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How to fill out the Adult Substance Use Assessment Addendum - Front Page online
The Adult Substance Use Assessment Addendum is an important document used in assessing and determining the needs of individuals seeking assistance for substance-related issues. This guide will provide you with clear and supportive instructions on how to complete the form online.
Follow the steps to effectively complete your assessment addendum.
- Press the ‘Get Form’ button to access the form and open it in your editor.
- Begin by reviewing the medical history section. Answer the questions by indicating how troubled you have been by any identified medical problems in the last 30 days using the provided scale.
- In the Employment/Support Status section, indicate whether you have a valid driver's license and whether you have an automobile available to you. Fill out the details regarding your longest full-time job, financial support contributions, and usual employment patterns.
- Complete the Alcohol/Drug Use section. For each type of substance listed, indicate your usage over the past 30 days and your lifetime. Specify the route of administration and provide any additional details regarding your treatment history.
- Fill out the Legal Status section by providing information about arrests and charges you have faced in your life. Indicate how many resulted in convictions and any current legal situations affecting you.
- Complete the Family/Social History section, indicating your satisfaction with your relationships and living arrangements. Include any relevant details about conflicts with family or friends.
- Provide information regarding your Mental Health, detailing any psychological or emotional issues you have faced over the past 30 days, and your need for treatment.
- Review all sections for accuracy and ensure that all required fields are filled out. Save your changes, and select options to download, print, or share the completed form as necessary.
Begin completing your Adult Substance Use Assessment Addendum online today.
The DSM-5 Level 2—Substance Use—Adult is an adapted version of the NIDA-Modified ASSIST. The 15-item measure is used to assess the pure domain of prescription medicine, and illicit substance use in adults age 18 and older. It is completed by the individual prior to a visit with the clinician.
Fill Adult Substance Use Assessment Addendum - Front Page
This portion of the Adult Comprehensive Assessment Manual contains instructions for completing the Assessment Addendums. It will not be necessary to. The purpose of the addendum is to fully capture current data regarding older adults and substance use disorder. Use motivational interviewing skills to develop discrepancy between any problems mentioned and the patient's assessment of whether addiction is a problem. A sample assessment form is included in a PDF that is linked to the Providers Clinical Support System (PCSS) website. These screening tools provide information to answer the questions ―Is there a substance abuse issue? What is the immediacy of the issue?
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