehabilitation; or
       c) I have engaged in criminal conduct, whether or not that conduct has
          resulted in charges against me, which makes me unsuitable for the
          program; or
       d) I have otherwise violated the terms and conditions of the program or
          sentence; or
       e) I have for any reason become unable to participate in the program; or
       f) I have been charged with a new felony offense in any jurisdiction in
          which the criminal conduct is alleged to have occurred after my entry
          into the DeKalb County Drug/DUI Court.                              ______
                                                                                              28


3) I agree that upon receipt of such evidence, the Judge my impose an immediate
reasonable sanction, including jail time, without having to give me prior notice and
without the filing of written petition to revoke bail, except when the sanction is
termination from the program for a violation under 1 (a) – (e) of this section. The
Judge may also impose other sanctions in addition to or instead of jail time for
violations. These sanctions include monetary fines, community service work,
electronic monitoring or house arrest, increased frequency of court appearances
and community monitoring, increased frequency of drug testing, and any other
reasonable sanction designed to ensure my compliance with an progress in the
DeKalb County Drug/DUI Court.                                                    ______

_____________________________________________                                             ______
Participant’s Signature                                                                   Date


______________________________________________                                            ______
Attorney for Participant                                                                  Date

_______________________________________________                                           ______
State’s Attorney                                                                          Date

________________________________________________                                          ______
Drug/DUI Court Judge
      Date

Approved 9/14/2006, Revised 6/20/07, Revised 6/9/09
Original to Court File; copy to Drug Court staff; copy to attorney; copy to participant




                                Forms Drug/DUI Court Participants Will Use

                                Petition to Move to Another Phase Checklist
                               DeKalb County Drug/DUI Court: C.L.E.A.N.
                              Program (Choosing Life and Ending Abuse Now)

                                1.      The Sobriety Date is the day after the last day you
                                        used drugs or alcohol.

    2.      Discharge Summary from treatment programs that you have been involved in
            while in Drug/DUI Court. A Discharge Summary is a document stating when
            you were in treatment services (start and end dates), what you completed
            while in treatment services, and what the agency is recommending for
                                                                                      29

          aftercare. This needs to be signed by someone from the agency you are
          discharged from.

   3.     We need verification about any aftercare services you are involved with or
          have completed while in drug court. Letters of Progress from counseling staff
          or Discharge summaries are what we are looking for in this area. Letters of
          Progress is usually written/typed by counseling staff if you are currently
          involved in aftercare services. This should have date of admit to their
          program, what you are working on currently, what you have completed, and
          an indication of how much longer you have in their services.

   4.     Have your sponsor/mentor contact the Drug/DUI Court staff.

   5.     Relapse Prevention Plan. Most treatment providers will have you complete a
          Relapse Prevention Plan while you are involved in services at their agency.
          We are looking for the most recent Relapse Prevention Plan. A Relapse
          Prevention Plan is basically what you are going to do to stay off drugs and
          alcohol. This includes: identifying triggers, having a plan for dealing with
          them when they are around you, developing a support network, identifying
          positive activities and people you can go to for help, etc.

   6.     A copy of your most recent check stubs from your current employer or School
          Schedule if you are in classes. If both apply then both need to be provided.

   7.     Proof that you have made payments towards your restitution.


                            DRUG/DUI COURT PETITION
                             PHASE I TO PHASE II

I, ______________________________, hereby petition the DeKalb County Drug/DUI
Court: C.L.E.A.N. Program to move from Phase 1 to Phase 2 for the following reasons:

   1.     My sobriety date is ________________, I have maintained 3 months
          sobriety.

   2.      I have completed my initial treatment at ______________________________
          and have made a successful transition into the next level of care at _________
          ________________________.

   3.     I am currently in compliance with all of the requirements of my current level
          of care, including ____________________________________________


   4.     I am participating in a sober network which has been verified by DeKalb
          County Drug/DUI Court staff and includes this type of sponsor/mentor:
                                                                                      30

          _______________________________________________________________

   5.     I have completed my relapse prevention plan, which is attached to this
          document. I have reviewed this plan with my treatment provider
          _____________________________, and DeKalb County Drug/DUI Court
          staff.

   6.     If appropriate, I am involved in employment, or enrollment in school or other
          vocational training described below:
           _______________________________________________________________
           _______________________________________________________________

   7.     I have established a payment plan towards my court costs and restitution (if
          applicable) and treatment (if applicable) and will begin payments of $ _______
          per month on __________________________ (date).


   8.     Attach a sheet that tells about the most important thing you have learned
          during Phase I.

   Signed by defendant __________________________
   Drug/DUI Court Officers ______________________
   Date signed _________________________________

Attach: Relapse Prevention Plan (page 37)



                             DRUG/DUI COURT PETITION
                              PHASE II TO PHASE III

I, ______________________________, hereby petition the DeKalb County Drug/DUI
Court: C.L.E.A.N. Program to move from Phase 2 to Phase 3 for the following reasons:

   1.      My sobriety date is ________________, I have maintained 6 months
           sobriety.

   2.      I have completed all formal treatment at _____________________________
           and have made a successful transition into aftercare at _________
          ________________________.

   3.     I am currently in compliance with all of the requirements of my current level
          of care, including ____________________________________________


    4.    I am participating in a sober network which has been verified by DeKalb
                                                                                       31

          County Drug/DUI Court staff and includes this type of sponsor/mentor:
          _______________________________________________________________

    5.    I have revised my relapse prevention plan, which is attached to this document.
          I have reviewed this plan with my treatment provider ___________________,
          and DeKalb County Drug/DUI Court staff.

    6.    I am involved in employment, or enrollment in school or other vocational
           training described below:
          _______________________________________________________________
          _______________________________________________________________

    7.    I have begun and am current in my payments towards court costs and
          restitution (if applicable) of $ _______ per month and will have all of my
          financial obligations paid in full on _______________________ (date).

   8.     Attach a sheet that tells about the most important thing you have learned
          during Phase 2.


    Signed by defendant __________________________
    Drug/DUI Court Officers ______________________
    Date signed _________________________________

    ATTACH: Relapse Prevention Plan (page 37)


                             DRUG/DUI COURT PETITION
                              PHASE III TO PHASE IV

I, ______________________________, hereby petition the DeKalb County Drug/DUI
Court: C.L.E.A.N. Program to move from Phase 3 to Phase 4 for the following reasons:

   1.     My sobriety date is ________________, I have maintained 9 months sobriety.

   2.      I have completed all formal treatment at _____________________________
           and have made a successful transition into aftercare at __________________
          ________________________.

   3.     I am currently in compliance with all of the requirements of my current level
          of care, including _______________________________________________


    4.    I am participating in a sober network which has been verified by DeKalb
          County Drug/DUI Court staff and includes this type of sponsor/mentor:
           _______________________________________________________________
                                                                                       32



    5.    I have revised my relapse prevention plan, which is attached to this document.
          I have reviewed this plan with my treatment provider ___________________,
          and DeKalb County Drug/DUI Court staff.

    6.    I am involved in employment, or enrollment in school or other vocational
          training described below:
           _______________________________________________________________
           _______________________________________________________________

    7. I am current in my payments towards court costs and restitution (if applicable) of
       $ _______ per month and will have all of my financial obligations paid in full on
       _______________________ (date).

    8. Attach a sheet that tells about the most important thing you have learned during
       Phase 3.

    9. Complete and attach the Financial Obligation plan and the budget worksheet.


    Signed by defendant __________________________
    Drug/DUI Court Officers __________________________
    Date signed _________________________________

    ATTACH: Relapse Prevention Plan, Financial Obligation Worksheets with
    Budget (page 35)

                             DRUG COURT PETITION
                              PHASE IV TO PHASE V

I, ______________________________, hereby petition the DeKalb County Drug/DUI
Court: C.L.E.A.N. Program to move from Phase 4 to Phase 5 for the following reasons:

   1.       My sobriety date is ________________, I have maintained 12 months
            sobriety.

   2.      I have completed all formal treatment at _____________________________
           and have made a successful transition into aftercare at _________
          ________________________.

   3.     I am currently in compliance with all of the requirements of my current level
          of care, including ____________________________________________


    4.    I am participating in a sober network which has been verified by DeKalb
          County Drug/DUI Court staff and includes this type of sponsor/mentor:
                                                                                       33

         _______________________________________________________________

   5.    I have revised my relapse prevention plan, which is attached to this document.
         I have reviewed this plan with my treatment provider ___________________,
         and DeKalb County Drug/DUI Court staff.

   6.    I am involved in employment, or enrollment in school or other vocational
         training described below:
         _______________________________________________________________
         _______________________________________________________________

   7.    I am current in my payments towards court costs and restitution (if applicable)
         of $ _______ per month and will have all of my financial obligations paid in
         full on _______________________ (date).

   8.    Attach a sheet that tells about the most important thing you have learned
         during Phase 4.

   9.    Complete and attach the financial obligation plan and the budget worksheet.

   Signed by defendant __________________________
   Drug/DUI Court Officers __________________________
   Date signed _________________________________

   ATTACH: Relapse Prevention Plan and Financial Obligations Sheet with
   Budget
                         DUI COURT PETITION
                   PHASE IV TO COMMENCEMENT
                                   and
                       DRUG COURT PETITION
                   PHASE V TO COMMENCEMENT

I, ______________________________, hereby petition the DeKalb County Drug/DUI
Court: C.L.E.A.N. Program to move from Phase 4/5 to COMMENCEMENT for the
following reasons:

   1.    My sobriety date is ________________, I have maintained 14 months
         sobriety.

   2.     I have completed all formal treatment at _____________________________
          and have made a successful transition into aftercare at _________
         ________________________.

   3.    I am currently in compliance with all of the requirements of my current level
         of care, including ____________________________________________
                                                                                        34

   4.      I am participating in a sober network which has been verified by DeKalb
           County Drug/DUI Court staff and includes this type of sponsor/mentor:
           _______________________________________________________________

    5.     I have revised my relapse prevention plan, which is attached to this document.
           I have reviewed this plan with my treatment provider ___________________,
           and DeKalb County Drug/DUI Court staff.

    6.     I am involved in employment, or enrollment in school or other vocational
           training described below:
           _______________________________________________________________
           _______________________________________________________________

     7.     I am current in my payments towards court costs and restitution (if
            applicable) of $ _______ per month and will have all of my financial
            obligations paid in full on _______________________ (date).

     8.    I completed the Pre-Commencement Questionnaire. YES ____

     9.    I had an exit interview with drug/DUI court personnel, the court, and
           treatment provider. YES ____
    Signed by defendant __________________________
    Drug/DUI Court Officers __________________________
    Date signed _________________________________

    ATTACH: Relapse Prevention Plan and Financial Obligations Sheet


                    Phase Four, STEP DOWN (DUI Court)
                    Phase Five, STEP DOWN (Drug Court)
This step down program is to slowly wean/or transition the participant away from the
drug court staff and drug/DUI court requirements. This transition is designed to reinforce
the participant into becoming an independent and strong individual that can successfully
function without the support of the drug/DUI court staff while remaining sober. Contact
between the participant and the drug/DUI court staff will remain, but will be reduced to a
level in line with the participant’s needs and requirements. To be considered for this step
down program, the participant must demonstrate independence not just a readiness for
independence.

Requirements for entering the step down program, the participant must:
   1. Successfully complete all the requirements of phase five/four of the drug/DUI
       court program
   2. Complete the “exit” interview with the drug/DUI court team
   3. Be scheduled to graduate at the next scheduled graduation
   4. All fines/costs/treatment fees paid in full or acceptable payment plan
                                                                                         35



During this final transition, the participant will still have reporting requirements:
   1. Provide a current phone number and home address to the drug/DUI court team
   2. Provide random UA/PBT as requested by the drug/DUI court team
   3. Attend court as ordered
   4. Submit to random home visits

The participant will not have to do the following:
  1. Check in daily by telephone
  2. UA/PBT on regular phase five/four test days, unless requested by team

Successful completion of the step down leads the participant to graduation and a clean
and sober life. Unsuccessful progress in the step down phase may lead to the participant
not graduating and/or sanctions.




                     FINANCIAL OBLIGATIONS SHEET
         DEKALB COUNTY DRUG/DUI COURT C.L.E.A.N. PROGRAM
                  (Choosing Life and Ending Abuse Now)

It is time to start thinking about the fines and restitution that you may owe as you
advance in drug court. It is your responsibility to contact the following offices/people and
determine your financial obligations. Hand this sheet in with your phase advancement
materials.

In order to discuss what you owe in court fines and costs you will need to know the case
numbers of the charges you plead to when you entered drug court. Ask the Drug/DUI
Court staff for these case numbers.

Case Numbers: _____________________
             ______________________
             ______________________
             ______________________
             ______________________
             ______________________
             ______________________
                                                                                   36

              ______________________

1. DeKalb County Circuit Clerk’s Office
   Court costs and fines that you owe                             __________________
                                                                  Amount Owed

Case No.        Fines/costs     Restitution     EHM fees       Probation fees   Other
(specify)

                  $               $            $    $            $
                  $               $            $    $            $
                  $               $            $    $            $
                  $               $            $    $            $
                  $               $            $    $            $
                  $               $            $    $            $
Notes: __________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
_________________________________________________ _____________________
Signature of Circuit Clerk                             Date
_____________________________________             ______________________
Signature of Circuit Clerk attesting all fines          Date
and costs are paid
 2. DeKalb County Drug/DUI Court
Drug Court costs that you owe
                                                   _________________
                                                       Amount Owed
EHM costs ______________
Testing costs ____________
Other costs ______________

______________________________________________               ______________________
Signature of Drug/DUI Court Staff                                         Date

_______________________________________________              ______________________
Signature of Drug/DUI Court Staff attesting all drug court          Date
costs have been paid.


3. Treatment Provider                                             _________________
Treatment provider costs that you owe                             Amount Owed
                                                                                        37

NOTES: ________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________


_____________________________________________                      ___________________
Signature of Treatment Provider                                     Date

_____________________________________________                       __________________
Signature of Treatment Provider attesting that all treatment         Date
Costs have been paid.




         HAND THIS IN WITH YOUR REQUEST FOR PHASE
                       ADVANCEMENT

                            RELAPSE PREVENTION PLAN


Name: ____________________________                   Date: __________

Before people relapse, they experience a return of old using attitudes, thoughts, and
behaviors. List old using attitudes and behaviors that will be a sign you are moving
toward relapse:
1. __________________________________________
2. __________________________________________
3. __________________________________________
4. __________________________________________
5. __________________________________________




Before people relapse, they experience a return of denial. This denial convinces them it is
okay to use. You have experienced this denial several times in treatment. In order to
                                                                                              38

prevent relapse, you need to recognize your denial. List five (5) denial thoughts that will
be a sign you are moving toward relapse:
1. ___________________________________________
2. ___________________________________________
3. ___________________________________________
4. ___________________________________________
5. ___________________________________________


List ten (10) activities you will be involved in that are supportive of your new lifestyle:
1. __________________________________________________________________
2. __________________________________________________________________
3. __________________________________________________________________
4. __________________________________________________________________
5. __________________________________________________________________
6. __________________________________________________________________
7. __________________________________________________________________
8. __________________________________________________________________
9. __________________________________________________________________
10. _________________________________________________________________




List ten (10) activities you will need to avoid to prevent relapse:
1. __________________________________________________________________
2. __________________________________________________________________
3. __________________________________________________________________
4. __________________________________________________________________
5. __________________________________________________________________
6. __________________________________________________________________
7. __________________________________________________________________
8. __________________________________________________________________
9. __________________________________________________________________
10. _________________________________________________________________


List all of the things you have to lose if you relapse:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
                                                                                            39

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________




Keep this list with you and review it when you feel close to relapse. In order to maintain
my new lifestyle, it will be necessary to not use drugs or alcohol. (Explain how you will
accomplish this).
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________




Symptoms of Relapse

The following are things that lead to relapse if action is not taken. What action can you
take to address the following areas in a proactive and reactive manner?

   • Exhaustion: _______________________________________________________
   _____________________________________________________________________
   • Dishonesty: _______________________________________________________
   _____________________________________________________________________
   • Impatience: _______________________________________________________
   _____________________________________________________________________
   • Argumentativeness: ________________________________________________
   _____________________________________________________________________
   • Depression: _______________________________________________________
   _____________________________________________________________________
   • Self-Pity: _________________________________________________________
   _____________________________________________________________________
   • Frustration: ______________________________________________________
   _____________________________________________________________________
                                                                                           40


   • Cockiness: ________________________________________________________
   _____________________________________________________________________
   • Complacency: _____________________________________________________
   _____________________________________________________________________
   • Expecting Too Much: ______________________________________________
   _____________________________________________________________________
   • Thinking I Can Do It My Way: ______________________________________
   _____________________________________________________________________
   • Use of Mood-Altering Drugs: ________________________________________
   _____________________________________________________________________
   • Wanting Too Much: ________________________________________________
   _____________________________________________________________________
   • Forgetting Reality: _________________________________________________
   _____________________________________________________________________
   • “It Can’t Happen To Me”: __________________________________________
   _____________________________________________________________________


   List anything else that may interfere with your recovery:
   _____________________________________________________________________
   _____________________________________________________________________
   _____________________________________________________________________
   _____________________________________________________________________
   _____________________________________________________________________
   _____________________________________________________________________
   _____________________________________________________________________

This is my typical schedule for meetings; day, time, location, and how I will get there,
(example; Saturdays, 8:00pm, Community Center, Walk).

Day                    Time                    Location               Transportation
                                                                                       41




Symptoms of Relapse

A. Review list of Symptoms of Relapse.

B. Select the ten (10) most dangerous symptoms for you and put them in your order of
importance.

1. __________________________________________________________________
2. __________________________________________________________________
3. __________________________________________________________________
4. __________________________________________________________________
5. __________________________________________________________________
6. __________________________________________________________________
7. __________________________________________________________________
8. __________________________________________________________________
9. __________________________________________________________________
                                                                                        42

10. _________________________________________________________________


C. In your own words, describe how your relapse would take place. Start with basic
beginnings (thinking, attitudes, etc.), and explain all the ways to the return of substance
use.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________




D. List 50 things you are grateful for:

1.__________________      18. ______________________ 35__________________
2__________________       19 _______________________ 36__________________
3__________________       20________________________ 37__________________
4__________________       21________________________ 38__________________
5__________________       22________________________ 39_________________
6__________________       23________________________ 40__________________
7__________________       24________________________ 41__________________
8__________________       25________________________ 42 _________________
9__________________       26________________________ 43__________________
10________________        27.________________________ 44 _________________
11__________________      28 ________________________ 45 _________________
12_________________       29_________________________ 46 __________________
13_________________       30_________________________ 47 __________________
14_________________       31_________________________ 48 __________________
                                                                           43

15_________________    32_________________________ 49 __________________
16________________     33_________________________ 50 __________________
17________________     34__________________________




What can I do to prevent relapse?
1. __________________________________________________________________
2. __________________________________________________________________
3. __________________________________________________________________
4. __________________________________________________________________
5. __________________________________________________________________
6. __________________________________________________________________
7. __________________________________________________________________
8. __________________________________________________________________
9. __________________________________________________________________
10. _________________________________________________________________




Rules for Sanctions




               DeKalb County Drug/DUI Court: C.L.E.A.N. Program
                     (Choosing Life and Ending Abuse Now)
                             Rules for Essay Writing
                                                                                   44

The Judge and Drug/DUI Court Team have required that you write an essay on a specific
topic for your next court appearance. You must comply with the following conditions:

   •   The essay must be 1-3 pages in length.
   •   The essay must be written by you and address the topic that was assigned.
   •   The essay must be completed and submitted on your next court date.
   •   Be prepared to discuss the essay on the next court date.
                                                                                         45



               DeKalb County Drug/DUI Court: C.L.E.A.N. Program
                     (Choosing Life and Ending Abuse Now)
                           Rules for Journal Entries

The Judge and Drug/DUI Court Team have required that you write daily journal entries.
At the end of each week, you are to hand in your journals to the Drug/DUI Court staff. A
journal entry is a written record of your thoughts, feelings, goals, etc. these entries are
confidential communications between you and the Judge. Only the Judge reads your
journals.

Following are the conditions you must comply with:
    • Each daily entry must be 1 page in length.
    • The journal entry must be written by you and address the topics the Judge has
       assigned.
    • The entries must be completed and submitted to the Drug/DUI Court staff on your
       next court or testing date. All journals are given directly to the Judge.




Rules for Sanctions
                                                                                      46



               DeKalb County Drug/DUI Court: C.L.E.A.N. Program
                     (Choosing Life and Ending Abuse Now)
                           Rules for The Day in Court

You have been sanctioned by the Judge and Drug/DUI Court Team for The Day in Court
on the following day(s):

______________________, ____________________.

You must comply with the following rules:
   • You must arrive at 8:30 a.m. and report to the Drug/DUI Court office to give
      urine sample.
   • You must then go directly to Courtroom 204 and the Bailiff will direct you to sit
      in the Jury Box.
   • Expect to stay in the Court for the entire business day.
   • You may not leave your seat during the day, with the exception of the lunch break
      usually from noon to 1:00 p.m., or when given permission by a court Officer.
   • You may not sleep, eat, drink, read, use any personal electronic devises, or talk to
      non-court personnel while in the Jury Box.
   • Pay Attention; Listen to what’s going on.
   • Be prepared to answer questions by the Judge.
   • On the last day of your sanction, you must correctly complete a questionnaire
      regarding the Courtroom events.
   • If you fail to appear for The Day in Court on your assigned days, a warrant
      will be issued for your arrest.




Rules for Sanctions



               DeKalb County Drug/DUI Court: C.L.E.A.N. Program
                     (Choosing Life and Ending Abuse Now)
                                The Day in Court

Date ____________________                   Name _________________

What had you done wrong which resulted in your being required to attend The Day in
Court?
___________________________________________________________________
________________________________________________________________________
________________________________________________________________________
                                                                               47

Do you think this was a good sanction? Yes___ No ____
Why?
________________________________________________________________________
___________________________________________________________________

How are you going to change your behavior? ___________________________________
________________________________________________________________________
________________________________________________________________________

Was anyone doing well in treatment while you were watching court? Yes ___ No____

What will happen to a person who completes treatment? __________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

What will happen to someone arrested on new charges while in Court? __________
________________________________________________________________________
________________________________________________________________________

Was anyone sent to jail while you were watching court? Yes ____ No_____

What had they done wrong? ________________________________________________
________________________________________________________________________
________________________________________________________________________




          DeKalb County Drug/DUI Court: C.L.E.A.N. Program
                (Choosing Life and Ending Abuse Now)

   LIST OF PEOPLE, PLACES AND THINGS THAT HAVE CONTRIBUTED TO
                      SUBSTANCE ABUSE




I hang around with the following people:
1. ___________________________________
2. ___________________________________
3. ___________________________________
4. ___________________________________
5. ___________________________________
6. ___________________________________
7. ___________________________________
                                                                                             48

8. ___________________________________
9. ___________________________________


I go to the following places to use drugs and/or alcohol:
1. __________________________________________
2. __________________________________________
3. __________________________________________
4. __________________________________________
5. __________________________________________
6. __________________________________________
7. __________________________________________
8. __________________________________________


The following things play a part in my use of drugs and/or alcohol:
1. ___________________________________
2. ___________________________________
3. ___________________________________
4. ___________________________________
5. ___________________________________
6. ___________________________________
7. ___________________________________
8. ___________________________________
9. ___________________________________




DeKalb County Drug Court: C.L.E.A.N. Program (Choosing Life and Ending Abuse Now)
Quiz on the Participant Handbook

The following questions refer to information that is found in your Participant Handbook. Answer
each one with either TRUE or FALSE.

______ 1. You do not have to request permission of the drug court team to travel
         outside the county when you are in Drug Court.

______ 2. You have to live in DeKalb County until you graduate from drug
       court.

______ 3. It is ok to continue to have a drink while in drug court as long as you
       do not drink too much.

______    4. You must tell the following people you are in drug court when you
             have contact with them.
_____         Police Officers
_____         Physicians/dentists treating you
_____         Teachers
                                                                                                     49

_____            Mental health counselors

_______ 5. The drug court team understands it is hard to change friends, so you
       can continue to hang with your using friends as long as you don’t
       use.

_______ 6. When you are in a drug court, a police officer has to have probable
       cause to stop you or search you.

_____      7. You can not get any new tattoos or piercing while in Drug Court.

_____       8. Continued failure to comply with the directives given by the Court,
         Drug Court staff, or treatment providers will result in termination
         from drug court.

_____       9. If you test positive, you have 4 hours to tell the drug court staff
         that you “used” and they don’t have to send the urine sample to the
         lab.

______     10. Diluting or attempting to falsify your urine sample will only result
         in a Positive result.

______     11. If you are not going to be able to make a treatment appointment or
         court appearance, it is ok to call after the activity is done.

______     12.   The police or drug court staff have to have a warrant or probable cause to search
                 you living quarters or car or person.

______     13. Honesty is the most important behavior for drug court
         participants.



Name ____________________________                                     Date _______________________

                      DeKalb County Drug Court: C.L.E.A.N. Program
                          (Choosing Life and Ending Abuse Now)

Name: _____________________________________
Date: _______________________

    1. Favorite Color: _________________

    2. Favorite magazine: _______________________

    3. What kind of sporting events do you like to go to? _________________________

    4. Favorite sports team: ______________________

    5. Favorite food: ___________________________

    6. Favorite candy: __________________________
                                                                             50



   7. Favorite pie or cake: ______________________

   8. Favorite soft drink: _______________________

   9. Favorite fast food restaurant: ___________________________

   10. Favorite local store: __________________________________

   11. Favorite rental movie: ________________________________

   12. Where do you go to rent your movies? _____________________________

   13. Do you like to go to the movies? ________________________

   14. Favorite type of music: _______________________________

   15. Favorite music group: ________________________________

   16. CD you would like to own? ____________________________

   17. Favorite TV show: ___________________________________

   18. Favorite animal: _____________________________________

   19. Favorite hobby or free time activity: _________________________

   20. Do you own a DVD machine: ______________________________

   21. Do you own a CD machine:_________________________________

   22. Type of phone card you need for your phone? ____________________________

   23. Place you buy your gasoline in DeKalb County? __________________________

NAME: __________________________________________
DATE: ______________________________
                                                                                    51




     REQUEST FOR DRUG COURT TEAM

Requested by: _________________________ Date: ______________
                       Name



All requests are to be submitted in writing to the Drug/DUI Court Team
through Drug Court staff by 4:30pm on Wednesdays if you need an
answer by court Friday. No requests are to be made directly to
the judge during court.

Request related to:
□   living situation          □   leaving the county        □   leaving the state
□   counseling                □   self-help groups          □   employment
□   EHM/SCRAM                 □   ___________________________________
                                    Other, please specify
                                                                         52



     Please describe your request below. You must be as specific as
     possible otherwise your request may be denied or delayed. If it is an
     out of county/state request you must give the names and phone
     numbers of the people you are traveling with as well as the name,
     phone number and address of where you will be staying.




     Revised 3/29/10

     NAME: _______________________________
     DEKALB COUNTY DRUG/DUI COURT
     SELF-HELP GROUP ATTENDANCE

Name of Group          Address            Date              Signature
53
54
                                                                                        55




          DeKalb County Drug/DUI Court Program: C.L.E.A.N. Program
                    (Choosing Life and Ending Abuse Now)

  DRUG/DUI COURT URINE ABSTINENCE TESTING AND INCIDENTAL ALCOHOL
                        EXPOSURE CONTRACT

Recent advances in the science of alcohol detection in urine have greatly increased the
ability to detect even trace amounts of alcohol consumption. In addition, these tests are
capable of detecting alcohol ingestion for significantly longer periods of time after a
drinking episode.In order to preserve the integrity of the Drug/DUI Court testing program,
it has become necessary for us to restrict and/or advise Drug/DUI Court participants
regarding the use of certain alcohol-containing products.

It is YOUR responsibility to limit your exposure to the products and substances detailed
below that contain ethyl alcohol. It is YOUR responsibility to read product labels, to know
what is contained in the products you use and consume and to stop and inspect these
products BEFORE you use them. Use of the products detailed below in violation of this
contract will NOT be allowed as an excuse for a positive test result. When in doubt,
don’ t use, consume or apply.
                                                                                             56


Cough syrups and other liquids medications: Drug/DUI Court participants have always
been prohibited from using alcohol-containing cough/cold syrups, such as Nyquil®.
Other cough syrup brands and numerous other liquid medications, rely upon ethyl
alcohol as a solvent. Drug/DUI Court participants are required to read product labels
carefully to determine if they contain ethyl alcohol (ethanol). All prescription and over-
the-counter medications should be reviewed with Drug Court staff before use.
Information on the composition of prescription medications should be available upon
request from your pharmacist. Non-alcohol containing cough and cold remedies are
readily available at most pharmacies and major retail stores.

Non-Alcoholic Beer and wine: Although legally considered non-alcoholic, NA beers (e.g.
O’ Douls ®, Sharps®) do contain a residual amount of alcohol that may result for
alcohol, if consumed. Drug/DUI Court participants are not permitted to ingest NA beer or
NA wine.

Food and Other Ingestible Products: There are numerous other consumable products
that contain ethyl alcohol that could result in a positive test for alcohol. Flavoring
extracts, such a vanilla or almond extract, and liquid herbal extracts (such as Ginko
Biloba), could result in a positive screen for alcohol or its breakdown products.
Communion wine, food cooked with wine, and flambé dishes (alcohol poured over a food
and ignited such as cherries jubilee, baked Alaska) must be avoided. Read carefully the
labels on any liquid herbal or homeopathic remedy and do not ingest without approval
from Drug/DUI Court staff.

Mouthwash and Breath Strips: Most mouthwashes (Listermint ®, Cepacol ®, etc) and other
breath cleansing products contain ethyl alcohol. The use of mouthwashes containing
ethyl alcohol can produce a positive test result. Drug/DUI Court participants are required
to read product labels and educate themselves as to whether a mouthwash product
contains ethyl alcohol. Use of ethyl alcohol-containing mouthwashes and breath strips by
Drug/DUI Court participants is not permitted. Non-alcohol mouthwashes are readily
available and are an acceptable alternative. If you have questions about a particular
product, bring it in to discuss with the Drug/DUI Court staff.

Hand sanitizers: Hand sanitizers (e.g. Purell ®, Germex ®, etc. and other antiseptic gels
and foams used to disinfect hands contain up to 70% ethyl alcohol. Excessive,
unnecessary or repeated use of these products could result in a positive urine test. Hand
washing with soap and water are just as effective for killing germs.

Hygiene Products: Aftershaves and colognes, hair sprays and mousse, astringents,
insecticides (bug sprays such as Off ~) and some body washes contain ethyl alcohol.
While it is unlikely that limited use of these products would result in a positive test for
alcohol (or its breakdown products) excessive, unnecessary or repeated use of these
products could affect test results. Participants must use such products sparingly to avoid
reaching detection levels. Just as the court requires Drug/DUI Court participants to
regulate their fluid intake to avoid dilute urine samples, it is likewise incumbent upon
each participant to limit their use of topically applied (on the skin) products containing
ethyl alcohol.

Solvents and Lacquers. Many solvents, lacquers and surface preparation products used
                                                                                                        57

in industry, construction, and the home, contain ethyl alcohol. Both excessive inhalation
of vapors, and topical exposure to such products, can potentially cause a positive test
result for alcohol. As with the products noted above, Drug/DUI Court participants must
educate themselves as to the ingredients in the products they are using. There are
alternatives to nearly any item containing ethyl alcohol. Frequency of use and duration of
exposure to such products should be kept to a minimum. A positive test result will not be
excused by reference to use of an alcohol-based solvent. If you are in employment
where contact with such products cannot be avoided, you need to discuss this with the
Drug/DUI Court staff. Do not wait for a positive test result to do so.

REMEMBER- WHEN IN DOUBT, DON T USE, CONSUME, OR APPLY.

I have read and understand my responsibilities:




______________________________                      ______________________
Participant                                         Date




This form is from the Minnesota Judicial Branch, Fourth Judicial District, Adult DWI Court
Program and was shared with the DeKalb County Drug/DUI Court.

File: DUI Court/DUI FORMS/DUI Court Urine Abstinence testing and incidental alcohol exposure contract




CONCLUSION

The goal of the DeKalb County Drug/DUI Court: C.L.E.A.N. Program is to help you
achieve a life free of dependence on mind-altering substance. The Judge,
Drug/DUI Court staff and the Drug/DUI Court Team are here to guide and assist
you, but the final responsibility is yours. To succeed, you must be motivated to
make this commitment to a drug and alcohol free life.
                                       58




I HAVE RECEIVED AND READ A COPY OF THE
DEKALB COUNTY DRUG/DUI COURT: C.L.E.A.N.
PROGRAM PARTICIPANT HANDBOOK.

I HAVE READ THE RULES FOR DRUG/DUI
COURT AND UNDERSTAND THEM.
                                                                                         59

___________________________________                 ____________
Participant                                         Date

____________________________________                _____________________________
Home Address                                        City

_________________________________                   ____________________________
Day Phone                                           Night Phone

_________________________________
Cell Phone


Name of person who will always know how to reach me _________________________
_______________________________________________________________________

       Address of this person ___________________________________
       ______________________________________________________
       ______________________________________________________

       Phone of this person _____________________________________




SIGNATURE: _________________________________




FILE: MY DOCUMENTS/Documents for drug court/brochure and handbook/Participant Handbook

				
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