CSSD Evaluation Report updt 06-2023

[text name="cxName" default="name"] completed [select name="pron1" value="her|his|their"] intake evaluation on [date name="evalDt" default=""] with Taurus Wright, LCSW. [var name="cxName"] is a [text name="cxAge" default="" size="5"] year old [select name="cxRel" value="marital|single|married|divorced|separated"], [select name="cxRace" value="race|Alaskan Native|Asian|African-American|Caucasian|Hawaiian Native|Native American|Pacific Islander|Latinx|Hispanic|Non-specified Race"], [select name="cxSxlty" value=" sexuality|heterosexual|homosexual|bisexual|asexual|pansexual|queer|questioning|fluid"], [select name="cxGndr" value="gender|cisgender|transgender-maleToFemale|transgender-femaleToMale|transgender-nonbinary-male|transgender-nonbinary-female"], [select name="sex" value=" sex|female|intersex|male"] with a history of [checkbox name="cxHx" value="criminal justice involvement|mental health disorder|substance use disorder|anger management"] who presents for an integrated mental health and substance use evaluation per recommendation from [select name="refSrc" value="Adult Probation|Family Criminal Court|Bail Commission|Other Community Source"].  The initial diagnosis is [textarea name="initDx" default=""]. [var name="cxName"] [select name="isIsnt" value="is|is not"] oriented to person, [select name="isIsnt1" value="is|is not"] oriented time, [select name="isIsnt2" value="is|is not"] oriented to place. The client's mood was [text name="mood" size="30"  default=""]  and they exhibited  [select name="affectQu" value="depressed|sad|happy|euphoric|euthymic|irritable|anxious|neutral|fearful|angry|apathetic|pleasant"], [select name="affectCngr" value="congruent|incongruent"], [select name="affectRng" value="normal|constricted|blunted|flat|labile"]  affect. The client seems to be [select name="stgChng" value="precontemplative|contemplative|preparative|active|maintaing|relapsing"] towards change and [select name="engmnt" value="eager in|enthusiastic about|anxious towards|hesitant about|reluctant towards|ambivalent about|resigned towards|neutral in|cooperative in"] engagement. The client [select name="outsideSvcs" value="select|is|is not"] currently receiving [text name="othrSvcs" default="any other" size="50"] services outside of the program. [conditional field="outsideSvcs" condition="(outsideSvcs).is('is')"] [select name="pron2" value="She is|He is|They are"] currently receiving other services with [textarea name="othSvcProv" default=" "].[/conditional]  [var name="cxName"] [select name="MATSvcs" value="select|is|is not"] currently receiving Medications for Addiction Treatment (MAT). [conditional field="MATSvcs" condition="(MATSvcs).is('is')"][select name="pron2" value="She is|He is|They are"] recieving [text name="matMed" default="matMed"] from [text name="matPrv" default="provider" size="50"].[/conditional]  The client’s substance test specimen taken on [date name="urine" default=""]  [select name="urnRes" value="is negative|is positive|is pending"] for [textarea name="urnResTxt" default="all substances. per DOA Multi-drug Test Dip Card. Quest labs analysis is pending"].  [var name="cxName"]'s treatment recommendations are [textarea name="txRecs" default=""]. A psychiatric evaluation is scheduled for [date name="psyEvalDt" default=""] at [text name="psyEvalTm" default="00:00"][checkbox name="pEvTmap" value="AM|PM"] with the agency's psychiatric practitioner Brian Ullman APRN. The client's next individual counseling/group appointment is scheduled for [date name="iCounDate" default=""] at [text name="iCounTme" default="00:00"][checkbox name="iCoTmap" value="AM|PM"].
completed intake evaluation on with Taurus Wright, LCSW. cxName is a year old , , , , with a history of who presents for an integrated mental health and substance use evaluation per recommendation from . The initial diagnosis is
. cxName oriented to person, oriented time, oriented to place. The client's mood was and they exhibited , , affect. The client seems to be towards change and engagement. The client currently receiving services outside of the program. cxName currently receiving Medications for Addiction Treatment (MAT). The client’s substance test specimen taken on for
. cxName's treatment recommendations are
. A psychiatric evaluation is scheduled for at with the agency's psychiatric practitioner Brian Ullman APRN. The client's next individual counseling/group appointment is scheduled for at .

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.69, 45 form elements, 114 boilerplate words, 8 text boxes, 4 text areas, 4 dates, 3 checkboxes, 20 drop downs, 4 variables, 2 conditionals, 44 total clicks
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