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pages two and three (2 and 3).

For substance use disorders clients, the assessment tool is the Global Assessment of Individual Needs-Initial (GAIN-I). The GAIN-I must be administered by an individual trained and certified as a site administrator.

Comprehensive Service Plan. A comprehensive written service plan is based upon a current assessment that addresses the medical, social, psychosocial, legal, educational, and financial needs of the client. The Comprehensive Service Plan provides for the coordination of services across multiple need domains.

Crisis. An unanticipated event, circumstance or life situation that places a client at risk of at least one (1) of the following:


Loss of housing;

Loss of employment or major source of income;


Physical harm to self or others, including family altercation;

Substance use; or

Mental Health crisis.

Crisis Services. Crisis services are linking, coordinating and advocacy services provided to assist a client to access emergency community resources in order to resolve a crisis.

Current Assessment. An assessment (GAIN-I or Common Assessment) that was conducted within the last six (6) months.

Domains. Domains are specific bio-psycho-social assessment areas.

For Substance Use Disorders clients these domains are defined by the American Society of Addiction Medicine Patient Placement Criteria Second Edition-Revised (ASAM PPC-2R) as the six (6) dimensional criteria: acute intoxication and/or withdrawal potential; biomedical conditions and complications; emotional, behavioral, or cognitive conditions and complications; readiness to change; relapse, continued use or continued problem potential; and, recovery/living environment.

Supports. Formal and informal services and activities that are not paid for by the Department and that enable an individual to reside safely in the setting of his/her choice.  

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