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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 />

COD TIP Definition: Assessment<br />

A basic assessment consists of gathering key<br />

information and engaging in a process with the client<br />

that enables the counselor/therapist to understand<br />

the client’s readiness for change, problem areas,<br />

COD diagnosis, disabilities, and strengths.<br />

An assessment typically involves a clinical<br />

examination of the functioning and well-being of the<br />

client and includes a number of tests and written and<br />

oral exercises. The COD diagnosis is established by<br />

referral to a psychiatrist or clinical psychologist.<br />

Assessment of the COD client is an ongoing process<br />

that should be repeated over time to capture the<br />

changing nature of the client’s status.<br />

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

Basic Assessment Consists of:<br />

Background<br />

Substance use<br />

Psychiatric problems<br />

Integrated assessment<br />

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

Domains of Assessment<br />

Acute Safety<br />

Needs<br />

Quadrant<br />

Assignment<br />

Level of Care<br />

Diagnosis<br />

Disability<br />

Strengths and<br />

Skills<br />

Recovery Support<br />

Cultural Context<br />

Problem Domains<br />

Phase of<br />

Recovery/ Stage of<br />

Change<br />

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

List of Selected Assessment Instruments<br />

Substance Abuse<br />

Addiction Severity Index (ASI)<br />

Global Appraisal of Individual Needs (GAIN)<br />

Individual Assessment Profile (IAP)<br />

Mental Health<br />

Beck Depression Inventory–II (BDI–II)<br />

Beck Hopelessness Scale (BHS)<br />

Brief Psychiatric Rating Scale (BPRS)<br />

Brief Symptom Inventory (BSI)<br />

General Behavioral Inventory (GBI)<br />

Referral Decision Scale (RDS)<br />

Trauma Informed<br />

Post-traumatic Stress Symptom Scale Self Report (PSS-SR)<br />

Trauma History Questionnaire (THQ)<br />

List of Selected Assessment Instruments Continued<br />

General Health<br />

— Medical Outcomes Study Short Form (SF-36)<br />

Some Discussion Issues<br />

Diagnostic<br />

— Diagnostic Interview Schedule (DIS-IV)<br />

— Structured Clinical Interview for DSM-IV Disorders (SCID)<br />

Motivation and Readiness to Change<br />

— Circumstances, Motivation, and Readiness Scales (CMR Scales)<br />

— Readiness to Change Questionnaire<br />

— Stages of Change, Readiness and Treatment Eagerness Scale<br />

(SOCRATES)<br />

— <strong>University</strong> of Rhode Island Change Assessment (URICA)<br />

— Recovery Attitude and Treatment Evaluator (RAATE)<br />

Level of Care<br />

— Level of Care Utilization System (LOCUS)<br />

Structured Instruments and Clinical<br />

Processes/Judgment<br />

Population & Setting<br />

Agency & System<br />

Amount of Information/Use of<br />

Information<br />

6

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