1 / 21

Goals of this Presentation

What’s New in Screening and Assessment Tools? Florida Partners in Crisis: Annual Conference and Justice Institute July 13, 2011 Orlando, Florida Roger H. Peters, Ph.D., University of South Florida, Tampa, Florida; rhp@usf.edu. Goals of this Presentation. Review:

arav
Télécharger la présentation

Goals of this Presentation

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. What’s New in Screening and Assessment Tools? Florida Partners in Crisis: Annual Conference and Justice InstituteJuly 13, 2011 Orlando, Florida Roger H. Peters, Ph.D., University of South Florida, Tampa, Florida; rhp@usf.edu

  2. Goals of this Presentation Review: • How to access relevant resources • Challenges in selecting instruments • Available substance abuse, mental health, and related instruments

  3. Resources • CSAT TIP #42 and #44 • CMHS National GAINS Center • Council of State Governments • NIDA

  4. (GAINS Center, 2004; Steadman et al., 2009)

  5. Co-Occurring Substance Use Disorders 74% of state prisoners with mental problems also have substance abuse or dependence problems (U.S. Department of Justice, 2006)

  6. Importance of Screening and Assessment • High prevalence rates of mental and substance use disorders in justice settings • Persons with undetected disorders are likely to cycle back through the justice system • Allows for treatment planning and linking to appropriate treatment services

  7. Screening for MH and SA Disorders • Routine screening for both sets of disorders • Other important domains: trauma, motivation, criminal risk • Acute MH and SA symptoms: • Suicidal thoughts and behavior • Depression, hallucinations, delusions • Potential for drug/alcohol withdrawal • History of treatment, including use of meds • Determine need/urgency for referral

  8. Survey Results: SA Screening for Offenders • Wide variation in types of SA screening instruments administered • 32% of sites used no SA screening instruments • 42% of sites did not use a standardized SA screening instrument (Taxman et al., 2007)

  9. Challenges in Selecting Screening Instruments • Proliferation of screening instruments • Use of non-standardized instruments • Instruments not validated in CJ settings • Absence of comparative data • Direct to consumer marketing of instruments with poor psychometric properties (e.g., SASSI)

  10. Screening - Mental Health • Brief Jail Mental Health Screen • CODSI (Sacks et al, 2007) • Global Appraisal of Need (GAIN - SS) • Mental Health Screening Form - III • MINI - M

  11. Screening - Substance Abuse • TCU Drug Screen – II • Simple Screening Instrument • ASI – Alcohol and Drug Abuse sections • GAIN - SS

  12. Specialized Screens • BASIS-24 • Centre for Addiction and Mental Health Concurrent Disorders Screener (CAMH-CDS) • Psychiatric Diagnostic Screening Questionnaire (PDSQ)

  13. Instruments for Adolescents • CAFAS • GAIN • MAYSI-2 • PESQ • POSIT

  14. Other Screening Domains • Trauma and PTSD • Motivation • Criminal Risk

  15. Trauma and Victimization • Female offenders frequently have been victims of physical or sexual violence • Trauma history – should be expectation for women (and men) in justice settings • Impact of violence is widespread, can impair recovery from MH and SA disorders

  16. Trauma and PTSD Screening Issues • PTSD and trauma are often overlooked in screening • Other diagnoses are used to explain symptoms • Result – lack of specialized treatment, symptoms masked, poor outcomes

  17. Screening for Trauma and PTSD • All offenders should be screened for trauma history • Screening does not require mental health clinician nor discussion of specific details • Many public domain instruments available • Positive screens - referred for assessment

  18. Screening Instruments for Trauma and PTSD • Clinician-Administered PTSD Scale for DSM-IV (CAPS) • Impact of Events Scale (IES) • Primary Care PTSD Screen (PC-PTSD) • PTSD Checklist – Civilian Version (PCL-C) • Trauma Symptom Inventory (TSI)

  19. Instruments – Motivation and Stages of Change • CMRS • RCQ • SOCRATES • TCU Treatment Motivation Scales • URICA

  20. Assessment Instruments • Addiction Severity Index (ASI) • Global Appraisal of Needs (GAIN) • Texas Christian University – IBR • Brief Intake Interview • Comprehensive Intake

  21. Summary of Key Points • High rates of co-occurring MH/SA disorders • Blended screening and assessment approach needed • Key domains: MH, SA, trauma, criminal risk • Proliferation of instruments, but all instruments not created equal • Many evidence-based instruments available - Most in public domain - Easy to access and to administer

More Related