Jump to Adolescent | Adult

Below you will find ADMH approved substance use disorder screening, assessment, and placement forms; with user guides/manuals.

For Assessing Adolescents

Individual sections of the tool:
• Adolescent Integrated Placement Assessment User Guide
• Adolescent Integrated Placement Assessment (WORD)
• Adolescent Integrated Placement Assessment (PDF)
• Adolescent Placement Screening CRAFFT (WORD)
• Adolescent Placement Screening CRAFFT (PDF)
• URICA (Protected)
• URICA (Unlocked)
  
• Entire Assessment tool in Excel:
• Adolescent ASAM Screening and Assessment Tool User's Manual
• Assessment Tool in Excel 2010
• Assessment Tool in Excel 97-2003
  
  

For Assessing Adults

Individual sections of tool:
• Adult Integrated Placement Assessment User Guide
• Adult Integrated Placement Assessment (WORD)
• Adult Integrated Placement Assessment (PDF)
• Adult Placement Screening UNCOPE (WORD)
• Adult Placement Screening UNCOPE (PDF)
• URICA (Protected)
• URICA (Unlocked)
  
• Entire Assessment tool in Excel:
• Adult ASAM Screening and Assessment Tool User's Manual
• Assessment Tool in Excel 2010
• Assessment Tool in Excel 97-2003