Learn / Substance Abuse Evaluations: Why They Matter and What to Expect
Key Points
If you’re starting treatment for a substance use disorder, a substance abuse evaluation is a foundational first step.
This confidential chat with a qualified professional—usually a therapist, psychologist, or social worker—dives deep into your relationship with substances. Through a series of questions and possibly some tests, they’ll determine if you have a substance use disorder (SUD) and how serious it is. They’ll also look at how substances affect your daily life, from your mental health to your job and relationships.
Why all the questions? This intel helps your treatment team build a treatment plan just for you, to set you up for success in recovery.
Here’s how it works.
In a rehab setting, this assessment is how a treatment center gets to know its patients. This process is important because it helps staff create an effective treatment plan. It’s one way to learn data that helps your treatment team determine the best course of action.
A diagnosis helps you and your treatment team get a clearer picture of what’s going on.
To make a diagnosis, a qualified addiction treatment professional will talk to you in detail about your substance use. They’ll ask about what you’ve used, how often, and for how long. They’ll want to know if you’ve ever tried to quit before, and how your substance use affects your daily life.
Taken together, this information lets a clinician diagnose an SUD (or co-occurring mental health condition) and determine its severity.
Knowing exactly what you’re dealing with helps your treatment team create a recovery plan that’s right for you.
Your team will use the information they gathered from your evaluation to create a personalized treatment plan that fits your unique needs. This treatment plan is like a roadmap to your recovery.
A thorough substance abuse assessment helps your therapists understand the biological, psychological, and social aspects of your addiction.1 Having a comprehensive picture lets your rehab tailor the treatment plan to address your addiction and any underlying issues that are causing it.
In some cases, substance abuse evaluations might be court-ordered. This happens in situations where the legal system needs a clearer picture of your substance use. For instance, if you’re arrested for driving under the influence (DUI), a judge might require an evaluation2 to assess the severity of your problem and decide if treatment is necessary. Substance abuse evaluations can also play a role in child custody disputes. A judge might order one to understand how substance use could affect your ability to care for a child.
Defense attorney Allison Williams, Esq. explains how substance use evaluations are used in legal proceedings:3
The substance abuse evaluation looks into how your behavior is impacted by your use of substances. That could involve how it impacts your personal relationships, your work responsibilities, and your parenting.
In this case, the focus is on the behavior, on the substance used. “A substance abuse evaluation is a mental health assessment tool that looks into the issue of whether or not your use of substances, whether legal or illegal, has an adverse impact on your life,” says Williams. For example, “There are certain recreational drugs that…may constitute an illegal act, but they don’t necessarily mean that you committed child abuse and neglect.”
These evaluations are different than what you would experience in a voluntary addiction treatment program, and the outcome can have legal consequences. Most court-ordered substance abuse evaluations also include drug testing.
The main part of a substance abuse evaluation is the clinical interview. This is a confidential conversation with a clinical professional like a therapist or social worker. They’ll ask questions about different aspects of your life to better understand your situation:
Substance abuse evaluations often use questionnaires and standardized tests alongside clinical interviews. These provide additional data points to support the information gathered during your conversation. They might include:
Your rehab might also administer a drug test (such as a urine test) upon arrival and potentially throughout your stay, depending on their policies.
While substance abuse evaluations mainly focus on your behavior and experiences, your assessment might also include a brief medical exam by a healthcare professional. This is to assess any physical health issues caused by or related to your substance use, and may include:
The entire evaluation process typically takes a few hours. Specifics might vary depending on your facility, but here’s what you can generally expect:
Coming prepared for your evaluation can save time, ease your stress, and ensure you provide your treatment team with complete, accurate information.
Check with your rehab’s admissions team about which documentation you need to bring:
Don’t worry if you can’t find everything—just bring what you have. What’s most important is to be open and honest during the evaluation process.
Substance abuse evaluations can get into some pretty personal details about your past, so it helps to take a moment beforehand to mentally and emotionally prepare. Expect to answer open-ended questions that encourage you to share your experiences honestly.
There’s no shame in talking through your experiences. Doing so as candidly as possible helps your treatment team design an effective plan. Remember: they’re not doing this to judge you, but to give you the best help they can.
Addiction treatment is confidential, and that includes your initial evaluation. The information you share will be kept private according to HIPAA regulations, with some exceptions like potential harm to yourself or others. If you have any concerns about confidentiality, don’t hesitate to ask the staff directly.
Once the addiction evaluation process is complete, the evaluator will usually discuss their findings with you right away. They’ll explain the diagnosis, recommend the next steps, and address any questions or concerns.
The results of your evaluation will guide the path forward. Here are some potential next steps:
When you’re ready to start treatment, finding the right program can make a world of difference. Here are some tips to help you choose a rehab that’s the right fit:
The purpose of a substance abuse evaluation is simple: it’s how rehabs gather information on their patients, so they can help them. Once this in-depth assessment is complete, you’ll have a much clearer picture of your problems related to substance abuse—which is the first step to identifying the most effective solutions.
A comprehensive addiction treatment program can help you treat the mental, emotional, and physical aspects of your addiction, as well as uncover what’s driving it. Let this pivotal experience be a turning point in your life that puts you on the path to healing.
To find a program that meets your needs, search for rehabs by location, insurance accepted, and more, and reach out to a center directly today.
Belfiore, Cecilia Ilaria, et al. “A Multi-Level Analysis of Biological, Social, and Psychological Determinants of Substance Use Disorder and Co-Occurring Mental Health Outcomes.” Psychoactives, vol. 3, no. 2, June 2024, pp. 194–214. www.mdpi.com, https://doi.org/10.3390/psychoactives3020013.
What Is A DUI Evaluation? – Forbes Advisor. https://www.forbes.com/advisor/legal/dui/what-is-a-dui-evaluation/. Accessed 15 May 2024.
Allison Williams. What Is Involved in a Substance Abuse Evaluation? 2017. YouTube, https://www.youtube.com/watch?v=sP_oop5P2yk.
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