Screening & Assessment Essay
This paper looks at screening and assessment in relation to drug and alcohol abuse. It, first of all, gives the difference between the two and goes ahead to give details of what happens in each stage. For example, screening is only used to identify if there is a problem and if further intervention is required while on the other hand assessment takes a closer look at the specific problem and how it can be handled. There is also the danger signs of knowing when one is in need of treatment even though they do not admit to it, and also various screening and assessment instruments.
Screening is a formal process whereby a client is tested to determine whether they warrant further attention in relation to a particular disorder in the current time. In this context, the screening would be for a possible co-occurring substance use or mental disorder. Screening is not used to identify the exact problem or degree of the problem, it is just to determine whether further assessment is required. There needs to be a standard tool for screening so that it’s known that if a client scores this way they are fine or this other number requires more attention.
After screening comes assessment which is focusing on the problem and defining it’s nature, as well as developing specific treatment recommendations to help solve the problem. This process actively involves both the counselor and the patient, which helps highlight key features such as readiness for change, problem areas, strengths, and disabilities. There is, however, no psychological test that can identify for sure that a person has a drug/alcohol problem. Factors like social attitudes and stigma which usually leads to denial play a major role in the outcome. There are also problems involved in the diagnostic process such as the clinician’s biases towards a certain drug abuse or a client’s attitude towards the whole process. Screening & Assessment Essay
There is, however, a serious problem and treatment are crucial if there is any interference in the six major areas of a person’s life. These include job or school, relationships with family, social relationships, legal problems and medical problems. There are also problems related to substance abuse such as marital and family conflict, child abuse or neglect, unemployment, financial problems, anxiety, depression and even suicide.
There are various screening and assessment instruments. Addiction Severity Index (ASI) is most effective as a general intake screening tool and assesses a patient’s status in several areas, and the composite score determines the need for treatment change. Alcohol Use Disorders Identification Test (AUDIT) identifies a client whose alcohol consumption has become hazardous or harmful to their health. Beck Depression Inventory -11 (BDI-11) checks the presence and rate of the severity of depression. Cage Questionnaire detects alcoholism. Circumstances, Motivation and Readiness Scales (CMR Scales) predict retention in treatments. Clinical Institute Withdrawal Assessment (CIWA-Ar) checks the severity of alcohol withdrawal. Drug Abuse Screening Test (DAST) provides a brief, simple but practical method of identifying patients abusing psychoactive drugs. The Michigan Alcoholism Screening Test (MAST) is used to screen for alcoholism in a variety of populations. Screening & Assessment Essay
Once a person is addicted and it starts affecting their day to day life, it has to reach a point where they accept that they need help on their own. It is not something that can be forced, because treatment and recovery will in a huge amount depend on their commitment. Once they are ready, they need to seek help from professionals who will follow the right procedure of screening, assessment and provide the right treatment as well as a checkup. When done right, the process is tough but rewarding at the end of it all. Screening & Assessment Essay
Center for Substance Abuse Treatment. (2005). Substance Abuse Treatment for Persons With Co-Occurring Disorders: Treatment Improvement Protocol (TIP) Series, No. 42. 4 Assessment. Rockville, MD: Substance Abuse and Mental Health Services Administration. Retrieved from: https://www.ncbi.nlm.nih.gov/books/NBK64196/
Regier, D. A., Kuhl, E. A., & Kupfer, D. J. (2013). The DSM-5: Classification and criteria changes. World Psychiatry, 12(2), 92-98. doi:10.1002/wps.20050
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