ESM Assessment Forms and Manuals

Please use the link BSAS ESM Forms Training – Acute Treatment Services to access on-line ESM forms training for Acute Treatment Services. This training will assist the provider with the submission of quality data. Providers will better understand how the information requested by BSAS is used to evaluate client outcomes. The training includes testing and a Certificate of Completion. It is highly recommended for all staff who work with the ESM Intake, Enrollment, and Disenrollment Forms.

Table of Contents

EIM/ESM Release of Client/Confidential Information

Acute Treatment Services (ATS or Detox) Programs

Compulsive Gambling Programs

Drivers Alcohol Education (DAE) Programs

Family Residential - Adult

Family Residential – Children

Sober Living Programs

House of Correction Programs

Opiate Treatment Programs (OTP)

Opioid Urgent Care Center

Outpatient Programs

Parole Re-entry Programs

Post-Detox Step-Down Programs CSS

Post-Detox Step-Down Programs TSS

Residential Programs

Recovery High School

Recovery Support Centers

Section 35 (Civil Commitment) Programs

State Targeted Response Opioid Grant (RSC)

State Targeted Response Opioid Grant (OBOT)

State Targeted Response Opioid Grant (HOC)

State Targeted Response Opioid Grant (ATR)

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