440 IAC 10-4-21
440 IAC 10-4-21 Substance abuse assessment
Cite as Ind. Admin. Code tit. 440, r. 10-4-21
Sec. 21. (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.