4-11 Drug uses manualized, NPC assessment Result from NPC assessment: _____ Yes behavioral/cognitive behavioral, Certification Is there an attachment(s) to support this Not Currently 38 evidence based treatment, application: requirement? Yes No Item Pending implemented with fidelity. Treatment manual or Title(s) of the attachment(s) Recommendation: link to website with Relevant Page Number(s) EBP info 4-13 Participants meet weekly with case NPC assessment Result from NPC assessment: _____ Yes manager/provider in first phase Not Currently 39 Item Pending Recommendation: 4-15 Participants should be reassessed Program (treatment Treatment provider certification question Yes and treatment may be adjusted provider) answer to #3 Not Currently 40 based on new results. certification question Is there an attachment(s) to support this Item Pending [3 criteria: requirement? Yes No Recommendation: individualized, of the attachment(s) reassess, treatment Relevant Page Number(s) plan modified] 4-16 Participants NOT incarcerated to NPC assessment Result from NPC assessment: _____ Yes achieve clinical or social service Not Currently 41 objectives, such as access to Item Pending detoxification or sober living, unless Recommendation: danger to self or others 4-17 Graduation determined by judge in Program policy and Is an attachment(s) to support this Yes collaboration with team, and on procedure manual requirement? Yes No Not Currently 42 condition participant has satisfied of the attachment(s) Item Pending established minimum criteria Relevant Page Number(s) Recommendation:
4-11 38 Drug uses manualized, behavioral/cognitive behavioral, evidence based treatment, implemented with fidelity. NPC assessment Certification application: Treatment manual or link to website with EBP info Result from NPC assessment: _____ Is there an attachment(s) to support this requirement? Yes No Title(s) of the attachment(s) Relevant Page Number(s) Yes Not Currently Item Pending Recommendation: 4-13 39 Participants meet weekly with case manager/provider in first phase NPC assessment Result from NPC assessment: _____ Yes Not Currently Item Pending Recommendation: 4-15 40 Participants should be reassessed and treatment may be adjusted based on new results. Program (treatment provider) answer to certification question [3 criteria: individualized, reassess, treatment plan modified] Treatment provider certification question #3 Is there an attachment(s) to support this requirement? Yes No of the attachment(s) Relevant Page Number(s) Yes Not Currently Item Pending Recommendation: 4-16 41 Participants NOT incarcerated to achieve clinical or social service objectives, such as access to detoxification or sober living, unless danger to self or others NPC assessment Result from NPC assessment: _____ Yes Not Currently Item Pending Recommendation: 4-17 42 Graduation determined by judge in collaboration with team, and on condition participant has satisfied established minimum criteria Program policy and procedure manual Is an attachment(s) to support this requirement? Yes No of the attachment(s) Relevant Page Number(s) Yes Not Currently Item Pending Recommendation:
NM_Certification_Checklist___revised_April_2018.docx