IC&RC Domain I- Screening, Assessment & Engagement (2023/2024) Already Graded A

IC&RC Domain I- Screening, Assessment & Engagement (2023/2024) Already Graded A Basic Engagement Skills Build rapport Show empathy Active listening Non-threatening questions Clarifying questions Genuineness Engagement- predictor of The strongest predictor of short and long-term retention in addictions treatment Engagement- most effective approach Client-centered; and Motivational Interviewing Screening The process by which a client is determined appropriate and eligible for admission to a particular program Appropriateness Determine the extent and nature of Client's problem(s); substance use and mental health disorder Eligibility Client's age, gender, place of residence, disabilities, pregnancy, finance, insurance, etc Screening Instruments MAST CAGE SASSI AUDIT ASI MSE MAST Michigan Alcohol Screening Test +developed in 1971- oldest screening +used for general population +22 questions Drawbacks +too long for emergency room and primary healthcare +focuses on past rather than present CAGE Cutdown, Annoyed, Guilt, Eyeopener +only four questions +score of 2 or greater= significant yes or no answers Drawbacks not in depth wide life span SASSI Substance Abuse Subtle Screening Inventory +brief, easily administered psychological questionnaire +good for diverse cultures +effective in identifying early stage users who are in denial or concealing AUDIT Alcohol Use Disorder Identification Test +one of the most accurate alcohol screening test +accurate across all ethnic and gender groups +developed by World Health Organization +detects problems w/in the last year +simple way to screen people at risk for developing alcohol problem +10 multiple choice questions +point system, more than 8= problem ASI Addiction Severity Index +addresses 7 potential problem areas +medical, employment,drug use, alcohol use, legal, family and psychiatric +deals with lifetime problems +overview of all problems related to substance use disorder MSE Mental State Examination +systematic appraisal of the appearance, behavior, mental function and overall demeanor of a person +snapshot of a person's psychological functioning Intake The administrative and initial assessment procedures for admission to a program Intake- at intake the client fills out... Admission/intake form sign HIPAA form provides financial data sign consent form for treatment signs "authorizations" to release information Assessment Those procedures by which a counselor identifies and evaluates an individual's strengths, weaknesses, problems and needs for the development of the treatment plan In other words, Assessment is the process used to 1) determine the problems that need to be addressed; and 2) develop the treatment plan When does Assessment process begin? When client attends their first counseling session How does discussing the findings of an assessment with a client help promote engagement? It assists clients in identifying their strengths, weaknesses, and goals to be incorporated in ta treatment plan ASAM American Society of Addiction Medicine Designed to identify addiction, co-occurring disorders and the most appropriate levels of treatment ASAM- problem areas withdrawal potential biomedical conditions emotional, behavioral, cognitive conditions readiness to change relapse or continued use potential recovery environment ASAM- levels of care 0.5 early intervention 1. outpatient treatment 2. intensive outpatient/partial hospitalization 3. inpatient/residential 4. intensive inpatient/ medically managed Orientation Describe to the client: 1. the general nature and goals of the program- abstinence 2. rules governing client conduct- pay for services, group confidentiality, keep appointments 3. infractions that lead to discharge 4. service hours 5. treatment costs borne by client 6. client's rights- confidentiality and professional treatment Orientation is the process of... Educating clients about treatment and preparing them to participate Co-Occurring Disorders- most common Bipolar, Anxiety, PTSD, Antisocial, Borderline Bipolar Bipolar disorder is characterized by shifts in mood as well as changes in activity and energy levels. The disorder often involves experiencing shifts between elevated moods and periods of depression Anxiety Disorder Anxiety disorders are those that are characterized by excessive and persistent fear, worry, anxiety and related behavioral disturbances. Fear involves an emotional response to a threat, whether that threat is real or perceived Post Traumatic Stress Disorder Post-traumatic stress disorder can develop after an individual has experienced a stressful life event. Symptoms of PTSD include episodes of reliving or re-experiencing the event, avoiding things that remind the individual about the event, feeling on edge, and having negative thoughts Antisocial Personality Disorder Antisocial personality disorder is characterized by a long-standing disregard for rules, social norms, and the rights of others. People with this disorder typically begin displaying symptoms during childhood, have difficulty feeling empathy for others, and lack remorse for their destructive behaviors. Borderline Personality Disorder Borderline personality disorder is associated with symptoms including emotional instability, unstable and intense interpersonal relationships, unstable self-image, and impulsive behaviors. Dissociative Identity Disorder Dissociative identity disorder, formerly known as multiple personality disorder, involves the presence of two or more different identities or personalities. Each of these personalities has its own way of perceiving and interacting with the environment. People with this disorder experience changes in behavior, memory, perception, emotional response, and consciousness. What percentage of people with substance use disorder have co-occurring disorder 50% All symptoms of psychiatric disorder... can be mimicked by alcohol/ drug intoxication or withdrawal Treatment for co-occurring disorder Independent, Serial, Parallel and Integrated Independent treatment Not used for clients with co-occuring disorders Serial treatment Least effective, treat one disorder; and afterwards, treat another disorder Parallel Treatment Treat both disorders at the same time, but at different locations Integrated treatment Most effective, treat all disorders simultaneously with team at same location DSM Diagnostic & Statistical Manual tool used to make diagnostic impression based on presenting symptoms