Substance Abuse Discharge Summary

Client Details: - Name: [Client's full name] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - Date of Birth: [Client's date of birth] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - Client ID Number: [Client's unique identifier] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - Admission Date: [Date of admission to the facility] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - Discharge Date: [Date of discharge from the facility] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - Primary Contact: [Primary contact or next of kin details] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) Summary of Treatment: - [Describe the primary diagnosis and any co-occurring disorders] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - [Detail the types of treatment provided, such as individual therapy, medication-assisted treatment (MAT), peer support, or group therapy] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - [Summarize the client's response to treatment, including progress made and any challenges encountered] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) Reason for Discharge: - [State the reason for discharge, such as treatment goals met, transfer to another facility, or non-adherence to treatment] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) Discharge Instructions: - Referrals: - [List any referrals provided, such as to long-term residential care or outpatient programs] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - Follow-Up Care Plan: - [Describe the follow-up care plan, including recommended appointments, therapy sessions, or ongoing treatment protocols] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - Emergency Contacts and Crisis Resources: - [Provide emergency contacts and crisis resources, including hotlines, local crisis centers, or emergency services] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) Medications at Discharge: - [List all prescribed medications, including dosages and instructions] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - [Indicate any changes to medication regimen made during treatment] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) Legal or Occupational Considerations: - [Include any legal or occupational information relevant to discharge, such as court-mandated treatment updates or workplace accommodations] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) Client Education: - [Summarize key educational topics covered during treatment, such as relapse prevention, harm reduction, or coping strategies] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - [List any materials provided to the client, such as brochures, websites, or handouts] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) (Never come up with your own client details, assessment, plan, interventions, evaluation, and plan for continuing care - use only the transcript, contextual notes or clinical note as a reference for the information included in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes or clinical note, you must not state the information has not been explicitly mentioned in your output, just leave the relevant placeholder or section blank.)(Use as many bullet points as needed to capture all the relevant information from the transcript.)