The chart at the top of the Drug/Alcohol screen records the client’s use of intoxicating substances.

The first column lists the names of the substances and the degree of their use. They are: Alcohol – Any use at all?; Alcohol – To intoxication; Heroin; Methadone; Other opiates/Analgesics; Barbiturates; Other Sedatives/Hypnotics/Tranquilizers; Cocaine; Amphetamines; Cannabis; Hallucinogens; Inhalants; More than one substance per day.

The second column asks the counselor to record the Number of Days the client used the substance in the past 30 days.

The third column asks the counselor to recall the Number of Years the client used the substance over his or her lifetime.

The fourth columns asks the counselor to record the Route of Admission the client used to ingest the substance. From the drop down menu, select how the client ingested the substance. If the client has not used a particular substance, leave the menu as Select.

  • Beneath the chart, enter the Name of the Substance that causes the major problem for the client.
  • Next to this, record the longest Length of Time the client was able to remain abstinent from this substance.
  • Enter in Number of Months how long ago this abstinence ended.
  • Record the Number of Times the client experienced alcohol d.t.‘s or experienced a Drug overdose.
  • Record the Number of Times the client was treated for Alcohol Abuse and/or Drug Abuse.
  • Directly underneath these entries, record How many times these treatments were for Detox only for Alcohol and/or Drugs.
  • Enter the Number of Dollars the patients recalls spending on Alcohol and Drugs during the past 30 days.
  • Enter the Number of Days the client was treated at an Outpatient Facility during the last 30 days.
  • Enter the Number of Days the client reports having problems with Alcohol Problems or Drug Problems during the last 30 days.
  • From the drop down menu, choose the degree to which the client has been troubled during the last 30 days by Alcohol and/or Drug.
  • From the drop down menu, choose how important the client considers treatment for Alcohol Abuse and Drug Abuse
  • From the individual drop down menus, rate the urgency of the client’s need for treatment for Alcohol Abuse and Drug Abuse
  • The counselor rates the accuracy of the information on this screen based on an assessment of the client’s veracity and ability to understand the questions.
  • Record any additional information in the Comments box.
  • Click Save and the Legal Screen will display.ASI – Legal →

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