Domain I - Screening, Assessment, and Engagement Flashcards
What is critical to early intervention or prevention of addiction?
Effective assessment of drug or alcohol use
What 3 skills are essential during clinical evaluation?
1) Establishing rapport; 2) creating a welcome atmosphere; and 3) assists in motivating and engaging the client
How does the initial screener/counselor need to be perceived?
Respectful, non-judgmental and attentive
What does engagement mean?
Making a connection between client and counselor
What is the first goal of the initial interview?
Establishing trust, rapport, and effective communication with the client
What is the second goal of the initial interview?
Facilitating the client’s understanding of the screening and assessment process.
What is the third goal of the initial interview?
Exploring the client’s problems and expectations
What is the fourth goal of the initial interview?
Determining whether further assessment is necessary
What is the first step in creating an effective relationship with client and counselor?
Make them feel comfortable
What are the 3 key elements in the drug recognition process?
1) Identify that individual’s physical responses deviate from the norm; 2) Ruling out a non-drug reason for deviations; and 3) Use diagnostic procedures to determine categories of drugs to cause impairments
How does stigma affect the interview climate?
May be reluctant to participate in screening interview
How can stigma be overcome in the interview climate?
Acknowledge the negative feelings about the stigma
How do expectations affect the interview climate?
Expectations may influence the client’s behavior and motivation.
How can the effect of expectations be managed in the initial interview climate?
Help set positive expectations
How does likability affect the initial interview?
Some clients have better relationship/social skills than others. This makes them more likely to be open than others.
How does the initial impression affect the initial interview?
Clients are more likely to disclose with someone they had a positive first impression with.
How does a counselor’s professional manner affect the initial interview?
Client’s want to be taken seriously; the counselor’s professionalism conveys this.
How does the environment affect the initial interview?
Sets the stage for the mood during the interview
What is rapport?
A sense of having connection with the other person.
How is rapport established?
Active listening; credibility/dependability; and respect and responsiveness.
How does the counselor’s emotions affect rapport?
Management of feelings towards the client is necessary for good rapport.
How effect does the counselor’s supportive words have on a client?
Build’s self-esteem and encourages the client.
What can the counselor do to show support?
Reinforce, sustain, and encourage appropriate expression of emotions.
How should a counselor use reassurance?
Use it only when appropriate. (IE don’t tell someone everything is going to be if it is not)