1. (a)

   1. (1) A health and drug history shall be completed for each client at the time of admission into a therapeutic community (as soon as practical).

   2. (2) The medical history shall include obtainable information regarding the:

      1. (A) Name of the medication;
      2. (B) Strength and dosage of the current medication;
      3. (C) Length of time the patient was on the medication, if known;
      4. (D) Benefit or benefits of medication;
      5. (E) Side effects;
      6. (F) Prescribing medical professional, if known; and
      7. (G) Relevant drug history of family members.
2. (b) A mental health history, including symptoms and safety screening, shall be completed for each client at the time of admission into a therapeutic community (as soon as practical).
3. (c) A substance abuse history, including checklist for use, abuse, and dependence for common substances, including nicotine and caffeine, and screening for withdrawal risk and IV use shall be completed for each client at the time of admission.

Codification Notes: “IV” means intravenous.