Cocaine Abuse in Early Partial Remission

Adult Assessment Form
Crack cocaine Substance use status: [ ] hallucinogens (e.g., LSD) [ ] inhalants (e.g., glue, gas) [ ] no history of abuse [ ] marijuana or hashish [ ] active abuse [ ] nicotine/cigarettes [ ] early full remission [ ] PCP [ ] early partial remission [ ] prescription [ ] sustained full remission … Access Content

Substance Related Disorders
Sexual Dysfunction Epidemiology: Prevalence Alcohol Abuse in the DSM IV Alcohol Amphetamines Caffeine Cannabis Cocaine by use Substance Dependence Course Specifiers Early remission– no criteria met for > 1 month and <12 months Sustained remission – no criteria met for > 12 months Partial … Visit Document

DSM IV Article
Early Full Remission (1-11 months no Dependence or Abuse), Early Partial Remission (1-11 months no Alcohol, Amphetamine, Caffeine, Cannabis, Cocaine, Hallucinogen, Inhalant, Nicotine, Opioid, … Retrieve Here

645 E. Iron Ave. Salina, Ks. 67401 Phone: 785-827-2700 / Fax …
[ ] witnessed physical/verbal/sexual abuse toward others [ ] crack cocaine [ ] early partial remission [ ] prescription … Retrieve Document

BIOPSYCHOSOCIAL HISTORY Name: Today’s Date: DOB:
[ ] cocaine [ ] active abuse [ ] nicotine/cigarettes _____ _____ _____ _____ _____ [ ] early full remission [ ] PCP _____ _____ _____ _____ _____ [ ] early partial remission [ ] prescription _____ _____ _____ _____ _____ _____ … Document Retrieval

Biologically Based ICD-9 Diagnostic Categories
296.05 Bipolar I Disorder, Single Manic Episode, In Partial Remission 305.50 Opioid Abuse 305.60 Cocaine Abuse 305.70 Amphetamine Abuse 307.59 Feeding Disorder of Infancy or Early Childhood … Read Document

BIOPSYCHOSOCIAL HISTORY
[ ] other [ ] cocaine [ ] early partial remission [ ] prescription [ ] sustained partial remission Treatment history: Consequences of substance abuse (check all that apply): … View This Document

Client Name D .O.B. Client SS# Date Page 1 BIOPSYCHOSOCIAL …
Other cocaine crack cocaine Substance use status: -for self hallucinogens (e.g., LSD) inhalants (e.g., glue, gas) no history of abuse marijuana or hashish active abuse nicotine/cigarettes early full remission PCP early partial remission prescription … View This Document

BIOPSYCHOSOCIAL HISTORY
Early Partial Remission cocaine / crack _____ _____ _____ _____ _____ sitting controlling bowels alcohol abuse not trustworthy extreme worrier … View Doc

DSM-IV S UBSTANCE D EPENDENCE C HECKLIST – Licensee’s Name …
cocaine-induced depression, or continued drinking despite Early Full Remission Early Partial Remission Sustained Full Remission for Both Cannabis Sustained Partial Remission On Agonist Therapy In a Controlled Environment DSM-IV SUBSTANCE ABUSE – Defer to Dependence … Access Doc

BIOPSYCHOSOCIAL HISTORY
Cocaine Crack cocaine Hallucinogens Inhalants No history of abuse Active abuse Early full remission Early partial remission … Access Full Source

Dr. Tim Barclay, Ph.D. INTAKE / BIOPSYCHOSOCIAL HISTORY FORM
[ ] crack cocaine . Substance use status: [ ] hallucinogens (e.g., LSD) [ ] active abuse [ ] nicotine/cigarettes [ ] early full remission [ ] PCP [ ] early partial remission [ ] prescription … Access Content

Behavioral Health Accepted DSM-IIIR Codes
296.25 Major depression, single episode, in partial remission 305.60 Cocaine abuse 305.60 Cocaine intoxication 313.89 Reactive attachment disorder of infancy or early childhood … Access Doc

Dmha.fssa.in.gov
Bipolr i disorder, single manic episode, in partial remission early chld psychoses nec* 299.80 asperger's disorder, pervasive developmental disorder nos cocaine abuse* 305.60 cocaine abuse 305.61 cocaine abuse-continuous … Read Document

Patient Name Patient ID # Patient SS# Date
Other :_____ Crack Cocaine Active Abuse Marijuana or Hashish _____ _____ _____ _____ Early Full Re mission Nicotine / Cigarettes _____ _____ _____ _____ Early Partial Remission PCP … Retrieve Content