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Assessing a Client’s Substance Use Mobile App

The Client's Substance Abuse Assessment is a thorough and detailed form that allows mental health professionals to evaluate habits of drug abuse, alcohol abuse, and other substance use disorders. This comprehensive assessment is a vital part of the screening process for evaluating and treating substance use disorders and putting together a viable treatment program that provides clients and practitioners alike with the best chances for success. This screening and assessment evaluates alcohol use, drug use, and other chemical dependency issues. By understanding the patterns of drug abuse and alcohol abuse that make up a substance use disorder, a therapist, practitioner, substance abuse professional, or treatment center is able to provide alcohol and drug treatment, and other addiction treatment while evaluating the mental health of clients. Past history of substance use disorders and substance abuse treatment (including inpatient treatment and outpatient treatment), and any environmental factors or mental health issues that can impact the success of a treatment program are more easily discovered using this assessment.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Assessing a Client’s Substance Use Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Client Name

  • Ico date

    Date of Assessment

  • Ico multiline

    Location/Circumstances of Assessment

  • Ico multiline

    Client's Reason for Seeking Assessment

  • Ico dropdown

    Gender

  • Ico dropdown

    Category of Drug

  • Ico date

    First Use (Estimate)?

  • Ico textbox

    Pattern of Use Over Time?

  • Ico textbox

    Frequency of use in past month?

  • Ico textbox

    Date/Amount of most recent use?

  • Ico checkbox

    Used in combination with other drug(s)

  • Ico multiline

    Details of use with other drug(s)

  • Ico multiline

    Therapists Notes

  • Ico checkbox

    Headaches

  • Ico checkbox

    Nausea

  • Ico checkbox

    Nosebleeds

  • Ico checkbox

    Tolerance

  • Ico checkbox

    Increased Appetite

  • Ico checkbox

    Vomiting

  • Ico checkbox

    Using to avoid withdrawal symptoms

  • Ico checkbox

    Rapid pulse rate

  • Ico checkbox

    Decreased heart rate

  • Ico checkbox

    Hand tremors

  • Ico checkbox

    Hangovers

  • Ico checkbox

    Blackouts

  • Ico checkbox

    Passing out/stupor

  • Ico checkbox

    Muscle aches/weakness

  • Ico checkbox

    Lacrimation/rhinorrhea

  • ...and More!

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