The Substance Related Disorder Assessment: A Road Map to Effective Treatment Planning explores current practices in comprehensive substance-related assessment. This text offers counselors-in-training a thorough overview of what to look for in screening and assessments instruments, including what to assess and how to assess. An effective treatment plan is built on a strong assessment and this book will provide future counselors with the assessment skills they need. The authors have also included practical examples, case studies, and suggested exercises throughout.
Preface
Chapter 1 Introduction to Assessment
Treatment for Alcohol and Drug Addictions
History of Treatment
Addiction Models
Moral Model
Disease Model
Biopsychosocial Model
Your Brain on Drugs
Biological Factors
The Rehabilitation Model
The Importance and Use of Clinical Skills
Introduction to Evidence-Based Practices
Client Readiness for Change
Pharmacological Interventions
Types of Treatment
Detoxification
Brief Intervention
Inpatient/Residential
Outpatient
Mandated Treatment
Purpose of Assessment in Substance Abuse Counseling
Conclusion
Chapter 2 Diagnostic Criteria of Substance-Related Disorders
Introduction
Historical Background
The Disease Model
The Diagnostic and Statistical Manual (DSM)
Substance-Related Disorders
Using the DSM-5
Severity and Specifiers
Summary/Conclusion
Chapter 3 Foundations of Standardized Assessment
Introduction and the Nature of Tests
Methods and Sources of Assessment Information
Psychological Testing
Scale Development and Statistical Concepts
Sampling
Validity
Reliability
Statistical Concepts
Chapter Activity
Chapter 4 Screening for Substance-Related Disorders
Prescreening
When to Use a Screening
SBIRT
What to Look for in a Screen
Examples of Instruments
The NIDA Drug Use Screening Tool
The GAIN-SS
The SASSI
CAGE and CAGE-AID
AUDIT
DAST
ASSIST
Alcohol, Smoking, and Substance Involvement Screening Test
ASSIST
SCORING THE ASSIST
MAST
Summary/Conclusion
Chapter 5 Comprehensive Assessment
Important Features of an Assessment Instrument
The Intake Interview
How to Assess
What to Assess
Biological Factors
Risk Behaviors
Psychological Factors and Mental Health
Questions to Ask
Mental Status Exam
Social
Family and Peer Support
Vocational
Criminal Justice
Assessing Substance Use
Determining a Diagnosis
Examples of Comprehensive Assessments
The GAIN
Addiction Severity Index
Summary/Conclusion
Chapter 6 Multicultural Considerations with Special Populations
Cultural Competency
Cultural Characteristics
Emic and Etic Perspectives
Culture and Bias
Test Bias
Counselor Bias
Specific Cultural Groups
African Americans
American Indians and Alaska Natives
Hispanic Americans
Asian Americans, Native Hawaiians, and Other Pacific Islanders
Disability and Assessment
Coexisting Disabilities
General Test Accommodation Strategies
Assessment for Individuals with Visual Impairments
Assessment of Individuals with Hearing Impairments
Assessment of Individuals with Intellectual Disabilities and Communication Disorders
Assessment of Individuals with Physical Disabilities
Assessment of Individuals with Mental Illness
Veterans and Assessment
AUDIT-C for Veteran Populations
Culture Fair Assessments
Culture Fair Tests
Summary/Conclusion
Chapter 7 Assessing Level of Care
Stages of Change Influencing Diagnosis and Treatment
ASAM Placement Criteria: Multidimensional Assessment
Risk Rating and Level(s) of Care
Levels of Care
Treatment Level Transitions
Chapter Summary
Chapter 8 Effective Counseling Strategies and Evidence-Based Practices
Evidence-Based Treatment Modalities
Motivational Interviewing
Cognitive Behavioral Therapy
Dialectical Behavior Therapy (DBT)
Acceptance and Commitment Therapy
Acceptance
Cognitive Fusion
Being Present
Self as Context
Values
Committed Action
Substance-Related Disorders and Vocational Rehabilitation
Chapter Summary
Chapter 9 Ethics and Assessment
Historical and Theoretical Background
Tuskegee Syphilis Study
Milgram’s Shock Therapy
Stanford Prison Experiment
Development of Standards in Assessment/Research
Ethics Defined
Ethical Principles
Ethics in Assessment
Informed Consent, Privacy, and Confidentiality
User Qualifications
Ethical Decision-Making Model
Application of Ethical Decision-Making Model
Activity
Chapter Summary
Chapter 10 Utilization of Assessment Information in Treatment Plan Development
Introduction to Treatment Planning
Treatment Plan Development
Case Conceptualization
Development of Goals and Action Steps/Objectives
Utilization Review Process
Evaluating Effectiveness of Goals, Continuing Care, and Treatment Termination
Disability Considerations
Brain Injury
Spinal Cord Injury
Case Scenario