Comprehensive assessment.

(a) A comprehensive assessment of the client's substance use disorder must be administered face-to-face by an alcohol and drug counselor within three calendar days deleted text begin after deleted text end new text begin from the day of new text end service initiation for a residential program or deleted text begin during the initial session for all other programs deleted text end new text begin within three calendar days on which a treatment session has been provided of the day of service initiation for a client in a nonresidential program new text end . If the comprehensive assessment is not completed deleted text begin during the initial session, deleted text end new text begin within the required time frame, new text end the deleted text begin client-centered deleted text end new text begin person-centered new text end reason for the delay new text begin and the planned completion date new text end must be documented in the client's file deleted text begin and the planned completion date deleted text end . new text begin The comprehensive assessment is complete upon a qualified staff member's dated signature. new text end If the client received a comprehensive assessment that authorized the treatment service, an alcohol and drug counselor new text begin may use the comprehensive assessment for requirements of this subdivision but new text end must new text begin document a new text end review deleted text begin the deleted text end new text begin of the comprehensive new text end assessment new text begin and update the comprehensive assessment as clinically necessary new text end to deleted text begin determine deleted text end new text begin ensure new text end compliance with this subdivision deleted text begin , including deleted text end new text begin within new text end applicable timelines. deleted text begin If available, the alcohol and drug counselor may use current information provided by a referring agency or other source as a supplement. Information gathered more than 45 days before the date of admission is not considered current. deleted text end The comprehensive assessment must include sufficient information to complete the assessment summary according to subdivision 2 and the individual treatment plan according to section 245G.06 . The comprehensive assessment must include information about the client's needs that relate to substance use and personal strengths that support recovery, including:

(1) age, sex, cultural background, sexual orientation, living situation, economic status, and level of education;

(2) new text begin a description of the new text end circumstances new text begin on the day new text end of service initiation;

(3) new text begin a list of new text end previous attempts at treatment for substance misuse or substance use disorder, compulsive gambling, or mental illness;

(4) new text begin a list of new text end substance use history including amounts and types of substances used, frequency and duration of use, periods of abstinence, and circumstances of relapse, if any. For each substance used within the previous 30 days, the information must include the date of the most recent use and new text begin address the absence or presence of new text end previous withdrawal symptoms;

(5) specific problem behaviors exhibited by the client when under the influence of substances;

(6) deleted text begin family status deleted text end new text begin the client's desire for family involvement in the treatment program new text end , family history new text begin of substance use and misuse new text end , deleted text begin including deleted text end history or presence of physical or sexual abuse, new text begin and new text end level of family support deleted text begin , and substance misuse or substance use disorder of a family member or significant other deleted text end ;

(7) physical new text begin and medical new text end concerns or diagnoses, deleted text begin the severity of the concerns, and deleted text end new text begin current medical treatment needed or being received related to the diagnoses, and new text end whether the concerns deleted text begin are being addressed by a deleted text end new text begin need to be referred to an appropriate new text end health care professional;

(8) mental health history deleted text begin and psychiatric status deleted text end , including symptoms deleted text begin , disability, deleted text end new text begin and the effect on the client's ability to function; new text end current new text begin mental health new text end treatment deleted text begin supports, deleted text end new text begin ; new text end and psychotropic medication needed to maintain stability deleted text begin ; deleted text end new text begin . new text end The assessment must utilize screening tools approved by the commissioner pursuant to section 245.4863 to identify whether the client screens positive for co-occurring disorders;

(9) arrests and legal interventions related to substance use;

(10) new text begin a description of how the client's use affected the client's new text end ability to function appropriately in work and educational settings;

(11) ability to understand written treatment materials, including rules and the client's rights;

(12) new text begin a description of any new text end risk-taking behavior, including behavior that puts the client at risk of exposure to blood-borne or sexually transmitted diseases;

(13) social network in relation to expected support for recovery deleted text begin and deleted text end new text begin ; new text end

new text begin (14) new text end leisure time activities that are associated with substance use;

deleted text begin (14) deleted text end new text begin (15) new text end whether the client is pregnant and, if so, the health of the unborn child and the client's current involvement in prenatal care;

deleted text begin (15) deleted text end new text begin (16) new text end whether the client recognizes deleted text begin problems deleted text end new text begin needs new text end related to substance use and is willing to follow treatment recommendations; and

deleted text begin (16) collateral deleted text end new text begin (17) new text end information new text begin from a collateral contact may be included, but is not required new text end . deleted text begin If the assessor gathered sufficient information from the referral source or the client to apply the criteria in Minnesota Rules, parts 9530.6620 and 9530.6622 , a collateral contact is not required. deleted text end

(b) If the client is identified as having opioid use disorder or seeking treatment for opioid use disorder, the program must provide educational information to the client concerning:

(1) risks for opioid use disorder and dependence;

(2) treatment options, including the use of a medication for opioid use disorder;

(3) the risk of and recognizing opioid overdose; and

(4) the use, availability, and administration of naloxone to respond to opioid overdose.

(c) The commissioner shall develop educational materials that are supported by research and updated periodically. The license holder must use the educational materials that are approved by the commissioner to comply with this requirement.

(d) If the comprehensive assessment is completed to authorize treatment service for the client, at the earliest opportunity during the assessment interview the assessor shall determine if:

(1) the client is in severe withdrawal and likely to be a danger to self or others;

(2) the client has severe medical problems that require immediate attention; or

(3) the client has severe emotional or behavioral symptoms that place the client or others at risk of harm.

If one or more of the conditions in clauses (1) to (3) are present, the assessor must end the assessment interview and follow the procedures in the program's medical services plan under section 245G.08, subdivision 2 , to help the client obtain the appropriate services. The assessment interview may resume when the condition is resolved.