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ASSESSMENT ISSUES

ASSESSMENT ISSUES. FEB RUARY 27, 2012. ADSAC. CONTACT INFORMATION Ray Caesar Director of Addiction Specialty Programs Oklahoma Department of Mental Health & Substance Abuse Services (405)522-3870 (405)522-4470 rcaesar@odmhsas.org. ADSAC. CONTACT INFORMATION Ray Caesar 405-522-3870

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ASSESSMENT ISSUES

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  1. ASSESSMENTISSUES FEBRUARY 27, 2012

  2. ADSAC CONTACT INFORMATION Ray Caesar Director of Addiction Specialty Programs Oklahoma Department of Mental Health & Substance Abuse Services (405)522-3870 (405)522-4470 rcaesar@odmhsas.org

  3. ADSAC CONTACT INFORMATION • Ray Caesar 405-522-3870 • rcaesar@odmhsas.org • Patty Patterson 405-522-8537 • ppatterson@odmhsas.org • Linda Clark 405-522-5837 • lclark@odmhsas.org • John Bureman 405-522-8024 • jbureman@odmhsas.org

  4. PROBLEMS WITH ALCOHOL AND OTHER DRUGS

  5. Public Intoxication

  6. Vandalism

  7. Homelessness

  8. Inappropriate aggression

  9. Paranoia

  10. Criminal behavior

  11. Compromising situations

  12. ADSAC ADSAC is an acronym for; ALCOHOL AND DRUG, SUBSTANCE ABUSE SERVICES This phrase is found in Title 47 Motor Vehicle Code and refers to the entire process of assessment, education and treatment. Authority for the ADSAC process comes from Titles; 43A Mental Health Law, 47 Motor Vehicle Code, 22 Criminal Code.

  13. ADSAC ODMHSAS has specific responsibility for; ASSESSMENT ~ defining type, duration and intensity of intervention. FACILITATION ~ 10 & 24 hour courses CERTIFICATION ~ Assessors ~ Assessment Agencies ~ Facilitators ~ Course Organizations TRAINING ~ Assessors Instruments, Interview Technique, Oklahoma Administrative Code ~ Facilitators Adult Education, Interactive Journaling and Oklahoma Administrative Code

  14. ADSAC 230 Certified ADSAC Assessors 25 Certified ADSAC Assessment Agencies 2012

  15. ADSAC Access to ADSAC services may be required of almost the entire population of Oklahoma * Only a very small percentage of the population will not be possible candidates for ADSAC services. Those who never drink or use mood altering drugs and who never associate with those who do. *

  16. ADSAC 25% to 40% of 30% of the population the population consume 90% of never drink the alcohol ================================== * * * * ================================== Of this group only 30% or (10% of the total population) are physically dependent

  17. ADSAC • Alcohol or other drug related driving offenses (upon arrest) • DUI • DUI D • DWI • APC • Drug convictions (with a vehicle involved) • Possession • Transportation • Distribution • Paraphernalia

  18. ADSAC HISTORY OF THE PROCESS • November 1, 1985 10 hour DUI school (Testing suspensions) • July 1, 1991 10 hour DUI school (All alcohol related suspensions) • May 26, 1993 10 hour DUI school (Drug convictions) • September 1, 1993 Assessment required • November 1, 1996 24 hour DUI school • July 1, 2003 Assessment driven • July 1, 2008 Recommendations in code • November 1, 2008 Change in assessment fee collection

  19. ADSAC ADSAC COURSES

  20. ADSAC TITLE 450 Chapter 21 Certification of Alcohol and Drug Substance Abuse Courses (ADSAC), Organizations and Facilitators Effective July 1, 2009

  21. ADSAC The journals are interactive, requiring the participation of the offender

  22. ADSAC 10 Hour Course (sub-clinical) Conducted in no less than three sessions of three to three and one half hours each 24 Hour Course (sub-clinical) Conducted in no fewer than twelve sessions of two hours each, twice weekly for six weeks 24 Hour Course (clinical) Conducted in no fewer than twelve sessions of two hours each, twice weekly for six weeks and offered in conjunction with a group intervention

  23. ADSAC Both the Ten and Twenty-four hour ADSAC journals contain two distinct, interrelated journals The larger section of each journal is an interactive workbook addressing issues related to substance use, decision making and coping strategies The smaller but, possibly more important section of each journal is a personalized change plan based on the transtheoretical model of change and allow the development of an individualized action plan based on the beliefs and decisions of the offender

  24. ADSAC INSTRUCTION COUNSELING THERAPY FACILITATION

  25. ADSAC ADSAC ASSESSMENT PROCESS

  26. ADSAC TITLE 450 Chapter 22 Certification of Alcohol and Drug Assessment and Evaluations Related to Driver’s License Revocation Effective July 1, 2009

  27. ADSAC • The ADSAC assessment is often the first clinically driven intervention • The ADSAC assessor has the opportunity to provide what may be the only assessment the offender will receive • The ADSAC assessment serves as a critical point of entry

  28. ADSAC Requirements for the assessment process • Face to face interview • Bio-psych-social ASI • Drivers Risk Inventory, revised DRI II • Defendant Questionnaire DQ • Additional supportive instrument

  29. ADSAC • ADSAC assessments completed after July 1, 2008 are valid for six months. • If services have not been initiated within six months, successful completion of a new assessment is required.

  30. ADSAC All requirements must be able to be completed within ninety days (twelve weeks).

  31. ADSAC ADSAC assessors must be a current LADC or CADC in good standing. An LADC under supervision may work as an assessor for a Certified ADSAC Assessment Agency.

  32. ADSAC • Drivers Risk Inventory, revised (DRI II) • Presumes an alcohol or drug related driving offense has occurred • Appropriate for all alcohol and/or drug related driving offenses resulting in license revocation

  33. ADSAC • Drivers Risk Inventory revised (DRI II) • Six scales • Truthfulness • Alcohol • Drug • Substance Abuse/Dependency • Drivers Risk • Stress Coping Abilities

  34. ADSAC • Defendant Questionnaire • Presumes a drug related criminal offense has occurred • Appropriate for drug convictions for possession, transportation, distribution or paraphernalia

  35. ADSAC • Defendant Questionnaire • Seven scales • Truthfulness • Alcohol • Drug • Substance Abuse/Dependency • Violence • AntisocialStress Coping Abilities

  36. ADSAC Assessed areas in common • Truthfulness • Alcohol • Drug • Substance Abuse/Dependency • Stress Coping Abilities

  37. ADSAC ADSAC ASSESSMENT INTERVENTION CATEGORIES

  38. ADSAC Intervention Category I 0 – 39 Low Risk Intervention Category II 0 – 39 Low Risk (Second offense) Intervention Category III 40 – 69 Moderate Intervention Category IIIB Override - IV or V Intervention Category IV 70 – 89 Problem Intervention Category V 90 – 100 Severe

  39. ADSAC INTERVENTION CATEGORY I LOW RISK Scoring 0 to 39 on the DRI II or DQ supported by the information from the additional instrument. 10 hour ADSAC course Victims Impact Panel

  40. ADSAC INTERVENTION CATEGORY II LOW RISK Scoring 0 to 39 on the DRI II or DQ supported by the information from the additional instrument and having a prior offense. 24 hour ADSAC course Victims Impact Panel

  41. ADSAC INTERVENTION CATEGORY III MODERATE RISK Scoring 40 to 69 on the DRI II or DQ supported by the information from the additional instrument. 24 hour ADSAC course Victims Impact Panel Six weeks substance abuse group

  42. ADSAC INTERVENTION CATEGORY IIIB from OVER RIDE Scoring 70 to 100 on the DRI II or DQ supported by the information from the additional instrument & appropriate for over ride from Intervention Category IV or V. Twelve weeks substance abuse group (one or two times weekly) Twelve weeks Mutual Support group

  43. ADSAC INTERVENTION CATEGORY IV PROBLEM RISK Scoring 70 to 89 on the DRI II or DQ supported by the information from the additional instrument. Intensive Outpatient Mutual Support Group Aftercare if recommended by provider

  44. ADSAC INTERVENTION CATEGORY V SEVERE RISK Scoring 90 to 100 on the DRI II or DQ supported by the information from the additional instrument. Residential Treatment Mutual Support Group Aftercare if recommended by provider

  45. ADSAC Intervention Category I 0 – 39 Low Risk Intervention Category II 0 – 39 Low Risk (Second offense) Intervention Category III 40 – 69 Moderate Intervention Category IIIB Override - IV or V Intervention Category IV 70 – 89 Problem Intervention Category V 90 – 100 Severe

  46. ADSAC OVERRIDES • Services not available • Geographic accessibility • On waiting list for appropriate level of care • Language barriers • Sustained abstinence

  47. ADSAC Supportive Instruments • Juvenile Automated Substance Abuse Evaluation (JASAE) • Multidimensional Addictions and Personality Profile (MAPP) • NEEDS Assessment (NEEDS) • Triage Assessment for Addictive Disorders (TAAD)

  48. ADSAC Sixty million Americans are functionally illiterate or illiterate.

  49. ADSAC According to the U.S. Census of 2000 • 20% of Oklahoma residents are illiterate • 40% of the residents in some Oklahoma Counties have less than a twelfth grade education

  50. ADSAC Generational issues • 1922 to 1943 “The Greatest Generation” • Comfortable in formal settings • Dislike too much familiarity • Require respect • Do not volunteer feedback, need encouragement • Incorporate life experiences • Tend not to accept the concepts related to addiction

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