BIO/ PSYCHO/ SOCIAL/ SPIRITUAL MATRIX (Life Matrix)

A. Required Program Elements:

ALCOHOL / DRUG COUNSELING:

URINE TESTING:

PCP / MEDICAL / ED VISITS::

VPMS:

B. Priority Life Elements:

1. TRANSPORTATION:

2. HOUSING:

3. EMPLOYMENT:

4. FINANCES:

5. RELATIONSHIPS:

6. INSURANCE:

7. LEGAL / CRIMINAL JUSTICE STATUS / DCF:

8. EDUCATION:

9. DIET / FOOD / NUTRITION:

10. CLOTHING:

11. PERSONAL ACTIVITIES / EXERCISE / PLEASURE:

12. MENTAL HEALTH STATUS / COUNSELING:

13. SPIRITUAL AFFILIATION / ACTIVITY:

14. PROGRAM ACTIVITIES:

15. DENTAL NEEDS: