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Unformatted text preview: Running head: ASSESSMENT OF ADDICTION 1 Unit 5 Assignment: Assessment of Addiction and Co-occurring Disorders Angela Natale COUN: 5108 Fundementals of Addiction and Addictive Behavior Dr. Cecilia Guyton February 9, 2019 ASSESSMENT OF ADDICTION 2 Screening and assessment both complement and supplement the interview data for the purposes of diagnosis and treatment planning (Morgen, 2017). Having the knoweldge of whether you client is currently using a substance, will help when determining the appropriate treatment as well as identify individuals who are already in treatment to catch the early signs of relapse (Morgen, 2017). Drug testing can play many functions, whether it is just a compnonant of the initial screening process, being used as a screening tool to prevent adverse effects, or as a tool to evaluate and reevaluate your client, drug testing can prove extremely useful with individuals suffering from substance use disorder (SUD) (Morgen, 2017). Derek is a 30 year old Puerto Rican homosexual male who has been working extremely hard lately so his partner William suggested they take some time away. During this time away William noticed Derek acting strangley and was constantly aggitated or unhappy. After an encounter between Derek and the waitstaff of vacation William became concerendabout Derek and his actions. William began to think Derek might be on some type of drug and after finding a baggie with a white power substance he became worried. After speaking with Dereks brother Angel, William learned about Dereks previous, similar behavior during the time Derek was enrolling in college. Angel states that his family calls it on of Dereks episodes and that he is most likely using methemphetamine again. Derek is now in the hospital with injuries to his hand due to fighting in a bar, the physicians on staff want to conduct a full assessment based on Dereks behaviors. The following will discuss the assessments that would be most beneficial to Dereks case. The assessment that would provide the most assisstence to Derek is discussed as well as the assessment aplicability to diverse populations. Differential diagnosises for Derek are disscuss to determine if any are present, and the systemic approach is evaluated based of the case of Derek. An DSM-5 diagnosis will also be applied to the case of Derek. ASSESSMENT OF ADDICTION 3 Assessment Tools During the initial interview, screening, and assessment, the counselors use’s this information to conceptualize their clients problems, clarify the severity, and inform/motivate their client to receive treatment (Morgen, 2017). hird, assessment is a more comprehensive application where the pervasiveness or severity of various problems (including substance use disorder) may be further determined. Consequently, the interview, screening, and assessment phases of the initial sessions eventually inform the diagnostic and treatment plan development Look to address the distinguished criterion, “Selects appropriate diagnostic assessment tools for both substance use and mental health issues, including additional assessments that can be eliminated as being inappropriate”. Review the assessments discussed in Chapter 2 of the text. Using the Mental Measurement Yearbook and other scholarly sources (peer reviewed journal articles), justify selecting one that would be the stronger choice for the selected case. You will need an assessment to address the identified substance use included in the scenario and another to assess the mental health issues suggested by the identified client’s presentation. Applicability of Assessments to Diverse Populations Look to address the distinguished criterion, “Analyzes the selected tools' applicability to diverse populations including a clear rationale for the selected tools”. Research how well each assessment selected in the preceding section performs with relevant diverse populations. When it exists, scholarly literature that addresses how well the assessment tool performs with the specific diversity presented in the case should be cited. Differential Diagnosis Look to address the distinguished criterion, “Describe the differential diagnostic approach for a mental health disorder co-occurring with substance use with strong support from scholarly ASSESSMENT OF ADDICTION 4 sources”. This section should address the relevant diagnostic information to rule out closely related diagnoses for the selected case. You may find the American Psychiatric Association (2014) Differential Diagnosis by the Trees to be helpful at: Systemic Approach Look to address the distinguished criterion, “Analyzes the advantages and disadvantages of a family systems approach for a substance use disorder or gambling assessment.” Review scholarly literature to describe how the addiction impacts those closest to the individual meeting criterion for a substance use or other addictive disorder. Avoid sweeping generalizations that could apply to any addiction. An accurate description requires support from current scholarly literature to be specific and relevant. Provisional DSM Diagnosis List: Principal DSM-5 Diagnosis (Focus of treatment): Additional DSM-5 Diagnoses: Relevant Medical Diagnoses (if known): Note: Other Conditions That May Be a Focus of Clinical Attention (see pp. 715–727 of DSM-5 manual). Measures of Symptom Severity/Disability (see Section III of DSM-5, p. 747 and select appropriate assessment tools such as WHODAS 2.0 for adult or parent/guardian Cross-Cutting Symptom Measure for child age 6–17). ASSESSMENT OF ADDICTION 5 Include a narrative description explaining how the diagnosis was formulated citing the DSM-5 and any other relevant sources. It is likely that the case scenario does not provide enough detail to make a definitive diagnosis. Note the information needed to formulate a more definitive diagnosis and how the results of the assessment tools selected would contribute to the process. To meet the distinguished criterion, describe the relevant strengths and challenges that will be important to formulate a holistic view of the client and family system. Assessment Summary To meet the final area of the scoring guide present “a summary of the assessment process noting the limitations and outstanding issues requiring further exploration” to meet the distinguished criterion. ASSESSMENT OF ADDICTION 6 References American Psychiatric Association (2014). Differential diagnosis by the trees. In DSM-5 Handbook of Differential Diagnosis (pp. 17-156). Arlington, VA: Author. Morgen, K. (2017). Substance use disorders and addictions. Thousand Oaks, CA: SAGE Publications. ISBN:9781483370569 ...
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