2023 IDP Client Intake Package  Logo
  • Intoxicated Driver Program Intake Package

    **All information is mandatory and confidential. This enrollment process may take approx. 20-30 mins to complete**
  • **PLEASE NOTE, THIS PROGRAM IS FOR KENOSHA COUNTY RESIDENTS ONLY. IF YOU ARE NOT A KENOSHA COUNTY RESIDENT, CONTACT OUR OFFICE FOR MORE INFORMATION (262) 658-8166**

  • Please complete and submit these forms ONLY if you are prepared to pay for and schedule your assessment within 48 hours. Submitting the intake package will NOT impact (restore or retain) your driving privileges. You MUST also pay for and schedule your assessment in order to maintain compliance with the Department of Transportation. If you are not able to complete the full payment and scheduling process at this time, please come back and complete this intake package when you are able to make the full payment. Fees range from $300-$575, please contact our office at (262) 658-8166 for more information. We will NOT hold documents for more than 48 hours.   

    • Social History Information 
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    • Work History

    • Family Information

      All information is mandatory and confidential.
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  • IMPORTANT Information about the Intoxicated Driver Program (IDP)

    The Department of Transportation requires that there be a Driver Safety Plan developed at the Hope Council during your assessment for Impaired Driving/Operating While Impaired. BASED ON THE FINDINGS OF YOUR ASSESSMENT, YOU WILL BE REQUIRED TO ATTEND EITHER EDUCTION OR TREATMENT, so you must be prepared for either. The assessment is just the first step.

     Education Information

    • If you are deemed in need of EDUCATION you will be required to attend classes at Gateway Technical College.   
                                                            
    • YOU MUST REGISTER FOR CLASSES WITHIN 10 BUSINESS DAYS OF YOUR ASSESSMENT, AND SELF-PAYMENT IN FULL IS REQUIRED ENROLLING WITH GATEWAY TECHNICAL COLLEGE.
                                     
    • Insurance will not pay for classes, and there is no government funding available for them. 
                                                                                      
    • You will not be allowed to make payment arrangements. The current rates for classes are $303.70 for Group Dynamics and $435.40 for Multiple Offenders.  These rates are subject to change without our knowledge, and you will be responsible for full payment when enrolling. 
             
    • If you do not register within 10 BUSINESS DAYS, you will be put into non-compliance with your Driver Safety Plan and may lose your driving privileges. 
       
    • Remember, full payment will be due upon registration, which is required within 10 days if you are deemed in need of education. An outstanding balance with Gateway Technical College will prevent you from enrolling in these classes and classes at ANY area technical college.   

    Treatment Information                                                                  

    • If you are deemed in need of TREATMENT you must let the assessor know where you will be attending treatment BEFORE you leave the office during the assessment appointment. Therefore, you need to also be prepared ahead of time for referral to treatment.
    • If you have health insurance that allows for any substance abuse treatment, you need to determine which providers you can go to BEFORE YOUR ASSESSMENT. You’ve been given a list of treatment providers, but the list may not be complete, so you MUST call your insurance company to determine which provider you can select.
    • If you do not have health insurance that allows for any substance abuse treatment, you may be eligible for County Funding for Treatment Services for low-income clients without health insurance or health insurance that does not cover substance abuse treatment.
    • In order to determine whether you are eligible for County Funding for Treatment Services, you must bring ALL the following to your assessment appointment:   
      • Current photo ID (from Wisconsin ONLY); AND
      • Proof of residency within the last 30 days (i.e., a utility bill showing your current address); AND
      • Pay stubs from ANY employment this year; “pay” includes unemployment pay stubs and/or Social Security Disability or Social Security Supplemental Income pay stubs;
      • If this procedure is not followed, you WILL NOT be eligible for funding!
      • These documents are ONLY required if you do not have any health insurance or your insurance does not cover substance abuse teatment. (This is not common)

    Please come to the assessment fully prepared for both education and treatment. If you are not prepared for your appointment by following the above steps, you will add another waiting period, potentially causing further problems, non-compliance, and additional fees.

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  • Drug Testing of All Intoxicated Driver Program Clients

    ALL Intoxicated Driver Program (IDP) clients will be required to provide a urine sample for an initial six-panel drug test. This screening will be done after the clinical interview during the assessment. This test is being done to help ensure an accurate assessment as well as enable better intervention upon beginning treatment. This urine test has no bearing on a person’s drivers license and there is no additional fee for this test.

    Any test that is diluted and/or altered will be assumed to be positive, and that information will be shared with the treatment provider. Refusal or inability to provide a sample will also be considered to be a positive result, and that information will be shared with the treatment provider, as well.

     

    Biomarker Testing (Fingernail Test)

    Biomarker testing may be done for all clients with an abstinence order. All clients referred to treatment will have an abstinence order.

     

    1 or 2 OWI Offenses:

    For those who have one or two operating while impaired/ driving under the influence (OWI/DUI) offenses, at least one test using fingernails may be conducted at the end of the Driver Safety Plan (DSP). 

    • Positive tests warrant additional tests at additional cost to the client, as well as potential loss of driving privileges. Inability to provide sufficient samples results in additional costs/potential loss of driving privileges.
    • Clippings must be taken from all 10 fingernails, totaling no less than 150 mg, which is about 3 – 4 weeks of growth.
    • Within 72 hours of completion of treatment, the client is responsible for scheduling a biomarker testing appointment with the Hope Council. However, that test will not take place until six months AFTER the assessment date has passed, if required.
    • The required fee of $115 (alcohol only test) or $200 (alcohol, marijuana, cocaine, opioids, amphetamines, and PCP test) must be paid before the test will be completed.

     

    3+ OWI Offenses:

    For those who have three or more OWI/DUI offenses, at least three tests using fingernails or blood spot (PEth) will be conducted in four to six-month increments during the one-year DSP.   

    • Positive tests will warrant additional tests at additional cost to the client, as well as potential loss of driving privileges. Inability to provide sufficient samples will result in additional costs/potential loss of driving privileges.
    • Clippings must be taken from all 10 fingernails, totaling no less than 150 mg, which is about 3 – 4 weeks of growth.
    • Any positive tests for alcohol or illegal drugs/drugs not used as prescribed may result in a report of noncompliance being sent to the State of Wisconsin Department of Transportation. This will result in a loss of driving privileges until the noncompliance fees are paid and a negative test result is secured.

     

    General Biomarker Testing Information

    • Any client with a positive test result must return to treatment.
    • The Driver Safety Plan can only be completed with negative test results.
    • A plan may be extended to assist in collecting negative tests, but plans may only be extended by four months and only when someone is actively engaged in treatment.
    • If a Driver Safety Plan expires before all requriements have been met, the entire process will need to begin again, starting with a new assessment. This means all fees, including the assessment fee, will have to be paid again.
    • Failure to provide samples, return phone calls, schedule testing, follow through on testing in a timely manner, or otherwise delaying testing will result in a noncompliance report being sent to the State of Wisconsin DOT. This will result in a loss of driving privileges until the noncompliance fees are paid and a negative test result is secured.
    • Additionally, ALL clients (those with any number of offenses) starting their Driver Safety Plans over due to lack of testing or positive biomarker test results will be denied driving privileges until a negative biomarker test is completed, at the client’s cost and request. However, this initial test does not replace any test described above.

    **Only tests performed at the Hope Council will be used for compliance with the Driver Safety Plan.**

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  • 2023 Intoxicated Driver Program Fees

    Assessment for Kenosha County Residents................. $300.00
    Non-Compliance Fee................................................... $75.00
      Applied when appointment is not made within 14 days of conviction or failed to complete Driver Safety Plan (DSP) within year’s timeframe or comply with recommendations of the DSP  
    Plan Extension............................................................ $100.00
      Request must be submitted by treatment provider 14 days prior to plan expiration and approved by Hope Council. Extension of up to 4 months may be granted in order to complete treatment  
    Alcohol and Other Drug Testing.................................. $200.00
     

    For those with 1 or 2 offenses, you are required to pay for at least 1 test upon completion of treatment or 6 mo., whichever is later.

    For those with 3+ offenses, you are required to pay the initial testing fee when you sign up for the program. During the DSP, there will be no fewer than 2 additional tests, which will cost up to $200 each.

     
    Returned Check.......................................................... $40.00
    Refund Processing Fee................................................ $25.00

     Rescheduling and Cancellation Policy*

    • There is a $100 fee for all assessment appointments canceled with less than 48 hour notice and for no-shows.
    • There is a $25 fee for all testing appointment no-shows.
    • An appointment is considered cancelled if you are more than 15 minutes late or if you are present but will not be seen due to the determination made by Hope Council staff.
    • All fees must be paid in full before an appointment can be rescheduled.

    These fees do not include Driver Safety Plan costs or re-instatement fees with the Department of Motor Vehicles and are subject to change without notice.

      POLICY ON ASSESSMENT APPOINTMENTS

    It is the policy of the Hope Council to refuse assessment services to those appearing for their appointments under the influence of any mood-altering substance not used as prescribed. Should the assessor suspect that you are under the influence of ANY mood-altering substance, your appointment will be considered cancelled, and you will be required to reschedule.*

    Your full attention is needed during the assessment, and ALL our clients deserve privacy. Therefore, NO ONE else, including children or infants, is allowed to wait in the lobby or be present during your assessment. Failure to adhere to this rule will require you to reschedule.*

     *See Rescheduling and Cancellation Policy listed above.

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  • Treatment Providers

    Important information regarding insurance: If you have health insurance, please contact your insurance company BEFORE your assessment/screening appointment to see what treatment providers your insurance will cover, in the event that treatment is deemed necessary through the assessment/screening findings. If you are deemed in need of treatment, you are REQUIRED to receive that treatment from a Wisconsin Statute 75-certified agency.

    Once the appointment has taken place, the treatment provider must be contacted within 3 business days from the assessment/screening. 

    Failure to contact the prov ider within 3 business days may result in noncompliance status/other sanctions.

     

    Preferred Treatment Providers:

    • Aalto Enhancement Center  8503 75th Street, Suite A, Kenosha, WI  (262) 654-9370
    • Agape Recovery Center 201 N. Pine Street Burlington, WI  (262) 767-0441
    • Interconnections S.C. 920 60th St. Kenosha, WI    (262) 654-5333
    • Oakwood Clinical Associates 4109 67th Street Kenosha, WI  &  24804 75th Street Salem, WI  (262) 652-9830 (both locations)

    • West Grove Clinic 1400 75th Street Kenosha, WI  262-909-6008

     

      Other Treatment Providers:

    • ASAP (Addiction Services & Pharmacotherapy) 3825 39th Ave. Kenosha, WI (262) 946-5752
    • Birds of a Feather 6530 Sheridan Rd. Ste. 3 Kenosha, WI (262) 605-8442
    • CleanSlate 7201 Green Bay Rd. D Kenosha, WI (262) 842-0149
    • Comprehensive Treatment Center 7991 Sheridan Rd. Kenosha, WI (855) 963-3228
    • PSG (Professional Services Group) 2108 63rd St. Kenosha, WI (262) 652-2406
    • Rogers Behavioral Health 9916 75th St. Suite 205 Kenosha, WI (262) 942-4000
    • Jon Christensen *Providing treatment for combat theater Veterans ONLY (414) 530-6575

     

    The Hope Council does not recommend or endorse any of the listed service providers. Inclusion on the “Preferred Treatment Providers” list means that the provider has agreed to collaborate and communicate with staff from the Hope Council, ensuring that this agency will receive timely communication regarding your progress. The provider also agrees to participate in best practice trainings and quarterly meetings and utilize best practices such as motivational interviewing and sensitivity to cultural diversity. Additionally, the provider has the ability to do both quick screen and lab-quantified levels of urine tests.

     You are responsible for interviewing and selecting a suitable provider or support group facilitator. Therefore, you must contact providers or group facilitators directly for relevant information such as insurance coverage.

     If you chose a provider who is not on the preferred list, YOU are responsible for ensuring the Hope Council receives monthly reports.

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