COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
Counselor Role in Screening
All counselors can be trained to screen for cooccurring
substance use and mental disorders.
Screening often entails having a client respond to
a specific set of questions, evaluating the
response, and then taking the next “yes” or “no”
step in the process depending on the results and
the design of the screening process.
In substance abuse or mental health treatment
settings, every counselor or clinician who
conducts intake should be able to screen for the
most common COD and know how to implement
the protocol for obtaining COD assessment
information and recommendations.
Adapted from Substance Abuse Treatment for Persons With Co-Occurring Disorders, TIP #42 (2005b)
COCE Full Matrix for Evaluating Screening Instruments
DIS
*
COCE Full Matrix for Evaluating Screening Instruments continued
MINI-
GAI TCUD
INSTRUMENT A DA SSI- CAG MHS MIN Screen
N-Q S
AD DAS SAD RD
K10
NAME
SI LI SA E F-III I (modified
S T D
S
)
Purpose
Screening
Assessment
Clinical utility:
Diagnosis
Clinical utility:
Placement
Clinical utility:
Treatment Planning
Clinical Utility:
Outcome
Severity Measure
Reporting
Methodological
Considerations
Norms available
Reliability on readministration
Internal consistency
(with alpha)
Validity
*The DIS is not a screening instrument. It was evaluated because of its overall importance.
Overall accuracy
Effects of
demographics or
background on
lidit
MINI- GAI TCUD
INSTRUMENT A DA SSI- CAG MHSF MI
Screen N-Q S
AD DAS SAD RD
K10
NAME
SI LI SA E -III NI
S T D
S
(modified)
Administration
Tech. support
available and free
Tech. support
available at
minimal cost
Computer admin.
Computer scoring
Interpretive
Time taken for
admin.
Complexity of
scoring
Required skill level
Intensity of
required training
Reviewer's
*The DIS is not a screening instrument. It was evaluated because of its overall importance.
Comments
(Summary)
DIS
*
Screening Instruments for COD –
COCE/COSIG Findings
Mental Health
Mental Health Screening Form-III (MHSF)-III
Mini International Neuropsychiatric Interview
(MINI) Screen - Modified
Substance Abuse
Simple Screening Instrument for Substance
Abuse (SSI-SA)
Dartmouth Assessment of Lifestyle (DALI) -
Modified
Both
Global Appraisal of Individual Needs (GAIN)
Combination of above especially MINI and
DALI
Stan Sacks:
(MHSF)-III “user friendly” in
SA settings; MINI Screen
Modified-best with SMI and
low motivation, important
validation studies completed;
SSI-SA-better with strong
rapport and/or strong desire
to look at AOD use: DALImodified
form best as MD
screener in SA settings;
GAIN-good for both SA and
MH screening and in settings
that can streamline data
collection - i.e., screening,
assessment, treatment
planning, outcome
evaluation.
List of Screening Instruments
Mental Disorder Screening Instruments:
Diagnostic Interview Schedule (DIS-IV)
The Mental Health Screening Form-III (MHSF)-III
Mini-International Neuropsychiatric Interview (M.I.N.I.)
M.I.N.I. Screen Modified
National Center for Health Statistics - 10 Questions (K10)
Referral Decision Scale (RDS)
Substance Abuse Disorder Screening Instruments
Addiction Severity Index (ASI)
CAGE Questionnaire Adapted to Include Drugs (CAGE-AID)
Dartmouth Assessment of Lifestyle (DALI)
DALI Screen Modified (NYS)
Drug Abuse Screening Test (DAST)
Short Alcohol Dependence Data Questionnaire (SADD)
Simple Screening Instrument for Substance Abuse (SSI-SA)
TCU-Drug Screen II (TCUDS)
Substance Abuse and Mental Disorder Screening Instrument
Alcohol Dependence Scale (ADS)
Global Appraisal of Individual Needs (GAIN)
GAIN - Quick (GAIN-Q)
Integrated Screening
Integrated screening addresses both
mental health and substance abuse, each
in the context of the other disorder.
A comprehensive screening process also
includes exploration of a variety of related
service needs including medical, housing,
victimization, trauma and so on.
Center for Substance Abuse Treatment. (2005c)
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