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Module 4B PowerPoint Presentation

Module 4B

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Module 4B

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    1. Module 4B Assessment: Step 3Step 7

    2. TIP Chapter 4: Assessment Module 4A Screening and Step 1Step 2 Module 4B The Assessment Process: Step 3Step 7 Module 4C The Assessment Process: Step 8Step 12

    3. 12 Step Assessment Process 1: Engage the client 2: Identify & contact collaterals to gather additional information 3: Screen for & detect COD 4: Determine quadrant & locus of responsibility 5: Determine level of care 6: Determine diagnosis 7: Determine disability & functional impairment 8: Identify strengths & supports 9: Identify cultural & linguistic needs & supports 10: Identify problem domains 11: Determine stage of change 12: Plan treatment

    4. Screening Screening for COD seeks to answer a yes or no question: Does the substance abuse client being screened show signs of a possible mental health problem? OR Does the mental health client being screened show signs of a possible substance abuse problem?

    5. Step 3:Screen and Detect COD Screen for: Acute safety risk Past and present mental health symptoms/disorders Past and present substance abuse disorders Cognitive and learning deficits Past and present victimization and trauma

    6. Screening for Substance Use Disorder (Mental Health Settings) Substance abuse symptom checklists Substance abuse severity checklists Formal screening tools that work around denial Screening of urine, saliva, or hair samples

    7. 12 Step Assessment Process 1: Engage the client 2: Identify & contact collaterals to gather additional information 3: Screen for & detect COD 4: Determine quadrant & locus of responsibility 5: Determine level of care 6: Determine diagnosis 7: Determine disability & functional impairment 8: Identify strengths & supports 9: Identify cultural & linguistic needs & supports 10: Identify problem domains 11: Determine stage of change 12: Plan treatment

    8. Step 4: Determine Quadrant and Locus of Responsibility

    9. Determination of SMI Status What is the States criteria for SMI? How is eligibility established? Is the client already receiving mental health priority services? Does the client appear to be eligible?

    10. Step 4: Determine Quadrant and Locus of Responsibility

    11. TIP Exercise Cases & Quadrants of Care With your partner: Select one case (Maria M., or George T., or Jane B.) on pp. 69 and 70. Change or add information that would result in assignment of that case to a different quadrant. (1 minute)

    12. 12 Step Assessment Process 1: Engage the client 2: Identify & contact collaterals to gather additional information 3: Screen for & detect COD 4: Determine quadrant & locus of responsibility 5: Determine level of care 6: Determine diagnosis 7: Determine disability & functional impairment 8: Identify strengths & supports 9: Identify cultural & linguistic needs & supports 10: Identify problem domains 11: Determine stage of change 12: Plan treatment

    13. Level of Care Instruments ASAM PPC 2R - Dimensions Acute Intoxication and/or Withdrawal Potential Biomedical Conditions and Complications Emotional, Behavioral, or Cognitive Conditions and Complications (includes risk) Readiness to Change Relapse, Continued Use, or Continued Problem Potential Recovery/Living Environment LOCUS - Dimensions Risk of Harm Functionality Comorbidity (Medical, Addictive, Psychiatric) Recovery Support and Stress Treatment Attitude and Engagement Treatment History

    14. 12 Step Assessment Process 1: Engage the client 2: Identify & contact collaterals to gather additional information 3: Screen for & detect COD 4: Determine quadrant & locus of responsibility 5: Determine level of care 6: Determine diagnosis 7: Determine disability & functional impairment 8: Identify strengths & supports 9: Identify cultural & linguistic needs & supports 10: Identify problem domains 11: Determine stage of change 12: Plan treatment

    15. Step 6: Determine Diagnosis Principle 1Diagnosis is established more by history than by current symptom presentation. Principle 2It is important to document prior diagnoses and gather information related to current diagnoses. Principle 3It is almost always necessary to tie mental symptoms to specific periods of time in the clients history, in particular times when active substance use disorder was not present.

    16. 12 Step Assessment Process 1: Engage the client 2: Identify & contact collaterals to gather additional information 3: Screen for & detect COD 4: Determine quadrant & locus of responsibility 5: Determine level of care 6: Determine diagnosis 7: Determine disability & functional impairment 8: Identify strengths & supports 9: Identify cultural & linguistic needs & supports 10: Identify problem domains 11: Determine stage of change 12: Plan treatment

    17. TIP Exercise Step 7 Application to Case Examples Review with your partner the case on p. 89 OR the case on p. 90. In your opinion, how useful was the determination of disability and functional impairment: For the counselor? For the client? (3 minutes)

    18. Assessing Functional Capability Is the client capable of living independently? If not, what types of support are needed? Is the client capable of supporting himself financially? Through what means? If not, is the client disabled or financially dependent on others? Can the client engage in reasonable social relationships? Are there good social supports? If not, what interferes, and what supports are needed? What is the clients level of intelligence? Is there a developmental or learning disability? Cognitive or memory impairments? Limited ability to read, write, or understand? Difficulties focusing and completing tasks?