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Screening and assesment


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4 goals of Screening and assesment
1. identifying presence of dependence of substance abuse
2.identifying adverse consequences
3. use to formulate good tx plan
4. enhance clients motivation for change
3 key factors of interviewing
1. setting of the interview
2.clinicians style
3. patient factors
describe the interviewing setting
private/comfortable/enough time
describe a clinicians style
appropriate questions/listening/open-ended questions
describe possible patient factors
denial,rationlizing/minimizin/depression/gender identity/learning styles/readiness for change
topics covered in Assesment
1. substance abuse history
2. mental health
3.medical history history history
what is covered in substance abuse history
age on onset, frequency, amt, consequenses,Tx history,self-help,periods of abstinence,triggers,changes in using patterns
what is covered in mental health history
when mental health issues arose(before,during,after)substance abuse,current symptoms,counseling history,SI/HI risks,relationshop of drug to mx
what is covered in medical hx
current/past medical problems,injuries,allergies,surgeries,symptomes, primary care physician, diet/exercise routinge
what is covered in family hx
parents use?,sibling use,birth order,marital status, children
what is covered in social hx
current/past legal issues,financial,housing/educational level, vocational,interpersonal relationships work,home,sign release?
name 4 screening tests
1. Posit
2.PEI-personal experience index
3.ASI-addiction severity index
4.APSI-adolescent personality severity index
what are the current outcomes of treatment by 2yr mark.
20% get it-stay in recovery
50% relapse
30% don't get it-chronic relapse
according to the american society of addiction medicine what are the 6 levels of care criteria for treatment
1. acute intoxication/ withdrawal
2.biomedical conditions/complications
3. emotional/behavioral conditions/complications
4. treatment-acceptance/resistance
5. relapse potential
6. Recovery environment
according to the american society of addiction medicine what are the 4 levels of treatment
level 1-outpatient tx
level 2. intensive outpatient
level 3. medcally monitored inpatient
level 4 medically mgmd intensive inpatient
What 3 criteria do not qualify a client for intensive inpatient tx
relapse potential
recovery environment
according to the american society of addiction medicine
what 3 criteria must be minimal or very stable for outpatient level 1 tx
1. no acute intoxication/withdrawal potential
2. biomedical conditions/complications
3. emotional/behavioral conditions
according to the american society of addiction medicine
what are key criteria for intensive outpatient tx
emotional/behavioral conditons/complications
relapse potential-likely
recovery environ-unsupportive,patient can cope with structure
list some attributes of the Denial (crucial stage) of drug addiction
efforts to control fail repeatedly
loss of ordinary will power
unable to discuss problem
list some attributes of the Chronic phase
moral deterioration
indefinable fears
obsession with drinking
all alibis exhausted
neglect of food
promises and resolutions fail
physical deterioration
obsessive drinking continues in vicous cycle
list attributes of "Rehabilitative stage"
honest desire for help
learns about disease
stops drug use
takes stock of self
spiritual needs examined
start group therapy
regular nourishment
realistic thinking
natural rest and sleep
list attributes of Recovery phase
diminishing fears of the unkown
facts faced with courage
care of personal appearance
confidence of employers
contentment in sobriety
increasing tolerance

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