Assessment. Clinical Steps To ensuring the needs Of your clients are Identified

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1 Assessment Clinical Steps To ensuring the needs Of your clients are Identified

2 Session Objectives Learn what the best strategies are to determine which potential drug court clients are most suitable for your program. Learn the best strategies for how to identify the needs of your drug court participants. Understand how to develop and assessment protocols for your drug court.

3 Assessment Is an objective, strengths-based bio- psycho-social social clinical evaluation that clarifies the nature and extent of an alcohol/drug use/abuse/addiction disorder. The outcome of an effective assessment is a diagnoses and referral to the most appropriate level of care of treatment services.

4 US Department of Justice, Office of Justice Programs, Drug Courts s Program Office; Guideline for Goals of Assessment Examine the scope and nature of the subject s substance abuse problem. Understand the impact substance abuse has had on the individual. Define major areas of strengths and deficits. Identify problems in all other life domains to be addressed in treatment. Identify the full range of service needs, pursuant to treatment planning. Match participants to appropriate LEVELS and TYPES of substance abuse services.

5 Assessment What tools are you required to use for assessment? *State Licensing Requirements *National Accreditation Note: Do they assist in developing a DSM-IV diagnosis? Are they tied to a criteria for the appropriate level of care placement (ASAM)?

6 Valid and Reliable Clinical Assessment Tools Global Assessment of Individual Needs (GAIN) Addiction Severity Index (ASI) Standard Bio-Psycho Psycho-Social (often internally developed by agency)

7 Addiction Severity Index (ASI) Perhaps the best known, most used AOD assessment tool Six subscales medical, AOD, employment, legal, family, psychiatric Rating of severity in each subscale Standardized, training manuals and training available

8 Evidence-Based Assessment Tools Include Several Domains Which Can Be Correlated With ASAM Criteria for Making Placement Decisions

9 ASAM PPC-2R Dimensions Dimension 1-1 Acute Intoxication and/or Withdrawal Potential Dimension 2-2 Biomedical Conditions and Complications Dimension 3-3 Emotional, Behavioral, and Emotional Conditions & Complications Dimension 4-4 Readiness to Change Dimension 5-5 Relapse, Continued Use, or Continued Problem Potential Dimension 6-6 Recovery/Living Environment

10 Alcohol/Drug Use Needs and Strengths are Measured Correlates to: ASAM Dimension 1-1 Acute Intoxication and/or Withdrawal Potential ASAM Dimension 5-5 Relapse, Continued Use or Continued Problem Potential

11 Criminal Involvement Needs and Strengths are Measured Correlates to: ASAM Dimension 3-3 Emotional, Behavioral, & Cognitive Conditions & Complications ASAM Dimension 6 - Recovery Environment

12 Medical Status Needs and Strengths are Measured Correlates to: ASAM Dimension 2: Biomedical Conditions and Complications

13 Psychiatric Status Needs and Strengths are Measured Correlates to: ASAM Dimension 3-3 Emotional, Behavioral, & Cognitive Conditions & Complications

14 Employment and Financial Status Needs and Strengths are Measured Correlates to: ASAM Dimension 6 - Recovery Environment

15 Family and Social Status Needs and Strengths are Measured Correlates to: ASAM Dimension 6 - Recovery Environment

16 Alcohol/Drug Triggers and Cognitions Needs and Strengths are Measured Correlates to: ASAM Dimension 5-5 Relapse, Continued Use or Continued Problem Potential

17 Self-Efficacy and Motivation for Change Needs and Strengths are Measured Correlates to: ASAM Dimension 4-4 Readiness to Change

18 Assessment Leads to Placement Assessments of addiction severity Assessment of problems and strengths Comparison to ASAM Placement Criteria SHOULD CULMINATE IN A PLACEMENT THAT IS LEAST INTENSIVE/RESTRICTIVE FIRST AND THEN INTENSIFIED AS CLINICALLY INDICATED

19 Resources Allen JP & Wilson VB (Eds.) (2003). Assessing alcohol problems: A guide for clinicians and researchers (2nd ed.) [No ]. 3745]. Bethesda, MD: NIAAA. Inciardi JA (Ed.) (1994). Screening and assessment for alcohol and other drug abuse among adults in the criminal justice system [TIP No. 7]. Rockville, MD: CSAT. Rounsaville BJ, Tims FM, Horton, AM & Sowder BJ (Eds.) (1993). Diagnostic source book on drug abuse research and treatment [No ]. 3508]. Rockville, MD: NIDA. American Society of Addiction Medicine. Patient Placement Criteria for Treatment of Psychoactive Substance Use Disorders, 2 nd ed. Washington, DC: American Society of Addiction Medicine, 1996

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