Enter the Number of Days the client has been treated for psychological or emotional problems in a hospital or out-patient setting.
Check Yes or No to record whether the client receives a pension for a psychiatric disability..

Check Yes or No to record whether the client has experienced episodes not directly related to substance abuse during the last 30 days or during the client’s lifetime.

Enter the Number of Days during the past 30 that the client has experienced these psychological or emotional problems and from the drop down menu, ask the client to rate the degree these episodes have troubled or bothered him or her.
From the drop down menu, ask the client to rate how important it is to receive treatment for these problems.

Check Yes or No to record whether the client is:

  • Obviously depressed or withdrawn,
  • Obviously hostile,
  • Obviously anxious or nervous.

Check Yes or No to record whether the client is having trouble with:

  • Reality testing, thought disorders, or paranoid thinking,
  • Comprehending, concentrating, or remembering,
  • Suicidal thoughts.
  • From the drop down menu, select to what degree the client needs Psychiatric or Psychological Treatment .
  • Rate 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 related to the client’s legal status in Comments.
  • Click on Save and continue to the Supplemental screen.

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