Maine DHHS - Questionnaire - Intensive Outpatient Program (IOP)


Status: Incomplete
   

Intensive Outpatient Program (IOP)


1. ASAM Level:

(Please select one.)


2. ASAM Dimension 1: Risks of withdrawal

(Please select one.)


3. ASAM Dimension 2: Biomedical

(Please select one.)


4. ASAM Dimension 3: Biopsychosocial

(Please select one.)


5. ASAM Dimension 4: Motivation

(Please select one.)


6. ASAM Dimension 5: Risk of Relapse

(Please select one.)


7. ASAM Dimension 6: Recovery Environment

(Please select one.)



Disclaimers (please check to confirm acceptance):