Confidential
Clinical Intake and Assessment
For Professional Use Only

Name of Client: Caitlyn Postma
Date of Birth: 01/26/97
Race: Caucasian
Gender: Female
Therapist:

Referral Source: Kristin Covalt- Department of Child Services Case Manager, Kristin.Covalt@dcs.IN.gov
Ms. Catilyn Postma was referred to Capitol City Family and Education Services (CCFES) for a Substance Use Disorder Assessment in order to determine the level of treatment needed to address her current substance use. Ms. Postma reported a history of substance use. She reported that she became involved with DCS due to domestic violence with the father of her child.
Ms. Postma reported previous involvement with DCS when she was a child. She reported that she was removed from her parents’ home due to domestic violence and abuse.
Purpose for Assessment
The purpose of this substance abuse assessment is to gather and analyze information regarding Ms. Postma’s level of substance issues, current and future service needs. The Indiana Department of Child Services referred Ms. Postma for a substance abuse disorder assessment as a result of Ms. Postma’s use of substances.

Assessment Tools:
Substance Abuse Subtle Screening Inventory
CCFES Intake Assessment

Interview/Biopsychosocial Assessment:
Ms. Postma is a 18-year-old Caucasian female who is currently residing at 5217 Madison Avenue in Indianapolis, IN. Ms. Postma reported previous involvement with DCS that involved domestic violence and abuse when she was a child. Ms. Postma was raised by her mother and aunt. She described the relationship with her mom as being horrible. Ms. Postma reported incidents of physical and mental abuse.
During the time of the assessment, Ms. Postma reported a history of substance use and/or abuse in her family. Ms. Postma reported that both parents were meth addicts. Ms. Postma reported that