The Mental Health Screening Form-III (MHSF) could provide useful information to help assess the appropriate level of care according to the American Society of Addiction Medicine (ASAM). The MHSF is a versatile assessment that can be given to the client to answer or the clinician can orally give it to the client (Center for Abuse Treatment, 2005). The assessment covers a range of mental health illnesses that can prompt additional questions for the clinician to find out more information. The Simple Screening Instrument for Substance Abuse (SSI-SA) is another assessment that is fairly easy to use and provides reliable information to determine if an individiual needs additional assessment for their addiction (Center for Abuse Treatment, 2005).
The first process when assisting whether or not a patient qualify for MAT is the completion of their admission psychosocial assessment by a clinician to determine whether or not the patient would be given a MAT assessment according to their response to their substance use and frequency section of the psychosocial. The MAT assessment that would be given is the Hub Mat screening form. This form will help clinician identify whether or not a patient is appropriate for an opiate treatment program, office based opiate treatment, or a non-medication assisted treatment and the reasons behind why the patient is appropriate or not appropriate for the treatment. If a patient would best fit other services or treatment it would be noted on the assessment
The Substance Abuse Subtle Screening Inventory-3 (SASSI-3) is an instrument that is made up of interpretations about substance abuse dependence disorder (Miller, 1983). It is also used to recognize individuals who have a substance dependence disorder. It is the most recent revision of a measure designed to identify individuals who have a high probability of a substance dependence disorder (Pittenger, 2014). According to the article by Miller (1983) SASSI-3 is described as a test of substance dependence disorder, but how this differs from other substance-related disorders is unclear at this time. It appears to be easy to administer and interpret, seems to be user friendly. The SASSI-3 is excellent in it's attempt to assess substance dependence
The standardized Screening, Brief Intervention & Referral to Treatment (SBIRT) instrument form is a comprehensive, integrated tool that can enable health professionals in any setting to quickly assess persons with substance use disorders (SUDs) or at risk of developing these disorders, to deliver early intervention to at-risk substance users, and assist those in need of a brief intervention or more intensive treatment receive appropriate treatment services (SAMHSA, 2015). The SBIRT form consists of few sections. It incorporates a 10-item Alcohol Use Disorders Identification Test (AUDIT) questionnaire made of two sections: the alcohol pre-screen which is the first level screen that assesses patients or clients for alcohol use and consists of questions one to three, and the full screen which consists of questions four to 10 and identifies signs of dependence with questions four to six and related problems with questions seven to 10.
According to Feldstein and Miller (2007), explain that the SASSI was publish is 1985 and select by counselors to use with other screening instruments. Wormer and Davis (2013) describe the SASSI form with true/false question not pertaining to substance or alcohol. This SASSI assessment is the most used tool that has different versions (Miller, Woodson, Howell, & Shields, 2009). For instance, the SASSI 3 has 10 scales with 93 items to identify if a client has a substance disorders. In addition, the scales include the Face Valid Alcohol, Face Valid Other Drug, Symptoms, Obvious Attributes, Subtle Attributes, Defensiveness, Supplemental Addiction Measure, Family History, and Tendency to Involvement
Screening is a quick overview, which comprises a single measurement, done for the explicit intention of determining whether deeper diagnostic assessment is necessary or warranted. Screening supports in identifying the possibility that a client has co-occurring substance abuse and mental disorders or that his or her presenting signs, symptoms, or behaviors may be influenced by co-occurring issues. The purpose is not to establish the presence or specific type of such a disorder, but to establish the need for an in-depth assessment. Screening is a formal process that typically is brief and occurs soon after the client presents for services. Integrated screening seek to answer identify if there are comorbidity is by asking yes or no questions.
8. List the nursing implications and education needs for each of the following categories of medication related to heart failure: See Attached
The Addiction Severity Index (ASI) is an instrument used by a clinician, counselor, or other trained industry professionals to conduct face to face interviews with clients. The ASI is a semi-structured instrument that entails seven important areas of a client life. These areas include: drug and alcohol use, medical, employment, legal, family, psychiatric, and social. The ASI is one of the most widely used instruments available due to its reliability and validity that has been found in studies published in peer reviewed journal articles. The design of the Addiction Severity Index is to determine lifetime information about the client in regards to problematic behavior
Screening, Brief Intervention, and Referral to Treatment (SBIRT) is commonly used to identify, reduce, and prevent abuse and dependence on alcohol and banned drugs ("Screening, Brief Intervention, and Referral to Treatment (SBIRT) Health Professions Student Training," 2000). This assessment can be broken down simply by: a) conducting a screening where the clinician assesses a patient for risky substance use behaviors using standardized screening tools b) having a brief intervention where the clinician holds a short conversation, then provides feedback and offering advice c) lastly, the clinician can provide a referral to brief therapy or additional treatment for patients in need of the services ("Resource,"2000). Thus, making this a very useful
Although the main goal of the assessment is to refer clients to treatment, many clients refuse treatment. However, they are willing to accept referrals to non-addiction agencies to resolve problems that have either been caused by addiction or that led to the problems. This assessment may be an intervention that the client needs. You will want to use the appropriate research-based screening tools that may be applicable to the client’s individual circumstances.
emotionally capable of making an informed decision regarding participation in this study. Of the participants, 250 were male and 300 were female. Participants were selected from general
In order to obtain information about the client, a clinical assessment was completed that included the administration of several necessary psychological tests. Of the test administered, the Wechsler Adult Intelligence Scale Fourth Edition (WAIS-IV), Wide Range Achievement Test 4 (WRAT4), Adaptive Behavior Assessment System, Second Edition (ABAS-II), and the Adult Substance Abuse Subtle Screen Inventory- 4 (SASSI-4) were included.
The first initial question is what brings the person in today and have they seen a counselor before. The influences the screening process has for the professional is assist them to make the appropriate decisions for the well-being of the client during each of the assessment steps and treatment strategy plan. For instance, for screening, referral, determining eligibility, program planning, program monitoring, program evaluation, and economically. Therefore, the client may have a chance of complete the programs will out the financial distress to deter them from receiving the needed help. In the meantime, the decision points allow the team to use the information to make decisions regarding treatment based on the disorder or addiction to provide
There are many different evaluation instruments that are used to test for alcoholism, the results are also used to help with the eventually treatment of the person diagnosed with alcoholism. Some of the evaluation tools that are used to detect alcoholism and the severity are the Semi-Structured Assessment for the Genetics of Alcoholism (SSAGA), Alcohol use disorder Identification Test (AUDIT), Michigan Alcoholism Screening Test (MAST), T-ACE, Addiction Severity Index (ASI) and the Substance Abuse Subtle Screening Inventory (SASSI). SSAGA was created by the Collaborative Study on the Genetics of Alcoholism (COGA) is used to study the genetic link to alcoholism. (Korsmeyer, P., Kranzler, H., 2009) AUDIT was developed by the World Health Organization (WHO) in collaboration with Austria, Bulgari, Kenya. Mexico, Norway and the United States, making it the first screening designed for international use. There are ten sections to the AUDIT test that are scored 0-4 points, the total number of points determines a person’s severity of alcohol dependency, which is then used to determine the required treatment method. (Korsmeyer, P., Kranzler, H., 2009) MAST is similar to AUDIT as it is a multiple question test, the difference is in the scoring. Each answer is worth 0-1 point and the higher the total, the more the person is at risk for alcoholism. T-ACE is a test specifically for pregnant women, it stands for Tolerance, Annoyed, Cut Down and Eye Opener. The first questions is about
31 y/o AA male patient seen today for psychiatric-mental health assessment. He is awake, alert and oriented x4. He is calm, cooperative and follows commands during assessment. The patient reports he is depressed, difficulty sleeping and nightmares at night. The patient explained his depression is as a result of deep thinking from a news he received two days ago from his elder brother that his mother is ill. Stressors identified by the patient include losing his job a week ago before the news about his mother; his wife is 6-months pregnant with their first child, who currently works part-time at her present job; patient relates difficulty paying monthly bills and inability to provide adequately for his family as a man. The patient denies mood swings, suicidal/homicidal thoughts and ideation. Patient reports his spouse is at work at the moment and he does not want to put stress on his wife due to her current condition. Patient denies been hospitalized for depression or psychiatric illness; and denies family history of mental illness. Patient reports he is seeking help because he does not like feeling this way using terms of “helpless and loss of worth from his spouse”. Patient reports he needs help with his depression and nightmares before his current condition get out of hands and ruined his marriage.
By using the SASSI, counselors can detect early signs of substance use disorders, which allow counselors to plan treatment accordingly (Screening Issues, 2016). A counselor will take the appropriate steps to ensure the client is receiving the proper treatment and interventions (Screening Issues, 2016). The counselor can help clients who are in danger of becoming consumed with addiction and lead them to a healthier lifestyle. Although the SASSI does not specifically correlate to the DSM, it can be used for a great predictor