In Assignment 1, you will complete some of the Addiction Severity Index-Lite Assignment Template using the Cheyenne’s Scenario which is a simulated audio interview with a client. For Assignment 2, you will write a 2–3 page analysis that includes a DSM-5 diagnosis and appropriate ASAM placement recommendation.
Assignment 1: The Addiction Severity Index-Lite Assignment Template
In this assignment, assume that you are an addiction professional who is working with a client. This is your first meeting and you are assessing her for a possible substance use diagnosis and placement recommendation for treatment. You will use many of the tools that professionals use during these assessment sessions. By the time that you have completed the assignment, you will have used the Addiction Severity Index-Lite (template), DSM-5 (university library), and ASAM placement criteria (p. 101 of your text).
Find the DSM-5 in university library.
Listen to Cheyenne’s Scenario (click here for transcripts) and take notes to assist you in filling out the Addiction Severity Index-Lite Assignment Template.
For Assignment 1, you will listen carefully to the audio recording of a client discussing her concerns. It is recommended that you listen a few times. Typically, interview style assessments do not follow a “ask question, give answer” type of format. Many times, a counselor will collect data from the client as he/she talks about his/her life. Write a few notes in the analysis areas of the Assignment Template to remind you of what you think about the content.
Complete the Addiction Severity Index-Lite Assignment Template based on Cheyenne’s Scenario.
Be sure to use your notes from listening to Cheyenne’s Scenario. If you feel that some of the information is missing, you may complete those sections by creating the information yourself. However, be certain that it is not first provided in the audio interview.
Follow the directions in the red type throughout. These are added to help you understand better what information is needed in that section. If you have questions as you fill this out, check for the red comments. If you still have questions, email your professor.
You will notice that some parts of ASI-Lite Assignment Template are completed for you. Please do not change this information but do use it when completing your analysis in Assignment 2. I have attached the template and transcript. This is the video site https://kapextmediassla.akamaihd.net/artsSCi/Media/PS375/PS375_1705D/Audio/Unit3/Cheyenne_Scenario.wav
Assignment 2: DSM-5 Diagnosis and Written Analysis
This portion of the Assignment should be 2–3 pages and must contain the following:
DSM-5 diagnosis (e.g., Amphetamine Use Disorder, moderate)
ASAM placement decision (p. 101 of text): identify factors that support placement. I have attached page 101
decision and how these factors contribute to her risk the disorder getting worse
brief explanation of her genetic predisposition to addiction
brief discussion of an addiction model that could be used in her treatment (e.g., strength based or whole person approach)
Include the following in your analysis:
Identify the key factors used to make the ASAM placement recommendation.
Explain how those factors contribute to the client’s risk for developing a severe use disorder.
Assess the client’s potential genetic predisposition towards addiction (Why are children of parents who abused alcohol have a potential higher risk for developing an addiction?).
Choose either the Strength-Based approach or the Whole Person approach and briefly explain the approach.
Discuss why this would be a good treatment model to use with this client.
Format your paper using the following:
APA formatting and citation guidelines style
Times New Roman 12-point font
Double spacing and Standard English
Assessment Dimensions Related to Level of Care Assessment often occurs in relationship to a client’s treatment stage and level of care placement. The ASAM criteria are the most widely used and thorough set of guidelines for assessment, service planning, placement, continued stay, and discharge planning of patients with addictive disorders (Mee-Lee, 2013). Mee-Lee (2013) developed and detailed six dimensions to assess and create a holistic and bio-psycho-social assessment for assessing substance abuse clients. Each of the six dimensions is outlined in the following with corresponding questions to include in the assessment. Dimension 1: Acute Intoxication and Withdrawal Potential (For example, detox and withdrawal management.) What are the current amounts and types of alcohol and/ or drugs currently being taken? If any alcohol or any benzodiazepine (sedative) is reported, a thorough question about amounts and types is especially needed to assess for a medical detox referral. Many clients will need education surrounding the lethality potential from alcohol and sedative withdrawal when attempting to quit or cut down. Reminding the client that the info is needed to check for lethality and not judgment can help gain more accurate numbers. Many people with addiction are riddled with shame and fear of judgment, often prompting the underreporting of substance abuse issues. People of any age can die from withdrawal from alcohol/sedatives if not monitored or stabilized by a medical provider. Dimension 2: Biomedical Conditions and Complications (Physical health conditions and their impact on addiction.) What are any other medical and/or physical problems? High blood pressure? Broken leg? Asthma? Diabetes? Is the client taking any medications for any other ailments? If so, are these ailments recurring or temporary? If recurring, are they well controlled? Or in need of care? There may be a need for referrals to treat physical issues that are not stable or not being adequately treated at this time. Dimension 3: Emotional, Behavioral, and Cognitive Conditions and Complications (Co-occurring mental health disorders, cognitive/brain disorders or impairments.) Does the client have any current mental health diagnoses? If any, how long has the client had the diagnosis? How long does the client believe he or she has struggled? How long has client been on medication? If so, is the client compliant with medication? Was this mental health diagnosis made while the client was still drinking and/or using drugs regularly (or any mind-altering substance)? Many mental health disorders are mimicked when under the chemical influence of alcohol and drugs. Therefore, when sober, the same diagnosis may or may not be made. Even when comorbid depression or diagnoses remain, the level of severity is lessened exponentially when alcohol and drugs are no longer interfering with efficacy. This knowledge would be helpful and accurate for all clients taking a psychotropic medication for depression, anxiety, addiction, and/or other mental health needs. Dimension 4: Readiness For Change (Also Readiness for Treatment) Does the client believe he or she has an addiction problem? Does the client believe he or she needs help from outside sources? Keep in mind there is a difference between being “ready for change” and being “excited for change.” Is the client experiencing repeat consequences? What does the client see as barriers to living contentedly and/or making needed changes? Dimension
5: Relapse Prevention and Continued use or Problem Potential (Contextual issues—internal and external cues, expectancy, triggers, treatment response.) How many times has the client attempted to get sober before? How many times has the client attended addiction treatment? What level of care has the client tried previously? Did the client complete treatments successfully? If so, how long was the sobriety posttreatment in the past?
Does the client attend AA/NA? Questions about relationships, environment, transportation, and living environment are all areas to assess in Dimension 5. Dimension 6: Recovery Environment (Family, peers, work and vocation, legal, housing, financial, culture, transportation, child care.) Where is the client living? Who also lives in the home? Do others living in the home also use alcohol and/or drugs? Are there alcohol and drugs readily available in the home? Are those living with the client supportive of the addiction recovery? Are they willing to participate in family sessions or family programming offered by the treatment center? What is their neighborhood like? Is it likely to support or hinder recovery? These questions will allow you to address these potential challenges when aftercare treatment planning. These answers may also indicate if outpatient treatment is a safe option or a setup for high relapse potential.