Exhibit 11 (Aftercare Service Plan).pdf

This is an Exhibit 11 Aftercare Service Plan Form for the DPDS-SUDTS (Pre-Trial) program under Solicitation #BPM055260. The form serves as a template for documenting comprehensive aftercare plans for clients discharged from substance use disorder treatment services. The document captures client information including name, DOC number, admission date, and discharge date, followed by sections detailing specific aftercare components agreed upon by the provider and client. These components include substance use disorder treatment modalities (such as intensive outpatient programs), peer support group attendance frequency (such as NA or AA meetings), family and support system engagement (including relapse prevention planning and counseling), vocational services (career counseling, job development, life skills training), educational pursuits (GED, Associate's, Bachelor's, or Master's degrees), and medical or mental health services (dental, optical, physical). The form concludes with signature lines for client, counselor, and regional supervisor authorization, each with corresponding dates.

The aftercare service plan does not address pricing, set asides, funding sources, or contract term information. Instead, it functions as an operational tool for service providers to establish individualized discharge and reentry plans for pre-trial clients enrolled in the substance use disorder treatment program. The form ensures documented agreement among all stakeholders on post-treatment support services and accountability through required signatures from the client, treating counselor, and regional supervisor overseeing the program.