Substance Use IOP / PHP Screening

Is the patient’s use or abuse of drugs and/or alcohol causing them moderate to severe impairment?
Are there medical, addictive, or psychiatric comorbidities? (e.g. Severe/chronic medical conditions, use/abuse of addictive drugs/substances, more than one mental health diagnosis).
Does the patient meet moderate of severe criteria for self-harm or suicidal ideation?
Is the patient moderately or severely impaired in their daily functioning? (e.g. Symptoms inhibit the patient's ability to fully and completely function in their home, work, school, or other daily environment).
Does that patient experience elevated risk factors for continued use or relapse? (e.g. Addiction, Serious disruption, conflict, or abuse in the family of social milieu; Overwhelming demands or stress; exposure to risk factors such as excessive drug or alcohol use; Housing, financial, or other temporal instability).
Three "Yes" Responses indicate that the client/patient should be referred to the IOP or PHP Program. Discuss with the client/patient and inform them that they meet criteria to be assessed for a higher level of care and document the medical necessity for the referral in the intake note.