Section 29-2333. SERVICES AND SUPPORTS -- MINIMUM DATA REQUIREMENTS FOR INTAKE AND SCREENING

 

2333.1 To determine eligibility for substance abuse treatment, and to ensure compliance with §2332.1, an addiction counselor or trained paraprofessional shall collect intake/screening information from the individual as follows:

 

(a) Demographic information including but not limited to photo ID, primary language, name, age, address, living arrangements, social security number, race/ethnicity, source of referral, sex and sexual orientation, marital status, religion, education/training, employment status, emergency contact, military status, disability status, type of health insurance, and criminal justice involvement;

 

(b) The presenting problem including a statement of the circumstances or symptoms prompting the individual to seek services at this time;

 

(c) Existing personal support systems;

 

(d) Self-reported history of prior medical hospitalizations, substance abuse and psychiatric treatment episodes;

 

(e) Self-reported history of chronic medical problems affecting daily life, name and telephone number of primary care physician, and voluntary reporting of the status of HIV testing and results;

 

(f) Report of alcohol and/or drug consumption and quantity, type of drug, route of administration, and frequency in last 30 days;

 

(g) Record of prior treatment for emotional problems and current mental health status as observed and self-reported, particularly as it relates to current level of danger to self or others; and

 

(h) Diagnostic summary of interviewer’s impressions and observations.

 

 

source

Final Rulemaking published at 47 DCR 9341 (November 24, 2000), adopting Emergency and Proposed Rulemaking published at 47 DCR 7708, 7754 (September 22, 2000).