Foundations of Addictions Counseling 3E David Capuzzi Mark

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Foundations of Addictions Counseling, 3/E David Capuzzi & Mark D. Stauffer Chapter 5 Introduction

Foundations of Addictions Counseling, 3/E David Capuzzi & Mark D. Stauffer Chapter 5 Introduction to Assessment Updated by Melinda Haley, Walden University Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Screen and Assessment Critical for Addictions Treatment n n n More than testing Includes

Screen and Assessment Critical for Addictions Treatment n n n More than testing Includes clinical interviewing Incompetence can lead to unnoticed, marginalized, untreated addiction issues Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Philosophical Foundations of Addictions Counseling n n n n Hope Strength-based approaches The whole-person

Philosophical Foundations of Addictions Counseling n n n n Hope Strength-based approaches The whole-person approach Motivation Collaboration in addictions counseling Multidisciplinary approach Advocacy Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Hope n Definitions n n n Spiritual Mundane Adaptive Proper coping n Healthy transitions

Hope n Definitions n n n Spiritual Mundane Adaptive Proper coping n Healthy transitions n Resiliency n Acceptance Maladaptive hope n Fantasies n n Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Strength-Based Approaches n Assessment identifies strengths and accomplishments n n Do not avoid challenges

Strength-Based Approaches n Assessment identifies strengths and accomplishments n n Do not avoid challenges “The strengths perspective assumes that all consumers have positive capabilities and the capacity for success. ” Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

The Whole-Person Approach n Recovery n n n Draws upon internal and external resources

The Whole-Person Approach n Recovery n n n Draws upon internal and external resources Involves lifestyle and identity changes Takes into account client’s strengths and context Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Motivation n External (coercion) n n Legal social controls Formal controls (i. e. employer

Motivation n External (coercion) n n Legal social controls Formal controls (i. e. employer mandate) Informal social controls Internal or “intrinsic” motivation n Is emphasized for greater change and what is needed for long term recovery. Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Collaboration in Addictions Counseling n The therapeutic process n n n Client and counselor

Collaboration in Addictions Counseling n The therapeutic process n n n Client and counselor together work in sessions Clients do all the work in between Share and explore assessment results with client Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Multidisciplinary Approach n Collaboration with others n n n Helping professionals Health care providers

Multidisciplinary Approach n Collaboration with others n n n Helping professionals Health care providers Support groups Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Advocacy n n Whether in an addictions, mental health, school, or vocational rehabilitation context,

Advocacy n n Whether in an addictions, mental health, school, or vocational rehabilitation context, an assessment may lead to client advocacy. A client may need to be advocated for (direct advocacy) or on behalf of (indirect advocacy). Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Role of an Addictions Assessor n n n Type of problem Appropriate treatment Appropriate

Role of an Addictions Assessor n n n Type of problem Appropriate treatment Appropriate interventions Involve family as needed Evaluate effectiveness of interventions Continuity of care Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Points to Remember About Human Assessment Measures n Protect client welfare and information n

Points to Remember About Human Assessment Measures n Protect client welfare and information n n Informed consent Be competent to use assessment Recognize uniqueness and diversity issues Be watchful of stereotypes n n n Own ideas of “addicts” Unidentified addictions Results are not the person Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Human Assessment Measures, n n n Use proper instruments appropriately Maintain empathetic connection Use

Human Assessment Measures, n n n Use proper instruments appropriately Maintain empathetic connection Use multiple methods n n (continued) Detailed interview Multidisciplinary approach Consult other professionals Continue to reassess over time Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Communicating about Human Assessment Measures n n n Involve client at all stages Continue

Communicating about Human Assessment Measures n n n Involve client at all stages Continue to assess over time Use easy to understand language Explain results and limits of assessment Share accepted results first n n Self-verification Connect information to client’s goals and values Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Flow of Addictions Assessment Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright

Flow of Addictions Assessment Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Structures of Assessment Interviews n Unstructured n n Builds rapport, addresses resistance, wholistic Time

Structures of Assessment Interviews n Unstructured n n Builds rapport, addresses resistance, wholistic Time intensive, unable to generalize, may over-assess Semi-structured Structured interviews n n Reliable and valid, efficient, aids research Rigid, may need training, can compromise rapport Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Components of an Interview n n n n n 1. Review referral information 2.

Components of an Interview n n n n n 1. Review referral information 2. Review previous evaluations 3. Interview the client 4. Gather corroborating material 5. Formulate a hypothesis 6. Make recommendations 7. Create a report, other documents 8. Meet with the client about results 9. Meet with client’s support system 10. Follow up on recommendations and referrals Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Assessment for Level of Care n n n Intoxication and withdrawal potential Biomedical conditions

Assessment for Level of Care n n n Intoxication and withdrawal potential Biomedical conditions Emotional, behavioral, and cognitive conditions Readiness for change Likelihood of relapse or continued use Recovery environment Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Useful Information to Gather n n n Demographics Client presentation and functioning Addictive behavior

Useful Information to Gather n n n Demographics Client presentation and functioning Addictive behavior n n First and subsequent exposure Context of use, triggers Positive and negative results Beliefs about use/non-use Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Useful Information, n (continued) Treatment specific information n n Past treatment Goals and Internal

Useful Information, n (continued) Treatment specific information n n Past treatment Goals and Internal and external triggers Motivation and readiness for change Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Useful Information, n (continued) Information about the whole person n n n Relationships, context

Useful Information, n (continued) Information about the whole person n n n Relationships, context Adverse childhood events High risk behaviors Coping skills Work Spirituality Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Useful Web Sites n National Institute on Alcohol Abuse and Alcoholism: Alcohol Consumption Measures

Useful Web Sites n National Institute on Alcohol Abuse and Alcoholism: Alcohol Consumption Measures n n http: //pubs. niaaa. nih. gov/publications/Assesing%20 Alcohol/me asures. htm University of Washington: Substance Use Screening & Assessment Instruments Database n http: //lib. adai. washington. edu/instruments/glossary. htm Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved