products and services€¦ · screening self-tests are also included in the compu-tools options....

Compu-Tools

iMRcom P O Box 1233 Boise ID 83701

AlcoholDrugPsychologicalSocialCriminal ndash Client Behavioral ldquoSelf-Assessmentsrdquo Compu-Tools are collections | compilations of proven amp independently validated tests No changes have been made to the content of the original test scales and all of the scales are scored in accordance with the authorrsquos instructions and approval The questions are organized according to the life areas described in Dr Jon Weinbergrsquos published works A ldquoclientrsquos self diagnosisrdquo of their own behaviors are compared to multiple test scale results and a comprehensive profile of risk factors symptoms and consequences is immediately provided for analysis These tools are comprehensive validated client ldquoself-assessment instrumentsrdquo Screening self-tests are also included in the Compu-Tools options Compu-Tools (Adult Adolescent Psychological Social | Criminal Behaviors Compilation Date Web Based Version - 2004 (httpswwwimresponsiblecom) Test Authors Compu-Tools (Adolescent)

1 Youth Diagnostic Scales (Style Consumption amp Consequences) (Tom Alibrandi (Young Alcoholics) 1978) 2 Dependency Checklist (Stage of Use Need for TX Risk Factors amp Self Test) (Dr Robert Basham 1984) 3 Life Areas (Health School Family Friends and Legal) (Dr Jon Weinberg 1972) 4 DSM IV R (Diagnostic Statistical Manual-American Psychiatric Assoc 1994) 5 ASAM Criteria ndash (Client responses keyed to the ASAM Criteria Grid = quantitative results) 6 CAST (Children of Alcoholics Screening Test Dr John Jones 1983) 7 Depression Scale ndash (John Hopkins University 1977) 8 Clinical Anxiety Scales - (Dr David Westhuis Dr Bruce Thyer 1989) 9 Cognitive Slippage Scale - (Dr Michael Raulin Dr Tracey C Miers 1985 10 Diagnostic Anger Scale ndash (Dr Glenda Loomis 1990) 11 IQ ndash Inconsistency Quotient (iMRcom2003) 12 ASAM Criteria Worksheet (iMRcom2003)

Compu-Tools (Adult)

1 MAST - (Consequences of habitual alcohol use) Dr Melvin Selzer 1970 2 Life Areas - (Vocation Health Family Social and Legal) (Dr Jon Weinberg 1972 3 NCAD - (National Council On AlcoholDrug Abuse 1972 4 DSM IV R - (Diagnostic Statistical Manual ndash American Psychiatric Assoc 1994) 5 ASAM Criteria ndash (Client responses keyed to the ASAM Criteria Grid = quantitative results) 6 Self Test - (Alcohol ndash John Hopkins University 1977) 7 Self Test - (Drugs ndash Dr Harvey Skinner ndash Modified 1989) 8 Depression Scale - (John Hopkins University 1977) 9 Clinical Anxiety Scales - (Dr David Westhuis Dr Bruce Thyer) 10 Cognitive Slippage Scale - (Dr Michael Raulin Dr Tracey C Miers 1985 11 Diagnostic Anger Scale ndash (Dr Glenda Loomis 1990) 12 IQ ndash Inconsistency Quotient - (iMRcom2003) 13 ASAM Criteria Worksheet - (iMRcom2003)

Compu-Tools (Social Behavior Assessment - Criminal Behavior Assessment - Adult | Adolescent)

1 Antisocial Personality Disorder (DSM IV R) 2 Conduct Disorder (DSM IV R) (Diagnostic Statistical Manual ndash American Psychiatric Assoc 1994 3 Adult Antisocial Behavior (DSM IV R) 4 Antisocial Practices (MMPI) 5 Lifestyle Criminality (Dr Glenn D Walters 1991)

a Irresponsible Behavior (Dr Glenn D Walters)(Criminal Lifestyle ndash Pattern of Serious Criminal Conduct) b Self-Indulgent Behavior (Dr Glenn D Walters) (Criminal Lifestyle ndash Pattern of Serious Criminal Conduct) c Interpersonal Intrusiveness (Dr Glenn D Walters) (Criminal Lifestyle ndash Pattern of Serious Criminal Conduct) d Social Rule Breaking (Dr Glenn D Walters) (Criminal Lifestyle ndash Pattern of Serious Criminal Conduct) e Oppositional Defiant Disorder and Conduct Disorder (Copy ndash Non-client Entry)

of 8

AlcoholDrug (Teen) Assessment ltlt Back to iMR website

Client Typical Teen Date Taken 9252005 Social Security Number 324-87-9834 General Health Good

Sex Male Highest Grade Completed 11

Marital Status College No

Religious Preference LDS DegreeClient Number TXT9834 Birthday 4151987

Employer Phone NumberOptional Client Info

Assessment Results

Computer Scoring (Recommended Problem Category) Maximum Score = 11

Description Results of all tests are grouped weighed and compared to established normsresults

Key 0-3 No Evidence of Problem4-5 Possible Problem6-9 Probable Problem10+ Definite Problem

Computer Scoring

11 = Definite Problem

Test Scale Summary

Description Matrix of individual test scores

Results Indication ACDC YOUTH LIFE DSM-IV Computer

No Evidence

Possible Problem

Probable Problem

Definite Problem 80 3 5 30 11

Primary Drug Alcohol (BeerWineLiquor) Secondary Drug Marijuana

Adolescent Chemical Dependency Checklist - Stages of Use Maximum Score = 46

Description Probability of continued use of dependence or addiction to alcoholdrugs

Key 5+ Early Stages of Dependency10+ Dependency on Use

Stages of Use

49 = Dependency onUse

Adolescent Chemical Dependency Checklist - Need for Treatment Maximum Score = 93

Description Summary of All ACDC elements (Profile of Dependence)

Key 10+ Possible Problem20+ Probable Problem25+ Definite Problem

Need for Treatment


Adolescent Chemical Dependency Checklist - Risk Factors Maximum Score = 8

Description Clients environmental elements which reduce the probability of abstinence

Key 0-8 May Affect Recovery

Risk Factors

5 = May affectRecovery

Youth Diagnostic Screening Device - Pathological Style of Use Maximum Score = 24

Description How or why does the Client Use

Key 5+ Positive

Style of Use

24 = Positive Youth Diagnostic Screening Device - Problematic Consumption Maximum Score = 9

Description How much does the Client use when heshe uses What is the pattern of Use

Key 4+ Positive

Problematic Consumption

9 = Positive Youth Diagnostic Screening Device - Consequences of Use Maximum Score = 7

Description What has happened as a result of alcoholdrug use

Key 2+ Positive

Consequences of Use

7 = Positive LIFE Areas (Job Social Family Health amp Legal) Maximum Score = 5

Description Number of Major Life Areas that are negatively affected by clients alcoholdrug use (JonWeinberg)

Key 1 Possible Problem2 Probable Problem

3+ Definite Problem

Scores Job 1 Social 1 Family 1 Health 1 Legal 1

LIFE Areas


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Page 2 of 8


DSM-IV (Diagnostic Statistic Manual) Maximum Score = 32

Description Diagnostic Symptoms associated with the continuing use of dependence or addiction toalcoholdrugs

Key 0 No Evidence of Problem1-3 Possible Problem

4-12 Probable Problem13+ Definite Problem

DSM-IV


IQ (Possible Denial Probable Denial Definite Denial)

Description The scale counts the possibility of inconsistencies between question responses Themaximum number of inconsistencies that can be recorded is 10 The minimum number is 0

Key 0-3 Possible Minimization4-6 Probable Minimization

7-10 Definite Minimization

IQ

3 = PossibleMinimization

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General Exam Information

This tool is a collection of previously copyrighted tests and testing procedures Questions from previously validated tests werecopied organized according to the life areas described in Dr Jon Weinberg published works and then scored in accordance withthe individual authors recommendations There has been no attempt to create a new diagnosis instrument We have attempted toprovide a compilation of proven tests so that the clients diagnosis of their own behavior can be compared to multiple scales anda comprehensive profile of symptoms and consequences be developed for analysis This evaluation tool will summarize theresults of 11 individual scales These testing scales are based on the following worksYouth Diagnostic Scale (Young AlcoholicsTom Alibrandi 1978)AlcoholChemical Dependency Checklist (Dr Robert Basham 1984)Life Areas (InterviewTechniquesHazelden Dr Jon Weinberg 1972)DSM IV (Diagnostic Statistical Manual-American Psychiatric Assoc 1994)AValidation Manual of all tests used by iMR is available to our customers

Supplemental Exam Information

The IQ scale has been developed to provide a clinician with supplemental guidance after a Teen assessment is completed(Compu-Teen) In some instances individuals may minimize the affects that alcoholdrugs has had on their lives When thisoccurs it is possible that responses to certain questions may contradict responses to other questions that have been answered Tocheck for this possibility certain client responses are selected that are definite indicators of destructive behaviors and thencompared with related responses and scoring results

The IQ scale was developed using criteria developed in the decade long SAMHSA (Department of Health and Human Services)study These findings can be found in the National Household Survey on Drug Abuse (NHSDA-1993-2003) This study providesfindings on the use of alcohol and other drugs and its relationship to other demographic information

Recommendations

EDUCATION should include information on all drugs including physiological and psychological effects on the user TheEducation Program should include current comprehensive effective materials and information

OUTPATIENT TREATMENT is appropriate if a pattern of abuse has been established and the client is able to abstain fromcontinuing use Elements of outpatient treatment should include education group therapy individual counseling and amechanism for monitoring client abstinence

INPATIENT TREATMENT should be used when voluntary abstinence is not possible andor a controlled environment willenhance treatment results Aftercare is a critical element of treatment as behaviors attitudes and friends must be changed ifpositive results are desired

SELF HELP GROUPS (AANA) must be part of any treatment modality or aftercare

PSYCHOLOGICAL DIAGNOSTIC SERVICES should be available as needed from any treatment facility

ASAM Criteria

Many Clinicians use ASAM (American Society of Addiction Medicine) criteria to categorize their treatment recommendationsCompu-Tools Assessments include numerous indicators that relate to ASAM criteria as it is published in Patient PlacementCriteria Second Edition Revised

Compu-Tools Assessments (Teen Adult Psychological Social Behaviors and Self Tests) include up to 75 indicators that matchor relate to specific ASAM Criteria A review of the Assessment test results Performance Contracts and Client responses are thesource of this information

A consultant to iMRcom has provided the following Summary and Assessment Statement that summarizes the generaldeterminations that a Clinician should make when working with ASAM criteria

SUMMARY AND ASSESSMENT STATEMENT

Criteria for substance abuse or dependenceCompu-Tools Result = Probable Problem = Substance AbuseCompu-Tools Result = Definite Problem = Substance Dependence

Criteria for TreatmentDimension 1 Withdrawal Potential (No Risk -gt Severe Risk)Dimension 2 Biomedical Conditions (None -gt 24 Hour Care Needed)Dimension 3 Emotional and behavior conditions and complications (None -gt 24 Hour Psychiatric Care)Dimension 4 Treatment Acceptance (Willing to cooperate -gt Does not qualify for TX)Dimension 5 Relapse Potential (Able to abstain -gt Does not qualify for TX)Dimension 6 Recovery Environment (Supportive -gt Does not Qualify for TX)

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Summary Responses

Each statement listed below describes a client response to a specific question contained on AlcoholDrug (Teen) assessmentThese descriptive statements are included to provide a clearer understanding of the nature of the questions that were developed bythe tests author In come instances questions were designed by an author that included the possibility of multiple or alternativeresponses When this is the case a printed description has been designed that shows this multiplicity and care should be usedwhen considering these statements Test scoring is done in accordance with the authors instructions and is separate from thisstatement summary

SocialSchool SectionClients school grades have declined below proven abilityClients school activities have declined Attitudes have become more negative about schoolClient has periodically missed class Has had unexcused absencesClient has had difficulties or troubles at school due to useClient has missed classes or days at school due to useClient has had physical conflicts with peers at school Feels alienated from peers at timesClient sometimes hangs out with kids who drink or use drugsMost or all of clients friends drink or use drugs (62)Client prefers to be with friends who drink or use drugs (62)Client has friends at least two older than classmatesMost of clients friends are older than clients classmatesClients Best Friends use andor have had trouble due to use (63)Client finds it difficult to stop using because friends use (62)Client sometimes drinks or uses to feel better around peopleClient andor friends thinks sex and drinking or drug use go togetherClient has gotten into a fight(s) when drinking or using drugsClient has gotten mad or has had an argument when drinking or usingClient has a partier reputation among friendsClient sometimes drinks or uses before going to a party

Family SectionOne or both of clients parents have drunk alcohol or used drugs regularly (63)Clients brother(s)sister(s) have drunk alcohol or use drugs regularly (63)Clients parent(s) have encouraged drinking or drug use (63)Clients parent(s) have been divorcedremarriedClients biological family has a history of alcohol or drug abuse (62)Client spends less time with family than in the past More time aloneClients arguments with parent(s) have increasedClient has threatened andor struck a parent or has been forced to leave home (33)Client has run away andor stayed away from home for 24 hoursClient has run awaystayed away from home for more than 7 daysClient has lied or has refused to talk to parent(s) about activitiesClient has stolen from family to buy alcohol or drugsClient has stolen major item from family members ($50 or more)Clients parent(s) do not think friends are a good influenceClients parent(s) strongly disapprove of clients friendsClient has come home drunk or highClient has come home drunk or high on more than one occasionClient has kept drug paraphernalia in the homeClient has kept alcohol or drugs in the homeClients gets into more arguments andor fights with family than in the pastClient has had trouble at home due to useClient has been placed in a fostergroup home or has been to alcoholdrug treatment previously (53)

Health SectionClient has used alcohol or drugsClients primary drug of choice is Alcohol (BeerWineLiquor)Clients secondary drug of choice is MarijuanaClient has drunk or used drugs five times or moreClient admits to regular useClient sometimes uses because it helps to forget worriesClient sometimes uses because it helps cheer himher upClient sometimes uses to change the way heshe feels

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Client sometimes uses because it makes himher feel stronger or braverClient has borrowed money or has done without things to useClient has skipped meals while using or as a result of usingClient admits to gulping chugging fast drinking or heavy dosesClient has experienced shakes or tremors in the morning after use (23)Client admits using in the morning (23)Client has forgotten events that took place when using (23)Client has forgotten numerous events that took place when using (23)Client admits staying high for a whole day while usingClient admits using until its all goneClient admits getting drunk or high at least once a month or moreClient generally drinks more than 3-4 drinkssessionClient generally drinks at least 12 beers6 drinks per sessionClient admits using once a week or moreClient sometimes uses more than heshe originally intendedClient has tried to cut down on useClient used alcohol or drugs regularly before the 9th gradeClient used alcohol or drugs regularly before the 7th gradeClient tolerance has increased Can use more than friends (13)Client indicates it takes six or more drinksmultiple doses to feel highClient has ridden with a high or intoxicated driverClient admits driving when intoxicated or highClient has used alcohol or drugs during the school week (13)Client has used daily for seven days in a row (13)Client has used before or during school or while aloneClient admits using periodically on school daysClient has combined drugs when usingClient has found that combining alcohol and drugs increases effectivenessClient has used during the last seven days (13)Client has bought or borrowed from a non-friend to useClient has sold possessions or dealt to useClient has deliberately quit using or attempted to stop using on hisher own (41)Client has previously been to AANAother support groups or to treatmentClient has been physically injured as a result of useClient has had sex with a non-intimate partner while intoxicated or highClient has stayed up all night usingClient has stayed up all night using on more than one occasionClient has felt guilty or worried about using or the results of use (41)Client has needed to use alcohol or drugs on a daily basis to feel OKClient admits having a use problem (41)Client has experimented with the following drugs Alcohol Tobacco MarijuanaHashish Tranquilizers Sedatives Amphetamines (CrankSpeedDiet Pills) Muscle RelaxantsMigraine MedicationConvulsion Medication Cocaine (Crack) Heroin PCP LSD (Acid) Hallucinogenics (MescalineMushrooms) Inhalants OtherClient has used the following drugs regularly DarvonPercodan (AnalgesicsPain Medication) RitalinBiphetamine AntidepressantsClient has watched others use drugs intravenouslyClient has taken drugs intravenously or smoked crack

Other

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Client has contemplated suicide (34)Client has attempted suicide (34)Client is distrusting of adults or dislikes authorityClient has experienced declining spiritual beliefsClient has been involved in Satanism witchcraft or sorcery

Legal SectionClient has been arrested or in legal trouble due to possession of alcohol or drugs (33)Client has been arrested or in legal trouble because of alcohol or drug use (33)Client has been arrested for using alcoholdrugs more than once (33)Client has been arrestedin legal trouble where alcdrugs were involved (33)

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Page 7 of 8


Performance Contract

The contract and conditions listed below have been AGREED to by the client as part of the performance contract

Conditions

Individual states that he or she is able to discontinue the use of alcoholdrugs without assistance

Individual has agreed to discontinue the use of alcohol and non-prescribed drugs for 24 months The results of the assessmentindicate that the use of alcohol or other drugs has negatively affected the individuals life Willingness and the ability to abstainfrom all non-prescribed drugs for a period of time is an indication that an individual is not currently addicted to their use(ASAM1)

Individual has not attended alcoholdrug education and would benefit from a minimum of a 16-32 hour education course Basiceducation classes or self-study courses on the consequences of alcoholdrug use will provide the individual with the knowledgenecessary to better evaluate whether future alcoholdrug use is beneficial (ASAM 1)

Individual is willing to attend Alcoholics Anonymous The Definite Problem result category for this individual indicates he orshe needs to attend 90 meetings in 90 days and 2-3 per week thereafter The Probable Problem result category for this individualindicates he or she needs to attend 2-4 meetings per week The Possible Problem result category for this individual indicates heor she needs to attend 1-2 meetings per week (ASAM 1)

Individual is unwilling to attend an Outpatient Treatment ndash Group Therapy Program Individual has indicated that he or she haspreviously participated in structured alcoholdrug programs(s)

Individual is willing to participate in a monitoring program that will confirm compliance with the conditions agreed to on thePerformance Contract Weekly reporting of all activities by the individual will insure that heshe is accountable for thecommitments that have been made

Individual agrees to the following conditions if he or she does not comply with the actions they promised to complete in theinitial Performance Contract

The individualrsquos history would indicate a pattern of continuing drug use after periods of abstinence Although the individual hasindicated that heshe is willing to abstain from use for a period of time dependency may force the individual to continue to use Itis for this reason that drug testing may be necessary for a period of time

Individual is using the following prescribed medications for the conditions listed

Drug RitalinReason for use ADD

Signature and Acceptance

I have reviewed the conditions of this Performance Contract and agree to its conditions

____________________________________________ _______________________

Client Signature Date

____________________________________________ _______________________

Witness Signature Date

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Page 8 of 8


HIPAA NOTICE OF PRIVACY PRACTICES

THIS NOTICE DESCRIBES HOW MEDICAL OR OTHER PERSONAL INFORMATION ABOUTYOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THISINFORMATION PLEASE REVIEW CAREFULLY

This Notice of Privacy Practices (NPP) describes how we may use and disclose your protected health or other personalinformation (PHI) to carry out treatment payment or health care operations (TPO) and for other purposes that are permitted orrequired by law It also describes your rights to access and control your protected health information Protected healthinformation is information about you including demographic information that may identify you and that relates to your pastpresent or future physical or mental health or condition and related health care services

Uses and Disclosures of Protected Health Information

General Policy Notes

If you are a self-referred client of imresponsiblecom no information will be provided to or disclosed toanyone without your specific written consent

If you have been referred to imresponsiblecom by a third party and this same third party is paying forthe services we will release information pertaining to you to your referral source We specify that all ourreferral sources obtain releases of information from their clients before they receive services Youshould have signed such a release before you came to our web site as we have received the referral sourcesassurance these releases are being executed for each individual

imresponsiblecom information is stored on secure computer systems and no information is sent from oursite without being encrypted to insure that customer or client information remains secure

Since our services are not covered as reimbursed expenses by insurance companies no Individual orpayment information will be disclosed to anyone without your written consent

You may revoke authorization to disperse information relating to you at any time in writing

Your Rights

You have the right to inspect and copy your protected personal information

You have the right to request a restriction of your protected personal information

You have the right to request to receive confidential communications from us by alternative means or atan alternative location

You have the right to obtain a paper copy of this notice from us

You may have the right to have certain personal information provided to us amended

You have the right to receive an accounting of certain disclosures we have made if any of you protectedpersonal information

You may complain to us or to the Secretary of Health and Human Services if you believe your privacyrights have been violated by us

This notice was published and became effective onor before August 1 2003

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ASAM Criteria For those agencies that use the ASAM criteria in their businesses the following guide describes the ASAM related information produced by our software and how you can manually determine how it fits into the ASAM grid of information The ASAM criteria focus on six dimensions of biopsychosocial severity ndash See Below If the test results for the specified section of the Compu-Tools assessment are less than shown in the ldquoResultrdquo column the element is not scored (eg If total ldquoComputer Scoringrdquo shows a ldquoPossiblerdquo instead of a ldquoDefiniterdquo drug problem the score will be ldquo0rdquo)

Dimension Compu-Tools Result Score Total Computer Scoring (Total) Definite Problem 1 ACDC - Stage of Use Dependency on Use 1 YD - Consequences of Use Positive 1 DSM-IV Definite 1 Contract Need Help to Quit 1

1 Acute intoxication andor withdrawal potential

Compu-Tools Client Responses (Count = 1 each)

1

Total Contract Using Prescription Meds 1 2 Biomedical

conditions and complications

Expanded Client Info Health = Poor 1

Total 3 Emotional -behavioral conditions and complications

Psychological Scales Depression =Definite Cognitive = Definite Anxiety = Definite Anger = Definite

1 1 1 1

Total Contract Willingness to Participate in

Contract 0 4 Treatment

Acceptanceresistance Compu-Tools Client Responses

(Count = 1 each) 1

Total 5 Relapse potential Compu-Tools Client Responses

(Count = 1 each) 1

Total 6 Recovery Environment


1

Total

Dimension of Indicators 1 Acute intoxication andor withdrawal 2 Biomedical conditions and complications 3 Emotionalbehavioral conditions and complications 4 Treatment Acceptanceresistance 5 Relapse potential 6 Recovery Environment Scoring Key 0 None 1 Low 2 Medium 3 High

ASAM guidelines accept the use of the DSM-IV diagnostic information to determine the severity of a Psychoactive Substance Use Disorder and the DSM-IV is just one of the tools contained in Compu-Tool Assessments The additional scales bring balance and additional criteria

The practical application of placement criteria requires some personal andor subjective decisions iMRcom does not support subjective processes but does provide Clinicians with the information they need to make these type of decisions in as quantitative manner as possible

iMR
File Attachment
View Adolescent Sample

Page 1 of 5

AlcoholDrug (Adult) Assessment ltlt Back to iMR website

Client Ma Barker Date Taken 1032005 Social Security Number 234-22-2222 General Health Good

Sex Female Highest Grade Completed 9

Marital Status Married College No

Religious Preference Baptist DegreeClient Number MB-2222-ID-IDA-132 Birthday 1032005

Employer Self Employed Phone NumberOptional Client Info Has an attractive hip flask

Assessment Results

All tests are computed by totaling or counting the number of affirmative client responses Each positive response is an indicationof a problem As a composite they provide a profile of symptoms Four separate techniques are used to develop a portrayal of theclients symptoms The more symptoms - the likelier the accuracy of the diagnosis



Key 0-1 No Evidence of Problem2-4 Possible Problem5-7 Probable Problem

8-11 Definite Problem

Computer Scoring


Test Scale Summary


Results Indication MAST LIFE NCA DSM-IV Computer

No Evidence

Possible Problem 2

Probable Problem 15



MAST Test (Michagan AlcoholDrug Test ndash Selzer Ph D) Maximum Score = 99

Description Consequences of habitual use

Key 1-3 Possible Problem4 Probable Problem

5+ Definite Problem

MAST Test


LIFE Areas (Job Finances Social Family Health amp Legal) Maximum Score = 6


Key 1 Possible Problem2 Probable Problem3 Definite Problem

Scores Job 1 Finances 0 Social 1 Family 1 Health 1 Legal 1

LIFE Areas


NCAD (National Council Alcohol and Drug Test Criteria)

Description Physiological and Behavioral Symptoms of Use Each symptom has been categorized toreflect the seriousness of each symptom (Possible Probable and Definite symptoms)

Key Each number shown is a symptom of use

NCAD

2 = Possible Problem15 = Probable Problem11 = Definite Problem





DSM-IV






IQ


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This tool is a collection of previously copyrighted tests and testing procedures Questions from previously validated tests werecopied organized according to the life areas described in Dr Jon Weinberg published works and then scored in accordance withthe individual authors recommendations There has been no attempt to create a new diagnosis instrument We have attempted toprovide a compilation of proven tests so that the clients diagnosis of their own behavior can be compared to multiple scales anda comprehensive profile of symptoms and consequences be developed for analysis This evaluation tool will summarize theresults of 9 individual scales These testing scales are based on the following worksMAST - (Dr Melvin Seizer 1970)NCA -(National Council on Alcoholism 1972)Life Areas Interview TechniquesHazelden Dr Jon Weinberg 1972)DSM IV (DiagnosticStatistical Manual-American Psychiatric Assoc 1994)A Validation Manual of all tests used by iMR is available to our customers


The IQ scale has been developed to provide a clinician with supplemental guidance after an AlcoholDrug (Adult) assessment iscompleted In some instances individuals may minimize the affects that alcoholdrugs have had on their lives When this occursit is possible that responses to certain questions may contradict responses to other questions that have been answered To check forthis possibility certain client responses are selected that are definite indicators of destructive behaviors and then compared withrelated responses and scoring

Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses

Each statement listed below describes a client response to a specific question contained on AlcoholDrug (Adult) assessmentThese descriptive statements are included to provide a clearer understanding of the nature of the questions that were developed bythe tests author In come instances questions were designed by an author that included the possibility of multiple or alternativeresponses When this is the case a printed description has been designed that shows this multiplicity and care should be usedwhen considering these statements Test scoring is done in accordance with the authors instructions and is separate from thisstatement summary

Vocational SectionClient is currently employedClient does not have a history of steady employmentClients use has affected work performanceClient has been in trouble at work because of drinking or drug useClient has missed work because of drinking or drugs or their after effectsClient has lost a job because of drinking or drug useClient has changed jobs because of useinterpersonal difficulties

Financial SectionClient states personal finances have never been affected by use

Social Section50 of clients friends use (62)80 of clients activities involve use (62)

Family SectionSome members of clients family have had use problems (62)Family members have commented on or become concerned about clients useRelationships with family members have been affected due to clients useClient has neglected family obligations because of use

Health SectionClient uses beyond intention- finds it hard to stop use once (s)he beginsClient states pattern of increased dosagefrequency of use has occurredClient has used before noon periodicallyClient has used against advice or has hiddendenied useClient has used to relieve hangover symptoms or to deal with emotionsClient andor family member(s) have had psychiatric or behavioral problemsClient has been to a hospital emergency room clinic as a result of useClient has sought help or advice about drinking or drug useClient has used after receiving medical advice not toClient continues to use in spite of the problems it has causedClient admits thinking Im losing my mind (33+)Client has had the following physical symptoms that may be caused by useAlcohol Drinks per period of use 0 (23+)Client has used the following alcohol or drugs on a regular basis Alcohol (BeerWineWine CoolersLiquor) Nicotine Packs per day (Smoking or Chewing Tobacco) Nicotine (TobaccoChew) PotMarijuanaWeedHashish Cocaine Heroin Other 0

Legal SectionClients primary choice of drug and used most often is Alcohol (BeerWineLiquor)Client last used this drug on 08012005 (11) (13)Clients secondary choice of drug is MarijuanaClient last used this drug on 08012005Client has refused a BAC Client has had 4 alcohol or drug related arrests (63)

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Page 4 of 5




Conditions

Individual states that he or she is able to discontinue the use of alcoholdrugs without assistance (11+)

Individual has agreed to discontinue the use of alcohol and non-prescribed drugs for 24 months The results of the assessmentindicate that the use of alcohol or other drugs has negatively affected the individuals life Willingness and the ability to abstainfrom all non-prescribed drugs for a period of time is an indication that an individual is not currently addicted to their use (11+)


Individual is willing to attend Alcoholics Anonymous The Definite Problem result category for this individual indicates he orshe needs to attend 90 meetings in 90 days and 2-3 per week thereafter The Probable Problem result category for this individualindicates he or she needs to attend 2-4 meetings per week The Possible Problem result category for this individual indicates heor she needs to attend 1-2 meetings per week (41)

Individual is willing to participate in a monitoring program that will confirm compliance with the conditions agreed to on thePerformance Contract Weekly reporting of all activities by the individual will insure that heshe is accountable for thecommitments that have been made (51) (61)

Individual agrees to the following conditions if he or she does not comply with the actions they promised to complete in theinitial Performance Contract (61)

Ma agrees to leave all lethal weapons beneath the car seat when she is commiting a crime


Drug RitalinReason for use Attention



____________________________________________ _______________________


____________________________________________ _______________________


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Page 5 of 5












Your Rights









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iMR
File Attachment
View Adult Sample

Test Descriptions

1--ACDC (Stage of Use) 2-- ACDC (Need for Tx) 3--ACDC (Risk Factors) 4-- ACDC (Self Test) 5-- CAST Test 6-- YD (Style of Use) 7-- YD (Consumption) 8-- YD (Consequences) 9-- DSM IV 10-- Life Areas 11-- Summary 12-- Anxiety 13-- Cognitive Slippage 14-- Depression 15-- Anger

iMR
File Attachment
View Teen Chart

Page 1 of 3

Social Behaviors Assessment ltlt Back to iMR website






Assessment Results

This instrument is a compilation of previously copyrighted tests and testing procedures Questions from previously validatedtests were copied and then scored in accordance with the individual authors recommendations No attempt has been made tocreate a new diagnostic instrument We have attempted to provide a compilation of proven tests so the clients diagnosis oftheir own behavior can be compared to multiple scales and a comprehensive profile of symptoms be developed for analysis Theuse of multiple scales eliminates the dependence on a single instrument and any bias or limitation that I may contain TheDSM-IV is the source for the Antisocial and Conduct Disorder designations and the scoring method used Antisocial Practicesquestions resemble those included in the MMPI and scoring techniques are similar to those recommended in the related scalesThe Lifestyle Criminality Screening Form is based on the works of Dr Glenn D Walters which can be found in the book TheCriminal Lifestyle-Patterns of Serious Criminal Conduct (Sage Publications) Note Both adolescents and adults can use thistool The questions are categorized by age and the computer isolates those responses that are applicable to each client group AValidation Manual of all Tests used by iMR is available to our customers

Antisocial Personality

Description One source for these test scores is the DSM-IV which states that Antisocial Behavior is apattern of irresponsible and antisocial behavior beginning in childhood or early adolescenceand continuing into adulthood For this diagnosis to be given the person must be at least 18years of age have a history of Conduct Disorder before the age of 16 and also have adultsymptoms of Antisocial Behavior Should a history of childhood Conduct Disorder not bepresent and adult conditions are not attributable to a mental disorder a diagnosis of AdultAntisocial Behavior should be made if adult symptoms are present

Key Conduct Disorder (Childhood signs of Antisocial Behavior)0-2 Negative3+ Positive

Adult Antisocial (Adult Symptoms of Antisocial Behavior)0-3 Negative4+ Positive

Antisocial Personality Disorder (Diagnosis)Symptoms of Conduct Disorder and Adult Antisocial Behavior must both be present - Seekeys above If substance abuse is detected in addition to antisocial behavior diagnosissymptoms of conduct disorder must have been carried into adulthood for AntisocialPersonality Disorder to be present

Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive

Antisocial Practices

Description These questions resemble those that are included in the MMPI (Antisocial PracticesQuestions) The orders of the questions have been modified and in some cases thecontent has been altered Scoring is similar to the MMPI questions but independentvalidation studies have not been conducted Inclusion of these questions is designed toprovide an indication of behaviors and practices and not to provide a complete diagnosisThe clients responses to these questions should be used to supplement any conclusionsdrawn from the DSM-IV and other criteria

Key 0-13 No Evidence of Problem14+ Positive


15 = Positive

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Page 2 of 3


Lifestyle Criminality

Description These questions are based on the works of Glenn D Walters PhD His screening criteriahas been included in questions that are designed to allow the client to self report on theirown experiences Positive responses are scored according to the authors instructions

Key Irresponsible Behavior2 Probable

3+ DefiniteSelf-Indulgent Behavior

2 Probable3+ Definite

Interpersonal Intrusiveness2 Probable

3+ DefiniteSocial Rule Breaking


Lifestyle Criminality Classification7+ Possible10+ Probable10+ and positive score in each category Definite

Irresponsible Behavior


Self-Indulgent Behavior


Interpersonal Intrusiveness


Social Rule Breaking




Oppositional Defiant Disorder and Conduct Disorder

Description If positive scores are shown in this section for these disorders the diagnosis of symptomshas been made by a family member or by a close friend Oppositional Disorder is a patternof hostility negativism and defiance that is most apparent to family members or closefriends It is similar in symptoms to Conduct Disorder without behavior that has violated therights of others Positive scores in one or both scales can be used in conjunction with otherinformation gathered

Key Conduct Disorder0-2 Negative3+ Positive

Oppositional Disorder0-4 Negative5+ Positive

Conduct Disorder


Oppositional Disorder


wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Social

Test Descriptions

1-- MAST Test 2-- Life Areas 3-- NCAD-Possible 4-- NCAD-Probable 5-- NCAD-Definite 6-- DSM IV 7-- Self Test ndash Drugs 8-- Self Test ndash Alcohol 9-- Summary 10-- Anxiety 11- Cognitive Slippage 12-- Depression 13-- Anger

iMR
File Attachment
View Adult Chart

Compu-Tools


Note The current DSM V and ASAM Criteria are not in accord Most treatment recommendations mandate ASAM processes We have elected to maintain DSM-IV R and ASAM Criteria that are in diagnostic and treatment harmony The DSM IV R is but one of many tests results obtained using Compu-Tools ASAM Criteria - Compu-Tools computerized test results include ASAM coding that enables the Clinician to more accurately assess ASAM placement criteria This drug testing output can be entered onto a ASAM Criteria Worksheet Development of Compu-Tools Development Guidelines Assessments should include

bull Risk Factors Symptoms and Consequences that relate to destructive behaviors bull Legal and Illegal behaviors and substances used bull Author strengths and biases which can be balanced in a composite diagnostic environment bull Assessments that have independent Validation studies (Studies completed by someone other than the author(s) bull Assessments that are designed for specific populations and not modified from other instruments bull Appropriate Psychological Tests for Treatment PlanningPerformance Contract purposes bull Immediate computerized and accurate scoring HIPAA | ACA | security that enables ldquoteam data | activity entryrdquo bull A Diagnostic design that insures accurate client ldquoself assessmentrdquo of behaviors (MMPI was model used)

Below is a web link to Compu-Tools documents that will provide insight into the development of the iMR processes and supporting tools A Validation Manual is also included in the available documents httpsonedrivelivecomauthkey=21APsImF0kiPmw9SAampid=70846E64EAFCE24121151ampcid=70846E64EAFCE241 Instrument Use and Availability These computerized web based assessments have been available to healthcare practitioners since 2004 We estimate that approximately 100000 assessments have been completed Major Idaho School Districts have been using Compu-Tools and related processes for 19 years Free | No Charge access to the iMResponsiblecom site is provided to all participants of Drug Court Programs and other organizations that are designed to support clients in need The Compu-Tools | iMResponsiblecom processes provide three levels of HIPAA security Company Clinician and each Client can be provided with secure limited entry privileges Some clinicians guide clientrsquos as they answer the test questions in the computer programs Other cliniciansrsquo desire that a paper form is completed and the data then transferred to the computer If you wish to use paper questionnaires iMR will provide a PDF of the questionnaires upon request (An Adult Spanish version is also available) Tele-diagnosis and SBIRTs can also take place using popular conferencing software Registration and Instructions are shown below Web site httpswwwimresponsiblecom Step 1 ndash Click on Subscribe tab Step 2 ndash Enter Company Name Address email address city state zip code username password confirm password phone number and ldquoselect the iMR Agreements and Trial Accountrdquo button Step 3 ndash Download and look at the user guide and review the list of publications shown on the site and on the links above Step 4 ndash Click on Account Management tab ndashgt Create a user ndashgt Click on Assessments and Treatment Planning link -gt follow ldquoUser Guide instructionsrdquo For assistance email davidimresponsiblecom (Immediate Chat ndash 208-861-7150)

COMPU-TOOLS ADULT ASAM WORKSHEET

November 1 2004

COMPU-TOOLS ADULT CRITERIA WORKSHEET (11012004) LEVELS OF

CARE LEVEL I LEVEL II LEVEL III LEVEL IV

CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es

INTENSIVE OUTPATIENT TX

No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE

INPATIENT TX 1 Withdrawal

Potential (11) No withdrawal risk (12) No overt symptoms of

withdrawal risk (13) Risk of Withdrawal but

manageable (14) Severe Withdrawal

risk Contract = Can quit on

own Contract = Can quit on own Contract = Needs

Assistance to quit Contract = Needs

Assistance to quit Results = Possible or

Probable Problem Results = Definite Problem Results = Definite

Problem Results = Positive

Psychological results Responses = Recent

Abstinence Responses = Recent Abstinence Responses = Limited

Abstinence Health = Poor

Contract = Agrees to abstain

Contract = Agrees to Abstain Prescription Meds = Seizures

2 Biomedical Conditions

(21) None or Stable (22) None or non-distracting (23) Require Medical Monitoring

(24) 24 Hour medical care

Prescription Meds ndash Non Chronic Problems

Prescription Meds ndash Non Chronic Problems ndashmay need to be monitored

Prescription Meds ndash Chronic Problems


Responses = 0 Serious Health symptoms


Responses = Late Stage Symptoms of use

Prescription Meds - Seizures

Contract = Unwilling to stop use


Health = Poor Meds = Antabuse 3 Emotional or

Behavioral (31) None or Stable (32) Mild Severity (33) Moderate Severity (34) 24 Hour Psychiatric

care Results = 0 Positive

Psychological results Results = 0 Positive

Psychological results Results = Positive

Psychological Test results

Results = Positive Psychological Test results

Questionnaire = Arrests (0) Violence

Results = Positive Anti-Social Test results


Results = Legal History Results = Life Area - Legal

Questionnaire = Arrests = Violent Behaviors



November 1 2004

4 Treatment Acceptance

(41) Willing to CooperateNeeds Motivation

(42) Needs Structured Outpatient (43) Needs 24 Hour Structure (44) Does not Qualify for

Tx Contract = Agreed to 12

Step Program Contract = Agreed to Outpatient

Tx Contract = Refusal to Participate

Self Test = Admits to problem

Responses = Previous Intervention Effort(s)

Results = Positive IQ Score

Responses = Prior Tx Results = Positive Anti-Social results

Responses = Prior Tx 5 Relapse

Potential (51) Able to maintain abstinence (52) High likelihood of relapse (53) Unable to abstain in outpatient

environment (54) Does not

Qualify for Tx

Contract = Agreed to MonitoringCase Management

Contract = Refuses to Participate in Monitoring Program

Responses = Previous Intervention Efforts

6 Recovery Environment

(61) Supportive (62) Unsupportive (63) Dangerous (64) Does not Qualify for


Step Program Responses = Social Family

Environment Unsupportive Responses = Life Area ndash Legal


Responses = Social Family Environment Unsupportive

Contract = Agreed to ldquonon-compliancerdquo conditions

Responses = Family and Friends Supportive

Questionnaire = Self Test Positive

DIRECTIONS FOR COMPUTING ASAM CRITERIA

ORIGIN OF EVALUATION CRITERIA

Contract = Performance Contract Conditions that are developed when an individual agrees to change behaviors in accordance with the Contract Information on the Contract relates to the individualsrsquo willingness or lack thereof to change behaviors (See the Performance Contract included with the Assessment results Questionnaire = Assessment information is gathered through the use of a printed or computerized questionnaire Some of the questions asked therein relate to ASAM Criteria (See printed questionnaire) Results = Compu-Tools provide a broad range of assessment results that relate to several of the ASAM criteria (See Summary Page of Assessment results)

Compu-Tools Assessment results include data that will assist a Clinician in determining the appropriate ASAM admission criteria Specific information can be used to provide a quantitative analysis of criteria and therefore minimize subjective conclusions that might otherwise be necessary There are approximately 50 symptoms that can be categorized and counted in accordance ASAM criteria and Level of Treatment

Responses = A summary of client responses to questions is presented with Compu-Tools results Each response that is related to ASAM criteria is labeled with the appropriate Dimension and Treatment Level (eg 11 23 etchellip) (Count answers by Category)

iMR
File Attachment
ASAM Results and Grid

Page 1 of 8







Assessment Results




Computer Scoring


Test Scale Summary



No Evidence

Possible Problem

Probable Problem






Stages of Use





Need for Treatment





Risk Factors




Key 5+ Positive

Style of Use



Key 4+ Positive




Key 2+ Positive

Consequences of Use




3+ Definite Problem


LIFE Areas


wwwiMResponsiblecom

Page 2 of 8






DSM-IV






IQ


wwwiMResponsiblecom

Page 3 of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2

Psychological Assessment ltlt Back to iMR website






Assessment Results

The Psychological Scales Test is a compilation of individual psychological tests the were authored by reliable sources validatedindependently from the creating author(s) and were available for public use Each scale is scored in accordance with the authorsinstructions The instrument includes Depression Cognitive Slippage Anxiety and Anger scales Depression = CES-D (RutgersUniversity Press) Myrna M Weissmen Jerome K Myers and Catherine E Ross Cognitive Slippage = (State University of NewYork at Buffalo) Tracey C Miera and Michael L Raulin Anxiety Scale = (Florida State University - University of Georgia)David Westhuis and Bruce A Thyer Anger Scale = (Based on two MMPI scales - Personality Inventory - 2 and theInterpersonal Behavior Scale) Glenda Loomis

This psychological screening tool has been designed to alert the diagnostician to the possibility of certain emotionaldisturbances The clients responses about the way they feel are compared to norms and then interpreted by validated testinstruments

It is important that the clinician recognize that these tools assess the current severity of respondent self reported emotions and arenot definitive diagnostic instruments A clinical cutting score is used for each scale Scores in excess of these cutting scores areindicative of a potential problem while scores below these levels are not reported for interpretation The clinician should alwaysobtain corroborative data from the client and the other key information sources before making a diagnostic or treatment decisionThis is especially critical with borderline scores

CAS (Clinical Anxiety Scale) Maximum Score = 100

Description The CLINICAL ANXIETY SCALE (CAS) (Dr Bruce A Thyer 1986) is a 25 item categorypartition scale that measures the amount of anxiety reported by a respondent The CASwas psychometrically derived from a pool of questions largely based upon the diagnosticcriteria found in the DSM-IV

Key 0-29 Possible Problem30+ Definite Problem

CAS


CSS (Cognitive Slippage Scale) Maximum Score = 35

Description The COGNITIVE SLIPPAGE SCALE (CSS) (Dr Michael L Raulin 1987) determines howaccurately one perceives and thinks about reality A variety of factors both genetic andenvironmental may influence the manner in which symptoms of speech deficits andconfused thinking manifest themselves Perceptual aberration intense ambivalencesomatic symptoms and distrust are also meaningful correlates of the CSS


CSS

21 = Possible Problem

CESD (Depression Scale) Maximum Score = 60

Description The Center for Epidemiologic Studies DEPRESSION Scale (CES-D) was developed for usein studies of the epidemiology of depressive symptomatology in the general population Itidentifies not only the presence but also the severity (number of symptoms weighted byfrequencyduration) of depressive symptomatology The scale was designed to reflectcurrent state and to be responsive to changes in state by asking how often the symptomoccurred during the past week

Key 0-17 Possible Problem18-22 Probable Problem23+ Definite Problem

CESD


DTAS (Diagnostic Anger Scale) Maximum Score = 25

Description The DIAGNOSTIC TOOL ANGER SCALE (DTAS) (Dr Glenda Loomis 1990) was developedby the author to determine how the consequences of angry behavior have manifestedthemselves in the clientsrsquo interpersonal relationships and certain major life areas Passiveaggressive tendencies are also measured to assist the clinician with treatmentrecommendations (Items 21-25) Specifically assess passive ndash Aggressive Tendencies


DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 8







Assessment Results




Computer Scoring


Test Scale Summary



No Evidence

Possible Problem

Probable Problem






Stages of Use





Need for Treatment





Risk Factors




Key 5+ Positive

Style of Use



Key 4+ Positive




Key 2+ Positive

Consequences of Use




3+ Definite Problem


LIFE Areas


wwwiMResponsiblecom

of 8






DSM-IV






IQ


wwwiMResponsiblecom

Page 3 of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




iMR
File Attachment

Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Adult Sample

Test Descriptions


iMR
File Attachment
View Teen Chart

Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Social

Test Descriptions


iMR
File Attachment
View Adult Chart

Compu-Tools






November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















iMR
File Attachment

Page 1 of 8







Assessment Results




Computer Scoring


Test Scale Summary



No Evidence

Possible Problem

Probable Problem






Stages of Use





Need for Treatment





Risk Factors




Key 5+ Positive

Style of Use



Key 4+ Positive




Key 2+ Positive

Consequences of Use




3+ Definite Problem


LIFE Areas


wwwiMResponsiblecom

Page 2 of 8






DSM-IV






IQ


wwwiMResponsiblecom

Page 3 of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 8






DSM-IV






IQ


wwwiMResponsiblecom

of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




iMR
File Attachment

Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Adult Sample

Test Descriptions


iMR
File Attachment
View Teen Chart

Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Social

Test Descriptions


iMR
File Attachment
View Adult Chart

Compu-Tools






November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















iMR
File Attachment

Page 1 of 8







Assessment Results




Computer Scoring


Test Scale Summary



No Evidence

Possible Problem

Probable Problem






Stages of Use





Need for Treatment





Risk Factors




Key 5+ Positive

Style of Use



Key 4+ Positive




Key 2+ Positive

Consequences of Use




3+ Definite Problem


LIFE Areas


wwwiMResponsiblecom

Page 2 of 8






DSM-IV






IQ


wwwiMResponsiblecom

Page 3 of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




iMR
File Attachment

Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Adult Sample

Test Descriptions


iMR
File Attachment
View Teen Chart

Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Social

Test Descriptions


iMR
File Attachment
View Adult Chart

Compu-Tools






November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















iMR
File Attachment

Page 1 of 8







Assessment Results




Computer Scoring


Test Scale Summary



No Evidence

Possible Problem

Probable Problem






Stages of Use





Need for Treatment





Risk Factors




Key 5+ Positive

Style of Use



Key 4+ Positive




Key 2+ Positive

Consequences of Use




3+ Definite Problem


LIFE Areas


wwwiMResponsiblecom

Page 2 of 8






DSM-IV






IQ


wwwiMResponsiblecom

Page 3 of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 8


Summary Responses





wwwiMResponsiblecom

of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




iMR
File Attachment

Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Adult Sample

Test Descriptions


iMR
File Attachment
View Teen Chart

Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Social

Test Descriptions


iMR
File Attachment
View Adult Chart

Compu-Tools






November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















iMR
File Attachment

Page 1 of 8







Assessment Results




Computer Scoring


Test Scale Summary



No Evidence

Possible Problem

Probable Problem






Stages of Use





Need for Treatment





Risk Factors




Key 5+ Positive

Style of Use



Key 4+ Positive




Key 2+ Positive

Consequences of Use




3+ Definite Problem


LIFE Areas


wwwiMResponsiblecom

Page 2 of 8






DSM-IV






IQ


wwwiMResponsiblecom

Page 3 of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 8



Other

wwwiMResponsiblecom

of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




iMR
File Attachment

Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Adult Sample

Test Descriptions


iMR
File Attachment
View Teen Chart

Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Social

Test Descriptions


iMR
File Attachment
View Adult Chart

Compu-Tools






November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















iMR
File Attachment

Page 1 of 8







Assessment Results




Computer Scoring


Test Scale Summary



No Evidence

Possible Problem

Probable Problem






Stages of Use





Need for Treatment





Risk Factors




Key 5+ Positive

Style of Use



Key 4+ Positive




Key 2+ Positive

Consequences of Use




3+ Definite Problem


LIFE Areas


wwwiMResponsiblecom

Page 2 of 8






DSM-IV






IQ


wwwiMResponsiblecom

Page 3 of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 8




wwwiMResponsiblecom

of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




iMR
File Attachment

Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Adult Sample

Test Descriptions


iMR
File Attachment
View Teen Chart

Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Social

Test Descriptions


iMR
File Attachment
View Adult Chart

Compu-Tools






November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















iMR
File Attachment

Page 1 of 8







Assessment Results




Computer Scoring


Test Scale Summary



No Evidence

Possible Problem

Probable Problem






Stages of Use





Need for Treatment





Risk Factors




Key 5+ Positive

Style of Use



Key 4+ Positive




Key 2+ Positive

Consequences of Use




3+ Definite Problem


LIFE Areas


wwwiMResponsiblecom

Page 2 of 8






DSM-IV






IQ


wwwiMResponsiblecom

Page 3 of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




iMR
File Attachment

Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Adult Sample

Test Descriptions


iMR
File Attachment
View Teen Chart

Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Social

Test Descriptions


iMR
File Attachment
View Adult Chart

Compu-Tools






November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















iMR
File Attachment

Page 1 of 8







Assessment Results




Computer Scoring


Test Scale Summary



No Evidence

Possible Problem

Probable Problem






Stages of Use





Need for Treatment





Risk Factors




Key 5+ Positive

Style of Use



Key 4+ Positive




Key 2+ Positive

Consequences of Use




3+ Definite Problem


LIFE Areas


wwwiMResponsiblecom

Page 2 of 8






DSM-IV






IQ


wwwiMResponsiblecom

Page 3 of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




iMR
File Attachment

Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Adult Sample

Test Descriptions


iMR
File Attachment
View Teen Chart

Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Social

Test Descriptions


iMR
File Attachment
View Adult Chart

Compu-Tools






November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















iMR
File Attachment

Page 1 of 8







Assessment Results




Computer Scoring


Test Scale Summary



No Evidence

Possible Problem

Probable Problem






Stages of Use





Need for Treatment





Risk Factors




Key 5+ Positive

Style of Use



Key 4+ Positive




Key 2+ Positive

Consequences of Use




3+ Definite Problem


LIFE Areas


wwwiMResponsiblecom

Page 2 of 8






DSM-IV






IQ


wwwiMResponsiblecom

Page 3 of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx























1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




iMR
File Attachment

Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Adult Sample

Test Descriptions


iMR
File Attachment
View Teen Chart

Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Social

Test Descriptions


iMR
File Attachment
View Adult Chart

Compu-Tools






November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















iMR
File Attachment

Page 1 of 8







Assessment Results




Computer Scoring


Test Scale Summary



No Evidence

Possible Problem

Probable Problem






Stages of Use





Need for Treatment





Risk Factors




Key 5+ Positive

Style of Use



Key 4+ Positive




Key 2+ Positive

Consequences of Use




3+ Definite Problem


LIFE Areas


wwwiMResponsiblecom

Page 2 of 8






DSM-IV






IQ


wwwiMResponsiblecom

Page 3 of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Adult Sample

Test Descriptions


iMR
File Attachment
View Teen Chart

Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Social

Test Descriptions


iMR
File Attachment
View Adult Chart

Compu-Tools






November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















iMR
File Attachment

Page 1 of 8







Assessment Results




Computer Scoring


Test Scale Summary



No Evidence

Possible Problem

Probable Problem






Stages of Use





Need for Treatment





Risk Factors




Key 5+ Positive

Style of Use



Key 4+ Positive




Key 2+ Positive

Consequences of Use




3+ Definite Problem


LIFE Areas


wwwiMResponsiblecom

Page 2 of 8






DSM-IV






IQ


wwwiMResponsiblecom

Page 3 of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Adult Sample

Test Descriptions


iMR
File Attachment
View Teen Chart

Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Social

Test Descriptions


iMR
File Attachment
View Adult Chart

Compu-Tools






November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















iMR
File Attachment

Page 1 of 8







Assessment Results




Computer Scoring


Test Scale Summary



No Evidence

Possible Problem

Probable Problem






Stages of Use





Need for Treatment





Risk Factors




Key 5+ Positive

Style of Use



Key 4+ Positive




Key 2+ Positive

Consequences of Use




3+ Definite Problem


LIFE Areas


wwwiMResponsiblecom

Page 2 of 8






DSM-IV






IQ


wwwiMResponsiblecom

Page 3 of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Adult Sample

Test Descriptions


iMR
File Attachment
View Teen Chart

Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Social

Test Descriptions


iMR
File Attachment
View Adult Chart

Compu-Tools






November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















iMR
File Attachment

Page 1 of 8







Assessment Results




Computer Scoring


Test Scale Summary



No Evidence

Possible Problem

Probable Problem






Stages of Use





Need for Treatment





Risk Factors




Key 5+ Positive

Style of Use



Key 4+ Positive




Key 2+ Positive

Consequences of Use




3+ Definite Problem


LIFE Areas


wwwiMResponsiblecom

Page 2 of 8






DSM-IV






IQ


wwwiMResponsiblecom

Page 3 of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Adult Sample

Test Descriptions


iMR
File Attachment
View Teen Chart

Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Social

Test Descriptions


iMR
File Attachment
View Adult Chart

Compu-Tools






November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















iMR
File Attachment

Page 1 of 8







Assessment Results




Computer Scoring


Test Scale Summary



No Evidence

Possible Problem

Probable Problem






Stages of Use





Need for Treatment





Risk Factors




Key 5+ Positive

Style of Use



Key 4+ Positive




Key 2+ Positive

Consequences of Use




3+ Definite Problem


LIFE Areas


wwwiMResponsiblecom

Page 2 of 8






DSM-IV






IQ


wwwiMResponsiblecom

Page 3 of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 5












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Adult Sample

Test Descriptions


iMR
File Attachment
View Teen Chart

Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Social

Test Descriptions


iMR
File Attachment
View Adult Chart

Compu-Tools






November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















iMR
File Attachment

Page 1 of 8







Assessment Results




Computer Scoring


Test Scale Summary



No Evidence

Possible Problem

Probable Problem






Stages of Use





Need for Treatment





Risk Factors




Key 5+ Positive

Style of Use



Key 4+ Positive




Key 2+ Positive

Consequences of Use




3+ Definite Problem


LIFE Areas


wwwiMResponsiblecom

Page 2 of 8






DSM-IV






IQ


wwwiMResponsiblecom

Page 3 of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















Test Descriptions


iMR
File Attachment
View Teen Chart

Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Social

Test Descriptions


iMR
File Attachment
View Adult Chart

Compu-Tools






November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















iMR
File Attachment

Page 1 of 8







Assessment Results




Computer Scoring


Test Scale Summary



No Evidence

Possible Problem

Probable Problem






Stages of Use





Need for Treatment





Risk Factors




Key 5+ Positive

Style of Use



Key 4+ Positive




Key 2+ Positive

Consequences of Use




3+ Definite Problem


LIFE Areas


wwwiMResponsiblecom

Page 2 of 8






DSM-IV






IQ


wwwiMResponsiblecom

Page 3 of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Social

Test Descriptions


iMR
File Attachment
View Adult Chart

Compu-Tools






November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















iMR
File Attachment

Page 1 of 8







Assessment Results




Computer Scoring


Test Scale Summary



No Evidence

Possible Problem

Probable Problem






Stages of Use





Need for Treatment





Risk Factors




Key 5+ Positive

Style of Use



Key 4+ Positive




Key 2+ Positive

Consequences of Use




3+ Definite Problem


LIFE Areas


wwwiMResponsiblecom

Page 2 of 8






DSM-IV






IQ


wwwiMResponsiblecom

Page 3 of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Social

Test Descriptions


iMR
File Attachment
View Adult Chart

Compu-Tools






November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















iMR
File Attachment

Page 1 of 8







Assessment Results




Computer Scoring


Test Scale Summary



No Evidence

Possible Problem

Probable Problem






Stages of Use





Need for Treatment





Risk Factors




Key 5+ Positive

Style of Use



Key 4+ Positive




Key 2+ Positive

Consequences of Use




3+ Definite Problem


LIFE Areas


wwwiMResponsiblecom

Page 2 of 8






DSM-IV






IQ


wwwiMResponsiblecom

Page 3 of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 3












Your Rights









wwwiMResponsiblecom

iMR
File Attachment
View Social

Test Descriptions


iMR
File Attachment
View Adult Chart

Compu-Tools






November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















iMR
File Attachment

Page 1 of 8







Assessment Results




Computer Scoring


Test Scale Summary



No Evidence

Possible Problem

Probable Problem






Stages of Use





Need for Treatment





Risk Factors




Key 5+ Positive

Style of Use



Key 4+ Positive




Key 2+ Positive

Consequences of Use




3+ Definite Problem


LIFE Areas


wwwiMResponsiblecom

Page 2 of 8






DSM-IV






IQ


wwwiMResponsiblecom

Page 3 of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















Test Descriptions


iMR
File Attachment
View Adult Chart

Compu-Tools






November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















iMR
File Attachment

Page 1 of 8







Assessment Results




Computer Scoring


Test Scale Summary



No Evidence

Possible Problem

Probable Problem






Stages of Use





Need for Treatment





Risk Factors




Key 5+ Positive

Style of Use



Key 4+ Positive




Key 2+ Positive

Consequences of Use




3+ Definite Problem


LIFE Areas


wwwiMResponsiblecom

Page 2 of 8






DSM-IV






IQ


wwwiMResponsiblecom

Page 3 of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















Compu-Tools






November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















iMR
File Attachment

Page 1 of 8







Assessment Results




Computer Scoring


Test Scale Summary



No Evidence

Possible Problem

Probable Problem






Stages of Use





Need for Treatment





Risk Factors




Key 5+ Positive

Style of Use



Key 4+ Positive




Key 2+ Positive

Consequences of Use




3+ Definite Problem


LIFE Areas


wwwiMResponsiblecom

Page 2 of 8






DSM-IV






IQ


wwwiMResponsiblecom

Page 3 of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx




















November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















iMR
File Attachment

Page 1 of 8







Assessment Results




Computer Scoring


Test Scale Summary



No Evidence

Possible Problem

Probable Problem






Stages of Use





Need for Treatment





Risk Factors




Key 5+ Positive

Style of Use



Key 4+ Positive




Key 2+ Positive

Consequences of Use




3+ Definite Problem


LIFE Areas


wwwiMResponsiblecom

Page 2 of 8






DSM-IV






IQ


wwwiMResponsiblecom

Page 3 of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx




















November 1 2004














Qualify for Tx



















iMR
File Attachment

Page 1 of 8







Assessment Results




Computer Scoring


Test Scale Summary



No Evidence

Possible Problem

Probable Problem






Stages of Use





Need for Treatment





Risk Factors




Key 5+ Positive

Style of Use



Key 4+ Positive




Key 2+ Positive

Consequences of Use




3+ Definite Problem


LIFE Areas


wwwiMResponsiblecom

Page 2 of 8






DSM-IV






IQ


wwwiMResponsiblecom

Page 3 of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















iMR
File Attachment

Page 1 of 8







Assessment Results




Computer Scoring


Test Scale Summary



No Evidence

Possible Problem

Probable Problem






Stages of Use





Need for Treatment





Risk Factors




Key 5+ Positive

Style of Use



Key 4+ Positive




Key 2+ Positive

Consequences of Use




3+ Definite Problem


LIFE Areas


wwwiMResponsiblecom

Page 2 of 8






DSM-IV






IQ


wwwiMResponsiblecom

Page 3 of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 8







Assessment Results




Computer Scoring


Test Scale Summary



No Evidence

Possible Problem

Probable Problem






Stages of Use





Need for Treatment





Risk Factors




Key 5+ Positive

Style of Use



Key 4+ Positive




Key 2+ Positive

Consequences of Use




3+ Definite Problem


LIFE Areas


wwwiMResponsiblecom

Page 2 of 8






DSM-IV






IQ


wwwiMResponsiblecom

Page 3 of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 8






DSM-IV






IQ


wwwiMResponsiblecom

Page 3 of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 8







Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 4 of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 8


Summary Responses





wwwiMResponsiblecom

Page 5 of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 8



Other

wwwiMResponsiblecom

Page 6 of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 8




wwwiMResponsiblecom

Page 7 of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 8




Conditions













____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 8 of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 8












Your Rights









wwwiMResponsiblecom





1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx























1






1 1 1 1




(Count = 1 each) 1


(Count = 1 each) 1



1

Total




Page 1 of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 2







Assessment Results







CAS





CSS





CESD





DTAS


wwwiMResponsiblecom

Page 2 of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 2












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















Test Descriptions


Page 1 of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 5







Assessment Results






Computer Scoring


Test Scale Summary



No Evidence

Possible Problem 2

Probable Problem 15






5+ Definite Problem

MAST Test






LIFE Areas





NCAD






DSM-IV






IQ


wwwiMResponsiblecom

Page 2 of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 5






Recommendations






ASAM Criteria







wwwiMResponsiblecom

Page 3 of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 5


Summary Responses








wwwiMResponsiblecom

Page 4 of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 5




Conditions












____________________________________________ _______________________


____________________________________________ _______________________


wwwiMResponsiblecom

Page 5 of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 5












Your Rights









wwwiMResponsiblecom

Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















Test Descriptions


Page 1 of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 3







Assessment Results







Conduct Disorder

9 = Positive

Adult Antisocial

13 = Positive


Diagnosis Positive





15 = Positive

wwwiMResponsiblecom

Page 2 of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 3

























Conduct Disorder




wwwiMResponsiblecom

Page 3 of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx



















of 3












Your Rights









wwwiMResponsiblecom


November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx




















November 1 2004



CRITERIADIMENSIONS

No

of

Res

pons

es

OUTPATIENT TX

No

of

Res

pons

es


No

of

Res

pons

es

MEDICALLY MONITORED

INPATIENT TX No

of

Res

pons

es

MEDICALLY MANAGE











































November 1 2004














Qualify for Tx




















November 1 2004














Qualify for Tx



















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