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Assessment12 Core Function

The document discusses the twelve core functions of substance abuse counseling. It focuses on the assessment function, describing how assessment is an ongoing process that involves gathering information through various tools and interviews to evaluate a client's needs and develop an effective treatment plan. The goals of assessment are to determine if the client has a substance dependency issue, identify conditions related to their addiction, and reduce barriers to treatment. Special populations like women and ethnic minorities may require culturally-sensitive assessments that account for issues unique to their experiences.

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Mohammad maulana Yusuf sebiay
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233 views13 pages

Assessment12 Core Function

The document discusses the twelve core functions of substance abuse counseling. It focuses on the assessment function, describing how assessment is an ongoing process that involves gathering information through various tools and interviews to evaluate a client's needs and develop an effective treatment plan. The goals of assessment are to determine if the client has a substance dependency issue, identify conditions related to their addiction, and reduce barriers to treatment. Special populations like women and ethnic minorities may require culturally-sensitive assessments that account for issues unique to their experiences.

Uploaded by

Mohammad maulana Yusuf sebiay
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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Twelve Core Functions

Alcohol & Drug Abuse Counselor


Twelve Core Functions
Networks of Recovering Individuals / Group

Supervisory Staff Social Workers


Screening
Physicians Consultation Intake
Counselors
Medical Practitioners
Report Educators
Record Orientation
Keeping
Treatment Practitioners
Supervision Officer
Client Referrals
Self-Help Groups Education
Assessment
Professionals
Hospitals / Institutions
Crisis
Intervention Career Guidance
Treatment
Legal Aid Planning
Case
Counseling Specialis
Management t
Aftercare Service Providers
Community Resources
Twelve Core Functions

Assessment
Assessment

 Those procedures by which a counselor / program identifies and


evaluate an individual’s strengths, weakness, problems, an needs
for the development of the treatment plan

 Although assessment is a continuing process, it is generally


emphasized early in treatment. It usually results from a
combination of focused interviews, testing, and / or record reviews
Assessment

 Many counselors use a general systems perspective, which is


analytic, synthetic, dynamic, and historic, simultaneously. Using
this approach, the counselor would separately evaluate major
life areas ( i.e., physical health, vocational development, social
adaptation, legal involvements, and psychological functioning ).

 At the same time, the counselor assesses the extent to which


alcohol or drug use has interfered with the client’s functioning in
each of these areas. Next the counselor would attempt to
determine the relationship of functioning between these life
areas. The result of this assessment should suggest the focus
of treatment
When, How Assessment Takes Place

A. Although emphasized strongly early in treatment, assessment


is a continuing process

B. It results from a synthesis of information such as records,


interview, testing

C. It is necessary to use a multidisciplinary approach in order ti


gain a broad spectrum of information
Goals of Assessment
A. To determine whether the client has a chemical dependency
problem
B. To identify other conditions associated with addictions and other
problem in these areas:
i. Psychological, physiological
ii. Behavioral, interpersonal
iii. Family, economic, environmental
iv. Other drug use, multiple addictions
C. To increase the client’s likelihood of entering and remaining in
treatment by
i. Identifying barriers to treatment
ii. Reducing client’s anxiety about treatment
D. To satisfy the demands of insurance companies for determining
diagnosis and prognosis
Tasks / Tools

A. As addiction is a complex behavioral problem, assessment


should take a multidisciplinary approach, looking at these
component
i. Behavior
ii. Physiological
iii. Sociological
iv. Psychological
B. Assessment tools used can be
1. Self-administered surveys such as the Michigan Alcoholism
Screening Test ( MAST )
Tasks / Tools
2. A verbal drug abuse history
a. Age at first use of drugs / alcohol
b. Heaviest time of use
c. Pattern of use up to the present time
d. Whether tolerance developed
e. Whether dependence developed
f. History of convulsion / hallucinations
g. Current drug being used – be sure to include both licit and illicit
drugs, as well as over the counter drugs
h. Current dose / amounts
i. Current frequency
j. Route of use
k. Why client is seeking help now
Tasks / Tools
3. Drug abuse history from the family and significant others:
a. Reveals information about family dynamics
b. Reveals the impact of addiction on family members and
significant others
c. Structuring the verbal history setting and establishing rapport
a. Allow no interruptions
b. Give client undivided attention
c. Make eye contact with the client
d. Provide for the client’s physical comfort
e. Don’t sit behind the desk, as it present a physical barrier between
client and counselor
f. Keep the interview on track if the client digress
g. Do not be judgmental
h. Be accepting and encouraging
i. Ask for clarification when necessary
j. Use a combination of yes – no and open ended question
k. Don’t be uncomfortable with client silence
Barriers to Assessment

A. The client’s denial that a problem exists


B. The client’s memory disturbances and possible cognitive
impairment as a result of addiction can lead to a vague,
inaccurate history
C. Repression / Suppression of behaviors and using activities
D. Blackouts
E. Euphoric recall
F. Enablers
Special Populations

A. Women
 Special emphasis has been placed recently on the unique problems
of women substance abusers, which may include:
a. Sexual abuse
b. Difficulties with male counselors
c. Poor self-esteem
d. Lack of independence, which may keep women in abusive
relationship
e. Medical problems different from those of men
 These issues must be addressed in treatment but will also impact the
assessment process
Special Populations
B. Ethnic minorities
 Experience shows that minority males, especially Hispanics,
have difficulty with treatment which requires confrontation;
this result from cultural conditioning
a. These clients respond best to a caring environment
b. It is important that the staff include minority or ethnic
group members
 Some cultures place a stigma on addiction which may result
in limited support from family members
 These issues have implications for treatment, but, again, they
will also affect the assessment process

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