What is an Alcohol and Drug Evaluation? Complete Guide

Understanding the Assessment That Shapes Your Recovery Path

You’ve heard the term thrown around. Maybe a court ordered you to get one. Maybe your employer mentioned it. Maybe you’re considering it voluntarily.

But what exactly IS an alcohol and drug evaluation?

This comprehensive guide answers that question completely. By the end, you’ll understand exactly what an evaluation is, why it matters, what happens during one, and what comes next.

Let’s start with the basics.

What is an Alcohol and Drug Evaluation? (Definition)

An alcohol and drug evaluation is a professional clinical assessment conducted by a licensed mental health professional. Its purpose: determine whether you have a substance use disorder and, if so, what level of care you need.

Think of it as a diagnostic tool – similar to how a doctor examines you to determine if you need medication, therapy, or hospitalization.

The evaluator gathers information through:

  • Clinical interview (conversation)
  • Standardized screening tools (validated questionnaires)
  • Review of your substance use history
  • Assessment of life consequences
  • Evaluation of mental health factors
  • Analysis of family history

Result: A written report with:

  • Clinical findings
  • Diagnosis (if applicable)
  • Severity rating
  • Level of care recommendation
  • Personalized treatment plan

Why Do You Need an Alcohol and Drug Evaluation?

There are many reasons someone needs an evaluation. Here are the most common:

Court-Ordered (Legal Requirements)

You may need an evaluation if you’ve been arrested or charged with:

  • DUI or DWI (driving under the influence)
  • Drug possession
  • Drug distribution
  • Public intoxication
  • Disorderly conduct
  • Reckless driving
  • Assault or battery
  • Domestic violence
  • Any substance-related crime

The court uses the evaluation findings to:

  • Determine guilt/innocence
  • Guide sentencing decisions
  • Set probation conditions
  • Assess the risk to the public
  • Determine appropriate punishment or treatment

Employment-Required

Some employers or industries require evaluation:

  • DOT violations or failed drug test
  • Professional licensing requirements
  • Safety-sensitive positions
  • Government jobs requiring security clearance
  • Company substance abuse policy

Probation/Parole Conditions

If you’re under supervision, conditions may include:

  • Mandatory substance evaluation
  • Progress monitoring appointments
  • Compliance with treatment recommendations

Voluntary/Personal

You might seek evaluation yourself:

  • Concerned about your substance use
  • Family intervention
  • Personal health concern
  • Insurance requirement
  • Custody proceedings
  • Self-referral for help

The Purpose of an Alcohol and Drug Evaluation

The PRIMARY purpose: Diagnose substance use and recommend treatment.

But there are several other important purposes:

Clinical Purpose

To evaluate:

  • Whether substance use disorder exists
  • Severity (mild, moderate, serious, severe)
  • Types of substances involved
  • Duration of use
  • Contributing factors
  • Co-occurring mental health issues
  • Risk factors and protective factors

To understand:

  • How does use affect your life
  • Your readiness for change
  • Your support system
  • Your strengths and weaknesses

Legal Purpose

To inform court decisions:

  • Sentencing recommendations
  • Probation terms
  • Treatment requirements
  • Release conditions
  • Risk assessment

To support:

  • Attorney advocacy
  • Case defense
  • Mitigating circumstances
  • Rehabilitation potential

Medical Purpose

To guide treatment:

  • Appropriate level of care
  • Specific treatment modalities
  • Mental health integration
  • Medication needs (if applicable)
  • Follow-up and monitoring

Personal Purpose

To help you:

  • Understand your situation
  • Recognize your substance use
  • See how it affects your life
  • Know what help you need
  • Take the first step toward recovery

Who Conducts Alcohol and Drug Evaluations?

Licensed mental health professionals conduct evaluations:

Common providers:

  • Licensed professional counselors (LPC)
  • Licensed clinical social workers (LCSW)
  • Psychologists (PhD or PsyD)
  • Psychiatrists (MD or DO)
  • Certified substance abuse counselors (CSAC)
  • Licensed marriage and family therapists (LMFT)

Requirements:

  • State licensing required
  • Specialized training in addiction
  • Clinical experience
  • Often, certification in substance abuse assessment

Red flag: If the evaluator isn’t licensed and trained, results may not be court-accepted.

Key Components of the Evaluation Process

1. Clinical Interview (60-90 minutes)

Your evaluator asks detailed questions about:

Substance use history:

  • When you started using
  • Types of substances (alcohol, marijuana, cocaine, opioids, prescription pills, etc.)
  • Frequency and quantity
  • Current use pattern
  • Longest period of sobriety

Attempts to quit

Life impact:

  • Employment history and job loss
  • Relationship damage and breakups
  • Legal trouble and arrests
  • Financial consequences
  • Health problems
  • Accidents or injuries

Personal background:

  • Family history of addiction
  • Childhood environment
  • Trauma or abuse
  • Mental health history
  • Education and employment

Current stressors

Mental health:

  • Depression or anxiety
  • Previous psychiatric diagnoses
  • Medications
  • Suicide attempts
  • Trauma effects

Motivation:

  • Desire to change
  • Support system
  • Goals and dreams
  • Barriers to recovery

2. Standardized Screening Tools

You complete validated questionnaires:

SASSI (Substance Abuse Subtle Screening Inventory)

  • 93-item questionnaire
  • Measures substance abuse likelihood
  • Detects denial and minimization
  • Takes 10-15 minutes

MAST (Michigan Alcohol Screening Test)

  • 25-item questionnaire
  • Specific to alcohol use
  • Measures dependence and consequences
  • Takes 5-10 minutes

AUDIT (Alcohol Use Disorder Identification Test)

  • 10-item questionnaire from WHO
  • Identifies hazardous drinkingThe
  • World Health Organization endorsed
  • Takes 5 minutes

ASAM (American Society of Addiction Medicine)

  • Multi-dimensional assessment
  • Covers 6 life dimensions
  • Determines the level of care needed
  • Completed by evaluator

3. Report Writing (2-3 days)

Evaluator compiles:

  • Assessment summary
  • Findings and analysis
  • Diagnosis (if applicable)
  • Severity rating
  • Level of care recommendation
  • Treatment plan
  • Professional recommendations

4. Delivery of Results

You receive:

  • Written a comprehensive report
  • Explanation of findings
  • Treatment options review
  • Next steps discussion
  • Answer to your questions

Severity Levels and What They Mean

Evaluators rate substance use from no disorder to severe dependence:

Level 0: No Substance Use Disorder

  • Finding: No addiction problem
  • What it means: Substance use isn’t a clinical concern
  • Treatment: None required
  • Court response: Case may close

Level 1: Mild Substance Use

  • Finding: Some use without major consequences
  • What it means: Occasional or situational use
  • Treatment: 8-hour education class
  • Court response: Favorable (shows you don’t need intensive treatment)

Level 2: Moderate Substance Use

  • Finding: Regular use with some consequences
  • What it means: Frequent use affects some life areas
  • Treatment: ASAM class + weekly counseling (8-12 weeks)
  • Court response: Standard (shows appropriate intervention)

Level 3: Serious Substance Use

  • Finding: Significant substance use disorder
  • What it means: Heavy use with major life consequences
  • Treatment: Intensive Outpatient (IOP) 9-20 hours/week, 90+ days
  • Court response: Demonstrates need for serious intervention

Level 4: Severe Substance Dependence

  • Finding: Severe addiction with high risk
  • What it means: Extreme use, withdrawal symptoms, loss of control
  • Treatment: Inpatient hospitalization (30-90+ days)
  • Court response: Appropriate for high-risk individuals

The Evaluation is NOT a Test

Important clarification:

It is NOT:

  • A test with right/wrong answers
  • Designed to trick you
  • Punitive or judgmental
  • A criminal investigation
  • A way to “catch” you

It IS:

  • A professional assessment
  • A diagnostic tool
  • A way to understand your situation
  • Designed to help you
  • Confidential and protected by law

What to Bring to Your Evaluation

Essential:

  • Valid photo ID
  • Court order (if you have one)
  • Insurance card

Helpful:

  • List of medications
  • Medical history notes
  • Previous treatment records
  • Family history information
  • Timeline of substance use

Cost and Timeline

  • Cost: $89-$165 (standard evaluation)
  • Duration: 90-120 minutes total
  • Results: 2-3 business days
  • Next steps: Treatment enrollment within 1-2 weeks

After Your Evaluation: What Happens Next

You receive your report and recommendations.

Based on findings, you might:

  • No treatment: Case closes (if court-ordered)
  • Education class: Attend 8-hour DUI school or ASAM class
  • Counseling: Weekly therapy sessions (8-12 weeks)
  • Intensive program: IOP program (90+ days)
  • Inpatient treatment: Hospital program (30-90+ days)

Related Resources (Learn More)

All of these topics are covered in detail:

Frequently Asked Questions

Q: Will my evaluation be confidential?

A: Yes. Protected by law. Only shared with the court/attorney if legally required.

Q: Can I bring someone with me?

A: No. Evaluations are one-on-one and confidential.

Q: What if I disagree with the results?

A: Discuss with evaluator. Second opinion available if needed.

Q: How long until the court receives my report?

A: Typically 2-3 business days.

Q: Can I do it online?

A: Yes. Virtual evaluations are available and court-approved.

Q: Will it affect my job?

A: Not automatically. Confidential unless you authorize release.

Q: What if I don’t complete treatment?

A: The court may issue penalties. Compliance matters.

Q: Do I need a lawyer?

A: Not for evaluation. Recommended for your overall case.

Why AACS Atlanta for Your Evaluation

30+ years combined experience

  • Know what courts need
  • Understand the Georgia legal system
  • Recognize recovery potential

100% court-approved

  • All evaluations accepted by Georgia courts
  • No delays or re-dos
  • Professional reports judges understand

Licensed professionals

  • PhD-level supervisors
  • Certified counselors
  • Experienced evaluators

Convenient

  • Same-day appointments available
  • Virtual evaluations offered
  • Multiple locations (Marietta, Decatur, Atlanta)

Results-focused

  • Comprehensive assessments
  • Personalized treatment plans
  • Follow-up support available

Take the First Step

Understanding what an alcohol and drug evaluation is removes the mystery and fear. It’s a professional assessment designed to help you – not hurt you.

Whether court-ordered or voluntary, taking action shows commitment to resolving your situation and moving forward.

Same-day appointments available. Virtual evaluations available. Spanish services available.

 

Relapse in the Warmer Season

Warm weather is here and life starts feeling easier, right? Well, not always, if you’re in recovery. Recovering people face serious challenges while staying sober during the spring and summer seasons and official holidays. Relapse in the warmer season is avoidable. Spring and summer come with sports games, picnics, barbecues, weddings and celebrations all seem to involve alcohol of some sort. Some of us may run into your old marijuana or drug-loving friends at the beach, pool, or a friend’s party. How do we stay clean and sober over the season when temptation present at all corners?

The warmer season is all about being casual and having fun in the sun. Most of us have a carefree attitude with lower inhibitions. However, we have learned not to be carefree about recovery. No matter where summer fun leads, sobriety and recovery should remain our number-one priority every day — We can still have plenty of sober fun under the sun and catch some rays or waves.

AACS offers tips for staying sober during the spring and summer holidays. We have listed tips to help us navigate both daily lives as well as those special occasions like graduation parties, weddings, and 4th of July parties that all seem to coincide with summer fun.

Here are ten simple suggestion that can help you stay clean and sober during the warmer season. We will be grateful by the end of the season for maintaining our recovery.

  1. Put recovery first
  2. Attend 12-step or self-help meetings
  3. Plan ahead with friend in sobriety
  4. Use the buddy system
  5. Be honest with yourself and others
  6. Plan sober fun
  7. Don’t focus on what you can’t have
  8. Avoid resentment at all times
  9. Volunteer
  10. Call your sponsor daily

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TIPS for Surviving the Holidays; Stay Sober During the Holidays

TIPS for Surviving the Holidays

Do you want to stay sober during the holidays? The holidays can be a joyful or painful time of the year. Tis the season for greetings, family, cheer and beer but for addicts it can be a time of triggers, running emotions, stress and disappointments. What does one in recovery do when the holidays come and family is too far away to see and you start to feel a little lonely or when that one cousin is insisting that just one drink won’t hurt? Here are 10 helpful tips on how survive the holidays without substances.

Prepare or amend your relapse prevention (RP) plan.

The purpose of a relapse prevention plan is to proactively set boundaries and guidelines in order to keep your sobriety. Relapse is not a onetime, overnight event, it is a process that can begin days, weeks or months before you use again. A well prepared RP plan can help you better prepare and navigate through the various stages of relapse (emotional, mental and physical). Check back later for more details on the various stages of relapse. Check out the links below for more information on relapse prevention.

  1. Keep calm and work the steps.

Attend 12 Step meetings before and after any big events and continue to go to the meetings during the holiday season. The importance of meetings cannot be stressed enough. This is where you can develop support systems, remain strong in your commitment to recovery and gain a sense of stability, comfort, and confidence.

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AACS Sober Living

AACS Sober Living in Atlanta

We are a group of professionals who have devoted our careers to help educate young-adults,  their friends and families about addiction, and to bring affordable sober living facilities in the Metro Atlanta Area.

Our goal is to provide affordable sober living care to all who need healing and growth. At AACS Sober Living, recovery is made simple. We walk with you through this important transitional journey and assist you in regaining self-confidence, new coping skills, healthier choices, and reconnecting with loved ones.

Check out our Affordable Sober Living

Aftercare sober living at AACS

For long-term success, our statistics show aftercare is key.  At AACS Sober Living, individuals are encouraged to actively participate in at least 12 months of aftercare which includes continued individual and group therapy for the first year, random drug screens, and the completion of working a 12 step program with a sponsor.

Accountabile case management

AACS Sober Living uses a comprehensive strategic model of case management focused on client accountability, holistic Counseling planning, successful client outcomes, and community awareness. Counselors and case managers provide each client with intensive supervision and a supportive network, which enables the client to meet the expectations of daily living and decrease the likelihood of relapse.

Designed to provide immediate Counseling to individuals referred to by self or from various sources, participants will be engaged in a range of supportive activities while working on bettering their life and current circumstances. The center’s aggressive strategies are proving successful in addressing some of the most difficult problems associated with addiction, co-occurring disorders, medical status, etc.

  • Anger Management Group
  • Daily Spiritual Meeting/Group
  • 12-Step Meetings
  • Individual Therapy
  • Monthly Family Group
  • Weekly Community Group
  • Relapse Prevention Group
  • Weekly 12-step Study Group

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Relationship Groups; Saving your marriage

Creating and cultivating healthy relationship is a two part process; first learning how to have a healthy relationship with the self, and then manifesting reciprocal behaviors with others.

The goal of the Relationship groups; Saving your marriage serries is to help members be more intentional in interpersonal relationships while providing psycho-education and support.

Relationship Groups are very popular form of therapy in the modern world. Group therapy is an effective form of psychotherapy that is based on interdependence and interaction among the group members who mutually disclose personal challenges and issues in their relationships during group sessions.

The focus of the Relationship Groups; Saving your marriage series is to regain confidence in your communication with your partner. It’s based on the premise of interpersonal learning. The process serves as the agent of change.  The group presents realistic challenges to maladaptive interpersonal belief systems and behavioral patterns via feedback from participants and encouragement to experiment with healthier alternative behaviors, first within the group and then outside the group.

According to Irvin Yalom (2005) the following is s brief list of the benefits group psychotherapy can provide.

Universality – feeling of having problems similar to others, not alone.

Altruism – helping and supporting others.

Instillation of hope – encouragement that  recovery is possible.

Guidance – nurturing support & assistance.

Imparting information – teaching about problem and recovery.

Developing social skills – learning new ways to talk about feelings, observations. and concerns.

Interpersonal learning – finding out about themselves & others from the group.

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Family Violence Intervention Program Classes – FVIP 35$

Family Violence Intervention Program Classes

The groups allow for personal, emotional and psychological development in the areas of responsiveness to feelings of anger, violence and maladaptive reactions. Most adults were not taught how to respond to situations, feelings, and emotions. Our partnership will allow you to learn these new skills rather quickly, so you can communicate with your loved ones in a loving and healthy manner. #FVIP classes are made of gender-specific groups. Each group discusses and deals with issues that are problematic in our daily lives.

It is neither realistic nor possible to completely eliminate anger and violence, therefore, the goal of  #Family Violence Intervention Program classes is to learn how to cope with and express anger and violence in a healthy way. The interventions in each class are designed to build cognitive restructuring of maladaptive thought patterns and behaviors.

In #FVIP classes, we discuss the difference between anger, hostility, aggression, and violence, so that participants can appropriately define and express their experience. Additionally, the #FVIP classes curriculum is designed to address the effects of anger on the body, behavior, mind and how it can lead to violence. These interactive #FVIP classes include various case studies and scenarios that address specific, anger-inducing situations in order to facilitate group dialogues related to appropriate and healthy responses. Additionally, clients will be challenged to objectively question their initial reactions and consequently reframe it to a healthier perspective.

For additional information on the Georgia Commission on Family Violence

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Addicted to Drugs

Brief Description of article from the National Institute on Drug Abuse (NIDA)

Addicted to Drugs

Many people do not understand why or how other people become addicted to drugs. It is often mistakenly assumed that drug abusers lack moral principles or willpower and that they could stop using drugs simply by choosing to change their behavior. In reality, drug addiction is a complex disease, and quitting takes more than good intentions or a strong will. In fact, because drugs change the brain in ways that foster compulsive drug abuse, quitting is difficult, even for those who are ready to do so. Through scientific advances, we know more about how drugs work in the brain than ever, and we also know that drug addiction can be successfully treated to help people stop abusing drugs and lead productive lives.

What Is Drug Addiction?

Addiction is a chronic, often relapsing brain disease that causes compulsive drug seeking and use, despite harmful consequences to the addicted individual and to those around him or her. Although the initial decision to take drugs is voluntary for most people, the brain changes that occur over time challenge an addicted person’s self-control and hamper his or her ability to resist intense impulses to take drugs.

Addicted to Drugs

Fortunately, Counseling are available to help people counter addiction’s powerful disruptive effects. Research shows that combining addiction Counseling medications with behavioral therapy is the best way to ensure success for most patients. Counseling approaches that are tailored to each patient’s drug abuse patterns and any co-occurring medical, psychiatric, and social problems can lead to sustained recovery and a life without drug abuse. Click for entire article on NIDA

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ASAM Level I Classes and Substance Abuse Counseling

ASAM Level I Classes and Substance Abuse Counseling

ASAM Level I classes are designed according to the ASAM (American Society of Addiction Medicine) criteria for addiction Counseling. Specifically, ASAM Level I classes and Substance Abuse Counseling provide individuals with a supportive and instructive environment where they are encouraged to develop deeper insights into the causes and conditions, as well as the effects, of their addictive and abusive behaviors.

ASAM Group Location and Hours

It is well understood in the medical and scientific communities that substance abuse is associated with more fundamental or rudimentary cognitive deficits. Some of these deeper issues may be deficits in emotional regulation, diagnosable affective disorders, or a consequence of a myriad of other sociocultural, environmental and/or genetic factors. Regardless of their specificity, instructors of the ASAM Level classes and substance abuse Counseling are trained to assist clients in beginning to illuminate these underlying psychological issues in order to alleviate the drive to pursue addictive avenues to cope with life stressors. Often, additional resources such as one-on-one counseling or pharmacological therapy from licensed and certified clinicians may be necessary to support the Counseling process.

Clients are highly recommended to fully participate in this collaborative recovery process in order to gain the greatest benefits. The multi-dimensional approach advocated by the ASAM has led to the development of Counseling resources intended to meet clients at different levels of self-awareness and overall readiness. Regardless of the individual’s level of self-understanding, open-mindedness and willingness to fully engage are critical for long-term abstinence and inner contentment. Our instructors of the ASAM Level I classes and substance abuse Counseling are equipped to facilitate a supportive dialogue and provide the necessary resources to evoke sustainable transformation, which has been shown to reduce recidivism and lead to overall well-being. To register for an ASAM Level I Substance Abuse Counseling class, call 404-793-6838.

 

Shoplifting and Theft Prevention Classes

Shoplifting and Theft Prevention Classes

Shoplifting and Theft Prevention classes are designed to meet the needs of those who have been accused of shoplifting. Participants are supportively led to identify and understand the issues (e.g., thoughts, beliefs, and attitudes) that caused them to shoplift. Shoplifting and Theft Prevention classes follow a curriculum that assists the clients in developing a better understanding of the social, financial, and personal ramifications of their behavior. The truth regarding the extent of the impact of their behavior must be fully understood and consequently addressed to help reduce the likelihood of such acts in the future.

More information on Georgia shoplifting code

addictive disorders evaluated

Among the topics explored in this class include impulse control, enhanced decision making, and cognitive restructuring. Participants in the Shoplifting and Theft Prevention class will work collaboratively to develop an action plan to ensure the prevention of any future impulse to shoplift. Instructors foster an atmosphere of change in group discussions by instilling a sense of personal responsibility.

We assist clients to develop insight into their reasoning abilities by reinforcing better decision-making and illuminating the consequences of illegal behavior.

To register for a Shoplifting and Theft Prevention class, call 404-793-6838.

 

Behavior Modification for Recovery

The importance of change and what it takes to modify our behavior.

Behavior Modification for RecoveryBehavior Modification for Recovery from Alcoholism and drug addiction are primarily brain- and behavior-based psychological disorders that have foundations in neural and biological substrates along with persistent conditioning brought about by repeated behavioral patterns. There exists a strong reciprocal relationship between the mind and body of the addict and alcoholic. Science has revealed a variety of genetic and environmental factors that contribute to our current understanding of addiction and subsequent prevention and Counseling  approaches. Furthermore, these developments have helped to shape the current societal views of addiction from a moral failing to a health problem. This shift has consequently altered our focus on solutions from punitive measures to therapeutic Counseling and preventative education.

Although medications can alleviate many of the unpleasant withdrawal symptoms and side effects associated with substance abuse (along with assisting with some of the deeper, often undiagnosed, psychological phenomena that were being ineffectively self-medicated with the substance of abuse, such as depression, bipolar, and anxiety-related disorders), the need for behavioral modification and self-regulation is essential to long-term recovery and overall well-being.

There are numerous theoretical models which thoroughly outline the development and progression of addiction—virtually all of which posit the necessity for cognitive and behavioral modification. Essentially, it is well-understood, from a variety of perspectives and disciplines which deal with addiction in some capacity, that removing the substance of abuse alone is not effective in ensuring long-term sobriety, in that the underlying causes and conditions that led to the abuse (even in the wake of devastating consequences) must also be addressed and corrected.

The second element necessary of behavior modification for recovery is one of unwavering persistence and dedication to the task. Because the modification of thought and behavioral patterns that have invariably developed over an entire lifetime can take a considerable amount time and energy, a certain level of tenacity and inner determinism to persevere is often required. Along with such a drive comes the need for an attitude of compassion and patience with oneself. Deep and enduring change is neither easy nor quick, and the probability of the recurrence of old behaviors and thoughts in certain familiar contexts is highly likely, if not inevitable. For example, no matter how much one commits to avoiding anger and frustration, given the appropriate circumstances (e.g. traffic, arguing with a loved one, etc.), the feelings are bound to be elicited because of their conditioned nature. The key is to constantly remind oneself of the desire to change the ruminative thinking and habitual responses which have always accompanied such emotional reactions. Compassion is necessary when undergoing this painstaking task. Cultivating this kind and loving relationship with oneself is what is often meant by “parenting oneself,”  or behavior modification for recovery, which is what the process of recovery demands. Moreover, it is important to avoid labels such as “success” and “failure,” and instead respect the evolution of change as you embark upon it. The specific practices and resources one incorporates to assist in this process depend on the nature of Counseling and therapeutic services provided. Regardless of the specificities, in light of the difficulty, this inner transformation presents to the addict or alcoholic, some form of Counseling and support is highly recommended.

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