1. (a)

   1. (1) A health and drug history shall be completed for each client at the time of entrance into a crisis stabilization unit as soon as practical.

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

      1. (A) Name of medication;
      2. (B) Strength and dosage of current medication;
      3. (C) Length of time patient was on the medication, if known;
      4. (D) Benefit or benefits of medication;
      5. (E) Side effects;
      6. (F) The 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 entrance into a crisis stabilization unit 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 entrance.

Codification Notes: “IV” means intravenous.