Getting a substance use assessment
The usual first step toward substance use treatment: what happens and how to get one.
Before starting substance use treatment, you'll usually have an assessment. It's a conversation with a licensed counselor or clinician about your alcohol or drug use, your health, and your life, used to recommend the right kind of care.
- Pick a provider. In most places you can contact a treatment provider directly to schedule an assessment. You don't always need a referral. Use Waypoint to find providers that offer assessments near you. Rules vary by state and by insurance plan, so ask when you call.
- Call and ask about coverage. Tell the provider what coverage you have: Medicaid, Medicare, private insurance, or none. If you don't have coverage, ask about sliding-scale fees or state-funded treatment.
- Have your assessment. Expect questions about substance use, mental health, physical health, housing, and support. Be as honest as you can; it helps match you to the right care.
- Start care. The clinician will recommend a level of care, such as outpatient, intensive outpatient, or residential treatment. Often you can start with the same provider.
If you're at risk of dangerous withdrawal (especially from alcohol or benzodiazepines), ask about withdrawal management (detox) first, or call 911 in an emergency.
Not sure where to start? SAMHSA's National Helpline (1-800-662-4357) is free, confidential, and open 24/7 in English and Spanish, and can refer you to local treatment.