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Module 4C

Learn how to engage clients, identify issues, screen for COD, determine care level, and plan treatment while addressing cultural barriers and literacy problems.

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Module 4C

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  1. Module 4C Introduction Assessment: Step 8–Step 12

  2. TIP Chapter 4: Assessment • Module 4A • Screening and Step 1–Step 2 • Module 4B • The Assessment Process: Step 3–Step 7 • Module 4C • The Assessment Process: Step 8–Step 12

  3. 12 Step Assessment Process 1: Engage the client 2: Identify & contact collaterals to gather additional information 3: Screen for & detect COD 4: Determine quadrant & locus of responsibility 5: Determine level of care 6: Determine diagnosis 7: Determine disability & functional impairment 8: Identify strengths & supports 9: Identify cultural & linguistic needs & supports 10: Identify problem domains 11: Determine stage of change 12: Plan treatment

  4. 12 Step Assessment Process 1: Engage the client 2: Identify & contact collaterals to gather additional information 3: Screen for & detect COD 4: Determine quadrant & locus of responsibility 5: Determine level of care 6: Determine diagnosis 7: Determine disability & functional impairment 8: Identify strengths & supports 9: Identify cultural & linguistic needs & supports 10: Identify problem domains 11: Determine stage of change 12: Plan treatment

  5. 12 Step Assessment Process 1: Engage the client 2: Identify & contact collaterals to gather additional information 3: Screen for & detect COD 4: Determine quadrant & locus of responsibility 5: Determine level of care 6: Determine diagnosis 7: Determine disability & functional impairment 8: Identify strengths & supports 9: Identify cultural & linguistic needs & supports 10: Identify problem domains 11: Determine stage of change 12: Plan treatment

  6. Cultural Assessment—COD • Three important issues for those with COD: • Not fitting into the treatment culture (do not fit into either substance abuse or mental health treatment culture) and conflict in treatment • Cultural and linguistic service barriers • Problems with literacy

  7. 12 Step Assessment Process 1: Engage the client 2: Identify & contact collaterals to gather additional information 3: Screen for & detect COD 4: Determine quadrant & locus of responsibility 5: Determine level of care 6: Determine diagnosis 7: Determine disability & functional impairment 8: Identify strengths & supports 9: Identify cultural & linguistic needs & supports 10: Identify problem domains 11: Determine stage of change 12: Plan treatment

  8. 12 Step Assessment Process 1: Engage the client 2: Identify & contact collaterals to gather additional information 3: Screen for & detect COD 4: Determine quadrant & locus of responsibility 5: Determine level of care 6: Determine diagnosis 7: Determine disability & functional impairment 8: Identify strengths & supports 9: Identify cultural & linguistic needs & supports 10: Identify problem domains 11: Determine stage of change 12: Plan treatment

  9. TIP Exercise—Stages of Change Using the case on p. 94, what stage of readiness to change would you and your partner(s) assign the client regarding her: • Mental disorder? • Substance use disorder? • Give reasons Stages of Change • Precontemplation • Contemplation • Preparation • Action • Maintenance (3 minutes)

  10. 12 Step Assessment Process 1: Engage the client 2: Identify & contact collaterals to gather additional information 3: Screen for & detect COD 4: Determine quadrant & locus of responsibility 5: Determine level of care 6: Determine diagnosis 7: Determine disability & functional impairment 8: Identify strengths & supports 9: Identify cultural & linguistic needs & supports 10: Identify problem domains 11: Determine stage of change 12: Plan treatment

  11. TIP Exercise—Plan Treatment With your group, use format on p. 96 to . . . • Plan treatment for: • Maria M. (pp. 69, 87, 89, 92) or Jane B. (pp. 70, 83, 91) • Address at least two (2) problems • Include for each: • Related information (strengths, cultural issues, etc.) • Stage of readiness to change • Recommended interventions • Goals (10 minutes)

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