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North Carolina Board of Nursing
INTERVENTION PROGRAM
This form is to be used only for reporting random or preemployment drug screens positive
for illicit substances. An illicit substance is defined
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How to fill out illicit drug program

How to fill out an illicit drug program:
01
Begin by gathering the necessary information and forms. Typically, you will need to provide personal details such as your name, address, contact information, and date of birth. You may also need to provide information regarding your substance abuse history, treatment experiences, and any legal issues related to drug use.
02
Read through the program requirements and guidelines carefully. Make sure you understand the purpose of the program, the expected outcomes, and the steps involved in completing it. If you have any questions, don't hesitate to reach out to the program coordinator or responsible authority for clarification.
03
Complete any assessment or screening forms provided by the program. These forms help determine your level of substance abuse and any underlying mental health issues that may need to be addressed. Honesty is crucial during this process as it will help tailor the program to your specific needs.
04
Participate in an intake or admission interview. This is usually conducted by a program staff member who will ask you questions about your drug use, treatment history, and expectations for the program. The interview is an opportunity for both parties to assess if the program is a suitable fit for you.
05
Develop an individualized treatment plan. Based on the results of your assessment, the program staff will work with you to create a personalized plan that addresses your specific needs and goals. This plan may include various interventions such as counseling, group therapy, medical assistance, and educational workshops.
06
Attend the scheduled sessions and activities outlined in your treatment plan. It's essential to be punctual and committed to actively participating in the program. Take advantage of the resources and support available to you, including individual counseling sessions and group therapy sessions.
07
Stay engaged in the program and follow its guidelines. This may include regular drug tests to monitor your progress, refraining from the use of illicit substances, complying with program rules, and maintaining open communication with your treatment team.
Who needs an illicit drug program?
01
Individuals struggling with substance abuse disorders or drug addiction.
02
Individuals who have experienced negative consequences due to drug use, such as legal issues, damaged relationships, or decline in physical and mental health.
03
People who have difficulty quitting drug use on their own and need professional help to overcome their addiction.
04
Family members or loved ones seeking support and guidance on how to assist someone with a drug problem.
05
Law enforcement or court-mandated individuals who are required to complete a drug program as part of their legal obligations.
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What is illicit drug program?
Illicit drug program is a program designed to monitor and prevent substance abuse in the workplace.
Who is required to file illicit drug program?
Employers who are subject to federal regulations or requirements are required to file an illicit drug program.
How to fill out illicit drug program?
Illicit drug program can be filled out by including information about the company's drug testing policy, procedures, and results.
What is the purpose of illicit drug program?
The purpose of illicit drug program is to create a safe and drug-free work environment, protect employees and prevent substance abuse.
What information must be reported on illicit drug program?
Information such as drug testing policies, results, and employee education programs must be reported on illicit drug program.
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