In the current-risks row, write what is happening now in factual language. Note the substances involved if known, the most recent use, severe or unusual symptoms, recent overdose or emergency visits, trouble staying awake, falls, confusion, pregnancy status if relevant, and any immediate concern about self-harm or harm to others. Do not use the grid to diagnose withdrawal or decide whether someone can safely stop using. Report what you observe and ask who is qualified to assess it. If there is immediate danger, call 911. For crisis support, call or text 988, or use 988 chat. Living Longer Recovery should not be treated as emergency care.
In the history row, record prior treatment settings, previous difficult withdrawal experiences, return-to-use patterns, health conditions, behavioral health concerns, current prescriptions, allergies, and communication or accessibility needs. Include approximate dates when exact dates are unavailable. In the supports row, list trusted people, family involvement preferences, housing stability, and ongoing care relationships. SAMHSA quality guidance supports asking how family may be involved when appropriate, but consent and individual circumstances matter. Do not assume family participation is required or available.
- Current risks: observable symptoms, recent use, emergency events, and immediate safety concerns
- History: prior care, withdrawal experiences, health and behavioral needs, prescriptions, and allergies
- Supports: trusted contacts, housing, family preferences, and existing professionals or services are important here. Practical constraints: work or caregiving duties, distance, cost