alcohol in the morning to elude withdrawal and to steady their nerves (Aertgeerts, et al., 2004). These transitional questions, in spite of missing discriminative value, are beneficial for familiarizing the subject, as well as making the consultation less threatening (Aertgeerts, et al., 2004). Item responses are scored zero to one, with a higher score a suggestion of alcohol problems. The total score can range from zero to four (Aertgeerts, et al., 2004). This screening apparatus is simply administered and scored and can often times be committed to memory. The CAGE can be used in general medical populations in a primary care setting and be administered at no cost to adults and adolescents over the age of 16 (Aertgeerts, et al., 2004). It has been distinguished that the CAGE takes less than one minute to manage and score. However, it does not screen for drug-related difficulties (Aertgeerts, et al., 2004). The CAGE has been used in numerous cultures worldwide, but often vigilant rendition is essential to maintain accurateness (Aertgeerts, et al., 2004). However, the CAGE presented with inferior performance than the AUDIT in recognizing alcohol use disorders amongst African American men, white women, and Mexican American patients (Bradley, et al., 2007). The CAGE has been found to perform poorly in younger age groups. Some propose that this is for the reason that the items may be less pertinent to adolescent populations, such as morning
It seems to encompass about twenty two yes-or-no questions coupled with six positive responses representing a problem in drinking. The disadvantage to the (MAST) test is the duration and time necessary to score in an office that is very busy. One benefit to this test is the fact that it effectively can diagnose adolescents. Two drawbacks are at hand to the MAST test, with those compared with an alcohol test for screening with are today accessible. What makes it the test less convenient is the length of time to process in an office that is busy or in a setting in the emergency room contrast to the four or five question test accessible that is shorter. On the (MAST) test the questions additionally focus on the lifetime of the patient’s problems significantly than problems that are current. Which means that in the early stages of problems related to alcohol will not be detected that easily. Throughout the years, more than a few variations of the (MAST) have been developed, as well as the brief (MAST), the short MAST, in addition to the self-administered (MAST). The following is the 22-question, self-administered
Although substance abuse among the elderly, like alcohol is low considered compared to the general population, its prevalence is still high. A study showed the prevalence of alcohol related problems ranged from 1.4% to 22% (Adams, et al., 1993). It can be understood that the level of alcohol related problems diminishes as an individual ages.
Mr McCue says that he is drinking more often in an attempt to get a better night sleep. However Vinson (2010) believes this could hinder the patient’s sleep pattern (Vinson et al, 2010). Furthermore he goes on to say that drink can initially help the person sleep but as the drinking becomes more intense it becomes a dependent, where restless sleep is common and trying to get back to sleep is ineffective (Vinson et al, 2010). Moreover Stein (2005) agrees and says alcohol has a massive effect on sleep and the distribution of sleep. He acknowledges that alcohol can be seen as a sedative to some. However like Vinson (2010) acknowledges the more alcohol that is being consumed insomnia is likely to become a feature in the sleep pattern. Moreover he goes on to say that if the nursing staff is alerted to this in a timely fashion something can be done about it (Stein, 2005). In the care plan it has been shown in the assessment that he drinks alcohol to enhance sleep but nothing has been done to reduce this problem which may be linked to other factors. Moreover in the assessment it has been shown that he does not feel rested on been wakened. Stein (2005) says this can be due to the alcohol it has a greater effect on the brain and causes a dependence on the alcohol which in return disturbs sleep and can leave people to feel un-rested and moody(Stein & Friedmann, 2005). Stein (2005) and Vinson (2010) both
This paper highlights 3 substance use screening and assessment measures that are commonly utilized in diagnostic assessment. The T-ACE, DALI and SBIRT tools are used across several domains, and in multiple healthcare settings. The purpose of this paper is to describe these assessment tools, and how they impact human services providers working in addictions treatment.
There are many assessment processes that are used to identify substance abuse as well as many other disorders that are addictive. These processes include the SBIRT, AUDIT (Alcohol Use Disorders Identification Test), NIDAMED, CAGE AID (which is used frequently within the counseling foundation), AUDIT-C, and also the DAST-10 which is an assessment process used to evaluate drug abuse within the patients. These are many different processes that are currently used to identify these addictions in clients. The activity of identifying these processes can be over a period of time or can be evaluated in that same day or after the evaluation is completed.
Alcohol use has spanned history. In fact, there is speculation that alcohol use actually preceded the formation of societies (Doweiko, 2015, p. 30). Thus, alcohol has long been a part of mankind’s life. The function of alcohol has unarguably changed throughout the course of history, as it was first used for nutritional purposes and then later on for religious purposes (Doweiko, 2015, p. 32). Today, alcohol serves a social purpose. In the United States, the prevalence of use is quite high, with just over 50% of the population partaking monthly (Doweiko, 2015, p. 34). This statistic is somewhat alarming considering alcohol use comes with a number of potential adverse consequences. Case in point, even
Today, one out of every thirteen adults abuse alcohol or are alcoholics. That means nearly thirteen million Americans have a drinking problem. (www.niaaa.nih.gov) This topic offers a broad range of ideas to be researched within the psychological field. For this particular project, the topic of alcoholism and the psychological effects on people best fit the criteria. Alcoholism is defined as a disorder characterized by the excessive consumption of and dependence on alcoholic beverages, leading to physical and psychological harm and impaired social and vocational functioning. (www.dictionary.com) Through this project, the most important information regarding personal experiences
Alcohol in the United States has become a substance that most of the population abuses. Problems with alcoholism mainly occurs in young adults and has caused numerous deaths throughout the U.S. Alcohol has been a substance known for making the decision of flight or fight. Psychologists have taken their time and came to a conclusion that there consists of a five stage process in which one can abuse alcohol. Psychologists also figured out ways to help alcoholics looking for help to stop. Alcohol can be a danger to oneself and others, and it should be treated very seriously.
The assessment serves many purposes. By giving simple, yet specific questionnaires, the professional can determine whether additional screening or diagnosing is necessary. "Relevant assessment information includes consumption patterns, substance-related problems, expectancies and motives for use and situational context for use" (Carey & Correia, 1998, p. 736). Three of the best tools or methods include collateral information, biochemical methods, and self-report
According to the Dual Diagnosis website, “In 2012, as many as 87.6 percent of American adults over age 18 were reported in a SAHMSA…study to have consumed alcohol at some point in their lives…The National Institutes of Health…estimated that 17 million adults in the United States in 2012 had an alcohol use disorder” (“Disease…”). Approximately one in every 12 people either are abusing alcohol, or they are becoming, if not are, victims of alcoholism (National…). Alcohol consumption is especially known in our society’s culture. There are numerous people who like to drink every now and again in moderation; however, there are far too many people who abuse the alcohol and may even be completely dependent on it. Several
Kazemi et al. (2013) discuss the impact of motivational interviewing (MI) on the number of blackouts experienced by first-time college students who are high-risk alcoholics. Specifically, the authors conducted a study on 188 college freshmen who are high-risk alcoholics to establish the patterns of their blackouts when they are placed on MI. In this text, I will discuss why the plan by Kazemi and his coauthors was effective in the first place. Secondly, I will enumerate major issues of concern. Finally, I will suggest how I can improve the plan.
The term “alcoholism” describes a drinker who is mentally and physically dependent on alcohol, and who would most likely have withdrawal symptoms upon trying to quit. This dependence prevents most alcoholics from being able to control when they drink and how much they drink. For that reason, alcoholics usually drink to excess despite the consequences. Alcoholism, like any addiction, is a chronic disorder which involves continued use despite negative consequences and requires ongoing treatment and management. This research paper will cover many aspects of alcoholism including the causes and effects of drinking and different treatment approaches.
The tool that can be used to assess adolescent of risky behavior is the CRAFFT tool. This tool is designed to briefly assess alcohol and drug use among adolescent patients (McCabe, West, Teter, et al., 2012). This screening tool is useful in quickly identify adolescents who are in need for further evaluation and referral to substance abuse treatment centers.
Relaxation, celebrating, and socializing are often reasons people engage in alcohol. However, the enjoyment of alcohol in moderation may become difficult for some individuals to manage when using alcohol as coping mechanisms or scapegoat, for other underlining issues: personal, social and work-related concerns. Unfortunately, lack of proper management may or can result into alcoholism. According to the DSM-V alcoholism is diagnosed as alcohol use disorder or alcohol addiction, in which a person becomes physically and psychologically dependent on alcohol to the point that he or she cannot function without it (American Psychiatric Association,2013).
Alcohol dependence is known to be the most severe form of alcohol abuse. A person becomes so dependent on alcohol consumption that he/she loses sight of all the other important things going on around him/her. Family matters and social responsibilities become secondary worries to his/her primary concern for existence, which is drinking (Stephens, 2007). Nearly fourteen million Americans are somewhat dependent on alcohol. Alcohol dependence is more prominent in men, and young adults ages 18-29 (Stephens, 2007). According to a study done by Saitz “85,000 deaths, along with substantial disability from medical and psychiatric consequences, injuries and “secondhand” effects (ex: motor vehicle crashes) are attributed to the use of alcohol” (Saitz, 2005).