Substance Abuse Screening and Assessment CSD 5970.
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Substance Abuse Screening and Assessment CSD 5970
Today Disease model Screening and assessment for substance abuse Tools Issues
Review Substance abuse happens within a multi-systemic framework. People function in peer groups, families, communities, etc. Individual response to drugs is dependent on a number of factors. Different drugs have different pharmacology, potential for addiction, withdrawal etc. Drugs in the same class behave similarly.
Definition “A process occurring between a worker and a client in which information is gathered, analyzed, and synthesized into a multidimensional formulation”. Johnson What is the purpose of an assessment?
Purpose Gather information Screen for immediate medical, psychiatric concerns Establish a relationship Identify issues and patterns Propose a diagnosis Identify strengths Provide hope!
Challenges What are the challenges clinicians face in conducting substance abuse assessments?
Operating Principles Every client is unique, and so is his/her story. Successful client engagement is fundamental. Ask … and act if needed. There are significant differences between use, abuse, and chemical dependency.
Operating Principles Chemical dependency is not inevitable. No single model or theory explains chemical dependency. Work toward developing a multi-systemic approach. Be aware of your own prejudices, bias, beliefs, or need for power.
Dependence A maladaptive pattern of substance abuse characterized by three or more of the following, Tolerance Withdrawal Taken in larger amounts or for longer than intended Desire or efforts to cut down or quit
Dependence Time spent in activities necessary to obtain the substance or in drug seeking Important social, occupational, or recreational activities are given up Continued use despite adverse consequences
ASAM PPC 2R American Society for Addiction Medicine consensus document on placement. Mandated in the State of Illinois for Licensed facilities Proprietary Operates on a principle of “least restrictive environment”. Assesses current level of functioning on 6 dimensions Recommends level of care