Substance Abuse Intake Assessment

According to the Diagnostic Statistic Manual 5 (DSM-5) substance use disorder is when the individual has a dependency on alcohol or drug, followed by penetrating craving and antisocial behavior to acquire the substance. The terms substance abuse and substance dependence refer to substance use disorder, which has been separated into three classifications as follows

Practice models used in treatment of substance abuse have up until recently only been recommended for the intervention of younger addicts. As a result, treatment approaches for older adults are lacking in evidence. However, screening for substance abuse is the first step towards determining if a more thorough assessment is needed. Cook et al. (1998) reported that it is necessary to take a holistic approach to treatment, and take a broader focus than just the chemical abuse because as people age their psychological and health problems become more complex (p. 146). Older adults face life changes and lack of poor support networks are more deeply felt. Bogunovic (2012) answered that, “A comprehensive evaluation should include a thorough physical examination and laboratory analysis and psychiatric, neurological, and social evaluation.” Such measures are effective when paired with screening

According to the SAMHSA (2010) report on the national survey on drug use and health almost 22.5 million people are reported to be associated with substance abuse disorder (SAMHSA, 2010). This illness was found to be very common in all age groups, both sex, and seniors. There are several effects on these individuals and their families. Many people who suffer from substance abuse disorders fail to acknowledge these serious consequences. First of all, no response of pain relief can be seen with smaller doses of pain medications, as their bodies are used to high levels of various substances at the same time. Nurses become frustrated when they try to treat and help these patients with pain. Sometimes it is difficult to think about ethical principles when nurses have to deal with such patients with pain and suffering.

4. What type of drug is chlorpromazine, and where was it first tested on patients? Antipsychotic, A new phenothiazine drug, chlorpromazine, was synthesized in France in 1950 and was tested on such patients. In 1952, two French psychiatrists, Delay and Deniker, announced that the drug exerted a specific effect in diminishing the symptoms and signs of psychosis in patients with severe mental illnesses. (Hart & Ksir, p. 171)

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.

Abuse may be revealed in a number of different ways. For example you may find that someone wants to tell you about it because they trust you. Also it might be from someone who has observed the abuse taking place, e.g. resident seeing a care worker shaking another resident because they were too slow getting dressed. The abuse is disclosed to the professional, sometimes with a request for confidentiality.

Research reveals that self-esteem is the most consistent predictor of the likelihood and extent of substance abuse (Uba et al., 2013). The client is a 15- year old female who was court ordered to Inspirations for Youth and Families treatment center. Client was arrested for shop lifting but was also charged with the possession of Heroin. For the past couple weeks, the client presented with low self-esteem of self that may have played a role in her poor choice in substance abuse. On top of Detox and group therapy, the client will receive Cognitive Behavioral Therapy in hopes to improve self-esteem to alter the substance abuse behavior.

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

The SALCE model processes assessment of a character’s substance use/abuse by way of analyzing a broad variety of behavior. This version simulates the techniques and tactics that might be hired inside the personal interview system. It focuses on, and examines, styles of client solutions as opposed to relying generally on the client answers to the SALCE assessment tool.

There are a wide range of substances that can be misused. These come under the categories of the following:

The counselor met with the patient for her scheduled Addiction Severity Index assessment. The patient is a 54 year old black male. The patient states he is single with no children. He report currently lives with sister in law of his decease brother. The patient reports having a 14 years of education however no degree. The patient report receiving disability for mental health disorder. The patient reports he is currently not on probation. The patient reports he last use Cannabis 7/17/15 and started using at the age of 13 and smokes 3 to 4 times a week at least 2 joints. He also report using Alcohol 7/20/15 a 40oz beer and usually drank a couple a day. The patient denies any issues with HI/SI. Patient also reports he is taking his medication as prescribed. The patient appear to be in the pre-contemplation stage of change. The patient next scheduled individual session with the counselor is on Monday, July 27, 2015 at 02:30p

Although there are several different assessments one could use, the Substance Abuse Subtle Screening Inventory, (SASSI-3) would be the first choice. It is a “brief self-report, easily administered psychological screening measure that is available in separate versions for adults and adolescents. The Adult SASSI-3 helps recognize individuals who have a high probability of having a substance dependence disorder with an overall empirically tested accuracy of 93%.” Dr. Glenn A. Miller developed the SASSI-3 and is comprised of 67 true-false items with additional 26 item self-report section on substance use for identifying people with a high probability of having a substance dependence disorder. The subtle items of the SASSI-3 appear to have no correlation with the rest of the test. The subtle items may identify some clients who have alcohol or other drug issues the client may not admit to. A counselor having an awareness of their client’s history of alcohol use aids the counselor in identifying clients who are at risk and what treatment strategies may be most effective. The SASSI-3 is quick and easy for the counselor to score; only taking 15 minutes to administer and score. This assessment is helpful in both inpatient and outpatient sites. Although some studies have shown that alcoholism is hereditary, the genes have yet to be identified. Alcoholism is not only complex but involves different pathways that may lead to the development of alcohol dependence. Some factors may

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.

The second scenario, during these 6 week of reading at the end of every story, page, and chapter a person with substance abuse felt alone, confuse, and lost, until they decided to reach out for help or depend on something other than themselves. While making the comparison a lot of individual experience loneliness, temptation, loss their way or direction, hunted by fear and emotional turmoil daily even without having a substance abuse or in the wild. In this sense counselors uses techniques, guidance, spirituality to prepare the individuals to find their own way since every one practice may be different than others an there are non-believers. Therefore, coping respectfully in my eye’s is preparing them for the up and down they may encounter

Johnny Obrien aged 79 years, presented to the Emergency Department after a fall at the RSL, resulting in a laceration on his left elbow which required 3 stitches. He lives by himself with no family close by, and has a history of hypertension and alcohol addiction. Clinical reasoning is a cyclic process, where cues are collected and their data processed to come to a conclusion of the patient situation so that appropriate interventions can be implemented and evaluated through reflective practices which allows for further learning (Levett-Jones 2013). Applying these clinical reasoning skills in practice is important as it has a positive impact on patient outcomes, resulting in less adverse effects due to the detection of patient deterioration throughout this process to ensure safe and effective care (Levett-Jones 2010).Subjective data is information from the patient’s point of view, including their feelings, perceptions and concerns, whereas objective data is information that is observable or measurable (Delmar Cengage Learning 2015).