I, _______________________________________________________________________________________________,

am charged in the following cases with the following charges:

I will comply with the following rules of Behavioral Health Court:

1. _____ I will comply with all bond conditions established by the Court.
2. _____ I will comply with all orders of the Court or directives of Behavioral Health Court team.
3. _____ I will authorize and sign all releases of information (ROIs) requested by Behavioral Health Court team.
4. _____ I will appear, in person, in court, for all scheduled hearings, and remain for the duration of the court docket, unless other arrangements have been pre-approved by the Court.
5. _____ I waive my right to speedy trial during my participation in Behavioral Health Court.
6. _____ I will comply with all random drug and alcohol testing.
7. _____ I will be held responsible for all substances that I put into my body, including but not limited to any legal or illegal mind-altering substances otherwise not prescribed by a medical professional, including any and all mind-altering legal products which may be obtained from any store or gas station or smoke shop.
8. _____ I will participate in all therapeutic treatment, including both mental health and substance use treatment as recommended by the Court or treatment provider.
9. _____ I understand that successful completion of Behavioral Health Court will require an average of twelve to sixteen months, but my actual completion date will depend on my individual treatment needs.
10. _____ I agree to attend substance use treatment services as recommended by treatment provider.
11. ____ I understand that I may not possess or control any firearms while I participate in the program. Any firearms currently in my possession will be surrendered to the Douglas County Sheriff’s Department for so long as I remain in Behavioral Health Court.
12. _____ Successful completion of Behavioral Health Court requires that I (1) be in compliance with all orders of the Court; (2) have met all treatment goals individually tailored to my mental health needs; and (3) have met all treatment goals individually tailored to my substance use treatment needs.
13. _____ I may be administratively terminated from the program if I (1) Fail to appear (without approval of the Court) at the Behavioral Health Court dockets for more than thirty (30) days, or (2) I fail to participate in my treatment program for more than thirty (30) days.
14. ______I may be terminated from the program if I am charged with a new crime.
15. _____ I understand that Behavioral Health Court is a voluntary program and that I may withdraw from participation at any time.
16. _____ If I voluntarily withdraw or am terminated from the program, my cases may be reassigned to a different division, a new attorney may be appointed, and will resume at the point where they were left off when I entered Behavioral Health Court.
17. _____ When I successfully complete Behavioral Health Court, my pre-plea criminal cases which have been included in this Behavioral Health Court Participant Contract, will be dismissed by the State with prejudice. If my case was in probation status it would be closed successfully and I may be eligible to apply for expungement.
18. _____ I understand that in addition to the dismissal of my underlying criminal cases which had been accepted to Behavioral Health Court, I may be able to apply to expunge those arrests should I meet all statutory expungement requirements.
19. _____ I understand and agree to all of the terms and conditions set forth above and understand that any failure on my part to comply with Douglas County Behavioral Health Court requirements may result in revocation of my bond and/or removal from the Douglas County Behavioral Health Court.

Waiver of Certain Rights

I hereby consent to random drug and alcohol testing during Behavioral Health Court. Refusal to consent to testing may result in a sanction.

I agree to be represented by defense counsel on the Behavioral Health Court team, unless I hire my own attorney.

I waive my right to challenge the involvement of the Douglas County District Attorney’s Office in the continued prosecution of the underlying criminal case should I leave Behavioral Health Court.

I agree to abide by all federal, state, and local laws and ordinances. I understand that any failure to do so may result in immediate sanction. Traffic infractions shall not be considered violations of this provision for the purposes of Behavioral Health Court.

I have read, or had read to me, the conditions listed above. By my initials and signature, I understand I am bound by its terms and conditions. Failure to follow the terms and conditions may result in termination from Behavioral Health Court.