In Part 1 of this series, we began our examination of the problems within a Substance Abuse Evaluation that will cause a License Appeal to fail. We looked at how even simple, little things like a name and address must be done correctly. After all, if these small details aren't correct, what does that say about the really important stuff? We then went on to review how important it is to accurately list all of your DUI's, your BAC results (if you can), any other convictions you have, and your treatment and support group (AA) history. I also noted that most of my Clients DO NOT currently attend AA.
In Part 2, we focused on the important role of the alcohol assessment test, and how the result of that test helps "suggest" a diagnosis. We also saw that a very common problem is the DAAD's over-reliance on that test result in determining a proper diagnosis. From there, we looked at how issues with a urine screen can create the appearance of problems that aren't really there, and how a person's prior periods of abstinence can similarly give rise to the appearance of being a chronic "quitter" who just can't stay "quit."
In this final installment, we'll tackle the most important section of the Substance Abuse Evaluation, the prognosis. It only makes sense that the Evaluator's educated prediction about a person's ability to remain Sober is "the big cheese" of the whole Evaluation process. We will also see how the final section of the Evaluation, the Continuum of Care Recommendation, can upset the whole apple cart. While I'll go on to introduce this section as "last, but not least," it is precisely because this section is often given the least amount of consideration by an Evaluator that it can tank an otherwise good Evaluation.
Everything we've covered thus far in both Parts 1 and 2 of this article eventually and inevitably leads to the ultimate goal of the Substance Abuse Evaluation - the Prognosis. At its simplest, this is the considered and professional opinion of the Evaluator about whether the person's alcohol problem is "likely to remain under control." This is really the answer to the $64,000 question, so to speak. If there is any "it all comes down to this" aspect of the License Appeal process, this is it.
Here again, what sounds easy at first gets rather complicated. Over the years, a number of Clinics and Evaluators made a quick, albeit short-lived fortune writing up glowing Evaluations that gave only the best prognoses for anyone willing to pay their Fee. The DAAD caught onto this with lightening speed. Those operations have come and gone like yesterday's news.
Even with those concerns part of ancient history, there are plenty of other "prognosis" issues that arise with enough regularity to be considered relatively common. By Law, a prognosis must at least be "good." That means that with a prognosis of "poor," "guarded" or "fair," a License Restoration Appeal MUST be denied. To put it another way, you cannot win a License Appeal with anything less than a "good" prognosis. Many of those who ultimately hire me have already tried a License Appeal before and lost. Part of what I need them to bring in, when we meet, is the paperwork from any prior Appeal(s). It's not that I want to show off (okay, maybe I do a little bit...), but often enough, I'll pick up their prior Evaluation first. Within a few seconds of beginning to read it, and without ever having looked at their Denial order, I can tell them why they lost. When I see an Evaluation, for example, with the "fair" box checked in the prognosis section, I can tell the person that such a prognosis figured prominently in the reason for their prior denial. This is always met with an agreeing shake of the head, and then a question about why their previous Evaluator or Lawyer didn't know this.