Get Adat Health Screening Form

Completing the Adat Health Screening Form online can be a straightforward process. This guide provides you with detailed steps to ensure you fill out each section accurately and efficiently.

Follow the steps to complete the form with ease.

1. Click ‘Get Form’ button to access and open the Adat Health Screening Form in your preferred online editor.
2. Begin by filling out the client's personal information. This includes the name of the client and the date of the report. Ensure to provide accurate details, as this information is essential for proper assessment.
3. In the 'Counselor' section, input the name of the counselor working with the client. This supports continuity in care and communication.
4. Next, complete the 'Program #' section with the relevant program number associated with the client. If you are unsure, consult with your program administrator.
5. Proceed to section I. Describe the client's strengths and needs, addressing each area: Acute intoxication and withdrawal needs, medical/psychiatric needs, emotional/behavioral needs, treatment readiness, relapse potential, recovery environment/supports, and barriers/resources. Be as detailed and specific as possible in your descriptions.
6. In section II, answer whether the client has had previous treatment. If yes, provide details such as the date and type of treatment attended, its outcome, and the client's preferences.
7. Section III asks about the client's substance use patterns over the past 12 months. Indicate the quantity/frequency and whether the pattern has remained about the same, improved, or deteriorated.
8. Section IV pertains to gambling issues. Indicate if there is evidence of problem gambling and describe the related patterns and the client's wishes to proceed.
9. In section V, if there are any other clinical issues that may affect treatment goals, outline them clearly in the provided space.
10. Section VI is for assessing the impact of substance abuse on various life areas (family, dependents, accommodation, work, school, leisure, legal, health). Provide detailed insights regarding the severity of impacts in each category.
11. In section VII, estimate the level of therapeutic structure required for the client to meet identified goals. Consider aspects like weekly appointments or residential support.
12. Section VIII addresses any acute or unmanaged medical issues that could interfere with referrals. If applicable, describe the issues.
13. In section IX, evaluate if the client requires withdrawal management services, stabilization, medical/psychiatric services, or residential support by marking yes or no and providing specifics when necessary.
14. Finally, after completing all sections, review the form for accuracy. You can then save changes, download, print, or share the form as needed.

Complete your Adat Health Screening Form online today for an efficient and thorough process.