REACH WHOLE STUDY PLACE MANUAL
Assessment. Answer: An ongoing process through which the
counselor collaborates with the client and others to gather and
interpret information necessary for planning treatment and evaluating
client's progress.
◉ Tools of assessment. Answer: Counselor's observations, clinical
interviews, laboratory test and instruments line tests and self report
inventories.
◉ Bio psychosocial perspective. Answer: There's biological,
psychological, and social causes of substance abuse
◉ Biological factors. Answer: Includes brain chemistry problems that
may be genetic.
◉ Genetics. Answer: Influence biochemistry and biochemistry make
some people vulnerable to addiction.
◉ Psychological factors. Answer: Includes cognitive styles,
personality traits, and early developmental experiences.
,◉ Social factors. Answer: Includes poverty, oppression, poorly
developed social skills, and family dysfunction
◉ Cultural relevance. Answer: Take into account client's social
context and to not interpret client's behavior as pathological, since it
doesn't cause stress to client.
◉ Clients are likely to cooperate with assessment. Answer: If rapport
has been established and the reason for assessment procedure is clear
◉ Rapport. Answer: A comfortable working relationship, with the
client helps assure the client's trust and cooperation
◉ Culturally sensitive language. Answer: Using "people first"
language, communicates respect to clients. Example referring to
someone as a person with alcohol dependence rather than an
alcoholic.
◉ Motivational interviewing. Answer: Respects the client's
perception of the problem . Finding out what stage the client is in .
Example pre contemplation, contemplation, action, maintenance.
Help client to the next stage
◉ Assessment instruments. Answer: For counselors to aid their
identification of, and treatment planning for substance disorders
, ◉ Reliability of the instrument. Answer: Has to do with the
consistency with which an instrument measures.
◉ Validity of the instrument. Answer: Has to do with what the
instrument measures and how it's used.
◉ Screening instruments. Answer: CAGE, DAST,MAST,SASSI
◉ CAGE questionaire. Answer: An answer to yes to one or more
questions for alcohol dependence. 4 questions 1. Have you ever felt
you should cut down on your drinking? 2.have people ever annoyed
you by criticizing your drinking? 3. Have you ever felt guilty about
your drinking? 4. Have you ever had a drink first in the morning to
relieve the shakes?
◉ DAST(drug abuse screening test). Answer: Adopted from MAST.
This self report instrument is used to detect abuse or dependence on
drugs other than alcohol. It provides a measure of lifetime problem
severity.
◉ MAST(Michigan screening test). Answer: Requires yes/ no
questions answers to 25 questions . Scores indicate the absence of
alcohol dependence 0-3, possible substance dependence 4, or likely
alcohol dependence 5 or higher.
◉ SASSI( substance abuse subtle screening inventory). Answer: This
brief self report is designed to identify clients with high probability of
having a substance related disorder.