Simple Screening Instrument For Substance Abuse Disorders ✓ Solved

Simple Screening Instrument For Substance Abuse Disordersfigure

Simple Screening Instrument for Substance Abuse Disorders Figure H-3. Simple Screening Instrument for Substance Abuse Self-Administered Form During the past 6 months… 1. Have you used alcohol or other drugs? (Such as wine, beer, hard liquor, pot, coke, heroin or other opioids, uppers, downers, hallucinogens, or inhalants.) ( yes /no) 2. Have you felt that you use too much alcohol or other drugs? ( yes /no) 3. Have you tried to cut down or quit drinking or using drugs? (yes/ no ) 4. Have you gone to anyone for help because of your drinking or drug use? (Such as Alcoholics Anonymous, Narcotics Anonymous, Cocaine Anonymous, counselors, or a treatment program.) (yes/ no) 5. Have you had any of the following? • Blackouts or other periods of memory loss Yes • Injury to your head after drinking or using drugs No • Convulsions, or delirium tremens (“DTs” ) No • Hepatitis or other liver problems No • Feeling sick, shaky, or depressed when you stopped drinking or using drugs Yes • Feeling “coke bugs,” or a crawling feeling under the skin, after you stopped using drugs No • Injury after drinking or using drugs No • Using needles to shoot drugs No 6. Has drinking or other drug use caused problems between you and your family or friends? ( yes/ no) 7. Has your drinking or other drug use caused problems at school or at work? (yes/ no ) 8. Have you been arrested or had other legal problems? (Such as bouncing bad checks, driving while intoxicated, theft, or drug possession.) (yes/ no ) 9. Have you lost your temper or gotten into arguments or fights while drinking or using drugs? ( yes /no) 10. Are you needing to drink or use drugs more and more to get the effect you want? (yes/ no ) 11. Do you spend a lot of time thinking about or trying to get alcohol or other drugs? (yes/ no ) 12. When drinking or using drugs, are you more likely to do something you wouldn't normally do, such as break rules, break the law, sell things that are important to you, or have unprotected sex with someone? (yes/no) 13. Do you feel bad or guilty about your drinking or drug use? ( yes /no) Now I have some questions that are not limited to the past 6 months. 14. Have you ever had a drinking or other drug problem? (yes/ no) 15. Have any of your family members ever had a drinking or drug problem? ( yes /no) 16. Do you feel that you have a drinking or drug problem now? (yes/ no ) • Thanks for answering these questions. • Do you have any questions for me? • Is there something I can do to help you? Notes:

Scoring for the Simple Screening Instrument for Substance Abuse Name/ID No.: ____________________________________ Date: ________________________________ Place/Location: __________________________________________________________________________ Items 1 and 15 are not scored. The following items are scored as 1 (yes) or 0 (no): ___ 2 ___ 7 ___ 12 ___ 3 ___ 8 ___ 13 ___ 4 ___ 9 ___ 14 ___ 5 (any items listed) ___ 10 ___ 16 ___ 6 ___ 11 Total score: ____ Score range: 0-14 Preliminary interpretation of responses: Score Degree of Risk for Substance Abuse 0-1 None to low 2-3 Minimal >4 Moderate to high: possible need for further assessment.

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The Simple Screening Instrument for Substance Abuse Disorders serves as a pivotal first step in evaluating individuals who may be experiencing substance use challenges. By engaging clients through a self-administered questionnaire, practitioners can discern patterns of substance use, identify potential risks, and make informed decisions regarding further interventions and assessment protocols.

The importance of employing such screening tools cannot be overemphasized. According to Stewart and Connors (2004-2005), effective screening tools are essential for highlighting alcohol problems and engagement with further treatment processes. A structured questionnaire provides a baseline understanding of an individual's substance-related behaviors, allowing for an organized and comprehensive assessment strategy.

Research indicates that without effective screening, many individuals may slip through the cracks of the healthcare system (Lichtenberger et al., 2004). This underscores the need for a systematic approach in assessing substance use disorders that considers multiple aspects of a client's life. As shown in the Simple Screening Instrument, it is crucial to evaluate various facets such as the frequency of use, the impact on personal relationships, and any illegal activities associated with substance use.

In the hypothetical scenario of Terrence and Angela, it is paramount for Terrence to delve deeper into Angela's concerns. Although Angela began the session discussing marital difficulties, her nervous demeanor and physical symptoms signal a potential underlying issue with substance use. According to the instrument, Terrence might first observe responses indicative of dependency, such as questions 2, 3, and 6, which address perceived control over substance use and its effects on personal relationships.

Moreover, as detailed in the literature, this instrument also allows for the identification of acute risks, such as the potential for self-harm or harm to others (Perkinson, 2017). Within the screening tool, questions regarding legal troubles and violence (questions 8 and 9) serve to establish a clearer picture of Angela's situation that is not only based on her subjective report but also on behavioral indicators.

Integrating multiple data sources is essential to providing a well-rounded assessment. For instance, collateral information from family members, previous treatment records, or even observations made by peers can significantly enhance the validity of the assessment (Schulte & Hoh, 2018). In Angela's situation, obtaining information regarding her employment history and familial attitudes toward substance use might elucidate the socio-environmental components influencing her behavior.

Critical thinking is necessary in analyzing the screening results. If Angela scores a 74 on the screening, it may appear marginally below the cutoff; however, that doesn't necessarily rule out the presence of underlying substance abuse (Stimmel, 2006). Practitioners must remain vigilant and consider factors beyond numerical scores, emphasizing the need for a qualitative understanding of the client's lived experiences. This contemplative approach is vital in exploring the intersectionality of Angela’s struggles—balancing her marital discord and potential substance use simultaneously.

In conclusion, the primary goal of this screening tool is to ascertain individuals’ needs accurately. It allows practitioners like Terrence to assess risk factors immediately and devise appropriate next steps for treatment. Assessments must always be viewed within the broader context of a client’s life history and interactions, underscoring that the instrument is merely a starting point for in-depth exploration into the intricacies of addiction and therapy.

References

• Lichtenberger, E. O., Mather, N., Kaufman, N. L., & Kaufman, A. S. (2004). Essentials of Assessment Report Writing. Hoboken, NJ: Wiley.
• Perkinson, R. R. (2017). Chemical Dependency Counseling: A Practical Guide (5th ed.). Thousand Oaks, CA: Sage.
• Schulte, M. T., & Hoh, R. (2018). The Role of Substance Use Screening in Treatment Planning: Combining Clinical and Statistical Methods. Journal of Substance Abuse Treatment, 89, 20-26.
• Stewart, S. H., & Connors, G. J. (2004-2005). Screening for Alcohol Problems: What Makes a Test Effective? Alcohol Research & Health, 28(1), 5-16.
• Stimmel, B. (2006). Substance Abuse Treatment: A Family Approach. New York: Routledge.
• American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
• Center for Substance Abuse Treatment. (2005). Substance Abuse Treatment for Persons with Co-Occurring Disorders. Treatment Improvement Protocol (TIP) Series 42. Rockville, MD: Substance Abuse and Mental Health Services Administration.
• National Institute on Drug Abuse. (2020). Principles of Drug Addiction Treatment: A Research-Based Guide. Bethesda, MD: National Institutes of Health.
• World Health Organization. (2019). Guide to Diagnosing Substance Use Disorders. Geneva: WHO Press.
• Kauffman, N. L. (2005). The Importance of Multimodal Assessment in Substance Abuse Counseling. Journal of Counseling and Development, 83(2), 212-217.