All DUI Alcohol Classes, including Level 2 Four Plus Therapy (Track F),
are approved by the Colorado DMV & Colorado Office of Behavioral Health.
are approved by the Colorado DMV & Colorado Office of Behavioral Health.
LEVEL 2 FOUR PLUS/ TRACK F
1. What is Level 2 Four Plus?
- In response to the felony DUI legislation passed in 2015, the Office of Behavioral Health (OBH), in conjunction with the Colorado Task Force on Drunk and Impaired Driving, created the new level of DUI treatment, Level 2 Four Plus. The OBH rules providing for this new treatment Level went into effect July 1, 2017 (2 CCR 502-1, Volume 21 CDHS Behavioral Health Rules 21.240.85).
- Level 2 Four Plus is a specialized treatment program for those individuals who have been convicted of four or more impaired driving offenses. It establishes a more comprehensive treatment service provision under the Level I and Level II Education, Therapy, and Treatment provision authorized in Section 42-4- 1301.3(3)(c)(IV), C.R.S.
2. How is Level II Four Plus different than other levels of DUI treatment?
- Individuals participating in Level 2 Four Plus treatment are engaged for a minimum of 18 months and a minimum of 180 clinical contact hours.
- Although not considered traditional Level 2 Therapy, Level 2 Four Plus has been assigned a “Track F” for the purpose of probation referrals and the DMV Affidavit of Enrollment.
- Agencies are required to conduct additional screening and assessments beyond what is normally required (cognitive functioning, traumatic brain injury, adverse childhood experiences, grief & loss, and co-occurring mental health issues). And an assessment tool specifically designed to identify co-occurring mental health issues in the DUI population must be used.
- The entire service plan and service delivery must be based on each client’s clinical assessment. As a result, it is anticipated many of the offenders enrolled in Level 2 Four Plus will not engage in traditional Level 2 Education or Level II Therapy as a component of their treatment engagement.
- Individualized service planning is conducted more frequently and is done in collaboration with the supervising probation officer a minimum of every 60 days to discuss an individual’s service plan and their progress, and make adjustments in the planned treatment activities.
3. When did Level 2 Four Plus go into effect?
- OBH started granting licenses to applicants to provide Level II Four Plus on July 1, 2017.
- Probation started referring individuals to Level II Four Plus with evaluations completed on or after July 1, 2017.
4. Who is eligible for a referral to Level 2 Four Plus?
- All offenders sentenced to probation who are on their fourth or subsequent impaired driving conviction (misdemeanor or felony). Priors include convictions from any US State or Territory. This also includes those convicted of a felony for vehicular homicide and vehicular assault where alcohol or other drugs has been involved. Prior successfully completed deferred sentences count as prior offenses for the purpose of establishing the fourth or more conviction for a referral to Level 2 Four Plus.
- Probation officers may also refer individuals to Level 2 Four Plus who have not had four convictions but have had four or more arrests for alcohol/drug related driving offenses and would benefit from this higher level of treatment.
5. Where should offenders who are eligible for Level 2 Four Plus treatment be referred?
- OBH agencies licensed for Level 2 Four Plus can accept referrals.
- If there is not a Level 2 Four Plus agency in the desired community yet, consideration may be given to agencies who are in the process of applying for Level 2 Four Plus licensing – OBH must be consulted in such situations.
- OBH should be advised of any identified gaps in service areas for Level 2 Four Plus.
6. Which clinicians may provide Level II Four Plus services?
- Only services provided by qualified clinicians at licensed Level 2 Four Plus agencies, or qualified clinicians they refer to, will count toward required hours. Services provided by unqualified individuals may be part of the client’s service plan and help them achieve their goals; however, they will not count toward the required hours.
7. Can adjunct services, such as treatment at a mental health center or cognitive behavioral therapy, be counted towards the 180 hours?
- Yes, as long as the clinician is qualified and the treatment service is supported by the clinical assessment and the client’s individualized service plan.
8. What will the Level 2 Four Plus 180 hours of treatment consist of?
- A combination of education and treatment strategies that are determined by the results of the screenings and clinical assessment.
- Services will include individual counseling. As clinically indicated, services will also consist of: group therapy, family/other supportive adult therapy, education, medication-assisted therapy, and residential treatment. Traditional DUI Level 2 Education or Level 2 Therapy are only included if the clinical assessment specifically indicates that it is necessary. Interlock counseling will be required if the client has an ignition interlock installed in their vehicle.
- Specialized treatment services determined by the assessment and service plan will be conducted by the Level 2 Four Plus agency or by referral to qualified clinicians in the community. The Level 2 Four Plus agency shall case manage any community based specialized treatment services to ensure the coordination of client services and needs, and the continuity of care, with other services.
9. How will Level 2 Four Plus agencies collaborate with probation and community providers?
- Level 2 Four Plus agencies must collaborate with supervising probation officers in the development and review of the client’s individualized service plan. Since all client services are assessment driven, having the entire collaborative care team weigh in on the service plan is essential for a successful treatment outcome. The collaborative care team must include the client, agency, PO and any specialty service providers involved in a client’s care.
- Level 2 Four Plus agencies must have established referral linkages in place for services they are unable to provide within their agency. In order for these hours to count toward the requirements, Level 2 Four Plus agencies must have ongoing collaboration and case management that is documented in the client record.
10. Who will pay for all the assessments and treatment required in the Level 2 Four Plus program?
As with traditional DUI Level 2 education and therapy, Level II Four Plus is primarily self-pay.
Vouchers may be available from probation to assist in paying for Level 2 Four Plus services.
Medicaid (if eligible) or other health insurance may cover some Level 2 Four Plus services provided criteria for medical necessity are met.
As with traditional DUI Level 2 education and therapy, Level II Four Plus is primarily self-pay.
Vouchers may be available from probation to assist in paying for Level 2 Four Plus services.
Medicaid (if eligible) or other health insurance may cover some Level 2 Four Plus services provided criteria for medical necessity are met.
11. Will Level 2 Four Plus count towards the Level 2 requirement for DMV driver’s license reinstatement?
- Colorado DMV has agreed to accept Level 2 Four Plus completion as fulfillment of the Level 2 requirements that are required when someone is designated a persistent drunk driver. An individual in Level 2 Four Plus is not required to complete Level 2 Education.
- Although not a traditional Level 2 Therapy track program, in order to accommodate DMV’s requirements for driver’s license reinstatement, OBH has assigned a “Track F” to be associated with Level 2 Four Plus. When completing an Affidavit of Enrollment for clients to reinstate their driver’s licenses early, a “Track F” can be entered only when an actual referral to Level 2 Four Plus has been made by the courts/probation. A track “D” can be entered until such time as a “Track F” is confirmed.
Level 2 Four Plus Therapy DUI Alcohol Classes are being accepted for clients in Denver, South Denver, Englewood, Centennial, Greenwood Village, Highlands Ranch, Lone Tree, Littleton, Castle Rock, Arapahoe County, Denver County, Douglas County, Jefferson County, and all other Colorado jurisdictions.
Discipline is doing what needs to be done even when you don't want to do it.
