Evaluation Info

What is a Chemical Health Evaluation in MN?

A Chemical Health Evaluation (schedule: 612-249-3656) is a comprehensive assessment used determine if a person has a problem with alcohol, drugs, or chemical dependency. Following the completion of the assessment, the person is provided with results. The results are included in a Recommendation Letters. Recommendations vary from person-to-person and can be simple suggestions such as speak to your doctor about quitting smoking to attend "rehab" for alcohol- or drug-related problems. Chemical Health Evaluations are also referred to as Rule 25 Assessments, Chemical Dependency Evaluations, CD Assessments, and Comprehensive Chemical Use Assessments.

If a person has alcohol or drug related criminal charges, such as a DWI or DUI, a Chemical Health Evaluation will be court ordered in Minnesota. The recommendations are used by judges and probation officers and can impact a person’s court outcomes and probation supervision requirements.

Most people call up their local Alcohol and Drug Treatment Center, or “rehab,” for their assessment. According to research from the National Center on Addiction and Substance Abuse, treatment center evaluators often lack the advanced education to provide quality evaluations, misdiagnosis a person as an “alcoholic” or “drug addict,” and are more likely to recommend intensive treatment over the lowest level of appropriate medical care for a person with an actual problem.

Where should I go for a private Chemical Health Evaluation in MN?

Michael,   612-249-3656, is a medical professional working in private practice through Avitity Health.

Michael received his addiction medicine training and psychology degree from Harvard University in Cambridge, Massachusetts. He authored, A Frenzied Mind: Clarifying the science behind addictive disorders. Additionally, he is an experienced MN- and court-certified Chemical Health Evaluator.

What is the purpose of a Chemical Health Evaluation in MN?

Chemical Health Evaluations are meant to determine if a person has a substance abuse problem or chemical dependency issue. As of 2013, these medical problems are now called “Substance Use Disorders.” For example, if a person has a serious alcohol misuse problem, a medical professional would refer to that illness as “Alcohol Use Disorder.”

What are Substance Use Disorders?

Substance Use Disorders are mental health conditions in which the use of one or more psychoactive drugs leads to clinically significant impairment, distress, or problems. Substance Use Disorders are life-threatening conditions. According to research, Substance Use Disorders resulted in 127,000 deaths in 2013; up from 53,000 in 1990. Medical professionals screen for eleven symptoms. When two or more of these symptoms will lead to a Substance Use Disorder diagnosis. These 11 symptoms are:

1. A chemical (alcohol or other drug) is often taken in larger amounts or over a longer period than was intended.
2. There is a persistent desire or unsuccessful efforts to cut down or control chemical use.
3. A great deal of time is spent in activities necessary to obtain, use, or recover from a chemical’s effects.
4. Craving, or a strong desire or urge to use a chemical.
5. Recurrent chemical use resulting in a failure to fulfill major role obligations at work, school, or home.
6. Continued alcohol use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of chemical.
7. Important social, occupational, or recreational activities are given up or reduced because of chemical use.
8. Recurrent chemical use in situations in which it is physically hazardous.
9. Chemical use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the chemical.
10. increased amounts of a substance to achieve intoxication or desired effect.
11. Physical withdrawal where the chemical may be taken to relieve or avoid withdrawal symptoms or “feel normal.”

What is Chemical Dependency and a Chemical Dependency Evaluation?

Chemical Dependency is a term that originates from the Diagnostic and Statistical Manual of Mental Disorders (DSM). The DSM is a book used by medical professionals to help diagnose mental health disorders in the United States. The term Chemical Dependency was a diagnosable mental health disorder until the 5th edition of the DSM was released in 2013. Since 2013, the term Chemical Dependency and “Substance Abuse” have been merged and replaced with the term Substance Use Disorders as the only available diagnosable illness. However, as you can imagine, the term Chemical Dependency is still used by some people and organizations. For example, some courts in Minnesota use the terms Chemical Dependency Assessment and Chemical Dependency Evaluation in court sentencing paperwork when a person has criminal charges related to alcohol or drug use, such as a DWI or DUI. Chemical Dependency Assessment and Chemical Dependency Evaluation are essentially the same as Chemical Health Evaluations in MN because all of them screen for Substance Use Disorders and serve the same function. The terms alcoholism, addict, and drug addiction are used less by medical professionals and more outside the medical community.

How is a Substance Use Disorder treated?

The good news is that there are more “evidenced-based” treatments available than any time in history. The bad news is that, according to research, it is unlikely you will receive the best treatments. This is because “rehabs” and treatment centers are staffed with counselors who lack advanced education and training on the most modern, effective therapies. This is also because many treatment centers fail to provide access to evidenced-based medications and instead rely solely upon “talk therapies.” Furthermore, most Alcohol and Drug Counselors lack “treatment fidelity,” which is adhering to the actual talk therapy treatment manual. Instead, they modify the therapy to their liking, which makes the evidenced-based therapy less effective. Lastly, a worrying trend is group size. Instead of individual or small group therapy, treatment centers or “rehabs” typically have group therapy sessions with 10-20 - and sometimes more - clients in the room. While this is profitable, it is not effective treatment and makes individualized care nearly impossible.

Call Michael,   612-249-3656, a Harvard-trained addiction specialist who can help you get the best counseling and medications available. He possesses a deep understanding of the available treatment options in your area. If you are seeking help in quitting or moderating your alcohol/drug use, he will provide referrals into the best programs based upon your goals.

Michael’s Locations for a Chemical Health Evaluations

Michael provides private, court- and Minnesota-certified Chemical Health Assessments to individuals in St Paul, Minneapolis and the surrounding metro. He can be reached directly at 612-249-3656.