Substance Use Assessment Exam

NextGen® Adaptive Content Engine Help Enterprise 8

Record Substance Use and Addictive Behavior Histories

On the Substance Use/Addictive Behavior History panel, select the None reported check box if the client denies substance use or addictive behavior. Select one or more of the addictions options reported by the client. Use the Other field can be selected to type an historical issue that is not available on the panel in the associated field. Select the client's response for Drinks alcohol. Click the Tobacco Usage link to enter the client's tobacco use. If any of the addiction options apply and a more in-depth evaluation is required, click the Substance Use link to enter more details. The BH Substance Use Assessment template launches. Enter Tobacco Usage Parent topic: BH Hx Section Tab Overview

NextGen® Adaptive Content Engine Help Enterprise 8

Document Mental Health and Addiction Treatment Service Histories

On the Mental Health and Addiction Treatment Service History panel, do one of the following: Place a check mark for None reported. In the Treatment services history within the past five years section, enter as much information acquired from the client in the fields. Type of service is the only required field in this section. Click Add. In the Outpatient section, select Not applicable or enter the Age at time of initially seeking outpatient treatment services. Enter the Total number of lifetime outpatient treatment experiences. In the Inpatient section, select Not applicable or enter the Age at time of initial inpatient treatment. Click the Total number of lifetime inpatient treatment experiences field to enter a value. In the Er/detox section, select Not applicable or enter the Total number of er visits in the last 6 months. Enter the Number of non detox hospital days in the past 6 months and select a reason. Medical Psychiatric Both Click the Number of days the client has been in drug

NextGen® Adaptive Content Engine Help Enterprise 8

Complete Behavioral Health Screenings on the Screening Tools Panel

On the Bh Hx section tab for the Comp Assess, navigate to the Screening Tools panel. On the Screening Tools panel, click on any link to launch the associated inquiry: Geriatric Depression Scale (GDS) Major Depression Inventory (MDI-10) Patient Health Questionnaire (PHQ- 2) Note: Skinner, Harvey A. The Drug Abuse Screening Test. Addictive Behavior. 1982, 7, 363-371. Yudko E., Lozhkina O. & Fouts A. A comprehensive review of the psychometric properties of the Drug Abuse Screening Test. Journal of Substance Abuse Treatment. 2007, 32, 189-198 Select No or Yes to the question: Was any evidence-based screening tool(s), for either mental health or substance use, utilized. In the If yes, please specify field, click to enter details about which tests have been given to this client. Parent topic: BH Hx Section Tab Overview

NextGen® Adaptive Content Engine Help Enterprise 8

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

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

NextGen® Adaptive Content Engine Help Enterprise 8

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

Substance Use Assessment Exam

Recommendations

Record Substance Use and Addictive Behavior Histories

Document Mental Health and Addiction Treatment Service Histories

Complete Behavioral Health Screenings on the Screening Tools Panel

Document Impact of Substance Use/Addictive Behaviors of Life Areas

BH Hx Section Tab Overview

Add Substance Use Data

Record Substance Use and Addictive Behavior Histories

Document Mental Health and Addiction Treatment Service Histories

Complete Behavioral Health Screenings on the Screening Tools Panel

Document Impact of Substance Use/Addictive Behaviors of Life Areas

BH Hx Section Tab Overview

Add Substance Use Data