History of substance abuse
[DOC File]SUBSTANCE ABUSE HISTORY - Santa Barbara City College
https://info.5y1.org/history-of-substance-abuse_1_ea3d9e.html
Secondary Substance Route: Inhalation Injection Oral Smoking Other. Secondary Substance Frequency: No use last 30 days 1-3 times last 30 days 1-2 times per week 3-6 times per week Daily. Secondary Substance Age of First Use: Secondary Substance Date of Last Use: Comments: Other: Tertiary Substance: (if applicable, select one)
The History of Drug Abuse | Morningside Recovery in California
DRUG HISTORY QUESTIONNAIRE. DRUG CATEGORY (Includes nonmedical drug use) Note: Use card sort with drug category names to first determine which drugs have ever been used then ask for information for the drugs ever used Ever. Used. Circle. Yes or Noa Total. Years. Usedb Intravenous. Drug Use. NA=Not Applicable Year. Last. Used (e. g., 1998 ...
[DOC File]SOCIAL ASSESSMENT REPORT/SOCIAL HISTORY
https://info.5y1.org/history-of-substance-abuse_1_116fba.html
Oct 01, 2017 · Abuse/Neglect. Goal: Explore and resolve issues relating to history of abuse/neglect victimization. Share details of the abuse/neglect with therapist as able to do so. Learn about typical long term/residual effects of traumatic life experiences. Develop two strategies to help cope with stressful reminders/memories.
[DOC File]Drug History Questionnaire - Private University
https://info.5y1.org/history-of-substance-abuse_1_595344.html
Part I. Substance Abuse History. Ever Used? Ever a Problem? Age of 1st Use When last used? Alcohol Yes No Yes No. Barbiturates or Yes No Yes No. other sleeping pills Benzodiazapines Yes No Yes No (Valium, etc) Caffeine Yes No Yes No. Cocaine Yes No Yes No. Crack Yes No Yes No
[DOCX File]TREATMENT PLAN GOALS & OBJECTIVES
https://info.5y1.org/history-of-substance-abuse_1_fb6403.html
Jan 30, 2017 · History of overdose (including any history of witnessing an overdose): NA. History of physical problems associated with substance abuse, dependence, and other addictive behaviors: NA. Person’s Name (First MI Last): Record #: Substance Use/Addictive Behavior Service History. None Reported - If None Reported, skip to the next question
[DOC File]DRUG AND ALCOHOL QUESTIONNAIRE - clarkclipsonphd
https://info.5y1.org/history-of-substance-abuse_1_fe25e6.html
Substance abuse varies with age, gender, race, ethnicity, & SES. men 18-44 2x the rate of women. substance abuse rates much lower. rates by African Americans & Hispanic Americans for both sexes higher than Caucasians. Prevalence rate 17% - average lifetime prevalence
[DOC File]Substance Use / Addictive Behavior History Addendum
https://info.5y1.org/history-of-substance-abuse_1_cc4ca8.html
Title: SUBSTANCE ABUSE HISTORY Author: ASAP Last modified by: Lacey Johnson Peters Created Date: 5/22/2019 8:27:00 PM Company: SBCC Other titles: SUBSTANCE ABUSE HISTORY
[DOC File]Substance Abuse Outline - Psychology
https://info.5y1.org/history-of-substance-abuse_1_47eb39.html
“According to Ms. Smith, Jim has a long history of substance abuse and domestic violence.”) If you obtained documentation from a reliable professional source, which documents a specific aspect of a client’s history, you should cite the source of the information and use the language in the report rather than interpret the information.
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