Blending Perspectives and Building Common Ground. Intake Screening and Comprehensive Health Assessment

04/01/1999

  • Admission priority must be given to women who are known to be pregnant, HIV-positive or who have AIDS, and/or TB.  Pregnant/postpartum women should be immediately referred for obstetrical care.  (See TIPs.)  Immediate referrals must be made if the program cannot provide appropriate care for these women.  Documentation of referrals and admissions is essential.
  • Assessments for possible pregnancy, HIV status and exposure to and/or existence of TB should begin immediately.
  • Same-day intake services should be offered whenever possible.
  • Assessment may occur over a period of time.  A complete health assessment must be conducted, and must include a physical examination, psychosocial (including psychiatric assessment where indicated), as well as an assessment of a woman's reproductive, oral, and nutritional health status.
  • Other assessments must include a substance abuse history; physical, emotional, and sexual abuse history (past and present); educational level and intellectual functioning; work history; family assessment; current living situation and childcare responsibilities; and racial/cultural/ethnic factors that are relevant to treatment.  There should be an assessment of patient eligibility (and subsequent registration) for Medicaid, Medicare, SSI, public assistance, and other health and human service benefits.
  • An individualized treatment plan, including a plan for relapse prevention and continuing care, must be developed in collaboration with each woman entering treatment.