Tag: client

Introduction

Consider the following scenario:

Terrence is considering next steps for a client, Angela, who has come for therapy at the family counseling center where he works. When Angela scheduled her appointment on the telephone, she had described her concerns with marital difficulties, insomnia, and depression. During her first session, however, Terrence noticed that Angela had a very nervous demeanor, picked at her skin constantly, and had a rasping cough. When Terrence asked Angela about her employment, she admitted that she had lost her job and that her husband was angry about it. She said she was afraid her husband was on the brink of becoming abusive.

Terrence is not sure what to do first. He suspects Angela might have a substance addiction, but clearly she has several interlocking problems, and many are urgent. Should Terrence administer a screening for addiction or a more general clinical assessment? If he does decide to administer an addictions assessment, which of the many that are available should he choose and why?

This week, you differentiate between the use of addictions assessment tools and clinical assessment tools and review several assessment tools in order to evaluate one of them.

Objectives

Students will:

• Differentiate between the use of addictions assessment tools and clinical assessment tools  
• Critique an addictions assessment tool

Required Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Readings

• Gupta, R., Nower, L., Derevensky, J. L., Blaszczynski, A., Faregh, N., &Temcheff, C. (2013). Problem gambling in adolescents: An examination of the pathways model. Journal of Gambling Studies, 29(3), 575–588.
  Problem Gambling in Adolescents: An Examination of the Pathways Model by Gupta, R.; Nower, L.; Derevensky, J.; Blaszczynski, A.; Faregh, N.; Temcheff, C., in Journal of Gambling Studies, Vol. 29/Issue 1. Copyright 2013 by Human Sciences Press – Journals. Reprinted by permission of Human Sciences Press – Journals via the Copyright Clearance Center.
  
  Focus on the three Pathways (pp. 577–578).
• Larimer, M. E., Cronce, J. M., Lee, C. M., & Kilmer, J. R. (2004/2005). Brief intervention in college settings. Alcohol Research & Health, 28(2), 94–104.
  Retrieved from the Walden Library databases.  
  
  Focus on the section titled “Advantages and Efficacy of Screening and Brief Interventions in College Populations,” paying particular attention to the direct effect of assessment on substance use.

• Muñoz, Y., Chebat, J-C.,& Borges, A. (2013). Graphic gambling warnings: How they affect emotions, cognitive responses and attitude change. Journal of Gambling Studies, 29(3), 507–524.
  Graphic Gambling Warnings: How they Affect Emotions, Cognitive Responses and Attitude Change by Muñoz, Y.; Chebat, J.; Borges, A., in Journal of Gambling Studies, Vol. 29/Issue 1. Copyright 2013 by Human Sciences Press – Journals. Reprinted by permission of Human Sciences Press – Journals via the Copyright Clearance Center.
  
  Focus on the section titled “Use of Graphic Images” (p. 510).
• Nagy, T. F. (2011). Ethics in psychological assessment. In Essential ethics for psychologists: A primer for understanding and mastering core issues (pp. 171–183). Washington, DC: American Psychological Association.
  Retrieved from the Walden Library databases.  
  
  Focus on the reasons behind selection of different types of assessments and why multiple assessments might be needed. This article also includes excellent information on ethics of assessment.

• Samet, S., Waxman, R., Hatzenbuehler, M., &Hasin, D. S. (2007).  Assessing addiction: Concepts and instruments.Addiction Science & Clinical Practice,4(1), 19–31. Retrieved from http://archives.drugabuse.gov/pdf/ascp/vol4no1/Assessing.pdf
  
  Focus on the types of assessments used for addictions treatment and the characteristics of each that might elicit data relevant to addictions rather than some other type of psychiatric disorder. Table 1 on p. 25 provides a snapshot of many common addictions assessments.
• Suissa, A. J. (2011). Vulnerability and gambling addiction: Psychosocial benchmarks and avenues for intervention. International Journal Of Mental Health & Addiction, 9(1), 12–23.
  Retrieved from the Walden Library databases.
  
  Focus on the section titled “A Hidden Area of Vulnerability: Internet Gambling.” It is suggested that the entire article be read, as it is important. In particular, it provides good information on gambling addiction.

Optional Resources

• National Institute on Alcohol Abuse and Alcoholism. (2005). Module 5: Diagnosis and assessment of alcohol use disorders. Retrieved from http://pubs.niaaa.nih.gov/publications/Social/Module5Diagnosis&Assessment/Module5.html

Week 4 Discussion post;

Addictions Screening and Assessment Tools Versus Clinical Assessments

A client is typically referred to an addiction professional with myriad problems because addictions either directly or indirectly cause the problems, or the addiction is a byproduct of the problem. If clinical assessments provide an overview of a client’s background and situation, is a specific addictions assessment necessary? If an addictions assessment shows a client with depression and anxiety, is a clinical assessment necessary?

For this Discussion, you consider differences between use of addictions assessment tools and clinical assessment tools and the rationale behind each approach.

To prepare:

Review the Learning Resources, particularly the following articles:

• “Brief Intervention in College Settings”
• “Assessing Addiction: Concepts and Instruments”

Post by Day 4 your response to the following:

How might the use of addictions assessment tools differ from the use of clinical assessment tools? Include in your response references to unique administration and client considerations.  

Be specific and use the week’s Learning Resources in your response.

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Psychology: Addictions Screening and Assessment Tools versus Clinical Assessments

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(Student’s Name)

January 27^th 2016.

How the Use of Addictions Assessment Tools May Differ From the Use of Clinical Assessment Tools

            An effective assessment substance abuse disorder can determine the success or failure of a medical intervention that is designed for a client. Moreover, making an effective assessment is important in determining the need and the type of adjunctive services for a client (Samet, Waxman, Hatzenbuehler, &Hasin, 2007). During the process of client assessment for a particular disorder, an assessment professional often uses assessment instruments in order to perform an effective disorder assessment. Among the assessment tools are the clinical and addiction assessment tools.

The clinical assessment tools and the addiction assessment tools differ in a number of ways. First, the clinical assessment tools are used for assessment of substance abuse disorders, which typically involve structured interviews and written questionnaires. After the assessment, the clinician can determine the best intervention for a particular patient disorder. Although the addiction assessment tools employ interviews in a addiction assessment, the tools provides a rating mechanism from which a clinician can use to classify the addiction levels of the patient based on a chosen scale, for example the Diagnostic Manual for Mental Disorders (DSM-IV). Moreover, the clinical assessment tools provide an analysis of the client disorder, while neglecting the impact of the disorder on the patient life. For example, in the analysis for a patient with addiction for a substance, the use of addiction assessment tools may reveal the impact of addiction on job and family relationships. The other ways in which the addiction assessment and disorder assessment tools differ is the length of administration. The addiction assessment tools have specific duration from which they are administered, whereas clinical assessment……………

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