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Texas Department of State Health Services Professional Licensing and Certification Unit Licensed Chemical Dependency Counselor Intern Clinical Training Institution CTI Assessment Form In order to ensure that you are receiving appropriate training DSHS requires that each training site give this evaluation form to their interns to submit to DSHS. DSHS will use this evaluation to determine which Clinical Training Institutions are in need of assistance and/or training. Name of CTI site CTI Registration Address What type of supervision did you receive How often did you receive supervision Supervisor s evaluation a* Group Individual Did you achieve your supervision objectives Yes Both No b. Rate your supervisor s knowledge Excellent Good Average Poor c* Availability of training materials d. Supervisor s availability In your opinion did you receive quality training from this site Give examples Would you recommend this training site to others If no why Intern s name Date PRIVACY NOTIFICATION W....

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Iowa Code section 229.19. If the application for commitment is for a substance-related disorder, the court may appoint an attorney for you if legal representation is necessary to assist you in a meaningful presentation of evidence and you are unable to pay for an attorney. Iowa Code section 125.78.

Forensic evaluation refers to assessing an individual in a legal context. A forensic psychiatrist or psychologist has special forensic training and conducts a detailed review of a legal case. Services may include examining police reports and testifying in a court case.

The PESQ (Personal Experience Screening Questionnaire) is a 40-item substance abuse screening instrument to be used with 12 to 18 year olds. The PESQ includes a scale that measures the severity of the drinking problem, drug use history, select psychosocial problems, and response distortion tendencies.

Outline SUMMARY AND RECOMMENDATIONS. INTRODUCTION. OVERVIEW. SUBSTANCE USE. Type, frequency, and amount. History of prior substance use disorder, treatment. Route of administration. ... MENTAL HEALTH. Mental status examination. GENERAL MEDICAL. Physical examination and medical history. Laboratory tests. FAMILY HISTORY. SOCIAL HISTORY.

A chemical use assessment is a confidential evaluation process where a clinician (usually an alcohol and drug counselor, social worker, or mental health practitioner) will interview you on different aspects of your life and alcohol and drug use.

Q1: What is a Forensic Substance Abuse Assessment? A Forensic Substance Abuse Assessment is a court-ordered or attorney recommended forensic evaluation for a custody case that includes an in-depth Psycho-Social History, clinical assessment, and referral for possible treatment recommendations.

Our Services OWI 1st Offense Weekend Program (Double or Single Room)$425 - $700OWI 2nd Offense Weekend Program (Double or Single Room)$800 - $1,200Substance Use Disorder Assessment/Evaluation ( OWI and Non-OWI)$125

A substance abuse evaluation is when an addiction professional assesses whether a person has a drug or alcohol use problem or addiction. A therapist will assess their history of drug and alcohol use and determine their present level of abuse. A court-ordered evaluation aims to diagnose any substance use disorders.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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