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Enter Toxicology Screen Data
On the
BH Substance Use Assessment
template, expand the
Toxicology Screen
panel.
Click
Yes
or
No
for
Toxicology screen completed
.
To enter detailed results, click the
Results, if available
field.
Click
Save & Close
to return to the
Comprehensive Assessment
template set.
Enter Toxicology Screen Data
NextGen® Adaptive Content Engine Help Enterprise 8.3.1
Document Tobacco Use on the Substance Use Assessment Exam
On the BH Substance Use Assessment Exam template, expand the Tobacco Use panel. Previously entered data fills the field next to: Has the individual ever used tobacco (nicotine). If required, click the Tobacco Usage link to add or modify this information. Enter the Age of first use. Click the field for Frequency of use to select an item from the list. Set the Date of last use. Select Smoking or Chewing for the Primary route of administration. Parent topic: Substance Use Assessment Exam
NextGen® Adaptive Content Engine Help Enterprise 8.3.1
Add Substance Use Data
The data recorded for the Alcohol and Drug Use/Abuse sections at the top of the Substance Use panel carry forward to NextGen® Adaptive Content Engine core templates and vice versa. If details have been entered for drug or alcohol use on the core NextGen® Adaptive Content Engine templates, that data populates under Primary, Secondary, etc. For privacy reasons, information entered on the Behavioral Health, Substance Use Assessment template does not carry forward to the core templates that hold this type of information. On the BH Substance Use Assessment template, if appropriate, place a check mark next to No addictive behavior reported on the panel header. Otherwise, expand the Substance Use panel. Under the Alcohol section, select No, Yes, or Formerly for Drinks alcohol. Enter an answer in the How many days in the past year have you had 5 or more drinks in a day field. Under Drug Use/Abuse, select No, Yes, or Formerly for Uses drugs. Enter the Primary, Secondary, Tertiary drugs. To ente
NextGen® Adaptive Content Engine Help Enterprise 8.3.1
Document Impact of Substance Use/Addictive Behaviors of Life Areas
On the BH Substance Use Assessment template, expand the Impact of Substance Use/Addictive Behaviors of Life Areas panel. Under the Life area section, click Yes or No for Vocational/educational employment. To enter additional information, click the If yes, please describe field. Click Yes or No for Interpersonal/family relationships and enter an explanation in the associated field. Click Yes or No for Usual per group and/or environments and type an explanation in the associated field. Click Yes or No for Mental health and enter additional details in the associated field. In Life areas, click Yes or No for the following items: Legal, Medical/physical, Housing, Behavioral condition(s) Other functional impairments Enter an answer in the What recovery environment features serve as a resource or obstacle to recovery, including family members' use of alcohol or other substances field. Click the Degree of addiction severity field to enter data. Document the Recommendation for level of care. Pa
NextGen® Adaptive Content Engine Help Enterprise 8.3.1
Enter Chemical Use/Abuse History
On the BH Substance Use Assessment, expand the Chemical Use/Abuse History panel. Click the Describe progression of use/relapse history field to free text or use voice recognition software to detail the client's historical information, including any attempts to abstain from drug use, reason for relapse, prior periods of sustained recovery and how that recovery period was sustained. Enter the Number of times stopped. Enter the Longest period of abstinence. Click the Tolerance/potential for withdrawal field to type related information. To enter additional information, click the Attempts to stop or control field. Parent topic: Substance Use Assessment Exam
NextGen® Adaptive Content Engine Help Enterprise 8.3.1
Substance Use Assessment Exam
BH Substance Use Assessment is a template on which a clinician or nurse can gather information about a client’s substance use history and how an addiction might negatively impact the client’s life. The information gathered on this template is configured to appear on whatever document is generated. It is one of just a few templates that launches with all but the top panel collapsed. This was done to make it easier find and use the appropriate panel. The recommended workflow is to expand a panel to document the information and collapse it when that section is complete. This template is launched from a Substance use link found on the Substance Use/Addictive Behavior panel. This link is also available on many templates throughout the Behavioral Health template set. Enter Chemical Use/Abuse History Add Substance Use Data Document Tobacco Use on the Substance Use Assessment Exam Add Gambling Information Document Impact of Substance Use/Addictive Behaviors of Life Areas Enter Toxicology Scree
NextGen® Adaptive Content Engine Help Enterprise 8.3.1
BH Hx Section Tab Overview
The Behavioral Health History (Bh Hx) section tab enables you to document the client's mental health history, substance use, risk assessment and to complete various screening tools. From this tab, users have access to the Past Medical History, Substance Use Assessment Exam, Social History - Tobacco, and Mental Status Exam templates. Enter Psychiatric Illness History Data Record Substance Use and Addictive Behavior Histories Substance Use Assessment Exam Document Mental Health and Addiction Treatment Service Histories Medication Information Panel Mental Status Evaluation Panel Record a Risk Assessment Enter Risk and Alert Histories Complete Behavioral Health Screenings on the Screening Tools Panel Parent topic: Comprehensive Assessment Template Set
