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REFERRING CSO ADATSA/Adult Assessment Referral DATE SECTION A. IDENTIFYING INFORMATION 1. CLIENT LAST NAME FIRST NAME MIDDLE NAME 2. DATE OF BIRTH 3. ACES CLIENT NUMBER 4. GENDER 5. SOCIAL SECURITY.

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The addiction assessment process is fairly straightforward. The doctor or clinician will have you fill out a standardized questionnaire asking about your current drug or alcohol use, treatment history, health history, patterns of behavior, symptoms, and the addiction effect has had on your life.

What is a Substance Use Evaluation? A Substance Use Evaluation, also known as a drug and alcohol evaluation, is a process that takes place between an individual and an addictions counselor. The goal of the process is to assess whether or not an individual's alcohol and/or drug use is a problem.

A thorough substance use assessment includes a detailed inventory of the type, amount, frequency, and consequences of the patient's substance use, their perception of their use, and readiness to change. Additionally, we review past medical and psychiatric history and assess for co-occurring psychiatric disorders.

These screening and assessment tools are commonly used: Psycheck (PDF 92 KB) Alcohol Use Disorders Identification Test (AUDIT) DASS 21 (Depression, Anxiety, Stress Scales)

Based on the assessment data, the major nursing diagnosis for substance abuse are: Risk for injury related to substance intoxication or withdrawal. Ineffective denial related to underlying fears and anxieties. Ineffective coping related to inadequate support system or coping skills.

National Institute on Drug Use Screening Tool (NIDA) The NIDA Quick Screen was developed from that study. The National Institute on Drug Abuse suggests NIDA as a screening tool for adults to determine if they may be at risk for substance abuse.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232