Unformatted text preview: Running head: ASSESSMENT OF ADDICTION 1 Unit 5 Assignment: Assessment of Addiction and Co-occurring Disorders
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
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.
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:
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):
Other Conditions That May Be a Focus of Clinical Attention (see pp. 715–727 of DSM-5
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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