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NIDA — Modified ASSIST. Name Date (mm/dd/YYY) 1. In your LIFETIME, which of the following substances have you ever used? YES
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How to fill out NIDA - Modified ASSIST:

01
Begin by gathering all the necessary information. This includes the individual's personal details such as name, date of birth, and contact information.
02
Familiarize yourself with the NIDA - Modified ASSIST form. Take note of the various sections and questions it contains.
03
Start filling out the form by answering each question accurately and honestly. Provide the required information about the individual's substance use, including the types of substances, frequency of use, and any related problems or consequences.
04
Pay attention to the scoring system provided in the form. This will help determine the level of risk associated with the individual's substance use.
05
Use additional sections of the form to provide more detailed information if needed. These sections may cover areas such as medical history, mental health, and treatment history.
06
Make sure to review the completed form before submitting it. Double-check for any errors or missing information that may affect the accuracy of the assessment.
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Finally, sign and date the form to validate it.

Who needs NIDA - Modified ASSIST:

01
Individuals looking to assess their substance use: The NIDA - Modified ASSIST is designed for individuals who want to evaluate their own substance use patterns and potential risks.
02
Healthcare professionals: Doctors, nurses, and other healthcare providers can use the NIDA - Modified ASSIST to assess patients' substance use and determine appropriate interventions or treatments.
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Researchers and policymakers: The NIDA - Modified ASSIST is also valuable for collecting data on substance use patterns and trends, aiding in research efforts and informing policy decisions related to substance abuse.
Note: It is important to consult the specific guidelines or instructions provided with the NIDA - Modified ASSIST form for accurate and detailed information on how to fill it out.
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NIDA-Modified Assist is a modified version of the Addiction Severity Index (ASI) designed to assess substance abuse and related problems.
Drug and alcohol treatment providers are required to file NIDA-Modified Assist as part of their assessment process.
NIDA-Modified Assist is typically filled out by a trained professional during an intake assessment with an individual seeking substance abuse treatment.
The purpose of NIDA-Modified Assist is to gather information on substance abuse, related problems, treatment history, and relevant demographics to help guide treatment planning.
Information reported on NIDA-Modified Assist includes substance abuse history, medical history, psychiatric history, legal history, and social history.
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