LEVEL 4 LEVEL 3 LEVEL 2 LEVEL 1 Areas of Functioning (4 points) (3 points) (2 points) (1 point) BEHAVIORAL HEALTH (continued) Client self-reports or Client self-reports Client self-reports past Client self-reports no ADDICTION exhibits behavior of addiction or substance problems with addiction difficulties with addictions current addiction or abuse but is willing to or substance abuse with or substance abuse; substance abuse and is seek assistance. less than 1 year of OR not willing to seek help; recovery. Client reports past OR problems with addiction Client is not willing to or substance abuse with resume treatment; more than 1 year in OR recovery; Client displays OR indifference regarding Client has no need for consequences related to treatment or no referral is Score: an addiction or substance indicated. Client practices significant Client practices unsafe Client practices unsafe Client abstains from risky risky behavior of any type risky behavior of any type risky behavior behavior by safer RISK REDUCTION more than 50% of the more than 20-50% of the occasionally, less than practices; OR time; time; 20% of the time; OR OR OR Client declines to answer; Client has significant Client has mild Client has no relationship OR relationship barriers to relationship barriers to barriers to safe behavior. Client reports no recent safe behavior; safe behavior; OR history of STI’s. OR OR Client reports no recent Client reports recent Client reports recent history of STI’s. Score: history of STI’s. history of STI’s.
Areas of Functioning LEVEL 4 (4 points) LEVEL 3 (3 points) LEVEL 2 (2 points) LEVEL 1 (1 point) BEHAVIORAL HEALTH (continued) ADDICTION Score: Client self-reports or exhibits behavior of current addiction or substance abuse and is not willing to seek help; OR Client is not willing to resume treatment; OR Client displays indifference regarding consequences related to an addiction or substance Client self-reports addiction or substance abuse but is willing to seek assistance. Client self-reports past problems with addiction or substance abuse with less than 1 year of recovery. Client self-reports no difficulties with addictions or substance abuse; OR Client reports past problems with addiction or substance abuse with more than 1 year in recovery; OR Client has no need for treatment or no referral is indicated. RISK REDUCTION Score: Client practices significant risky behavior of any type more than 50% of the time; OR Client has significant relationship barriers to safe behavior; OR Client reports recent history of STI’s. Client practices unsafe risky behavior of any type more than 20-50% of the time; OR Client has mild relationship barriers to safe behavior; OR Client reports recent history of STI’s. Client practices unsafe risky behavior occasionally, less than 20% of the time; OR Client has no relationship barriers to safe behavior. OR Client reports no recent history of STI’s. Client abstains from risky behavior by safer practices; OR Client declines to answer; OR Client reports no recent history of STI’s.