The Standardized Screening, Brief Intervention And Referral

Client stated that she first started using alcohol at the age of 14. Client reported most recently consuming alcohol within the past 2 days of this assessment. Client reports out of the last 90 days prior to her evaluation, she used alcohol on 70 of those days, 45 of those days she drank herself into intoxication. Client reported over the past 2-12 months, she has had repeated

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.

Abuse and SUD can be separated by categories. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), define substance use disorders that are mild, moderate, or severe. It is within these levels that certain criteria’s are meet Substance use disorders occur when the recurrent use of alcohol and/or drugs causes clinically and functionally significant impairment, such as health problems, disability, and failure to meet major responsibilities at work, school, or home (“Substance use disorder”, 2015). Other determining factors that define substance use disorder in the DSM-5 manual is the impaired control, social impairment,

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

As a social worker using the SBIRT the assess and address Hispanics and substance abuse. SBIRT is an abbreviation for screening, brief intervention and referral to treatment and it used mostly by healthcare professional when dealing with mental and behavioral health problems. Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based practice used to identify, reduce, and prevent problematic use, abuse, and dependence on alcohol and illicit drugs. The first step in the SBIRT process requires health care professions and social workers to conduct a screen on their clients. Screen clients will allow for social workers to assess current and past information on substance abuse uses and behaviors. It is very important for social worker and other professions to be culturally aware of the population they are servicing. “Cultural awareness involves social workers being cognisant of their ethnic background, values, perceptions and views that might affect their relations with the client” (Band-winterstein & Freund, 2015, p.969).. Language Barriers, religion, cultures, and values are some factors social workers should be knowledgeable about when working with Hispanics. The final step of the SBIRT involves utilizing a brief intervention and referral sources for clients. The SBIRT is mainly based on strategies utilized during motivational

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.

One objective that this program intends to achieve is to provide physicians with screening tools and guidelines so that they are able to evaluate and recognize red flags for potential substance abuse. These

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

One the first side of the form, clients will fill out the questionnaires that do not pertain to substance use or abuse and the other side will then be filled out with questions pertaining to substance use or abuse (Van Wormer & Davis, 2013). The point of the two-sided form is to create a less defensive attitude in clients and have them acknowledge their behavior (Van Wormer & Davis, 2013). One of the strengths of SASSI is the ability to take the assessment in a variety of settings (Screening Issues, 2016). A counselor may use the SASSI in an inpatient co-occurring disorder unit or in a work setting with employers. Another strength is the prediction of one being diagnosed with a substance abuse problem (Screening Issues, 2016). For example, if a client has a family history of drug use and begins using small amounts, the SASSI could help predict the likelihood the client will suffer with an addictions disorder. A drawback of this assessment is the lack of evidence it provides of a client actually using drugs (Screening Issues, 2016). A client may exhibit behavioral themes of an addict, but is not currently taking

He then described the five testing instruments, Steps Questionnaire (“To assess adoption of attitudes associated with AA steps 1, 2, and 3”), Step Questionnaire (“To assess practice of AA steps 11 and 12”), Brown-Peterson Recovery Progress Inventory (“To assess patient functioning in terms of working the AA program”), AA Involvement Scale (“To assess AA attendance and involvement”), AA Affiliation Scale (“To assess AA involvement”) and the Surrender Scale (“To assess surrender” to a higher power) (Allen, 2000, p. 228). Researchers then suggested that by utilizing these instruments, clinicians could better determine the likelihood of success of an individual’s continued sobriety in conjunction with that of therapeutic

The screening should focus on safety risks associated with withdrawal and intoxication. • Case examples It is important to look at case scenarios and try to relate the case to the situation at hand. This is important in that it will allow one to draw important lessons on how to organize the plan and

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

To rate my client, I used the SBIRT -AUDIT rating form, in an in-person interview. This interview allows me to connect with my client and clarify any information that may seem confusing. The AUDIT gave my client insight into her alcohol use. The screening tools provide a framework for intervention and identify any alcohol dependency. The rating form is composed of questions concerning alcohol use. My agreed to answer the questions at will and honestly. For each of the question that was asked, a number was given above the answer, and at the end of the questionnaire, I totaled up the scores and gave the results to my client, so she would have an understanding about her alcohol use and a brief intervention plan that would help her with the goals

The National Council on Alcoholism and Drug Dependence cites fourteen primary indicators of alcohol or

Aetna has a program that is designed to assist primary care physicians as they screen their Aetna patients for alcohol abuse. Aetna’s Alcohol Screening program, SBIRT, uses the NIAAA's evidence-based protocol to screen clients and determine their eligibility to receive treatment for alcohol abuse.