Drug and alcohol evaluation is a method of assessing substance misuse. These evaluations can determine whether you have used drugs or alcohol in a given timeframe, and they can also help identify substance abuse issues.
You may find a prospective employer requires you to undergo a drug and alcohol evaluation as a condition of employment. Attorneys also sometimes use these substance assessments to help support cases for both defendants and claimants.
Sometimes, addiction treatment centers utilize a drug and alcohol evaluation to establish the most appropriate level of care for your needs.
Additionally, courts sometimes mandate drug and alcohol evaluations following unlawful acts involving drugs or alcohol – a DUI, for instance.
So, drug and alcohol evaluations are used in many circumstances, but what can you expect from one of these assessments?
What is a Drug and Alcohol Evaluation?
A drug and alcohol evaluation can help to pinpoint the following:
- Alcoholism (alcohol use disorder)
- Drug addiction (substance use disorder)
- Scope and severity of substance use
- Dual diagnosis (co-occurring mental health condition like anxiety or depression)
- The overall impact of substance abuse or alcohol abuse on your life
- Components required for an effective treatment plan
Drug and alcohol evaluations provide a deep dive into the scale of substance use for the purpose of both diagnosis and making recommendations for addiction treatment.
An evaluation will probe the following:
- Type of substance used
- Dosage used
- Frequency of use
This will help the person conducting the evaluation to flesh out an overall picture of the history of alcohol or drug use.
These assessments can also help provide a clearer picture of the general circumstances of the person abusing substances, as well as the extent of substance use.
Drug and alcohol evaluation can also guide treatment providers toward the most suitable solution for the issue at hand.
Evaluations typically unfold with these two core components:
- Screening: The person conducting the evaluation investigates whether a problem exists during the initial screening stage.
- Assessment: The assessment is the analytical phase of the evaluation. The goal is to determine what the problem is. Drug tests are often required at this stage.
Some evaluations also include these additional steps:
- Follow-up: When treatment or counseling is required, a follow-up is scheduled. This appointment will be contingent on the results of the screening and subsequent assessment. The objective of the follow-up is to check how the person is doing.
- Referral: The final phase of a drug and alcohol evaluation can result in a treatment program, treatment center, or counselor being recommended to the person. This referral will also depend on the results of the above steps in the evaluation.
Rather than viewing a drug and alcohol evaluation as an intimidating imposition, instead, consider this conversation with a doctor as an opportunity to discover more about addiction. You can also use an assessment of this nature to ensure you are connected with the resources and tools you need to get sober and stay sober.
Judges sometimes order a drug or alcohol evaluation for the court, usually when the case involves substance abuse. Depending on the state in which the crime was committed, a court-ordered drug and alcohol evaluation might be part of the sentencing procedure.
These are the most common types of cases where drug and alcohol evaluations are required:
- DUI (driving under the influence)
- Possession of drugs
- Possession of alcohol by minors
- Use of fake IDs to purchase or consume alcohol
- Disorderly conduct while intoxicated
- Drug trafficking
- Drug distribution
- Manufacturing of controlled substances
Substance evaluations must be conducted by state-certified agencies.
The cost of drug and alcohol assessments varies but normally falls between $100 and $150.
The process of a court-ordered drug and alcohol assessment calls for you to provide the following documents:
- Copies of arrests
- Copies of arrest reports
- Criminal history
- Report of driving history from DMV or DDS
- Assessment from DUI RRP (risk reduction program)
In addition to these documents, you will also provide an interview discussing your substance use history.
Some people facing a drug and alcohol evaluation fear this assessment could lead to more trouble. This is not true, though. Instead, an evaluation is the beginning of a potential treatment process, and it might also benefit you from a legal standpoint. Taking a pre-emptive test indicates a willingness to cooperate on your part, and it can also inform a judge when it comes to appropriate sentencing. The judge may even recommend counseling, courses, or addiction therapy rather than a more punitive sentence.
When the judge has the results and analysis of the drug and alcohol evaluation, they can make a decision. The next steps will hinge on these conclusions, and also on the findings of the practitioner. Options include:
- Substance abuse classes
- Group therapy
- Alcoholics Anonymous meetings
- Narcotics Anonymous meetings
- Inpatient rehab
- Outpatient rehab
- Random alcohol screening
- Random drug screening
- Engaging with a DUI RRP for alcohol or drug use
What to Expect at a Drug and Alcohol Evaluation
A trained professional will conduct a drug and alcohol evaluation. Licensed professionals specializing in the understanding of human behavior – nurses, doctors, psychiatrists, psychologists, and therapists – are usually responsible for evaluations. These evaluations can also be conducted online.
The core focus of an evaluation is a series of questions intended to help the assessor better understand your condition.
Physical examinations and drug tests are also commonly utilized.
The goal of the initial screening phase, as mentioned above, is to establish whether a treatable condition exists. Screening can also help determine whether you are at risk even if you have not yet developed alcohol use disorder or substance use disorder.
Screening is not a substitute for diagnosis, but it serves to establish whether or not you have a problem.
The following questionnaires are used in drug and alcohol evaluations:
- CAGE questionnaire: This brief assessment includes just four questions on substance use. The accuracy of results depends on answering the questions honestly.
- AUI (alcohol use inventory): Focusing purely on alcohol abuse, this questionnaire also needs answering honestly. All aspects of your life and lifestyle are considered to add a layer of context to choices made concerning alcohol abuse.
- State government inventory: When the questionnaire used is created by the state, this can be used in isolation or in combination with other questionnaires.
- SASSI (substance abuse subtle screening inventory): This test has a 93% accuracy rate, analyzing more than the risk of substance abuse. This test will also indicate whether you are willing to acknowledge the problem and whether you are prepared to make changes. The SASSI also shines a light on whether substance use is limited to social use, and also the severity of any substance use disorder.
If the results of this initial screening are positive and it seems likely you have a substance use disorder, the assessment is the next step.
The purpose of the research and analysis is to establish proof of a treatable condition, as well as to identify symptoms and any co-occurring disorders.
Regardless of whether you are grappling with substance use disorder, alcohol use disorder, or co-occurring disorder, we can help you reclaim your life here at TDRC.
Through a combination of medication-assisted treatment, psychotherapy – typically CBT or DBT – and counseling, you can build a solid foundation for sustained recovery, and we’ll help you every step of the way. We also provide access to a variety of holistic therapies – adventure therapy, for instance – giving you a whole-body approach to recovery as well as evidence-based treatments.
If you feel you would benefit from gender-specific rehab, we offer dedicated men’s programs and women’s programs, allowing everyone to kickstart their recovery in the optimum environment.
Once you complete your treatment program at TDRC, we’ll ensure you have a robust aftercare plan and relapse management plan in place. You can also take advantage of our alumni program to stay connected with your new sober network once you transition back into everyday living substance-free.
All you need to do is take that first crucial step: reach out to admissions right now at 844.287.8506.