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ISSUE DATE: 12/2014

No provisions.


Refer an applicant or participant for a chemical use assessment when there is a reasonable basis for questioning whether a person is drug dependent. There is a reasonable basis for referral when 1 of the following exists:

The person has required detoxification 2 or more times in the last 12 months.

The person appears intoxicated at the county agency as indicated by 2 or more of the following:


Odor of alcohol.


Slurred speech.


Disconjugate gaze.


Impaired balance.


Difficulty in remaining awake.


Consumption of a chemical.


Responding to sights or sounds that are not actually present.


Extreme restlessness, fast speech, or unusual belligerence.

The person has been involuntarily committed for drug dependency at least once in the past 12 months.

The person has received treatment, including domiciliary care, for drug abuse or dependency at least twice in the past 12 months.

When you decide to refer a client for a chemical use assessment, notify the client of the referral. See 0026.51 (Notices - Chemical Use Assessment).

Give the client the opportunity to participate in a chemical use assessment within 15 days after the date you mail or deliver the notice of referral to the client.

The chemical use assessment must be conducted by a qualified county agency staff person or by a designee of the county agency.

Review a determination of drug dependency at least every 12 months.

There are certain restrictions on payments made after a client has been referred for a chemical use assessment or has been assessed as being drug dependent. See 0024.09.12 (Payments After Chemical Use Assessment).

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