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This Web site is a component of the SAMHSA Health Information Network. |
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Evidence-Based Practices:
Shaping Mental Health Services Toward Recovery
Co-Occurring Disorders:
Integrated Dual Disorders Treatment
GOI Score Sheet
| Program:____________________ |
Date of Visit:________________ |
| Informants - Name(s) and Position(s)___________ |
_____________, ____________ |
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Rater 1 |
Rater 2 |
Consensus |
| G1 |
Program Philosophy |
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| G2 |
Eligibility/Client Identification |
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| G3 |
Penetration |
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| G4 |
Assessment |
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| G5 |
Individualized Treatment Plan |
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| G6 |
Individualized Treatment |
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| G7 |
Training |
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| G8 |
Supervision |
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| G9 |
Process Monitoring |
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| G10 |
Outcome Monitoring |
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| G11 |
Quality Assurance (QA) |
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| G12 |
Client Choice Regarding Service Provision |
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MEAN TOTAL SCORE: |
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TOC | Cover Sheet | Scale
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