Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0054 - Substance Abuse › Chapter 4 - DESCRIPTION OF SERVICES AND REQUIREMENTS FOR SUBSTANCE ABUSE SERVICES › Section 4-6 - Screening and Assessment

Current through July 13, 2024
The following instruments and protocols shall be used when
				  conducting a comprehensive assessment of addiction severity, determining
				  diagnosis, and setting the stage for appropriate placement of clients into
				  treatment for alcohol and other drug addiction. A program may choose to use
				  other instruments in addition to those set forth in these rules.
(a) A program shall, at a minimum, complete a
				nationally recognized withdrawal assessment tool such as the Clinical Institute
				Withdrawal Assessment (CIWA-R) for alcohol for screening clients at risk of
				experiencing withdrawal symptoms, if indicated. The results of this instrument
				will indicate if the client needs to be referred for detoxification
				services.
(b) A program serving
				adults shall utilize the ASI or such other assessment tool as may be designated
				by the Division following input from a committee process involving publically
				funded and privately unfunded providers from the field and consumers, as well
				as comprehensive information regarding the client's bio-psychosocial spiritual
				needs in the assessment of the client. An assessment tool with content that
				meets or exceeds the content of the ASI may be used upon approval of the
				Division. Assessments can only be completed by a qualified clinical staff
				person who is credentialed through the Wyoming Mental Health Professions
				Licensing Board established under the provisions of W.S. §
									
										33-38-101,
et seq
., a
				psychologist who is licensed to practice psychology, pursuant to W.S. §
									
										33-27-113(a)(v), a Licensed
				Physician by the Wyoming State Board of Medicine, and a Wyoming Advanced
				Psychiatric Nurse. The approved assessment tool shall be disseminated to all
				certified treatment programs by the Division.
(c) A program serving adolescents shall
				utilize an assessment tool at a Minimum, which includes the following domains:
				medical, criminal, substance use, family, psychiatric, developmental, academic,
				and intellectual capacity; physical and sexual abuse; and peer, environmental
				cultural history, including assessment and suicidal and homicidal
				ideation.
(d) A program shall
				utilize the current version of the Diagnostic and Statistical Manual (DSM)
				completing a five (5) axis differential diagnosis of the client.
(e) A program shall utilize the current
				version of the American Society of Addiction Medicine Patient Placement
				Criteria (ASAM PPC) as part of the assessment process. ASAM dimensional
				criteria for each domain must be addressed in the assessment of client need for
				treatment.
(f) A program shall
				develop a diagnostic statement summarizing the above elements to assure clarity
				of client need and treatment recommendations.
(g) A program shall adequately assess the
				client's need for case management as described in Chapter 4, Section
				3,
				Case Management requirements.
(h)
				When a client is transferred from another program and an assessment has been
				completed, the program must complete a transfer note showing that the
				assessment information was reviewed. Further, the program must determine if the
				client needs are congruent with this assessment and make adjustments to
				treatment recommendations, if applicable.