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  • Abuser Intervention Program Contract

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  • A requirement for participation in the program includes talking about my violence and accepting full responsibility. In the event I deny having been violent, SARC shall have no choice but to refer me back to court and/or terminate my participation in the program.

  • I acknowledge that SARC will contact the victim to obtain a history of abuse. S/he will be provided with the name of the Clinical Director. S/he will also be informed of my suspension, termination, and/or completion of my involvement with SARC.

  • I acknowledge that during group discussion, I may not blame anyone else for my own behavior. 

  • I agree not to be violent with any person during my participation in the SARC Abuser Intervention Program.

  • I agree to be weapon free while on SARC property or attending SARC meetings.

  • I agree not to use language or make comments that are inappropriate in nature during group and during any interaction with SARC staff and volunteers. This includes comments that are violent or sexual in nature and sexist/racial slurs.

  • I agree not to be disruptive or uncooperative. This includes use of cell phones during group. I acknowledge that disruption to the group may result in dismissal from the group, which will count as an absence.

  • I acknowledge that in order to successfully complete the program I must attend a total of 32 group sessions in their entirety, and understand that I will be assigned a group session to attend once per week for 90 minutes per session.

  • I acknowledge that I am required to be on time for group. Should I be more than 10 minutes late, I will not receive credit for the session, and must use an audit or an absence. 

  • I agree to bring my manual to every group. I acknowledge that should I not bring this book, I will not receive credit for the session, and must use an audit or an absence.

  • I acknowledge that should my balance exceed $50.00, I will not receive credit for the group session, and will have to use an audit or an absence until I pay my balance to $50.00 or below.

  • I acknowledge that I am allowed two (2) audited sessions total throughout my time in AIP. An audited group is not considered an absence or as one of my completed groups, but indicates I was present for group. I understand I may audit a group for the following reasons: balance exceeding $50, not bringing the manual to group, being more than 10 minutes late for group. I acknowledge that I may also choose not to audit that particular group and count that session as an absence. Should I be unable to resolve my reason for auditing sessions by the 2nd cumulative audited session, it will be counted as an absence, as will any further infractions.

  • I acknowledge that I am allowed six (6) absences from the program. After the 6th absence I shall be terminated if I am absent again for any reason.

  • I acknowledge that the only circumstance for an excused absence from group is documentation of my hospitalization on the date of the missed group. This documentation must be provided at the next group I attend. If documentation is not provided at the next group I attend, the missed group will count as an absence.

  • I agree to do all assignments in order to receive credit for the session. Should I fail to complete more than 4 assignments, I will be terminated from the AIP program for non-compliance.

  • I acknowledge that any violations of Conditions of Probation or any Court Orders are grounds for termination and referral back to the Court.

  • I acknowledge that I must notify SARC of any further police contact, service of a new protective order, or any new pending charges. This will result in the suspension of my participation until case conclusion or three (3) months. After that time, I will be terminated from the program if complaint is founded or continues to be unresolved. I acknowledge that should any of the above occur, I am responsible for notifying, or having Parole and Probation notify, AIP staff of these items or my incarceration. I understand that my status will not be suspended until this notification occurs.

  • I acknowledge that my group facilitators or other SARC staff will report information regarding my participation in the program or reported acts of violence to the Court.

  • I acknowledge that if I am under the influence of alcohol/drugs, I will be asked to leave the premises and that session will be counted as an absence.

  • If recommended, I agree to obtain a chemical dependency evaluation and follow any recommendations.

  • I acknowledge that SARC uses a sliding fee scale, based on my income, to determine how much I will pay for each group session. I understand that if I do not provide documentation of income at the time of my intake, I will be charged the full amount for group until I produce documentation of income.

  • I agree to pay my fee per group session. SARC will not accept personal checks, but will accept cash or money orders once face to face groups resume. During COVID-19 payments must be made with credit/debit cards via PayPal 24 hours before group sessions.

  • I acknowledge that I will make payments at the time of group with my group facilitator. Should my balance become delinquent, I will make payments with my group facilitator or send a Money Order via U.S. Mail made out to SARC, Inc to P.O. Box 1207, Bel Air, MD 21014.

  • I understand I may submit fee payment for groups via the PayPal link on SARC’s website at https://www.sarc-maryland.org/abuser-intervention/ provided the following conditions are met: payment must be submitted at least 24 hours prior to the group start time, payment must be made from a debit or credit card in my name. If attending group in person, I must provide proof of payment via digital or printed receipt. For virtual groups, no visual proof of payment is required.

  • I understand all fees are non-refundable. I agree not to cancel PayPal payments or request chargebacks at any time.

  • I acknowledge that I am financially obligated to pay for every group session whether or not I attend.

  • I acknowledge that I must pay my full balance within two weeks of the date of my final group session or I will be terminated from the AIP program with an incompletion. I acknowledge that I will not be considered to have completed the program and will not receive a completion letter unless my balance is paid in full by two weeks after my final group.

  • I acknowledge that I must complete the DVI Post-Test during my final group.

  • I acknowledge it is my responsibility to contact SARC’s Group Announcements line at 443-371-3470 prior to my scheduled session to determine if the group will be held. I understand that an announcement that group is cancelled may be made on this line up to 15 minutes prior to start time of group.

  • I acknowledge that my group sessions will follow SARC’s holiday schedule. I acknowledge receipt of SARC’s holiday schedule.

  • If I move, I agree to notify SARC of any change of address and telephone number immediately.

  • I acknowledge that group facilitators, SARC staff and SARC volunteers are legally required to report suspected child abuse/neglect, elder/vulnerable adult abuse/neglect, and homicidal or suicidal threats to the proper authorities.

  • I acknowledge that I may only change the day or time of my weekly group session one time. If I want to change the day or time on additional occasions, I must provide documentation of changed work schedule and the change must be approved by the Clinical Director.

  • I acknowledge that no exceptions to this contract shall be made by the group facilitators or any other SARC employee.

  • I have read this contract, or it has been read to me, and I agree to abide by the requirements of SARC’s Abuser Intervention Program.

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  • Refusal

    Having read and discussed the Abuser Intervention Program Contract, I have decided not to enter the Abuser Intervention Program. I understand that any referring court/agency will be notified of my decision.

  • Clear
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  • Should be Empty: