While most providers are mindful of not gathering too much information too quickly, patients can reasonably expect that a thorough life history and medical history will aid the process of planning treatment and recovery. Reputable providers will often conduct a screening to determine if the caller is eligible to receive services in the program through a match of age, gender, presenting problems, and financial factors. There may be some initial questions to make a level of care recommendation, and some “exclusionary” questions to see if the center should refer to a more appropriate program if needed, such as for certain medical conditions, mobility, or psychiatric support. At the time of intake, a prospective patient will generally meet with an assessor and perhaps a nurse for part of an evaluation for initial safety and treatment. If insurance is involved, there is often a need to present the clinical recommendations for consultation with the payor. Families can expect to help by supplementing information given by the prospective patient who may be more guarded in sharing details or unaware of the extent of his or her problem. Generally, the decision to admit or not into a residential or detoxification program must be ordered by a doctor who reviews the assessment and recommendations.
