INEBRIATED/INTOXICATED CLIENTS

Clients may not participate in treatment if they present as inebriated or intoxicated, regardless of the substance involved. For the safety of the client, staff, and others, treatment should be paused and appropriate safety measures implemented.

If a client appears intoxicated, staff should arrange for the client’s emergency contact or an alternate safe ride to transport the client home. If the client becomes combative, refuses assistance, or leaves the building without a safe means of transportation, call 911 immediately.

Continued treatment eligibility must be assessed by a clinician. In most cases, a higher level of care or alternative services may be recommended.

IDENTIFYING SIGNS OF INTOXICATION

Physical Indicators:

• Slurred or slowed speech

• Unsteady gait or poor coordination

• Bloodshot or glassy eyes

• Noticeable odors (e.g., alcohol or substances)

Behavioral Indicators:

• Uncharacteristic aggression or agitation

• Euphoria or disinhibition

• Confusion or lethargy

Cognitive Indicators:

• Difficulty concentrating

• Impaired judgment or memory

• Incoherent or disorganized conversation

Mood Changes:

• Rapid or extreme shifts in mood

• Sudden irritability, anger, or tearfulness

DOCUMENTATION & REPORTING

Document Observations: Record all observed behaviors, statements, and actions taken in eCharts as a Case Management Note.

Notify Supervisors/Clinicians: Inform your supervisor and/or the appropriate clinician promptly for guidance, follow-up, and treatment planning.