Dimension 6 Supportive Environment Environment Environment Environment environment supportive Environment Environment does not stable, not supportive ENVIRONMENT ENVIRONMENT Recovery Environment interfering does not support supportive, can of recovery, NOT A FACTOR NOT A FACTOR Has access Needs with tx. support recovery follow needs IN ADMISSION IN ADMISSION (Environ.) to social and regular progress, recovery detoxification stabilization peer support reinforcement needs Environment regimen on elsewhere to cope with structured tx. has outpatient Tx. will help environment Environment deteriorated Diagnostic client cope has and 24 hour Environment evaluation Environment with deteriorated per day poor for recovery, indicates a unstable, environment not 24 hour per stabilization is yet is able to need to remove ongoing supportive, day residential necessary cope at this level client from reinforcement Environment treatment can treatment is of care environment needed. does not increase required No means of interfere with coping skills immediately developing a treatment at support this level system Comments: Level of care recommended: Level of care placed: If not placed in of care recommended, check reasons below: ____Waiting list ____ Level of care offered, client not able to attend ____Level of care not available ____Client refuses level of care DSM IV Diagnostic Code and Written Description: Axis I: ___________________________________ Axis II: __________________________________ Axis III: __________________________________
Dimension 6 Recovery Environment (Environ.) Supportive environment Has access to social and peer support Tx. will help client cope with environment Environment does not interfere with treatment at this level Environment supportive Needs regular reinforcement to cope with environment not supportive, treatment can increase coping skills Environment interfering with tx. progress, needs structured tx. Environment unstable, ongoing reinforcement needed. Environment does not support recovery Environment has deteriorated 24 hour per day residential treatment is required immediately Environment does not support recovery Environment has deteriorated and 24 hour per day stabilization is necessary No means of developing a support system Environment stable, supportive, can follow detoxification regimen on outpatient Environment poor for recovery, yet is able to cope at this level of care Environment not supportive of recovery, needs stabilization elsewhere Diagnostic evaluation indicates a need to remove client from environment ENVIRONMENT NOT A FACTOR IN ADMISSION ENVIRONMENT NOT A FACTOR IN ADMISSION Comments: Level of care recommended: Level of care placed: If not placed in of care recommended, check reasons below: ____Waiting list ____ Level of care offered, client not able to attend ____Level of care not available ____Client refuses level of care DSM IV Diagnostic Code and Written Description: Axis I: ___________________________________ Axis II: __________________________________ Axis III: __________________________________
Assessment%20ODADAS%205-31-13.docx