"Application for Intervention Court Certification" - Mississippi

Application for Intervention Court Certification is a legal document that was released by the State of Mississippi Judiciary - Mississippi Supreme Court - a government authority operating within Mississippi.

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Application for Intervention Court Certification
Mississippi Administrative Office of Courts
Supreme Court of Mississippi
Administrative Office of Courts
Application for Intervention Court Certification
Section 1: Judicial Information
Jurisdiction of Court:
Type of Court:
Adult Felony
Adult Misdemeanor
Juvenile
Family
Intervention Court Judge:
Phone Number of Intervention Court Judge: Office:
Cell:
Email Address of Intervention Court Judge:
Mailing Address of Intervention Judge:
Section 2: Program Contact
Intervention Court Coordinator:
Phone Number of Coordinator: Office:
Cell:
Email Address of Coordinator:
Mailing Address of Coordinator:
Instructions for Completing Application
The minimum requirements for intervention court applications are listed in MS Code §9-23-11(2)(b)(Rev. 2019). The
Application for Intervention Court Program Certification must be filled in completely and returned to the Administrative
Office of Courts along with all required supporting documents. If additional space is needed in any section, please attach a
separate sheet.
If multiple judges within a single jurisdiction preside over a separate and distinct intervention court docket, each judge
will be required to submit an Application for Intervention Court Certification.
Once received by the Administrative Office of Courts, a site visit may be scheduled to ensure compliance with applicable
federal and Mississippi law, the Alyce Griffin Clark Intervention Court Act, and the MS Intervention Court Rules. If
compliance is determined, a Certificate of Approval will be issued to the court. If determined that the court is not in
compliance, a Provisional Certificate of Approval, along with a recommended action plan, may be issued to the court. The
AOC staff will then work to assist in bringing the court into compliance. Once in compliance, a Certificate of Approval will be
issued to the court. All intervention court programs will be required to recertify with the Administrative Office of Courts
every (2) years.
Version 07/2020
Page | 1
Application for Intervention Court Certification
Mississippi Administrative Office of Courts
Supreme Court of Mississippi
Administrative Office of Courts
Application for Intervention Court Certification
Section 1: Judicial Information
Jurisdiction of Court:
Type of Court:
Adult Felony
Adult Misdemeanor
Juvenile
Family
Intervention Court Judge:
Phone Number of Intervention Court Judge: Office:
Cell:
Email Address of Intervention Court Judge:
Mailing Address of Intervention Judge:
Section 2: Program Contact
Intervention Court Coordinator:
Phone Number of Coordinator: Office:
Cell:
Email Address of Coordinator:
Mailing Address of Coordinator:
Instructions for Completing Application
The minimum requirements for intervention court applications are listed in MS Code §9-23-11(2)(b)(Rev. 2019). The
Application for Intervention Court Program Certification must be filled in completely and returned to the Administrative
Office of Courts along with all required supporting documents. If additional space is needed in any section, please attach a
separate sheet.
If multiple judges within a single jurisdiction preside over a separate and distinct intervention court docket, each judge
will be required to submit an Application for Intervention Court Certification.
Once received by the Administrative Office of Courts, a site visit may be scheduled to ensure compliance with applicable
federal and Mississippi law, the Alyce Griffin Clark Intervention Court Act, and the MS Intervention Court Rules. If
compliance is determined, a Certificate of Approval will be issued to the court. If determined that the court is not in
compliance, a Provisional Certificate of Approval, along with a recommended action plan, may be issued to the court. The
AOC staff will then work to assist in bringing the court into compliance. Once in compliance, a Certificate of Approval will be
issued to the court. All intervention court programs will be required to recertify with the Administrative Office of Courts
every (2) years.
Version 07/2020
Page | 1
Application for Intervention Court Certification
Mississippi Administrative Office of Courts
Section 3: Intervention Court Team
Pursuant to the Intervention Court Rules, each intervention court must have an intervention court team. The team
should collaboratively develop, review and agree upon all aspects of the intervention court operation including the
mission, goals, eligibility, performance measures, and drug testing protocols, as well as participant progress.
Name
Member
Agency
Phone
Email
Judge
Prosecutor
Defense Attorney
Treatment Rep
Coordinator
Supervision Off.
Law enforcement
Section 4: Intervention Court Operations Support Staff
This section should include contact information on those working directly or indirectly for the intervention court.
Included should be case managers, probation or field officers, treatment providers, prosecution representatives,
defense representatives, peer support specialists, mentors and others that provide ongoing operational support to
the intervention court. Juvenile and family intervention courts should include school representatives, CPS
representatives, Guardians ad Litem, etc. There is no need to relist the team members provided in Section 3 above.
Name
Title
Agency
Phone
Email
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Application for Intervention Court Certification
Mississippi Administrative Office of Courts
Section 5: Alcohol & Drug Treatment
This section should include all treatment providers to which the court orders or refers participants to undergo A&D
treatment. This includes private companies, state mental health agencies, and individual providers. Any person
providing alcohol and drug treatment or counseling services to drug court participants must be licensed to provide
such services pursuant to MS Code §9-23-13(2) and Intervention Court Rules, Operational Management, §20(i).
Service Provider
Type of Service
Contact Name
Contact Phone
Contact Email
Section 6: Ancillary Service Providers
This section should include all ancillary service providers to which the court orders or refers participants. This section
could include services such as GED education classes, vocational education classes, life-skills education, anger-
management classes, parenting classes, monitoring services, etc.
Service Provider
Type of Service
Contact Name
Contact Phone
Contact Email
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Application for Intervention Court Certification
Mississippi Administrative Office of Courts
Section 7: Description of Need
In this section, you will describe the need for an intervention court program in your jurisdiction. How does substance
abuse impact your community, particularly in regards to criminal activity?
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Application for Intervention Court Certification
Mississippi Administrative Office of Courts
Section 8: Target Population and Eligibility Criteria
In this section you will list the intervention court program’s target population and eligibility criteria. The descriptions
in this section should match the target population and eligibility criteria listed in your court’s policy and procedure
manual.
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