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Assessment guides placement and safety decisions. NCAC II competencies call for a comprehensive, multidimensional approach: evaluate acute intoxication/withdrawal risk (history of seizures/DTs, vital concerns), biomedical conditions (falls, head injury risk, chronic illness), emotional/behavioral status (suicidality, cognitive impairment), readiness to change, relapse potential, and recovery environment (housing, supports). Option B integrates these domains and justifies level of care, from withdrawal management to outpatient. Collateral information (with consent)—family input, medical notes—improves accuracy. Option A delays care and misses risk. Option C narrows focus prematurely. Option D reverses sequence; planning must follow assessment findings. Document objective indicators (use timeline, tox screens, physical symptoms), screen for co-occurring disorders, and address emergent needs first (e.g., urgent medical evaluation) before proceeding to full psychosocial planning.