Summary: <p>Assessment: Identifying the Problem<br> Objectives<br> ~ Define screening and assessment<br> ~ Define the purpose of assessment<br> ~ Explore the steps in the assessment<br> ~ Recognize the stage of change a client is in with regards to mental health and substance abuse and utilize this towards creating a treatment plan.<br> ~ Learn about the first steps in moving toward happiness</p> <p>Why Is This Important<br> ~ 47% of US Adults suffers from maladaptive signs of an addictive disorder over a 12-month period<br> ~ Co-Occurring Disorders are the EXPECTATION not the Exception<br> ~ Statistics indicate that the majority of people seen in mental health treatment struggle with addictive behaviors.<br> ~ Refer for treatment or treat yourself<br> Screening and Assessment<br> ~ Screening is a very quick process which can be done by<br> ~ Physicians<br> ~ Coaches<br> ~ Specialists/Techs<br> ~ Counselors<br> ~ Screening simply determines if there may be a need for further evaluation.<br> Purpose of Assessment<br> ~ To identify symptoms<br> ~ Explore the course of the symptoms<br> ~ Identify exacerbating and mitigating factors<br> ~ Determine the impact of symptoms<br> ~ Identify change goals<br> ~ Develop an action plan based on identified goals<br> Assessment Provides Awareness of SNAP<br> Strengths<br> ◦ Resources<br> ◦ Skills<br> ◦ Mitigating Factors and exceptions<br> Needs<br> ◦ Biological<br> ◦ Safety<br> ◦ Love and Belonging<br> Attitudes<br> ◦ About recovery<br> ◦ Cultural</p> <p>Awareness of SNAP<br> ~ Preferences<br> ~ Learning style<br> ~ Treatment approach<br> ~ Quality of Life</p> <p>5 Principles of Motivational Interviewing<br> Generate a Gap<br> Roll with Resistance<br> Avoid Arguing<br> Can Do<br> Express Empathy</p> <p>Stages of Readiness for Change<br> ~ Most people have multiple issues<br> ~ Readiness for change can be different for each issue—even each symptom of each issue<br> ~ Stages<br> ~ Precontemplation<br> ~ Contemplation<br> ~ Preparation/Determination<br> ~ Action<br> ~ Maintenance (needs attention when addressing new issues)<br> Addiction (vs. Recreational Use)<br> ~ Tolerance need more to get the same rush, high or feeling.<br> ~ Withdrawal: Anxiety, irritability, shakes, sweats, nausea, depression when unable to access the addiction<br> ~ Negative consequences: Continued to use even though there have been negative consequences.<br> ~ Neglected or postponed activities because of your use?<br> ~ Significant time or energy spent obtaining, using, concealing, planning, or recovering from your use.<br> ~ Unsuccessful attempts to cut down or control your use<br> Chemical and Behavioral<br> ~ Addictive behaviors causes a “flood” of neurochemicals<br> ~ This flood contributes to an imbalance<br> ~ Like a “hangover” occasional use does not necessarily alter brain functioning<br> ~ Repeated use causes the brain to shut down certain pathways so it is not constantly being flooded (tolerance)<br> ~ Many other issues such as pre-existing anxiety or depression can indicate a pre-existing neurochemical imbalance which is being self-medicated<br> ~ Requires additional stimulation to produce the same relief because many fewer “doors” are open<br> Mental Health<br> ~ Depression/Hopelessness/Apathy<br> ~ Anxiety/Worry<br> ~ Difficulty Concentrating<br> ~ Irritability<br> ~ Agitation<br> ~ Fatigue<br> ~ Changes in sleep duration or quality<br> ~ Changes in eating</p> <p>First Steps<br> ~ Identify the Problem<br> ~ Identify the Solution<br> ~ Learn about what causes the problem in general<br> ~ Learn about what causes the problem for you<br> ~ Learn about possible solutions<br> ~ Identify solutions that will work for you<br> ~ Develop a plan to start implementing those solutions<br> Presenting Problem<br> ~ Presenting problem<br> ~</p>
