Treatment FAQ

what medical concerns wold disqualify for admissions into substance abuse treatment

by Ms. Flavie Becker Published 2 years ago Updated 2 years ago

Any history or current somatoform disorders, including, but not limited to hypochondriasis or chronic pain disorder, are disqualifying. Any history or current issue with alcohol dependence, drug dependence, alcohol abuse, or other drug abuse is disqualifying.

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What disqualifies you from enrolling in drug rehab?

 · Medical Disclaimer: DrugRehab.com aims to improve the quality of life for people struggling with a substance use or mental health disorder with fact-based content about the nature of behavioral health conditions, treatment options and their related outcomes. We publish material that is researched, cited, edited and reviewed by licensed medical ...

What disqualifies you from the VA for mental health?

In some cases, certain issues will disqualify the patient from treatment services. For example, if the patient is struggling with an underlying mental health or medical disorder that the rehab program is not equipped to treat effectively, they may be disqualified from enrollment. In the same way, violent patients or those with a history of certain crimes, ongoing behavioral issues, …

What are the criteria for admission to addiction treatment?

 · Besides SUDs, the DSM-5 provides diagnostic criteria for 21 other mental health conditions. These include: Neurodevelopmental disorders Schizophrenia spectrum and other psychotic disorders Bipolar and related disorders Depressive disorders Anxiety disorders Obsessive-compulsive and related disorders Trauma and stressor-related disorders

What disqualifies you from being a mental health professional?

Understanding the extent and nature of a woman's substance use disorder and its interaction with other life areas is essential for careful diagnosis, appropriate case management, and successful treatment. This understanding begins during the screening and assessment process, which helps match the client with appropriate treatment services. To ensure that important information is …

Which are the four criteria for substance use disorder?

Cravings and urges to use the substance. Not managing to do what you should at work, home, or school because of substance use. Continuing to use, even when it causes problems in relationships. Giving up important social, occupational, or recreational activities because of substance use.

What criteria determines if a client has a substance use disorder?

Criteria for Substance Use Disorder Social or interpersonal problems related to use: Substance use has caused relationship problems or conflicts with others. Neglected major roles to use: You have failed to meet your responsibilities at work, school, or home because of substance use.

What mental health diagnoses might be susceptible to having a substance abuse disorder?

Certain illegal drugs can cause people with an addiction to experience one or more symptoms of a mental health problem....Substance use problems occur more frequently with certain mental health problems, including:Depression.Anxiety Disorders.Schizophrenia.Personality Disorders.

What are 2 risk factors for substance use disorders?

Risk factorsFamily history of addiction. Drug addiction is more common in some families and likely involves genetic predisposition. ... Mental health disorder. ... Peer pressure. ... Lack of family involvement. ... Early use. ... Taking a highly addictive drug.

What assessment criteria would you use to define a work addiction?

being obsessed with work-related success. having intense fear of failure at work. being paranoid about work-related performance. disintegrating personal relationships because of work.

How is a substance use disorder diagnosed?

Diagnosing drug addiction (substance use disorder) requires a thorough evaluation and often includes an assessment by a psychiatrist, a psychologist, or a licensed alcohol and drug counselor. Blood, urine or other lab tests are used to assess drug use, but they're not a diagnostic test for addiction.

How are substance abuse and mental health related?

Substance abuse may sharply increase symptoms of mental illness or even trigger new symptoms. Abuse of alcohol or drugs can also interact with medications such as antidepressants, anxiety medications, and mood stabilizers, making them less effective at managing symptoms and delaying your recovery.

What are four contributing factors that may lead to an increased of learners abusing substance in schools?

ANSWER: Peer pressure. This is especially true with younger people; however, our peers can influence us to such a degree because we want to fit in and we don't want to disappoint our friends. ... Socializing. ... Community. ... Socioeconomic status. ... Stress.

What is comorbid substance use disorder?

The term 'comorbidity of substance use and mental health disorders' refers to the co-occurrence of a substance use disorder and another mental disorder in the same individual. Other terms used include 'co-occurring disorder', 'comorbid disorder' and 'dual diagnosis'.

What are examples of risk factors?

Risk factor examplesNegative attitudes, values or beliefs.Low self-esteem.Drug, alcohol or solvent abuse.Poverty.Children of parents in conflict with the law.Homelessness.Presence of neighbourhood crime.Early and repeated anti-social behaviour.More items...•

What is the single most important precipitating factor in drug misuse?

What is the single-most important precipitating factor in drug misuse? Degree of access: Drug use is higher in inner city than suburbs. Also, the combination of susceptibility and availability.

What are the risk and protective factors in substance use and abuse?

Many factors can add to a person's risk for drug abuse....Risk FactorsDomainProtective FactorsLack of Parental SupervisionFamilyParental MonitoringSubstance AbusePeerAcademic CompetenceDrug AvailabilitySchoolAnti-drug Use PoliciesPovertyCommunityStrong Neighborhood Attachment1 more row

What are the disqualifying medical conditions?

The disqualifying medical conditions are listed below. The International Classification of Disease (ICD) codes are listed in parentheses following each standard. The causes for rejection for appointment, enlistment, and induction (without an approved waiver) are an authenticated history of: 1 Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder or Perceptual/Learning Disorder (s) (315) is disqualifying unless the applicant can demonstrate passing academic performance and there has been no use of medication in the previous 12 months. Newer regulations may allow for waivers on a case-by-case basis. 2 ADD / ADHD could have been misdiagnosed as a child or young teenager and medicated regardless. Because of the subjectivity to the diagnosis, some leniency has been applied to the recruitment process of the military in recent years. 3 Current or history of academic skills or perceptual defects secondary to organic or functional mental disorders, including, but not limited to dyslexia, that interfere with school or employment, are disqualifying. However, applicants demonstrating passing academic and employment performance without academic and/ or work accommodations at any time in the previous 12 months may be qualified. 4 Current or history of disorders with psychotic features such as schizophrenia (295), paranoid disorder (297), and other unspecified psychosis (298) is disqualifying.

What are the disqualifications for mental health?

Mood disorders such as depression, bipolar disorder, psychoses, and other unspecified depressive issues are disqualifying. Any history of mood disorders requiring medication and/or outpatient care for longer than six months by a mental health professional is also disqualifying.

What is disqualifying a person?

Any history or current disorder of being dissociative or de-personalization are disqualifying .

Is self mutilation a disqualifying condition?

A history of self-mutilation is also disqualifying. Anxiety issues, either current or historical, or panic, agoraphobia, social phobia, simple phobias, obsessive-compulsive disorders, other acute reactions to stress, and post-traumatic stress are disqualifying for entry into the service.

What is a disqualifying speech disorder?

Any speech impediment, stammering, stuttering or other receptive or expressive language disorder that may significantly interfere with the ability to repeat commands is disqualifying.

Is encopresis disqualifying?

Enuresis or encopresis after the 13th birthday is disqualifying.

Is antisocial behavior disqualifying?

Behavioral disorders history in school and with law enforcement agencies having to get involved due to dangerous behavior to self or others is disqualifying. Antisocial attitudes or behaviors are disqualifying as people who exhibit these symptoms are typically not adaptive to military service.

Why is it important to understand the admissions procedure?

First and foremost, it’s important to understand the admissions procedure so that you can be prepared for what to expect in order to make the process go as smoothly as possible. Drug Rehab. Drug Detox. Therapy.

Can drug rehab accept all patients?

The Admissions Criteria for a Drug Rehab Program. Though it seems like all drug addiction treatment centers would be able to accept any and all patients struggling with drug and alcohol dependence, that is not the case.

Can a patient be disqualified from rehab?

In some cases, certain issues will disqualify the patient from treatment services. For example, if the patient is struggling with an underlying mental health or medical disorderthat the rehab program is not equipped to treat effectively, they may be disqualified from enrollment. In the same way, violent patients or those with a history of certain crimes, ongoing behavioral issues, or an inability to pay for their care may be excluded as well.

Can an addict be accepted into an outpatient treatment program?

Additionally, inpatient and outpatient treatment programs that are open to all addicts may still require patients to adhere to certain guidelines. If they cannot, they will not be accepted . Agreement to be in attendance for all therapy sessions or to remain in treatment for the agreed upon amount of time.

Do you have to pay for drug rehab?

Most drug rehab programs will require a good faith deposit up front for a certain percentage of the total bill. If payment can be made in full, it should be made before your loved one starts treatment, and if not, then the deposit will need to be made first thing.

What is substance use disorder?

Before considering the cost of addiction treatment, though, it’s first wise to understand the criteria for various conditions that make someone eligible for addiction treatment. Drug and alcohol addiction, called substance use disorder (SUD) by the American Psychiatric Association (APA), has specific criteria that must be present ...

What is the persistent desire or unsuccessful efforts to cut down or control use of the substance?

There is a persistent desire or unsuccessful efforts to cut down or control use of the substance. A great deal of time is spent in activities necessary to obtain the substance, use the substance, or recover from its effects. Craving, or a strong desire or urge to use the substance.

What is tolerance in alcohol?

Tolerance, as defined by either of the following: A need for markedly increased amounts of the substance to achieve intoxication or desired effect. A markedly diminished effect with continued use of the same amount of the substance. Withdrawal, as manifested by either of the following:

Why are important social, occupational, or recreational activities given up or reduced?

Important social, occupational, or recreational activities are given up or reduced because of use of the substance.

What are the criteria for SUD?

These are the criteria for alcohol use disorder (AUD): The substance is often taken in larger amounts or over a longer period than was intended.

How many people have a mental health disorder in 2016?

Consider, for example, that about 20 million people had a substance use disorder in 2016, 44 million had a mental health disorder, and 8.2 million American adults had a substance use disorder and a mental health disorder in the past year. Only a fraction of these same Americans actually got treatment, however.

What is the HHS guide?

Department of Health and Human Services (HHS) has a guide that can prove helpful if you have questions about insurance for addiction and/or mental health coverage. This is especially useful if you have been denied coverage, reached a limit on your health insurance plan, or have a large copay or deductible.

What is refusing to comply with admission procedures?

Refusal to comply with admission procedures, resident rules, program schedule, and recommendations. An active and unmanaged eating disorder. Active psychosis, mania or a disorder or condition such that the individual is unable to exist in group settings without disruptions or safety concerns.

What is a patient's withdrawal?

Withdrawal: Patient not at risk for severe complications, or is experiencing stable withdrawal. Bio-Medical Conditions: None or stable biomedical conditions and/or complications, or under the care of a physician who attests to suitability and will continue to monitor the resident.

What is an intellectual disability?

Has an intellectual or developmental disability, which is primary to substance use disorder, or the disability would preclude the individual from benefiting from program as designed. Would be better served by a program more appropriate to the individual’s diagnosis or condition.

Why is understanding the extent and nature of a woman's substance use disorder and its interaction with other life areas important

Understanding the extent and nature of a woman’s substance use disorder and its interaction with other life areas is essential for careful diagnosis, appropriate case management, and successful treatment.

Why do we need substance abuse screening?

The goal of substance abuse screening is to identify women who have or are developing alcohol- or drug-related problems. Routinely, women are less likely than men to be identified as having substance abuse problems (Buchsbaum et al. 1993); yet, they are more likely to exhibit significant health problems after consuming fewer substances in a shorter period of time.

What should a counselor inquire about before screening and assessment?

Prior to screening and assessment, the counselor should inquire about current or past difficulties in learning, past participation in special education, a diagnosis of a learning disability, prior involvement in testing for cognitive functioning or learning disability, and problems related to self-care and basic life management skills.

What is cultural basis in screening?

An understanding of the cultural basis of a client's health beliefs, illness behaviors, and attitude toward and acceptance of treatment provides a foundation for building a successful treatment program for the client. Whenever possible, instruments that have been normed, adapted, or tested on specific cultural and linguistic groups should be used. Instruments that are not normed for the population being evaluated can contain cultural biases and produce misleading results and perhaps inappropriate treatment plans and misunderstandings with clients.

What is the assessment section?

The assessment section includes general principles for assessing women, the scope and structure of assessment interviews, and selected instruments. Finally, other considerations that apply to screening and assessment are discussed, including women's strengths, coping styles, and spirituality.

What should providers use to ensure that important information is obtained?

To ensure that important information is obtained, providers should use standardized screening and assessment instruments and interview protocols, some of which have been studied for their sensitivity, validity, and accuracy in identifying problems with women.

What is the Alcohol Use Disorder Identification Test?

The Alcohol Use Disorder Identification Test (AUDIT; Babor and Grant 1989) is a widely used screening tool that is reproduced with guidelines and scoring instructions in TIP 26 Substance Abuse Among Older Adults(CSAT 1998d). The AUDIT is effective in identifying heavy drinking among nonpregnant women (Bradley et al. 1998c). It consists of 10 questions that were highly correlated with hazardous or harmful alcohol consumption. This instrument can be given as a self-administered test, or the questions can be read aloud. The AUDIT takes about 2 minutes to administer. Note: Question 3, concerning binge drinking, should be revised for women to refer to having 4 (not 6) or more drinks on one occasion.

What percentage of medical professionals are drug addicts?

It’s hard to imagine anyone in the healthcare field taking any type of illegal substance, but approximately 5.5% of medical professionals struggle with illicit drug abuse. They often turn to things like marijuana as a means of relaxation after a long shift at the hospital, clinic, or other healthcare facilities.

Why do doctors misuse prescription drugs?

Back in 2013, a localized study was conducted via a survey of 55 physicians regarding issues of substance abuse.² The research found that 69% of these doctors misused prescription drugs at least once during their career.³ And the reasons were related to high stress levels as well as emotional and physical pain relief.

What is the rate of opioid use among doctors?

He estimated the rate of use among these medical workers “start at 10 percent and rise up to 15 percent.” His main reasoning for the growth rate is the easy access many physicians and nurses have to opioids like Fentanyl, Oxycodone, and others.

What are some examples of substance abuse?

Prescription Drug Statistics. Another common form of substance abuse in medical professionals is the use of opioids, benzodiazepines (Xanax) and other prescription medications. Many healthcare workers turn to these drugs for stress relief, to deal with depression, pain symptoms, or to boost their overall work performance.

Is substance abuse a problem in healthcare?

The issue of substance abuse in medical professionals has slightly lowered overall in the last decade or so, but still remains a problem year after year. Few careers have such odd working hours and so many traumatic situations as those in the healthcare industry.

How does early intervention in the cycle of addiction for younger individuals with substance use disorders bring costs down?

Early intervention in the cycle of addiction for younger individuals with substance use disorders can bring costs down as they have lower pre-treatment costs than older adults with substance use disorders.

How does SUD affect Medicaid?

Substance Use Disorders (SUD) impact the lives of millions of Americans in the general population , including individuals that are enrolled in the Medicaid program. Nearly 12 percent of Medicaid beneficiaries over 18 have a SUD, and CMCS is committed to helping States effectively serve individuals with SUDs. On average, 105 people die every day as result of a drug overdose. Additionally, 6,748 individuals across the country seek treatment every day in the emergency department for misuse or abuse of drugs. In 2010, drug overdose was the leading cause of injury death and caused more deaths than motor vehicle accidents among individuals 25-64 years old. The monetary costs and associated collateral impact to society due to SUDs are very high. In 2009, health insurance payers spent $24 billion for treating SUDs. Of the $24 billion, Medicaid accounted for 21 percent of the spending. The evidence is strong that treatment in managing SUDs provides substantial cost savings. For instance:

How much did medical costs decrease in the year prior to MAT?

Medical costs decreased by 30 percent on average between the year prior to MAT and the third year following treatment, and these cost trends reflect a decline in expenditures in all types of health care settings including hospitals, emergency departments, and outpatient centers.

What is CMCS informational bulletin?

CMCS Informational Bulletin: Coverage of Behavioral Health Services for Youth with Substance Use Disorders

Does MAT reduce inpatient admissions?

For inpatients with alcohol dependence, MAT was associated with fewer inpatient admissions. Total healthcare costs were 30 percent less for individuals receiving MAT than for individuals who not receiving MAT.

What was the war on drugs?

The War on Drugs was an outgrowth of the 1970s heroin epidemic (both in the US and among military workers in Vietnam). Today, the Obama administration faces a new version of the drug epidemic. At present, heroin abuse rates have nearly returned to the rates of the 1970s, and the country is steeped in a prescription opioid abuse epidemic. [8] When the US is entrenched in a drug epidemic, such as the prescription opioid epidemic, each resident faces a risk of substance abuse.

What is a statute followed by?

Typically, a statute has a discrete name followed by the word act, such as the Affordable Care Act. This overview on the making of federal laws provides greater context for the following discussion on the federal acts that affect drug treatment and the people who experience substance abuse.

Does the ACA cover pre-existing conditions?

No more pre-existing condition exclusions: All ACA plans must provide coverage for insured individuals and not reject claims for a pre-existing condition, including prior or current substance abuse.

Does Medicaid cover substance abuse?

In short, the ACA made substance abuse treatment a part of the listed 10 essential health care benefits. [14] Under the ACA, Medicaid and all marketplace health insurance plans must cover the 10 essential health care benefits. These are guaranteed benefits. But note, the extent of coverage varies. For information on the particulars of an insurance plan, covered individuals are best advised to consult the issuing insurance company’s summary plan description. However, the ACA does guarantee that certain substance abuse treatment services be made available to individuals who have Medicaid or ACA plans.

Does the ACA make it easier for substance abusers to get health insurance?

As the ACA streamlined the process for applying for health insurance, including Medicaid, it made it easier for uncovered individuals who are experiencing substance abuse to get insurance. Even further, the ACA has provisions that are designed to improve access to substance abuse treatment.

Is heroin abuse back to the 1970s?

At present, heroin abuse rates have nearly returned to the rates of the 1970s, and the country is steeped in a prescription opioid abuse epidemic. [8] . When the US is entrenched in a drug epidemic, such as the prescription opioid epidemic, each resident faces a risk of substance abuse.

Does data help with opioid abuse?

The New Hampshire public recognizes that a portion of these opioid prescriptions will be abused and sold illegally on the street, but cannot accurately estimate how many. Still, the point remains that DATA does not appear to have the helpful impact that it could if it was embraced. According to one research study, there are barriers, despite DATA, that create disincentives for doctors to get involved with providing substance abuse treatment services. [20] DATA does not affirmatively require eligible doctors to provide opioid abuse treatment, but if they do, they must meet certain training requirements. Doctors may simply be unwilling to undergo the training. Further, some doctors surveyed in the study noted that opioid abuse treatment did not provide adequate financial remuneration. The sheer number of those in need of opioid recovery services in New Hampshire made providing treatment seem too daunting to some doctors. Still others, harkening back to an earlier point, said that they and their nursing staff did not feel they had skills, DATA-mandated training aside, to treat substance abuse. [21]

Mood Disorders

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Mood disorders such as depression, bipolar disorder, psychoses, and other unspecified depressive issues are disqualifying. Any history of mood disorders requiring medication and/or outpatient care for longer than six months by a mental health professional is also disqualifying. Also, any symptoms of mood and menta…
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Behavioral Disorders

  • Behavioral disorders history in school and with law enforcement agencies having to get involved due to dangerous behavior to self or others is disqualifying. Antisocial attitudes or behaviors are disqualifying as people who exhibit these symptoms are typically not adaptive to military service. Any history of personality disorder that is demonstrated by documented and recurring inability t…
See more on thebalancecareers.com

Speech Affected Disorders

  • Any speech impediment, stammering, stuttering or other receptive or expressive language disorder that may significantly interfere with the ability to repeat commands is disqualifying.
See more on thebalancecareers.com

Anxiety, self-harm, and Phobias

  • Any history of suicidal behavior, that includes discussions, gestures, or the actual attempt is disqualifying. A history of self-mutilation is also disqualifying. Anxiety issues, either current or historical, or panic, agoraphobia, social phobia, simple phobias, obsessive-compulsive disorders, other acute reactions to stress, and post-traumatic stress are disqualifying for entry into the ser…
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Aton Center, Drug and Alcohol Treatment in San Diego

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Admission Criteria 1. 18 years or older 2. Primary substance use or substance related problem 3. Must be entering treatment voluntarily with a commitment to discovering a healthier lifestyle free from addictions 4. Deemed suitable for sub acute detoxification or residential drug treatment servicesafter intake, psychologi…
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Exclusion Criteria

  1. Has primary process addictionwithout a co-morbid substance use disorder or has no substance use disorder
  2. Exhibits dangerous behavior
  3. Requires immediate medical evaluation, or ongoing high intensity medical or nursing care.
  4. An active and unmanaged eating disorder
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Statement of Non-Discrimination in The Provision of Services

  • AToN Center is committed to the belief that all persons who suffer from and addictive disorder should be free from any and all stigma and discrimination. Therefore it is the Policy of The AToN Center, to prohibit unlawful discrimination in the providing of services based on race, color, creed, sex, religion, marital status, age (over 40), national origin or ancestry, citizenship, physical or me…
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