R523-4-6. Standards for Substance Use and Mental Health Disorder Screening and Assessment

  (1) All adults shall complete a mental health/substance use disorder screen using an instrument(s) that has been evaluated and found reliable and valid by the scientific community.

  (2) If the screening indicates a low probability for a substance use disorder or mental illness, the screening agency may recommend participation in an educational series.

  (3) An assessment shall be completed if the screening indicates a need for further assessment for potential substance use and/or mental health disorders.

  (4) An assessment shall be conducted prior to admission to a clinical treatment level of care.

  (5) An initial assessments shall:

  (a) Determine the adult's eligibility for treatment, provide the basis for a treatment plan, and establish a baseline measure for use in evaluating a patient's response to treatment.

  (b) Identify comorbid medical and psychiatric conditions and diagnosis and to determine how, when and where they will be addressed;

  (c) Identify communicable diseases and address them as needed;

  (d) Evaluate the adult's level of physical, psychological and social functioning or impairment;

  (e) Assess the adult's access to social supports, family, friends, employment, housing, finances and legal problems; and

  (f) Determine the adult's readiness to participate in treatment.

  (6) Substance use disorder assessments shall address:

  (a) Risk of acute psychosis, intoxication/withdrawal;

  (b) Biomedical conditions or complications;

  (c) Emotional, behavioral, or cognitive conditions;

  (d) Readiness to change;

  (e) Relapse, continued use or continued problem potential; and

  (f) Recovery environment.

  (7) Individuals in need of treatment shall only be referred to agencies that are justice certified.