Substance Use Assessment — Nonclinical and Clinical Services
Purpose of the Assessment
Assessment Central Purpose
The central purpose of the substance use assessment is to determine the patient's need for treatment and level of care required.
7-Day Review Window
7-Day Review
ADAPT program managers conduct required reviews of medical records and all documentation within seven calendar days of notification to determine:
- Diagnosis
- Treatment planning
- Delivery of substance use services
Two Service Types
Two Service Types
Substance use treatment is divided into two services:
- Nonclinical
- Clinical
Nonclinical Services
Nonclinical Eligibility
Members who do NOT meet diagnostic criteria for a substance use disorder will receive targeted prevention and education services tailored to the individual based on a thorough assessment and determination of risk.
Follow-Up
Follow-up appointments and review will be conducted to reassess the need for continued services.
Additional Counseling
Additional counseling addressing bio-psychosocial issues identified in the assessment may be prescribed.
Length of Involvement
Length Determined
Length of involvement will be determined based on the patient's presenting problems and agreed-upon services or behavioral contract.
Separation Process
Separation Care
Individuals being processed for separation are provided appropriate medical care (including but not limited to detoxification) prior to separation.
ADAPT Doesn't Postpone
Separation action is NOT postponed because of a member's participation in ADAPT.
Clinical Services
Clinical Eligibility
Those who meet the diagnostic criteria for a substance use disorder will be entered into substance use treatment with the level and intensity of care determined by the ADAPT program manager.
Variable Treatment Settings
Depending on the member's needs, variable lengths of stay or duration of treatment are provided within an array of treatment settings that reflect a multidisciplinary approach to assist the patient to achieve full recovery, free of the negative effects of substance use.
Detoxification Setting
Outpatient Preferred
To the greatest extent possible, patient detoxification will be managed on an outpatient basis.
Inpatient When Required
Individuals assessed as requiring medically managed (inpatient) detoxification will be entered into an appropriate medical facility.
Family Involvement
Family Involvement
Family involvement is strongly encouraged.
Abstinence and Self-Help
Abstain During Treatment
Individuals diagnosed with a substance use disorder will refrain from the use of alcohol during the initial phase of treatment and are strongly encouraged to continue to abstain during aftercare.
Self-Help Encouraged
Involvement in self-help recovery groups is encouraged as an adjunct to treatment.
Frequency of Self-Help Attendance
Frequency Determined
The frequency of attendance is determined by the treatment team with the patient.