1. Reception phase Within 7 days from the first contact with the user, a first reception appointment is set up in order to listen and evaluate the request. This service does not envisage waiting lists.

2. Multidisciplinary evaluation phase Within 15 days following the first interview, a multidisciplinary assessment of the subject is guaranteed in order to diagnose the problem and to define a therapeutic path for the user.
This evaluation includes: counselling with the doctor: it consists of a medical examination, anamnesis, evaluation of previous clinical documentation (instrumental and laboratory tests) in order to establish the overall health conditions of the user and identify any pathology that may influence the future therapeutic path. Then the doctor, with the help of the diagnostic manual, proceeds to evaluate the user's condition regarding drug / narcotic or alcohol consumption, abuse, dependence;

Counselling with the psychologist: it is aimed at collecting the psychological anamnesis and at formulating an overview of the user's psychological and relational functioning. During this interview the psychologist obtains useful information for judging the person through psycho-diagnostic tools; counselling with the professional educator: it is aimed at collecting information on the social situation of the user and, in particular, on their socio-educational situation in the family, work, relational, social context as well as legal situation. Additional diagnostic tools: test / questionnaire administration: useful tools to outline the condition of the user regarding different reference areas; toxicological exams: crucial to highlight drugs consumption, these exams either analyse a urine sample, a keratin matrix, or are run on both the sample and the matrix; haematochemical tests: this analysis allows to assess the user's modality of alcohol consumption.

3. Acceptance phase In this phase the team recommends a therapeutic program. This can be carried out entirely at the clinic and can be divided into: medical examinations; laboratory analysis, aimed at also finding related pathologies; HIV test (this test can also be requested by non-alcohol/drug addicted people); pharmacological treatments; psychological support interviews or individual / family psychotherapy; social care; educational advice or support. In some cases, the program may include external phases or moments: rehabilitation programs at therapeutic communities; work reintegration programs; social reintegration activities, also in collaboration with volunteering and social networks; consultations or team-work with other services (family counselling service, psychiatry, hospital wards, etc.).

4. Discharge The discharge is scheduled upon mutual agreement among the interested party and any other interlocutor involved (family members or the activated services network). The patient receives a discharge letter written by the professionals involved in the therapeutic treatment.

The legislator grants to the person the opportunity to participate in a therapeutic and socio-rehabilitative program. The program aims at offering them a possible connection to the competent services serving a twofold purpose: to increase awareness about the problem in the occasional users and to help habitual users to undertake a path of therapy. On this basis, the SMI proposes a program of the total duration of two months that envisages:

- weekly checks through laboratory tests aimed at investigating the use of the reported psychoactive substance; group and / or individual formative / informative meetings concerning health, social and psychological risks deriving from the use of psychoactive substances and knowledge of the legislation on drugs;

- periodic health examinations, when necessary;

- if, at the end of the evaluation, evidence should emerge of a problematic use of psychoactive substances, the user will be offered a therapeutic path aimed at treating the abuse of or dependence on illegal psychoactive drugs.

The educational therapeutic program envisaged for the people reported by the Prefecture (Art.75) is free of charge.

On this basis, the SMI proposes a program of the total duration of one months that envisages:

- a first medical examination, that includes the collection of anamnestic data and the evaluation of previous clinical documentation;
- counselling on the severe effects of alcohol consumption (with particular reference to the alcohol and driving correlation). Test administration (audit, cage). Prescription of additional exams useful for diagnostic purposes;
- two medical examinations with counselling on severe effects (with particular reference to alcohol and driving correlation) and chronic effects of alcohol consumption. Test administration (audit, cage). Prescription of instrumental exams useful for diagnostic purposes;
- two interviews with a professional educator for an evaluation of the social context and the presentation of the articles 186 and 187 of the Road Code;
- blood tests;
- if, at the end of the clinic evaluation, evidence should emerge of a problematic use of psychoactive substances, the user will be offered a therapeutic path aimed at treating the abuse of or dependence on alcohol and drugs. ed esami ematici.

The assessment path is of an outpatient type and it lasts from two to three months. During this journey, the user must undergo three medical examinations and two psychological interviews in order to receive the health certification / report. In addition, the user is required to carry out: a blood test, a hair sample for the search of abuse substances (heroin, cocaine, cannabinoids, amphetamines, ecstasy and Etg), four weekly and consecutive checks of the toxicological metabolites on urine sample, with the forensic medical procedure, for abuse substances (opiates, cocaine, cannabinoids, amphetamines and ecstasy).The assessment path is of an outpatient type and it lasts from two to three months. During this journey, the user must undergo three medical examinations and two psychological interviews in order to receive the health certification / report. In addition, the user is required to carry out: a blood test, a hair sample for the search of abuse substances (heroin, cocaine, cannabinoids, amphetamines, ecstasy and Etg), four weekly and consecutive checks of the toxicological metabolites on urine sample, with the forensic medical procedure, for abuse substances (opiates, cocaine, cannabinoids, amphetamines and ecstasy)

The cost of medical services and laboratory tests is borne by the company, in the case of sending by the occupational physician, otherwise is borne by the user in the event that he decides independently to submit himself to these examinations.

For family members of people affected by abuse problems of psychoactive substances treated at our clinics, it is possible to have access to psychological, medical and social counselling aimed at supporting the family and helping it to improve its emergency management skills. Also family members of people not treated at our facilities have the opportunity to access these therapeutic programs. Family counselling is a free of charge service.