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Virtual RMV Substance Abuse Evaluations with Risk of Recidivism near Sunderland Massachusetts

Telehealth RMV Evaluations in Massachusetts

We conduct Psychiatric Evaluations, Substance Abuse Evaluations with Risk of Recidivism, or a combination of services as requested by the Massachusetts RMV. These evaluations may be required to obtain driving privileges after an OUI, DUI, or Immediate Threat Suspension. If your license is suspended for an OUI, DUI, or Immediate Threat in Sunderland, MA or in other Massachusetts towns and cities, our telehealth RMV Evaluations are the easiest way to satisfy the evaluation requirement.

Evaluations consist of a one-hour interview that is conducted via video conference. We can complete evaluations in less than 48 hours in some circumstances. Please fill out the form below to schedule an evaluation or for more information. Please be sure to list your attorney, if you have one, so we can correspond accordingly with dates and information. Payments are currently $575 for either a Risk of Recidivism Evaluation/Substance Abuse Evaluation or a Psychiatric Evaluation. The cost for both is $650. We cannot bill insurance for these evaluations. 


These evaluations are approved by the Massachusetts Registry of Motor Vehicles (RMV). We can complete these evaluations for interlock violations as well.


Attorneys We Recommend for Massachusetts RMV Cases

Brian Simoneau 

Matthew Gilman 

Brett Beaubien (Rhode Island/Massachusetts)

Medical Evaluations for RMV

Nully Medical 

Risk of Recidivism - Immediate Threat License Suspensions and Revocations - Massachusetts RMV

In order to have your Massachusetts license reinstated after an "immediate threat" revocation or suspension involving the use of illegal drugs, alcohol, or prescription medication, the Registry Hearing Officer may require several assessments to be completed by your primary care physician and/or your psychiatrist or clinician. These items may include a substance use evaluation with risk of recidivism, a loss of consciousness evaluation, or a medical evaluation. It is important to keep in mind that the Registry of Motor Vehicles in Massachusetts is a separate entity from district or superior courts, and may have its own requirements for your class D license or other driving privileges to be reinstated.

What does "risk of recidivism" mean?

Risk of recidivism refers to an alleged offender's likelihood of reoffending regarding driving violations related to illegal drugs, alcohol, or prescription medication. The risk of recidivism determination is usually attached to a substance use evaluation made by a psychiatrist in Massachusetts or a substance use clinician with the appropriate credentials.

A patients' risk of recidivism is determined based on the psychiatrist's assessment of the OUI or DUI case, the patient's history, and other factors. Risk of recidivism assessments cannot be waived, and may cause the period of suspension to extend indefinitely if not completed in a timely manner. 

How to get an RMV Substance Use Evaluation and Risk of Recidivism Letter

You can easily obtain your Massachusetts RMV Substance Abuse Evaluation and Risk of Recidivism assessment from Greater Boston Psychiatric Services. The process is simple. Fill out the inquiry form below, and we'll schedule a virtual appointment with you. Our services are available in Sunderland, MA, and throughout all of Massachusetts.

You can find standard Massachusetts RMV forms here:

RMV Evaluations Inquiry 

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RMV Eval Inquiry Form

Risk of Recidivism and MA RMV Substance Abuse Evaluation: DUI, OUI, Immediate Threat

Have you recently had your license revoked due to a DUI/OUI or Immediate Threat determination? Are you confused about the RMV process and what it entails? In this blog, we will walk you through everything you need to know about the RMV's role in OUI/DUI cases, the risk of recidivism assessment, and the substance abuse evaluation. We will also provide tips on how to prepare for the RMV hearing and increase your chances of getting your license back.

Substance Abuse and Operating a Motor Vehicle

Substance abuse significantly impacts cognitive function and physical health, often leading to impaired judgment, decision-making, and severe legal consequences. Evaluation for substance abuse is crucial in identifying risk factors and involves a comprehensive assessment, essential to understanding the next stage of treatment or intervention for individuals struggling with alcohol abuse, prescription drugs, or other substance-related issues. This assessment is particularly important for adult offenders within the criminal justice system. A requirement in almost all Massachusetts OUI and DUI suspensions, its purpose is to ensure that an individual has the right tools with which to begin improving the issue and stop the behavior of driving while impaired.

The Impact of Substance Use on Driving Performance

Substance use or abuse significantly impairs coordination and reaction time, directly affecting driving performance. Additionally, it can lead to loss of consciousness, posing a serious danger on the road. Impaired vision due to substance abuse also has a detrimental impact on driving safety.

The Massachusetts RMV's Role in OUI/DUI Cases

The Massachusetts Registry of Motor Vehicles (RMV) holds authority over license revocation in OUI/DUI cases, following official government guidelines. The RMV requires a substance abuse evaluation to assess the risk of recidivism, considering alcohol or substance intake, prior criminal history, and mental health disorders. Its website offers information on substance abuse evaluation and recidivism assessment, highlighting the significant role RMV plays in determining license revocation or suspension.

The Process of License Revocation

The MA RMV rigorously follows a process for license revocation in OUI/DUI cases based on substance abuse evaluation results. The official website outlines the steps involved, ensuring consistency and adherence to regulations including medical examination and official documentation. This process is crucial in handling alcohol abuse, prescription drugs, illegal drugs, mental health disorders, and reducing the risk of recidivism when it comes to DUI and OUI cases.

What is an Immediate Threat Determination?

The RMV imposes an immediate threat determination almost instantly when it receives notice of a pending DUI or OUI case, or based on the findings of a substance abuse evaluation, aiming to mitigate public safety risks. This determination will stay in place until all requirements are met by the alleged offender. Requirements usually consist of a medical evaluation, a substance abuse evaluation, a risk of recidivism assessment, and a loss of consciousness evaluation. There may also be additional requirements based on the details of the case.


The RMV Substance Abuse Evaluation

What does the RMV Substance Abuse Evaluation Entail?

The substance abuse evaluation includes a review of alcohol intake, drug abuse history, and current activity such as use or abstinence, self-help groups, and current treatment enrollments. It also involves the assessment of psychological disorders and the individual's medical history, aiming to identify neurological conditions and mental health problems. The assessment can be conducted via telehealth, and takes approximately 60 to 90 minutes. Greater Boston Psychiatric Services offers the substance abuse evaluation with risk of recidivism as required by the MA RMV for OUI and DUI cases.

How it Influences the Hearing Outcome

Positive outcomes from substance abuse evaluations can significantly impact the risk assessment for recidivism, influencing the hearing outcome. These evaluation results inform crucial decision-making processes during the hearing and may increase the likelihood of license reinstatement. Additionally, they determine the necessity for treatment programs, playing a pivotal role in assessing the individual's risk to public safety. The RMV hearing officer will consider these assessments carefully before determining whether a candidate should be granted license reinstatement.

Risk of Recidivism Assessment

The RMV usually requires a risk of recidivism assessment in DUI and OUI cases. This assessment is written by your provider as an attachment to the RMV substance abuse evaluation and details the prognosis regarding the likelihood of the patient reoffending.

Purpose of the Assessment

The assessment aims to identify individuals at risk of repeated substance abuse offenses, focusing on reducing criminal recidivism and enhancing public safety. It contributes to tailored treatment programs, addressing mental health disorders and substance abuse problems. Furthermore, it supports effective risk management and rehabilitation strategies.

Preparing for the RMV Hearing

Preparing for the RMV hearing involves assembling pertinent medical and legal records, following official RMV guidelines, and utilizing resources on the RMV website to ensure that you have all of the required material. Consultation with a psychiatrist or clinician is essential for the substance abuse evaluation, as RMV's classification of these conditions significantly impacts the hearing outcome. A medical evaluation and loss of consciousness evaluation are usually required as well.

Gathering Necessary Documents

Gathering all required documents and reports is essential. Official substance abuse evaluation and risk assessment documents must be provided for the RMV hearing officer. Additionally, documentation of treatment programs serves as evidence of commitment to recovery. For those who are repeat DUI or OUI offenders, an ignition interlock device may be required to be installed on the offender's vehicle before license reinstatement. Proof of the interlock installation will be required.

Understanding the RMV Hearing Process for Reinstating Your Driver's License

Familiarity with the hearing process can alleviate anxiety, and understanding its legal aspects is crucial. Awareness of the implications of substance abuse evaluation on the hearing outcome and the timeline for assessment procedures is essential. Additionally, understanding the impact of prior criminal history on the process can help you manage your expectations for the RMV hearing.

Tips for a Successful RMV Reinstatement Hearing after a DUI or OUI

Adequate preparation for the hearing significantly enhances the potential for positive outcomes. Prioritizing treatment programs and rehabilitation efforts can heavily influence the overall results of the hearing. Referring to the RMV website for official information is highly beneficial in preparing for the process. Understanding the classification and revocation process is vital to navigating the hearing effectively. Consistency in behavior and progress reports throughout the process can notably impact the overall hearing experience.

Can Adequate Preparation Increase the Chance of Getting Your License Back?

Proper preparation plays a crucial role in increasing the likelihood of license reinstatement. This includes undergoing a substance abuse evaluation and demonstrating a commitment to addressing any underlying issues. By consistently adhering to treatment programs and understanding relapse prevention, individuals can greatly improve their chances of getting their licenses back. Adequate preparation also helps mitigate the risk of license suspension or revocation.


Preparing for your RMV hearing should include gathering necessary documents, and understanding the hearing process. The substance abuse evaluation with risk of recidivism plays a critical role in determining the outcome of the hearing. By adequately preparing and presenting your case, you can increase the chances of getting your license reinstated. Remember, this process requires time, effort, and commitment to overcoming substance abuse and demonstrating your readiness to be a responsible and safe driver.

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