Section 440IAC10-4-21. Substance abuse assessment

Latest version.

(a) A comprehensive substance abuse assessment shall be:

(1) conducted with each admitted patient; and

(2) documented in the patient's record.

(b) The substance abuse assessment shall include, but not be limited to, the following:

(1) Completion of a comprehensive substance abuse assessment using a standardized instrument as required in section 6(g)(1) of this rule that indicates the following:

(A) The level of addiction.

(B) The level of care needs.

(C) The intensity of services needed for a patient's recovery.

(2) Completion of a biopsychosocial history, including documentation of other treatment that the patient is currently receiving.

(Division of Mental Health and Addiction; 440 IAC 10-4-21; filed Dec 30, 2009, 2:00 p.m.: 20100127-IR-440080412FRA; readopted filed May 10, 2016, 11:24 a.m.: 20160608-IR-440160134RFA)

                    
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