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

This document is used to collect data on the utilization of substance abuse residential services, including patient demographics and facility information, to inform future treatment service needs.

How to fill out data collection form for

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

1. Start by obtaining the Data Collection Form from the designated authority or facility.
2. Review the form to understand the sections and information required.
3. Fill in the facility information, including the name, address, and contact details.
4. Provide demographic information about the clients, such as age, gender, and ethnicity.
5. Document the substance abuse history of each client, including types of substances used and duration of use.
6. Include information on any previous treatment history and outcomes.
7. Specify the current treatment goals and any medication currently prescribed.
8. Review the completed form for accuracy and completeness before submission.

Who needs Data Collection Form for Substance Abuse Residential Facilities?

1. Substance abuse residential facilities must complete this form for regulatory compliance.
2. Funders or government agencies may require this data for reporting and funding purposes.
3. Healthcare providers may use the information to inform treatment planning.
4. Researchers studying substance abuse trends may need this data for analysis.

People Also Ask about

What is a form of substance abuse?

Substance use disorder, as a recognized medical brain disorder, refers to the use of illegal substances, such as marijuana, , , or methamphetamine. Or the misuse of legal substances, such as alcohol, nicotine, or prescription medicines.

What assessment tool is used for substance abuse?

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.

How is the data regarding national drug use statistics gathered?

Data are collected via in-person interviews conducted with a sample of individuals at their place of residence. Computer-assisted interviewing methods, including audio computer-assisted self-interviewing, are used to provide a private and confidential setting to complete the interview.

What is the best evidence-based practice for substance abuse?

Evidence-Based Treatment Methods Cognitive behavioral therapy (CBT). Contingency management (CM). Motivational enhancement therapy (MET), which is sometimes referred to as motivational interviewing (MI). Family behavior therapy (FBT). 12-Step facilitation therapy. Medications for substance use disorder.

What is SAMHSA's primary source of information?

The National Survey on Drug Use and Health (NSDUH) is the primary source of statistical information on the use of tobacco, alcohol, prescription psychotherapeutic drugs (pain relievers, tranquilizers, stimulants, and sedatives), and other substances (e.g., marijuana, ) by the U.S. civilian, noninstitutionalized

How does SAMHSA collect data?

SAMHSA collects data through multiple sources and surveys and provides access to public-use data files and documentation to support a better understanding of mental illness and substance use disorders in America.

What are the methods of data collection for mental health?

The most common techniques for data collection are individual semi-structured interviews, focus groups, document reviews, and participant observation. Strategies for analysis are usually inductive, based on principles of grounded theory or phenomenology.

Where does SAMHSA get its information?

SAMHSA collects data through multiple sources and surveys and provides access to public-use data files and documentation to support a better understanding of mental illness and substance use disorders in America.

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What is Data Collection Form for Substance Abuse Residential Facilities?

The Data Collection Form for Substance Abuse Residential Facilities is a standardized instrument used to gather essential data regarding the operation, services, and effectiveness of residential treatment programs for individuals suffering from substance abuse.

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

Substance abuse residential treatment facilities that receive state funding or are regulated by state health departments are typically required to file the Data Collection Form.

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

To fill out the Data Collection Form, facilities must provide accurate information regarding their services, patient demographics, treatment outcomes, and operational details. The form should be completed by authorized staff, ensuring all sections are filled out as per guidelines.

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

The purpose of the Data Collection Form is to collect comprehensive data that can be used for assessment, program evaluation, policy development, and improving service delivery in substance abuse treatment programs.

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

The information that must be reported includes details on the facility's demographics, types of services provided, treatment methodologies used, patient outcomes, duration of stay, and any follow-up services offered to individuals after treatment.