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Module 4A. Introduction Assessment: Screening and Step 1 & Step 2. TIP Chapter 4: Assessment. Module 4A Introduction, terminology, Step 1–Step 2 Module 4B The Assessment Process: Step 3–Step 7 Module 4C The Assessment Process: Step 8–Step 12
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Module 4A Introduction Assessment: Screening and Step 1 & Step 2
TIP Chapter 4: Assessment • Module 4A • Introduction, terminology, Step 1–Step 2 • Module 4B • The Assessment Process: Step 3–Step 7 • Module 4C • The Assessment Process: Step 8–Step 12 • Case studies, review of relevant appendices, and key considerations in treatment matching.
Screening • Screening for COD seeks to answer a “yes” or “no” question: • Does the substance abuse client being screened show signs of a possible mental health problem? OR • Does the mental health client being screened show signs of a possible substance abuse problem?
TIP Exercise— Screening Instruments Option 1:Behavioral Rehearsal & DiscussionWith your partner, take turns administeringwhichever instrument is least familiar: • Mental Health Screening Form-III (p. 500) • Simple Screening Instrument for Substance Abuse (p. 506) You have 10 minutes total!
TIP Exercise— Screening Instruments Option 2:Review & Discussion Review instrumentsin: • Appendix H (p. 497) and Appendix G (p. 487). Discuss with your partner: • Which instruments have you used? • What, in your experience, are advantages and disadvantages of each? • Which would you recommend? Why? You have 10 minutes total!
Screening Protocol • A professionally designed screening process or protocol establishes precisely . . . • How any screening tools or questions are scored • What constitutes scoring positive for a particular possible problem (“establishing cut-off scores”) • What happens if a client scores in the positive range • and provides the standard forms to document • Results of all later assessments • That each staff member has carried out his or her responsibilities in the process
Screening+Assessment Tx Plan • Screening is a process for evaluating the possible presence of a particular problem. • Assessment is a process for defining the nature of that problem and developing specific treatment recommendations for addressing the problem. • A comprehensive assessment serves as the basis for an individualized treatment plan. The treatment plan must be matched to individual needs.
Step 1: Engage the Client • “No wrong door” • Empathic detachment • Person-centered assessment • Sensitivity to culture, gender, and sexual orientation • Trauma sensitivity