Question

Clean Youth for Better Future (CYBF) is a hypothetical organization that best suited to develop a program with a specific intervention that is dealing with Adolescents with drug abuse and addiction. The purpose of this assessment is to develop a program evaluation, budget outline and justification, and project timeline. You will describe a program intervention. Your intervention will be 12 months in length and you are given a budget of no more than $100,000. Programs must be completed within 12 months.

The questions are:

How to provides timeline of program, including most-needed program activities and in conjunction with evaluation activities. The designated timing of events is appropriate and realistic. Excellent preparation of program timeline. Includes major program activities. Clear designation of timing of program and evaluation activities. Timeline is appropriate and realistic.

Answer 1

This chapter consists of three parts: (1) an overview of the basic screening and assessment approach program for clients with co-occurring disorder; (2) an outline of the 12 steps to an ideal assessment instruments that can be used in assessing Drug abūse and (3) a discussion of key considerations in treatment matching. assessment

• Basic demographic and historical information, and identification of established or probable diagnoses and associated impairments

• General strengths and problem areas

• Stage of change or stage of treatment for both substance abuse and mental health problems

• Preliminary determination of the severity of the COD as a guide to final level of care determination.

The Assessment Process Step 1: Engage the Client.   

Step 2: Identify and Contact Collaterals (Family, Friends, Other Providers) To Gather Additional Information

Step 3: Screen for and Detect Co-Occurring Disorders

Step 4: Determine Quadrant and Locus of Responsibility

Step 5: Determine Level of Care

Step 6: Determine Dia   Step 7: Determine Disability and Functional Imp Step 8: Identify Strengths and Supp Step 9: Identify Cultural and Linguistic Needs and Support Step 10: Identify Problem Step 11: Determine Stage of Chan Step 12: Plan Tre Process Summary Screening and Basic Assessment for COD This section provides an overview of the screening and assessment process for COD. In carrying out these processes, counselors should understand the limitations of their licensure or certification authority to diagnose or assess mental disorders. Generally, however, collecting assessment information is a legitimate and legal activity even for unlicensed providers, provided that they do not use diagnostic labels as conclusions or opinions about the client. Information gathered in this way is needed to ensure the client is placed in the most appropriate treatment setting (as discussed later in this chapter) and to assist in providing mental disorder care that addresses each disorder.

Screening

Screening is a formal process of testing to determine whether a client does or does not warrant further attention at the current time in regard to a particular disorder and, in this context, the possibility of a co-occurring substance use or mental disorder. The screening process for COD seeks to answer a “yes” or “no” question: Does the substance abuse (or mental health) client being screened show signs of a possible mental health (or substance abuse) problem? Note that the screening process does not necessarily identify what kind of problem the person might have or how serious it might be, but determines whether or not further assessment is warranted. A screening process can be designed so that it can be conducted by counselors using their basic counseling skills. There are seldom any legal or professional restraints on who can be trained to conduct a screening.

Screening for past and present mental disorders

Screening for past and present mental disorders has three goals:

1. To understand a client's history and, if the history is positive for a mental disorder, to alert the counselor and treatment team to the types of symptoms that might reappear so that the counselor, client, and staff can be vigilant about the emergence of any such symptoms.

2. To identify clients who might have a current mental disorder and need both an assessment to determine the nature of the disorder and an evaluation to plan for its treatment.

3. For clients with a current COD, to determine the nature of the symptoms that might wax and wane to help the client monitor the symptoms, especially how the symptoms improve or worsen in response to medications, “slips” (i.e., substance use), and treatment interventions. For example, clients often need help seeing that the treatment goal of avoiding isolation improves their mood—that when they call their sponsor and go to a meeting they break the vicious cycle of depressed mood, seclusion, dwelling on oneself and one's mood, increased depression, greater isolation, and so on.

  

Treatment Planning

A comprehensive assessment serves as the basis for an individualized treatment plan. Appropriate treatment plans and treatment interventions can be quite complex, depending on what might be discovered in each domain. This leads to another fundamental principle:

• There is no single, correct intervention or program for individuals with COD. Rather, the appropriate treatment plan must be matched to individual needs according to these multiple considerations.

The following three cases illustrate how the above factors help to generate an integrated treatment plan that is appropriate to the needs and situation of a particular client. . Considerations in Treatment Matching

Variable	Key Data
Acute Safety Needs	• Immediate risk of harm to self or others
Determines need for immediate acute stabilization to establish safety prior to routine assessment	• Immediate risk of physical harm or abuse from others
	• Inability to provide for basic self-care
	• Medically dangerous intoxication or withdrawal
	• Potentially lethal medical condition
	• Acute severe mental symptoms (e.g., mania, psychosis) leading to inability to function or communicate effectively
Quadrant Assignment	• SPMI versus non-SPMI
Guides the choice of the most appropriate setting for treatment	• Severely acute and/or disabling mental symptoms versus mild to moderate severity symptoms
	• High severity substance use disorder (e.g., active substance dependence) versus lower severity substance use disorder (e.g., substance abuse)
Level of Care	• Dimensions of assessment for each disorder using criteria from
Determines the client's program assignment
Diagnosis Determines the recommended treatment intervention Availability and Continuity of Recovery Support	• Specific diagnosis of each mental and substance use disorder, including distinction between substance abuse and substance dependence and substance-induced symptoms • Identification of trauma-related disorders and culture-bound syndromes, in addition to other mental disorders and substance-related problems • Presence or absence of continuing treatment relationships, particularly mental disorder treatment relationships, beyond the single episode of care

Most of these activities are already a natural component of substance abuse-only assessment; the key addition is to attend to treatment requirements and stage of change for mental disorders, and the possible interference of mental health symptoms and disabilities (including personality disorder symptoms) in addiction treatment participation.