Chemical Health Assessments
What is involved?
A Chemical Health assessment, also known as a Rule 25 assessment, is the tool that chemical health assessors use to determine where an individuals’ use pattern places them on the continuum of dependency. This continuum is based on the DSM-V abuse and dependency criteria.
Many assessors will ask for collateral information. The assessor will need a signed release of information from the individual to talk to you about your observations. You will want to consult with your supervisor about the parameters of your role in this.
How does one get an appointment for a chemical health assessment?
If the individual has medical assistance, they will need to contact their county of residence for an assessment. If the individual has private insurance or a prepaid medical plan through the state of MN (PMAP), they will want to contact the telephone number on the back of their insurance card for a referral for an assessment. Many of the counties contract with the insurance companies, but it is best to check since there is normally no charge for an assessment if it is done with a network approved provider.
What is included in an assessment?
The assessor will complete an assessment with the following sections:
- Events that led up to need for assessment
- Prior chemical health treatment history
- Past and current chemical use patterns
- Behavior changes with chemical use
- Relationships – significant relationships, children
- Family relationships – past, present, siblings
- Recreational and social network
- Work and school history
- Legal history
- Mental health – past, present, hospitalizations, treatment, medications
- Abuse history – emotional, physical, sexual
- Medical issues – disabilities, hospitalizations, medications
- Independent living skills
How will this assessment help?
This information will be used to determine pathological signs of abuse and dependency, as well as treatment options that would best serve the individual.