Domain One – Assessment

At the end of this course, the student will:

Create a therapeutic alliance with the client by incorporating the following three categories of skills:

  1. Listening
  2. Processing
  3. Providing Feedback

Demonstrate through role-playing the following eight skills:

  1. Attending
  2. Paraphrasing
  3. Reflection of feeling
  4. Summarizing
  5. Probing
  6. Interpreting

Providing information and feedback as per Motivational Interviewing Appropriate use of self disclosure.

At the end of this course, the student will:

  1. Gather relevant information from client in order to obtain current status and history, using interviewing techniques.
  2. Gather and evaluate information from sources other than the client, utilizing client-consented interviews and/or written reports, to validate his/her reports and provide a more complete history.
  3. Observe and document psychological, social, and physiological signs and symptoms of alcohol and other drug abuse, including nicotine dependence in the client to make an accurate diagnosis and formulate a treatment plan.
  4. Determine the client’s appropriateness and eligibility for admission or referral to a range of programs by assessing the match between the client’s needs and program target populations and services.
  5. Request from the client appropriately signed releases when soliciting from or providing information to outside sources to protect client confidentiality.
  6. Recognize signs and symptoms that indicate a need to refer the client for additional professional assessment services when such assessment services are outside the areas of the counselor’s expertise.
  7. Recognize and become familiar with the pharmacology of drugs of abuse.

At the end of this course, the student will:

  1. Develop a written diagnostic summary based on the results of separate assessments, including gambling, performed by other professionals.
  2. Document ongoing treatment needs identified by regular assessments performed throughout he continuum of care and negotiate adjustments to the treatment plans to assure new treatment needs are addressed.
  3. Formulate mutually agreed upon goals, objectives, and treatment methods based upon assessment findings of the client’s strengths, weaknesses, needs, and problems for the purpose of directing a course of treatment.

At the end of this course, the student will:

  1. Describe the logic, purpose, and function of the DSM diagnostic system.
  2. Describe the organizational scheme of the DSM, including the use of the five DSM axes, for listing general diagnostic categories.
  3. List diagnostic criteria for substance abuse and substance dependence.
  4. List frequently encountered differential diagnoses, including substance-induced syndromes, hypomania and personality disorder symptoms.
  5. Understand that only licensed (not certified) counselors can diagnose.

At the end of this course, the student will:

  1. Define the meaning of psycho-pharmacology.
  2. Identify the major structural and functional units of the brain.
  3. Identify the major neurotransmitters within the nervous system.
  4. Explain the mechanism of action of neurotransmitters within the CNS.
  5. Define the meaning of half life, therapeutic dose, effective and lethal dose.
  6. Distinguish between tolerance and withdrawal.
  7. Distinguish between fat and water solubility.
  8. Describe effects of various drugs of abuse on the major physiological body systems.

At the end of this course, the student will:

  1. Describe appropriate screening tools to be used with women of child bearing age regarding alcohol use during pregnancy, such as the 4 P’s (Parents, Partner, Past, Prior).
  2. Evaluate appropriate referral and treatment options for women who are pregnant and drinking.
  3. Describe the salient characteristics of Fetal Alcohol Syndrome and Fetal Alcohol Spectrum Disorders across the lifespan.
  4. Comprehend the lifelong primary and secondary characteristics associated with FASD ( Fetal Alcohol Spectrum Disorder)
  5. Recognize the need for an appropriate multidisciplinary assessment to determine appropriate services.
  6. Evaluate appropriate treatment options for individuals with FASD.

At the end of this course, the student will:

  1. Develop understanding of the nature of compulsive gambling.
  2. Identification and assessment of Compulsive gamblers.
  3. Recognizes types of gamblers and stages of a gambling problem.
  4. Identify vulnerable population and at-risk personality characteristics.
  5. Design gambling treatment plans and course of recovery, including aftercare.

At the end of this course, the student will:

  1. Describe clinical presentations of co-occurring diagnoses most frequently encountered in substance abuse treatment settings, including anxiety disorders, mood disorders and personality disorders.
  2. Describe the ways in which substance abuse and mental health diagnoses can interact to influence clients’ clinical presentations.
  3. Use SAMHSA’s Four Quadrant Framework to conceptualize clients according to substance abuse and mental health symptom severity.

At the end of this course, the student will:

1. Define the terms reliability, validity, and sample population.

2. Develop a familiarity with the recognized assessment instruments currently used with SUD’s, other addictive disorders and mental health disorders. The following will be included:

  • DSM Diagnostic and Statistical Manual
  • MAST Michigan Alcoholism and Addiction Screening Test
  • AUDIT Alcohol Use Disorder Identification Test
  • LOCI Locus of Control Inventory
  • SASSI Substance Abuse Subtle Screening Inventory
  • MAYSI Massachusetts Youth Screening Inventory
  • ASI Addiction Screening Index
  • DAST Drug Abuse Screening Test
  • SOGS South Oaks Gambling Screen
  • MPI Minnesota Multiphasic Personality Inventory
  • FTND Fagerstrom Test for Nicotine Dependence
  • BDI Beck Depression Inventory
  • MHSF-3 Mental Health Screening Form
  • SSI-SA Simple Screening Instrument for Substance Abuse

3. Select, administer, score, and interpret to clients the results of alcohol, tobacco, and other drug assessment instruments in order to provide accurate, standardized measures clients’ problems.

4. Explain the purpose, rationale, and methods associated with the assessment process to the client to assure understanding and compliance.

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