Screening, intake, orientation, assessment Flashcards
Skills which help establish rapport include:
1- Warm tone of voice 2- Encouraging prompts 3- Non-threatening questions 4- Appropriate self disclosure 5- Clarifying confusing information
Interview the prospective client with specific questions about:
General client date
Presenting problems
Previous treatment efforts
Outside support available
Level of commitment to change
Definition of INTAKE
The administrative and initial procedures for admission to a program
The intake is an extension of the screening process; it occurs after a client is accepted into treatment
The intake interview is:
Instrumental in engaging client in the treatment process and beginning to develop a relationship between client and counselor/treatment program.
The information collected will form the basis of the clients treatment plan
When/how Orientation takes place
May take place before, during or after screening and intake
It can be conducted in individual, group, or family contexts
It may include other program personnel for specific parts of treatment
Other goals of orientation:
Client’s fears and misconceptions about treatment can be discussed
Questions about rules, regulations, and expectations can be fully discussed
Begin to develop a relationship with the primary counselor
Present clients rights
Definition of ASSESSMENT:
Those procedures by which a counselor/program identifies and evaluate an individual’s strengths, weaknesses, problems, and needs for the development of the treatment plan.
Goals of assessment:
To determine whether the client has a chemical dependency problem
To identify other conditions associated with addictions and other problems in these areas
To increase the clients likelihood of entering and remaining in treatment
To satisfy the demands of insurance companies for determining diagnosis and prognosis
Barriers to assessment:
1- Clients denial that a problem exists
2- The clients memory disturbance and possible cognitive impairment
3- Repression/suppression of behaviors and using activities
4- Blackouts
5- Euphoric recall
6- Enablers
7- Coexisting mental disorders
A Comprehensive assessment consists of five consecutive stages. These stages are:
Recognition of risk factors
Initial screening
Comprehensive assessment
Appropriate interventions
Evaluation of process and outcome
INITIAL SCREENING
Screening refers to brief procedures used to determine the presence of a problem, substantiate that there is a reason for concern, or identified the need for further evaluation.
Drug recognition techniques
Drug recognition techniques are a systematic and standardized evaluation process to detect observable signs and symptoms of drug use.
For example: dilated or constricted pupils, elevated or lowered vital signals, slurred speech, affect, and appearance.
Scientific methods of chemical testing include:
Breath analysis
Saliva test
Urinalysis
Blood analysis
Hair analysis
Comprehensive assessment
Assessment indicates a process to determine the nature and complexity of the individual spectrum of drug abuse and related problems.
There are 3 basic steps in the assessment process:
1- Information
2- Data analysis
3- Treatment plan development
