Antisocial Assessment

Ms. Smith is a 30 year old single, Caucasian female referred for a psychosocial assessment by DOC Parole Officer Ward. She reports she was released from prison 2 months ago after a 3 year sentence for attempted escape due to not notifying her probation officer of her address change. Ms. Smith states due to her past substance use history and trauma experience her referral sources ordered counseling to address complex issues related to her emotional and physical well-being.

Clinical assessments have their place in almost every facet of the psychological and educational realms. I have been tracking down and examining what the most important aspects of assessment are that come into play in regard to drug and substance abuse, custody battles, as well as the importance the role of adhering to the ethical standards of utilizing culturally informed assessments. Clinical assessments within mental health centers are carry great importance in the identifying underlying behavioral problems, diagnosis, and treatment of patients. Behind every assessment is a clinician who

The participant is a 49 year old African American male who began using substances at the age of 13. He was diagnosed with severe alcohol, cocaine, and opioid use. The participant has been incarcerated over the past 32 years. He was recently paroled after completing eight years of a sixteen year sentence in the Illinois Department of Corrections for burglary and theft. The participant is on medications to treat HIV/AIDS and has been diagnosed with Major Depressive Disorder. He was referred to Healthcare Alternative Systems residential program through TASC as a condition of his probation.

Mr. Grape is a 52-year-old single African American male who resides in Phoenix, Arizona. His parents separated when he was 8-years-old because his father was abusive towards his mother and his mother’s infidelity. Mr. Grape’s older brothers were high-functioning and well-behaved, which made Mr. Grape feel like an outsider. As a result, he had behavioral and attitudinal problems and frequently engaged in defiant, oppositional, and negativistic behaviors. After completing high school, Mr. Grape joined the military but was dishonorably discharged. Since then, he worked as a substance abuse counselor and held numerous hands-on labor jobs. In addition, Mr. Grape has received five prison sentences, as well as numerous arrests and convictions for many different crimes, and was seemingly bragging as he reported his legal history. Mr. Grape also has a history of substance abuse and has enrolled in two residential drug treatment programs. Mr. Grape does not have a history of psychiatric treatment or mood disturbances, aside from recent depressive episodes. He was referred by the court for a psychological evaluation. Specifically, the court requested an evaluation of his psychological and emotional functioning to determine whether or not he was at risk for violence and/or other maladaptive behavior that would compromise his ability to raise his newborn child.

CPI arrived at the family residence located at 149 S Calhoun Avenue, Eatonville, FL 32751. CPI completed a joint visit with Taina L. Ramos FIS Counselor. Taina completed a BHC screen with Mr. Clayborne. Mr. Clayborne admitted to have a history of alcohol misuse and impulsive and aggressive behavior while under the influence. He began drinking while in his 20’s and drinks 1 to 2 times weekly. Mr. Clayborne drink preference is beer, but sometimes drinks vodka. He usually drinks when is stressed out. He has been to Alcoholics Anonymous meetings in Springfield, MA. The last meetings he attended was about 2 years ago. While in prison was seen by a psychiatric five times a day for 3 months, but is it not diagnosed with a mental health condition.

In my client scenario, Anthony has come to drug and alcohol counseling as a result of a probation requirement. Anthony, a 31-year-old African American male, was arrested and charged with possession of cocaine with the intent to deliver. During his incarceration, he admitted to daily use of cocaine, as well as heavy drinking. As a result, Anthony participated in drug rehabilitation programs while incarcerated. Furthermore, upon his release, his probation officer ordered him to complete drug and alcohol counseling as a stipulation of probation. While Anthony doesn’t have an issue admitting to his daily drug use, he does not agree with the probation requirement of counseling or that his alcohol and drug use were a serious issue. Anthony sees his situation differently that other addicts or alcoholics, and even expresses uneasiness about his marginalized status and the lack of understanding surrounding the conditions that led up to his arrest. He has stated that he doesn’t have anything in common with most addicts and that he isn’t a “fiend.”

Reported history of alcohol and Cannabis use; last use of marijuana 10/25/2016; and alcohol about six month ago. Client appears to have poor coping skills to prevent relapse.

Paul is a 52-year-old married, father of two with a history of alcohol abuse and low self esteem manifesting in form of anxiety and depression. He was referred for individual cognitive behavioural therapy by Crime Reduction Interventions ( CRI). Paul had been taking antidepressants and was on and off depression for the last five years.

Client presents as a 34-year-old, Caucasian (Italian) male. He is well kept and in good physical health at 6’1’’, 185 lbs. Client is a former high school teacher, although, he is currently unemployed. He is single (divorced) and he identifies as Roman Catholic. Client’s referral was court ordered.

The Intake form asks if the client has any current/past legal issues or if they ever filed a complaint against a professional and to explain if answered yes. This addresses the legal aspect of the assessment. Physician name, current and past health issues, and medications taking are addressed in the form. This allows for the Social worker to see if any health issues are playing into the current presenting

Antisocial personality disorder (ASPD), opposition defiant disorder (ODD), and conduct disorder (CD) are three distinct disorders based upon their respective diagnostic criteria in the DSM-5. If ODD and CD were mild forms of ASPD, then there would need to be causal relationship between the childhood manifestations of ODD and CD and the adult manifestation of ASPD. There is evidence of comorbidity between ODD and CD, and also evidence to suggest that children diagnosed with these disorders may go on to develop ASPD later in life; however, correlation does not equal causation. The three disorders have subtle but important differences in their associated behaviors, underlying causes, treatment outcomes, and neurological signs.

The ultimate goal of this assessment is to match Mr. P to the correct and most appropriate intervention and treatment. The assessment will be integrated into the intervention so as to be assured Mr. P’s problems are being addressed. Mr. P’s treatment effectiveness will depend, to some extent, on his motivation to participate. He may resist any treatment since he feels that his participation is being coerced. Mr. P’s perception of the severity of the sanctions against (the 90-day treatment program) is a critical determinant as to whether he will comply with the mandated treatment program.

The client is directed to answer each question with a selection of either never, seldom, often, always, and for how long, if the question is relevant. The final page of the intake form has questions that inquire about personal and family history, which only asks about family mental health history including hospitalizations, mental illness, suicide attempts, and substance abuse issues. The final section involves questions about the client’s personal situation at this moment, such as: How well are you doing at your job? Or Please rate your general happiness and well-being. The client is then asked to rank their current status on a scale of 1 to 10. I believe that the form asks all the necessary questions for a clinician to be able to determine the presenting problem. One benefit to this intake form is that it asks the right questions for a clinician to make an assessment without asking the client the question directly which can sometimes be threatening for a client to admit on an initial form and visit. For example, one question asks if the client is experiencing flashback as if reliving the traumatic event and the client can select never, seldom, often, or always. This is a subtle way to ask a client if they have trauma or PTSD without asking the client the question directly. Another example is if a client has been hearing voices when alone, instead of asking a client if they are experiencing psychosis, which can be

People suffering from an antisocial personality disorder exhibit “extreme disregard for and violation of the rights of others” (Kearney & Trull, 2015, p. 296). Individuals with this disorder are often reckless and impulsive when it comes to the safety of others and they “lack remorse for the harm they inflict” (Kearney & Trull, 2015, p. 296). Those suffering from this disorder seem as if they do not care if they inflict harm to others and many with this disorder have criminal records. The questions that arises from those suffering from this disorder is whether when they were inflicting harm upon others did they at the time understand right from wrong and can they be held accountable for their actions?

Client is an 48y/o African American male. He was recently divorced, and has been admitted DTS for psychosis and suicidal ideation. He is oriented x3-4. Displays good insight and sound judgment. Very non-confrontational attitude and behavior. He was admitted after a suicide attempt by his daughter. He has been in this facility for three days after being transferred from the ER after He tried to overdose with pills. When prompted to speak about his family, client became very withdrawn and secretive. When prompted to speak of his experiences, he gladly shares stories. He loves animals especially cats, and to occupy his time he enjoys reading books (the bible) and watching movies. Claims to have no prior history of smoking or substance abuse.