What is an Alcohol and Drug Evaluation? Complete Guide

What is an Alcohol and Drug Evaluation? Complete Guide

Alcohol and Drug Evaluation

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.

 

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About the Author

Jacques Khorozian

Jacques Khorozian,

Ph.D., LPC, NBCC, MAC, SAP, CCS

Jacques Khorozian, Ph.D., LPC, MAC, SAP, CCS, is an experienced behavioral health professional with over 30 years of work in the criminal justice system, specializing in mental health and substance use disorder treatment. He serves as Chief Executive Officer of American Alternative Court Services (AACS) in Atlanta, where he conducts diagnostic and biopsychosocial assessments and develops treatment and diversion programs.

He collaborates with justice system stakeholders to improve access to behavioral health services and alternative sentencing solutions. Dr. Khorozian previously worked as a Behavioral Health Social Worker with the Fulton County Public Defender's Office, where he assessed client needs and coordinated services.

He also held a leadership role as Division Chief with the San Francisco Superior Court, managing operations and contributing to strategic initiatives. He holds a Ph.D. in Positive Psychology, a Master's in Clinical Mental Health Counseling, and a Bachelor's degree in Psychology.

His professional memberships include the American Counseling Association (ACA), the American Positive Psychology Association (AMPPA), the Licensed Professional Counselors Association of Georgia (LPCA), the National Board for Certified Counselors (NBCC), and the Alcohol and Drug Abuse Certification Board of Georgia (ADACBGA).

Dr. Khorozian has advanced certifications as a Certified Clinical Supervisor, Substance Abuse Professional (SAP), Family Violence Intervention Specialist, and DUI Evaluator. He is recognized for his expertise in counseling techniques, assessment, diagnosis, and culturally responsive care. His work focuses on improving population health outcomes through evidence-based behavioral health programs.


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