Get the free Substance Abuse Residential Facilities Data Collection Form - ncdhhs

This form is designed to collect data on the utilization and future needs of substance abuse residential services in North Carolina for reporting to the state Medical Facilities Plan.

How to fill out substance abuse residential facilities

How to fill out Substance Abuse Residential Facilities Data Collection Form

1. Gather necessary client information: Include the client's name, age, gender, and contact details.
2. Document referral source: Note how the client was referred to the facility.
3. Record substance use history: Include details about the substances used, frequency, and duration.
4. Assess clinical data: Fill out information regarding medical, psychological, and social factors affecting the client.
5. Note treatment goals: Specify the objectives the client aims to achieve through their stay.
6. Provide demographic information: Include details about the client's ethnicity, education, and employment status.
7. Complete financial information: Provide any necessary details regarding insurance or payment options.
8. Review for accuracy: Double-check all entries for correctness and completeness before submission.

Who needs Substance Abuse Residential Facilities Data Collection Form?

1. Substance Abuse Residential Facilities Data Collection Form is needed by treatment facilities to gather standardized information about clients.
2. Healthcare providers use it to assess the needs of clients and develop individualized treatment plans.
3. Regulatory and funding agencies require the form for compliance and monitoring purposes.
4. Researchers and policymakers may need the data for studies on substance abuse trends and treatment efficacy.

People Also Ask about

Is there a shortage of drug treatment facilities in the US?

Unfortunately, there is a shortage of inpatient drug/alcohol rehabs in many parts of the country. There is also a shortage of qualified therapists who are available to manage large client lists.

How many drug treatment courts are there in the US?

4,000 Drug Courts and Counting Since their inception in 1989, drug courts programs have expanded from serving just adults, to include juvenile drug treatment courts, DUI/DWI courts, family treatment courts, mental health courts, veterans treatment courts, tribal healing to wellness courts, and others.

How many mental health centers are there in the US?

As of 2023, there were 12,012 mental health treatment facilities in the U.S., of which 9,856 completed the N-SUMHSS* survey. Within those, 8,270 were outpatient facilities while 1,184 facilities were hospital inpatient facilities.

How many health centers are there in the US?

How to locate health centers. We fund about 1,400 health centers, which run more than 15,000 service sites. They are in all U.S. states, territories, and the District of Columbia. You can find them in cities, rural areas, and everywhere in between.

How many treatment centers are there in the US?

PERSONAL EXPERIENCE SCREENING QUESTIONNAIRE (PESQ) The PESQ includes a scale that measures the severity of the drinking problem, drug use history, select psychosocial problems, and response distortion tendencies.

What are the 5 forms of substance abuse?

In order for drugs to affect the brain, they must first be put into the body. For example, there are five methods of drug abuse that allow drugs to enter the body: swallowing, smoking, snorting, through suppositories, and injecting.

What type of data does the NSduh provide?

NSDUH reports on the prevalence, incidence, and patterns of illicit drug use and alcohol use among the civilian noninstitutionalized U.S. population aged 12 years and over. NSDUH also reports on substance use disorders, substance use treatment, mental health problems, and mental health care.

For pdfFiller’s FAQs

What is Substance Abuse Residential Facilities Data Collection Form?

The Substance Abuse Residential Facilities Data Collection Form is a standardized document used to gather essential data on residential treatment facilities that address substance abuse disorders.

Who is required to file Substance Abuse Residential Facilities Data Collection Form?

Operators of residential facilities providing treatment for substance use disorders are required to file the Substance Abuse Residential Facilities Data Collection Form.

How to fill out Substance Abuse Residential Facilities Data Collection Form?

To fill out the form, facility operators need to provide specific information about their operations, including demographics, treatment services offered, capacity, and outcomes, ensuring that all sections of the form are completed accurately.

What is the purpose of Substance Abuse Residential Facilities Data Collection Form?

The purpose of this form is to collect consistent, comprehensive data about residential treatment facilities to improve oversight, enhance service delivery, and inform policy and funding decisions.

What information must be reported on Substance Abuse Residential Facilities Data Collection Form?

The form requires reporting on facility characteristics, such as the number of beds, treatment modality, demographics of clients served, admission and discharge statistics, and outcome measures related to treatment effectiveness.