Get the free Substance Abuse Treatment Referral Protocol for Pregnant - dmh mo

Substance Use Treatment Referral Protocol for Pregnant Women Under MO Healthier Managed Care PREGNANCY MONITORING PROTOCOL STEP 1: Pregnant Consumer Identified in dB Treatment Services* STEP 2: MO

How to fill out substance abuse treatment referral

How to fill out a substance abuse treatment referral:

1. Obtain the necessary referral form from the appropriate agency or organization. This may be provided by a healthcare professional, a treatment facility, or a government agency.
2. Begin by providing your personal information, including your name, date of birth, address, and contact information. This will help ensure that the referral is properly processed and that any necessary follow-up can be conducted.
3. Provide a detailed description of the individual who requires the substance abuse treatment referral. Include their name, age, and any relevant medical history or pre-existing conditions that may impact their treatment.
4. Indicate the reasons for referring the individual to substance abuse treatment. This could include a history of substance abuse, concerns about current substance use, or a recent incident that has prompted the need for intervention.
5. Specify the type of treatment referral being requested. This may include inpatient rehabilitation, outpatient counseling, detoxification services, or other specialized programs depending on the individual's needs.
6. Include any supporting documentation or relevant information that may assist in the referral process. This could involve medical records, previous treatment histories, or any relevant court or legal documents.
7. Sign and date the referral form, and ensure that all required fields have been completed accurately. Review the form for any errors or omissions before submitting it to the designated agency or organization.

Who needs a substance abuse treatment referral?

1. Individuals who are struggling with substance abuse and require professional intervention.
2. Individuals who have experienced adverse consequences due to their substance use and are in need of specialized treatment.
3. Those who have been recommended for substance abuse treatment by healthcare professionals, counselors, or other individuals involved in their care.
4. Individuals who have been mandated or court-ordered to undergo substance abuse treatment as part of a legal process or alternative to incarceration.
5. Family members, friends, or loved ones who are concerned about someone's substance abuse and believe that professional treatment is necessary for their well-being and recovery.

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