| (a) The juvenile must meet the current DSM criteria
for a substance use disorder in order to be eligible for admission
to a treatment program. An assessment process appropriate for the
target population, juvenile's age, developmental level, culture, and
gender shall be used to determine if the juvenile is eligible for
the treatment program.
(b) A provider shall conduct and document a comprehensive
psychosocial assessment with each client admitted to the treatment
program. Documentation shall reflect that the assessment process included
consideration of each of the following areas:
(1) presenting problems resulting in admission;
(2) alcohol and other drug use;
(3) psychiatric and substance use treatment;
(4) medical history and current health status, to include
an assessment of risk behaviors for tuberculosis, HIV, and other sexually
transmitted infections, as permitted by law;
(5) relationships with family;
(6) significant life events, including any trauma;
(7) social and leisure activities;
(8) education and vocational training;
(9) employment history;
(10) legal problems;
(11) mental/emotional functioning; and
(12) strengths and weaknesses.
(c) A comprehensive diagnostic impression, including
the client's problems, needs, and strengths, shall be prepared based
on the results of the assessment.
(d) If the assessment identifies a previously unidentified
mental health issue, the treatment program shall seek appropriate
mental health services.
(e) The assessment shall be signed by a QCC and filed
in the client record within seven calendar days of admission.
(f) The treatment program may accept an assessment
from an outside source if:
(1) the assessment meets the criteria set forth herein;
(2) the assessment was completed during the 30 days
preceding admission or is received directly from a treatment program
that is transferring the client; and
(3) a provider reviews the information with the client
and documents an update.
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