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

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<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006<br />

Screening Instruments are Needed for<br />

Specialized Populations<br />

For<br />

Example:<br />

Adolescent:<br />

Juvenile<br />

Justice:<br />

Adult Criminal<br />

Justice:<br />

Global Appraisal of Individual<br />

Needs (GAIN)<br />

The Massachusetts Youth<br />

Screening<br />

Instrument (MAYSI)<br />

Criminal Justice-Co-occurring<br />

Disorder Screening Instrument<br />

(CJ-CODSI)<br />

The Content of the Screening will<br />

Vary Upon the Setting<br />

Substance abuse screening in mental health<br />

settings should:<br />

Screen for substance use, substance<br />

related problems, and substance-related<br />

disorders (this report presents<br />

recommended instruments for this purpose)<br />

Screen for acute safety risk related to<br />

serious intoxication or withdrawal (this<br />

report recommends the inclusion of this in<br />

the screening process)<br />

Adapted from Substance Abuse Treatment for Persons With Co-Occurring Disorders, TIP #42 (2005b)<br />

The Content of the Screening will<br />

Vary Upon the Setting continued<br />

COCE Recommendations for a Selection Process<br />

Mental Health Screening has three major components in substance abuse<br />

treatment settings:<br />

Screen for mental health symptoms and mental disorders<br />

(this report presents recommended instruments for this<br />

purpose)<br />

Screen for acute safety risk: suicide, violence, inability to<br />

care for oneself, HIV and hepatitis C virus risky behaviors,<br />

and danger of physical or sexual victimization (this report<br />

recommends the inclusion of this in the screening process)<br />

Regardless of the setting, all clients should be screened for<br />

past and present victimization and trauma (this report<br />

recommends the inclusion of this in the screening process)<br />

Adapted from Substance Abuse Treatment for Persons With Co-Occurring Disorders, TIP #42 (2005b)<br />

1. Screening Instruments in the Matrix review are all acceptable.<br />

2. Decide if you want a screening instrument for substance use disorder, a<br />

screening instrument for mental disorders or both.<br />

3. If the latter, either use a combination of SA and MH screening<br />

instruments (for example, MINI Screen Modified/DALI) or use the GAIN.<br />

4. COCE recognizes that the use of other instruments may be desirable in<br />

a particular circumstance and that there are other viable options<br />

available.<br />

5. Consider customizing your instrument with additional items selected<br />

from the comprehensive list of instruments.<br />

6. Involve stakeholders and users in the instruments selection process.<br />

7. Begin parallel development of coordinated assessment instruments,<br />

placement determination, treatment planning and treatment resources.<br />

Screening:<br />

Future Instrument Development<br />

The Clinical Planning Process<br />

Validation Studies of Current Instruments<br />

Screening<br />

Assessment<br />

Diagnosis<br />

New Instruments for Special Populations<br />

Criminal Justice<br />

Children and Adolescents<br />

Elderly<br />

Person<br />

Treatment Services<br />

(referral or provision)<br />

Individualized<br />

Treatment Plan<br />

New Instruments for BOTH Substance Abuse<br />

Center for Substance Abuse Treatment, (2005a)<br />

and Mental Disorders<br />

Developing Treatment<br />

Resources<br />

5

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