Substance Use Evaluations and Risk of Recidivism Assessments

Substance Use Evaluations and Risk of Recidivism Assessments, commonly referred to as drug and alcohol evaluations, DUI assessments, or RMV evaluations, are structured clinical assessments frequently required in Massachusetts OUI/DUI and Immediate Threat cases. These evaluations assess an individual’s current and past substance use, the impact of substance use on driving safety, relevant medical and mental health history, and factors associated with the risk of reoffending. The evaluation process includes a comprehensive clinical interview and the use of standardized assessment instruments consistent with DSM criteria and accepted professional guidelines. Appointments are available in person or via secure telehealth and typically last 60 to 90 minutes. Following the evaluation, a written substance use evaluation and, when applicable, a risk of recidivism assessment is completed. These reports summarize clinical findings and provide an evidence-based assessment of risk and recommendations. Completed evaluations are provided directly to the individual, who may submit them to the RMV, court, or other requesting authority as required.

Simple Steps Toward Practical Change

Starting therapy can feel like a major shift. I’ve made the process clear and structured so you know exactly what to expect from the first contact.

01
Inquire for Priority Scheduling
Evaluations are often time-sensitive. Reach out via the contact form to check for high-priority openings tailored to your hearing or court date.
02
Clinical Interview
We conduct a thorough, direct clinical interview (in-person or via secure teletherapy) to gather the necessary history and diagnostic data required for your specific case.
03
Evidence-Based Assessment
Using standardized tools, I assess patterns and risk factors to provide an objective, professional clinical perspective for the state or court.
04
Final Documentation
You receive a finalized clinical report that is clear, professional, and ready for submission to your attorney, the RMV, or the presiding judge.
Frequently Asked Questions
What can I expect from the first session?
The first session is an intake appointment where we talk about what brings you in, your history, and what you’re hoping to change. It’s also a chance for you to get a feel for how I work and decide if this feels like a good fit. There’s no pressure to share more than you’re ready to.
That depends on your goals and circumstances. Some people come for short-term, focused work, while others benefit from longer-term support. We regularly check in about progress and adjust as needed.
Feeling comfortable and respected matters. If you’re looking for a direct, collaborative approach that focuses on practical change rather than judgment, this may be a good fit. If not, I’m happy to help point you toward other options.

My work is grounded in Cognitive Behavioral Therapy (CBT) and practical, real-world change, with integration of Acceptance and Commitment Therapy (ACT) and Motivational Interviewing (MI) when appropriate. Treatment focuses on identifying patterns that are no longer effective, increasing psychological flexibility, clarifying values, and strengthening motivation for change. Therapy is collaborative, direct, and tailored to your individual goals and needs.

No. I do not offer couples or marriage counseling. My practice focuses exclusively on individual therapy for teens (16+) and adults. If you are seeking couples, marriage, or family counseling, I would recommend finding a local Licensed Marriage and Family Therapist (LMFT) on Psychology Today or at LifeStance Health, as they are specifically trained to work with family systems and relational dynamics.

Both. Sessions are offered in person at my Mashpee office or via secure teletherapy for clients throughout Massachusetts

No. I do not prescribe medication. However, when clinically indicated, I collaborate with a select group of Psychiatric Nurse Practitioners throughout Massachusetts and regularly refer patients for medication evaluation and management when it may be a beneficial component of their treatment and recovery.
Yes. I accept several insurance plans in addition to private pay. Current fees by service, as well as the list of insurance plans I accept, are outlined on the Fees & Insurance page. If you have questions about coverage, costs, or payment prior to scheduling, I’m happy to discuss them with you. Patient financial responsibilities, including co-payments and deductibles, vary by insurance provider; however, you will be informed of any anticipated costs prior to scheduling your intake appointment.
Appointments canceled with less than 48 hours’ notice or missed appointments are subject to a $125 fee. This policy reflects the importance of mutual respect for time and helps support a consistent, reliable therapeutic relationship built on trust and accountability.

Getting started is straightforward. You can reach out through the contact form on the website, call or text 617-877-9594, or email me directly at mdonlan@donlancounseling.com. I’m happy to answer questions, discuss availability, and help determine the most appropriate next steps for your situation.