Screening and assesment
Terms
undefined, object
copy deck
- 4 goals of Screening and assesment
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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
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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
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1. substance abuse history
2. mental health
3.medical history
4.family history
5.social 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
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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.
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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
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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
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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
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treatment-accept/resistance
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
tx-resistance
relapse potential-likely
recovery environ-unsupportive,patient can cope with structure - list some attributes of the Denial (crucial stage) of drug addiction
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efforts to control fail repeatedly
loss of ordinary will power
tremors
unable to discuss problem - list some attributes of the Chronic phase
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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"
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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
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diminishing fears of the unkown
facts faced with courage
care of personal appearance
confidence of employers
contentment in sobriety
increasing tolerance