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Download Beta Jail Alternatives/Misdemeanor Probation Referral Yellowstone
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Beta Jail Alternatives/Misdemeanor Probation Referral Yellowstone: 406-256-3501, 17 North 31st, Billings, MT 59101; Carbon: 406-322-4121, PO Box 1652, Red Lodge, MT 59068; Stillwater: 406-322-4121, PO Box 1050, Columbus, MT 59019 It appears to the Referral Agency that the defendant/client herein qualifies for the Alternatives program(s) specified and MUST contact Alternatives within 24 hours. It is therefore ordered that the defendant/client be subject to the following conditions: 24 HOURS PER DAY ON CALL (406) 281-0825 for after hours intake of alcohol/drug monitoring. Name: Last Name , First Name MI Address: Street/APT City , Referral Agency: Docket # State Date: Phone: DOB: SSN: Zip Judge/Contact: Charge: Termination Reason Supervision Services: Misdemeanor Probation $100/month Pre-Trial/Revocation Supervision $100/ month Random Testing at discretion of officer Length of Supervision From: Length of Supervision From: Urinalysis Successful Non-Comp/Other:______________ to: to: Days: Breathalyzer Successful Non-Comp/Other:_______________ ________________ Cost: $45/day Work Release (Residential screening required. Contracted Courts only) Monitor Services: Days: Length of Service From: ________________ Successful Non-Comp/Other:_______________ ________________ Interlock Report Supervision: $30/Month (Yellowstone County Justice Court only) o Length of Supervision From: to: Community Service Hours: Cost: 1-10=$20; 11-50= $30; each additional 50 hours =$30 Detention Staff Initials /Date: Successful Non-Comp/Other:_______________ ________________ Successful Non-Comp/Other:_______________ ________________ Successful Non-Comp/Other:_______________ ________________ to: SCRAM X $11 or $15(cell) /day Remote Breath $6.50/ day #of random times per day SCRAM House Arrest days: #of fixed times per day at Result of 24/7 GPS $9/day House Arrest $9/day Allowed to Work/School/Treatment Please provide exclusion zones and any curfew: Lockdown Curfew: Random Alcohol and/or Drugs Testing Times:____ per week/month Length of Service From: _____ to: _____ Breathalyzer Saliva Testing Hair Drug Analysis 1-15-mounth = $37.50/month Drug Panel $25/test Testing $100/test 16 - Daily = $75.00/month Drug Panel & Alcohol 2x Daily = $150.00/month Screen $31/test Urinalysis Standard Drug 8 ETG- UA $35/test Spice-UA $60/test panel $21/test PharmCheck Drug Patch $65/ Patch Change: 7 days / 8-14 days (with 7 day review) (circle one) Length of Service From: to: Treatment Services Program Name: _________________ _____________________________ Successful Non-Comp/Other:_______________ ________________ Program Name: _________________ _____________________________ Successful Non-Comp/Other:_______________ ________________ Drug & Alcohol Bio-Psych Social Evaluation Following Recommendations -$200 o Early Intervention Level .5 - 6 sessions at $25 per class $20 book o Alcohol and Drug Treatment Level 1- 12 sessions at $25 per class $20 book o Aftercare Treatment Level 1- 12 sessions at $25 per class $20 book 40 hours Anger management/ PFMA: Violence, Dangerous Assessment & CD Screen ($200) Following Recommendations - 27 session at $25 per class $10 book (male) $25 book (female) 25 hours Anger Management 17 sessions at $25 per class $10 book Criminal Thinking Errors/Cognitive Awareness- 12 sessions at $25 per class $20/book I II III Shoplifting- 8 sessions at $25 per class $20 book Parenting- 8 sessions $25 per class $25 book MIP Level 1- 4 sessions, and if appropriate, parent class. Cost $100 MIP Level 2- 4 sessions, and if appropriate, parent class. Includes Evaluation and following recommendations Cost $210 (Yellowstone County Justice Court Only) Dangerous Drug Information Course/Substance Abuse Course- 6 sessions $25 per class $20 book Tobacco Cessation Education- 1 day class $100 and $10 book ACCI Anger Self-directed / On-line* Avoidance*/Youth ACE Anger Management* Bad Check Cognitive Awareness* Contentious Relationships Domestic Successful Non-Comp/Other:_______________ ________________ Successful Non-Comp/Other:_______________ ________________ Successful Non-Comp/Other:_______________ ________________ Successful Non-Comp/Other:_______________ ________________ Successful Non-Comp/Other:_______________ ________________ Successful Non-Comp/Other:_______________ ________________ Successful Non-Comp/Other:_______________ ________________ Successful Non-Comp/Other:_______________ ________________ Successful Non-Comp/Other:_______________ ________________ Cost $100 per Curriculum Violence Driver Responsibility* Y/A Employment* MIP 1* Y/A Offender Corrections* Other: Successful Non-Comp/Other:_______________ ________________ Offender Responsibility* Parenting YouthSelf Awareness* Shoplifting* Y/A Substance Abuse* Y/A Youth/Parent* DUI Program Name: _________________ _____________________________ Successful Non-Comp/Other:_______________ ________________ Successful Non-Comp/Other:_______________ ________________ Special Conditions: Any violation of this referral may subject the defendant/client to adverse legal consequences. Defendant/Client is ordered to pay costs of all program(s). Defendant/Client agrees to abide by all rules and regulations set forth by Alternatives, Inc. for the program(s) referred. This Jail Alternatives program(s) is granted as a special condition that you complete all program(s) mandates. By accepting the above Alternatives, Inc. program(s) you are consenting to communication between the referral source, members of the Criminal Justice System, and any other appropriate agencies/person(s) as deemed necessary in the course of your supervision. __________________________________________________________ Authorized Signature Date B124 __________________________________________________________ Client Signature Date 4/16
