Before calling, write a factual timeline without trying to diagnose the situation. Include substances used, approximate amounts and frequency if known, when each was last used, recent changes, prior withdrawal experiences, current prescriptions, health conditions, mental health concerns, and any immediate symptoms. Say clearly when an answer is unknown. Combining substances can complicate assessment, so incomplete information is better labeled unknown than guessed.
Ask who conducts the review, what information they need, and whether anything requires evaluation elsewhere before admission can be considered. Do not ask only, “Can you handle this?” Request an explanation of the review process and the limits of the service. If medications may be clinically appropriate, SAMHSA quality guidance supports asking how medication needs are assessed and managed, but a caller should not assume that any specific medication is available or suitable.
- Who reviews the combination of substances and the timing of last use?
- How are current prescriptions, physical health conditions, and mental health concerns considered?
- What symptoms or circumstances would require emergency evaluation or another setting?