Oregon Administrative Rules
Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES
Division 57 - STANDARDS FOR DEPARTMENT OF CORRECTIONS PRISON-BASED ALCOHOL AND OTHER DRUGS TREATMENT PROGRAMS
Section 415-057-0060 - Comprehensive Diagnostic Assessment
Universal Citation: OR Admin Rules 415-057-0060
Current through Register Vol. 63, No. 9, September 1, 2024
(1) Written Procedure: The program will develop and implement a written procedure for assessing each client's treatment needs that includes collection and assessing data obtained through interview, observation, testing, and review of previous treatment or other written records.
(2) Assessment: The diagnostic assessment will be documented in the permanent client record. The assessment will include:
(a) Clinical
formulation of presenting problems; the six dimensions of the ASAM PPC 2-R;
important biological, psychological and social factors; medical and trauma
history; clinical events and course of substance use or mental illness
including onset, duration and severity of presenting concerns; consumer or
family expectations for recovery; justification for treatment services and
prognosis; current medication regime; and data to support a DSM Five-axis
Diagnosis;
(b) A Criminal Risk
Factor Assessment and the individual Oregon Corrections Plan;
(c) Documentation of the client's
self-identified cultural background, including level of acculturation,
knowledge of own culture, primary language, spiritual or religious interests,
and cultural attitude about Alcohol and Other Drugs use;
(d) The date of the assessment;
(e) The signature, signature date, and
credentials of the program staff member completing the assessment;
and
(f) If Alcohol and Other Drugs
treatment is not appropriate or contraindicated, include a written statement
justifying the determination.
Stat. Auth.: ORS 413.042, 409.410 & 409.420
Stats. Implemented: ORS 430.240 - 430.640, 430.850 - 430.955, 813.010 - 813.052 & 813.200 - 813.270
Disclaimer: These regulations may not be the most recent version. Oregon may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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