Introduction
You are a counselor at the Sandywood Clinic in Riverbend City. Today, you will read an interview with a client who has been struggling with addiction issues. After reading this interview, you will fill out a modified version of the Addiction Severity Index (ASI). The ASI is a structured interview tool that is used for substance abuse assessment and treatment planning. Many clinics and agencies use their own tools that are similar to the ASI. At Sandywood, a modified version of the ASI is used.
In this activity, you will conduct an interview with a client and fill out the modified version of the ASI, and then in the courseroom, you will evaluate your work. Please complete the following steps:
- Select ONE of the three clients in this activity.
- Read the interview with this client.
- On the final tab of this activity, a modified version of the ASI is available. Fill in the appropriate categories based on this interview.
- Download a PDF of your ASI after it is completed. You will need this PDF to turn in with your assignment. (To download, click the Download PDF button on the bottom of the screen.)
Choose one of the following clients:
Rose Ingram
Rose Ingram, 50, lives outside of Riverbend City in a small town called Brown Trout Bay. She reports that she is married and that she has two grown children who live elsewhere. Rose reports she works as a part-time cashier at a big box retail store, and that she has been abusing alcohol.
Kyle Quincy
Kyle Quincy, 20, is a student at Beck University in Riverbend City. He reports he has been abusing methamphetamine. Kyle reports that he is gay, but he has revealed this to very few people.
Kiana Williams
Kiana Williams, 15, is a freshman at Ruby Lake High School in Riverbend City. She reports that she lives with her mother, who is emotionally and verbally abusive. Kiana is a strong student, but reports that her grades have been falling lately. She also reports she has been taking opiates.
Rose Ingram
Rose Ingram, 50, lives outside of Riverbend City in a small town called Brown Trout Bay. She reports that she is married and that she has two grown children who live elsewhere. Rose reports she works as a part-time cashier at a big box retail store, and that she has been abusing alcohol.
Hi, Rose. I’m going to ask you some questions. Can you tell me how old you are?
I’m 50.
Can you tell me about your living situation?
I live in Brown Trout Bay. That’s a little town about 45 miles from here. Paul and I have been married for 31 years. 31 long years. We had a farm when we first got married but we couldn’t keep it up. So I work at the Mall-Mart now. My husband does odds and end jobs and we make ends meet, sort of. Our son Matt is 28 and our daughter Amanda is 26. I guess I have a decent relationship with them, but we hardly ever see them because they live in different states. Amanda texts me at least. We hardly ever hear from Matt. Not that I blame them for never wanting to come home.
Can you tell me more about that?
Paul and I barely speak to each other anymore. If we talk, it’s just about bills or stuff like that. I guess that’s better than it used to be. We fought all the time when the kids were teenagers. We don’t even eat dinner together much anymore, since I work 50 or 60 hours a week and he’s out doing odd jobs or Lord only knows what else. He’s a drunk.
I’m sorry to hear that. How often does he drink?
I don’t even know anymore. Like I said, I hardly see the man. He’s always been a drinker, but it got really bad after we lost the farm.
I’m sorry to hear that. Can you tell me about your job?
It pays the bills. It’s not worse than any other job I’ve had, and at least I can get a lot of hours. There aren’t a lot of jobs around Brown Trout Bay, so I feel lucky to have it. Especially since all I have is a GED. I went to community college for a while and I wanted to be a nurse, and maybe I should have stuck with it because when I wasn’t drinking, I was actually a good student. But then I got married and started helping out on the farm, and that was that.
So, you say that drinking got in the way of your studies. Can you tell me about that?
Look, I live in a dumpy little town. There’s nothing to do but drink. Literally. So that’s what I did when I was in high school. That’s why I dropped out, because my grades were so bad.
And now? Do you still drink?
Well, yeah. Look, can we talk about something else? I know I drink a lot, but it’s not a problem, okay? I don’t want to stop. It’s what I do to socialize and it’s the only thing that relaxes me.
Okay, Rose. Why don’t we talk about something else, and maybe we’ll talk a little more about that later, okay? I have some other questions I need to ask you. How would you describe your health?
My health is okay. I’m hot all the time from menopause, but I guess there’s not much I can do about that. I finally quit smoking five years ago. My blood pressure was kind of high the last time I was at the doctor, so I might have to start taking meds.
Have you ever been hospitalized?
Both of my kids were C-sections. And I had my gall bladder out two years ago. I was in the hospital overnight for that.
You said you might be taking blood pressure medication. Do you take any other prescriptions?
Just allergy meds. I’m allergic to all kinds of stuff. That’s one thing Paul is mad about. I’m allergic to dogs, so he can’t have one.
So, I’d like to ask you about your education and work history. You mentioned that you have a GED, and that you went to community college for a while. It sounds like you didn’t earn a degree correct?
Yup. No degree.
What was your longest full time job?
I don’t even know. Maybe my current one, and I’ve only been there for a year and a half. Before that I was unemployed for a couple of years. I’ve done everything – cashier, lunchroom assistant, factory worker, you name it. I guess you can say I’ve bounced around from job to job? Most of my jobs have been part time.
Are things going well at work?
I guess. My boss is kind of a jerk. He’s not happy with how often I’ve been late. Which is on me, I guess. I don’t think I’m going to get fired or anything. At least I hope not.
Why are you late?
Mostly because of hangovers. But my boss drinks more than I do, so it’s not like he can say anything. Like I said, there’s nothing to do in this town.
Okay, Rose. I need to ask you just a few specific questions about drug and alcohol use. Is that okay?
I guess that’s your job, huh? I don’t do drugs at all. My brother died of a heroin overdose when I was a teenager and I won’t touch the stuff.
I’m so sorry to hear that.
Thanks. Addiction kinds of runs in my family, I guess. My sister was taking opioids a few years ago. She’s been in treatment and I think she’s stopped. I hope so. She was in rough shape. Ever since she got hooked on painkillers I’m really careful about taking that kind of stuff too.
I’m sorry to hear that too. Have other family members been heavy drinkers?
My dad. Most of my uncles too. I guess it kind of runs in my family, huh?
So, if you don’t mind me asking, how old were you when you first started drinking?
I don’t know. Maybe 12 or 13? Like I said. There’s nothing else to do.
Have you ever tried to stop drinking, or gone to an alcohol treatment program?
Nope. Never. I’ve been doing it for so long that I can’t imagine myself not drinking. It’s what I do with my friends—I go down to Gary’s Pub and we drink and try to forget about how messed up things are.
Would you say that alcohol causes problems in your life?
Well, I lost my license for six months awhile back for a DUI! But I’m careful about that now.
Have you had any problems in the last 30 days related to alcohol use?
No. I mean, other than showing up late to work, I guess. Can we talk about something else? You’ve asked me a lot of questions about drinking.
Sure, Rose, but if you don’t mind, I’d like to ask you about your husband’s drinking. Does he use drugs or take prescription pills?
Not that I know of. He’s just a plain old drunk. He’s bring drinking for as long as I’ve known him, and like I said, he became an all-out drunk when the kids were teenagers.
OK. I have just a few more questions. Do you have close friends, Rose? People you can confide in?
Yeah, I guess. I’ve lived here all my life, so we’re all kind of stuck with each other. I would say I’ve got three women who I call close friends. They know everything about me. That’s one reason why I don’t want to stop drinking. We get drunk together and we all talk about our messed up marriages and jobs and stuff like that.
Have you ever been in trouble with the law, Rose? You mentioned a DUI, Rose. Has there been anything else?
A couple of public intoxication charges. And I got caught shoplifting, but that was a long time ago.
Rose, has anyone ever abused you in any way? Physically, emotionally, sexually?
I guess. My dad used to hit us when he was drunk. I mean, not like bad enough to put us in the hospital or anything. And I got raped when I was a teenager. I don’t like to talk about that… most of my friends don’t even know. I was dating him and it happened more than once. I was so stupid to keep seeing him.
Sounds like there were some extremely difficult times in your childhood, Rose.
Thanks. It’s no big deal. It happened a long time ago.
Rose, have you ever been treated for emotional or psychological problems?
Nope. Maybe I should have been. I have a ton of anxiety. And depression too, I guess. Like I said, I drink because it makes me feel better.
Do you ever have trouble concentrating or remembering?
Only when I drink!
Did you ever have a hallucination?
Again, only when I drink!
Have you ever thought about hurting yourself?
I used to cut myself when I was a teenager. Especially after I was raped. But I’ve never been suicidal or anything like that.
Kyle Quincy
Kyle Quincy, 20, is a student at Beck University in Riverbend City. He reports he has been abusing methamphetamine. Kyle reports that he is gay, but he has revealed this to very few people.
Hello, Kyle. Thank you for coming in. I’m going to be asking you some questions. For starters, how old are you?
I just turned 20. I’m a sophomore at Beck University.
Are you a full time student?
Yeah.
What’s your current living situation?
I live in a campus apartment with three other guys.
What are you studying in school?
Finance. I just got accepted into the business school. I’m good at math and stuff and I always wanted to be a stockbroker. But now that I’m taking the classes, they’re really boring. I don’t know. I’m just not interested in it the way I used to be.
Do you also have a job?
Not now. I was working at the Chicken Hut, but… well, I’m just not anymore. It was a really lousy job. I’m looking for a better job now. Like an internship or something that has to do with my major, I guess. But I don’t know. Like I said, that stuff isn’t interesting to me like it used to be.
Okay. Kyle, do you have any medical problems?
No.
Have you ever been hospitalized?
Just once when I was seven and I broke my leg. I fell off the jungle gym.
Do you take any prescriptions?
No.
So, you said that you’re not working right now. What other jobs have you had in the past?
I’ve worked at a bunch of fast food places. But never more than a couple of months.
Why have you left these jobs?
Because they suck. And…well, I don’t always get along with the managers real well. They’re not flexible when it comes to hours, and I’m a full time student, so that’s a problem. To be honest, it’s partly my fault. It’s hard for me to get up early and get to work on time. Plus I don’t have a car or even my license, so I have to rely on public transportation, and that doesn’t always run when I need it.
Do you parents support you?
Yeah, my mom and dad pay for college and books and stuff, but they expect me to earn spending money. Which sucks, honestly.
Why is that?
I just hate being dependent on them. I can’t wait until I can support myself so I wouldn’t have to hide… well, that I’m gay. If they knew, I’m pretty sure they would stop paying for college. And it would pretty much kill my mom. She’s very closed-minded.
Thank you for sharing your personal information with me, Kyle. Other than to your mother, do you find it difficult to disclose that you are gay?
I’ve always felt kind of different and weird. I mean, there’s not a lot of black kids at my school, and I don’t really fit in with the ones who are here. It was like that in high school too. I was bullied a lot. So I kind of just keep to myself. I don’t want to stand out more than I already do by being gay.
Kyle, have you ever been in a relationship?
Not really. I mean…well, there’s this guy in one of my classes, and I think he might like me. But I haven’t done anything about that. I went out with girls in high school because that’s what my mom expected me to do.
Kyle, I’m going to ask you some questions about alcohol and drug use. Is that okay?
I guess.
Have you used drugs or alcohol in the past 30 days?
Um, not much alcohol. I drink with my roommates sometimes, but not more than a couple of beers at a time. But…are you sure I can tell you about this?
Kyle, what is said in our sessions is completely confidential, unless you threaten to harm yourself or others or disclose any child or elder abuse.
Okay, well. I’ve been experimenting a little bit. With meth. Since my second semester freshman year. I used to get it at this bar that I went to with a friend. But now I know a guy I can get it from.
Thank you for telling me this, Kyle. How often do you use meth?
I don’t know. More than I used to. I used to just do it once in a while, like maybe once a week or so? Now I do it like three or four times a week. I used to smoke it, but now I inject. The high is a lot better.
In the past 30 days, has your meth use caused any problems in your life?
That’s a good question. I mean, I guess that’s why I lost my job—because I didn’t feel like getting up in the morning. And I’ve missed some classes too. I used to have really good attendance. In the past 30 days, I’ve probably missed class 5 or 6 times. And…well, this is hard to talk about, But I’ve had unprotected sex a couple of times with guys I’ve met when I was high. I know, that’s a really stupid thing to do. But it’s hard to control myself when I’m high.
Would you like to stop using meth?
To be honest, I don’t even know. I know that I should. It’s pretty much the only thing that makes me feel good anymore. I guess I’d be willing to try to give it up because I don’t want to mess up my whole life. But I’m scared of quitting cold turkey.
Have you ever tried to stop?
No, not really. I mean, I was home for the summer and didn’t do it then. But I wasn’t using as much as I am now, so it didn’t affect me much. I don’t know what I’m going to do if I go home for the summer and don’t have access to it. I’m thinking about staying on campus all summer so I don’t have to go home.
Have you ever used other drugs, or prescription pills?
Never. I mean, I smoked pot a few times. But that’s it. Just meth.
Thank you so much for answering these questions, Kyle. I have a few other questions I need to ask you. Have you ever been arrested for committing a crime?
Never. I’ve always been kind of a goody two-shoes, until now.
You said you don’t have a driver’s license. Is there a reason for that?
I don’t know. My parents only have one car, and I never got to practice much. I guess I ought to get my act together and start driving, huh?
Does anyone in your family drink a lot, or use drugs?
My mom doesn’t drink at all because she’s so religious. My dad doesn’t drink much. I have two younger sisters, and as far as I know they don’t drink or use drugs at all.
How about your roommates?
Yeah, they all drink a lot. And my roommate Jack, he uses meth too. That’s how I got so involved with using it. He showed me how to inject.
Do you consider Jack a close friend? Or your other roommates?
No. I mean, I guess Jack is kind of a friend. He’s one of the only people who knows I’m gay. I don’t have a lot of friends though. I wouldn’t say I have any close friends at all.
Kyle, have you ever been abused in any way? Physically, emotionally, sexually?
No. I mean, not really. No one’s ever hit me or anything, but I guess you could say there’s a lot of verbal and emotional abuse in my family. My dad says a lot of really angry things to me and my sisters–like, he calls us names and tells us that we’re worthless and stuff like that. We have to be really careful not to let him lose his temper, but that can be really hard. Most of the time he’s just kind of randomly mad at us. That’s one reason I don’t him to know I’m gay. He’ll blow up.
I’m sorry to hear that. Have you ever spoken to a counselor before?
No.
Have you ever felt very anxious?
Like, all the time. Except when I do meth.
Have you ever felt depressed for a significant amount of time?
Yeah. I mean, not now. But like I said, I was bullied a lot as a kid and my dad was really mean to us at home. So I was depressed a lot as a kid.
Have you ever had a hallucination?
No.
Did you ever think about hurting yourself?
Not in a long time. In high school, I thought about suicide a lot. I used to look up things on the Internet about how to do it. I never tried to do it though, and I don’t think about that anymore.
Kiana Williams
Kiana Williams, 15, is a freshman at Ruby Lake High School in Riverbend City. She reports that she lives with her mother, who is emotionally and verbally abusive. Kiana is a strong student, but reports that her grades have been falling lately. She also reports she has been taking opiates.
Hello, Kiana. I’m going to be asking you some questions. How old are you, Kiana?
I’m 15. I’m a freshman at Ruby Lake High School.
Do you have any allergies, or other medical problems?
I have psoriasis. That’s why I were long sleeves and stuff. It’s really embarrassing. I’ve had it since I was little and kids have always made fun of me.
That sounds very frustrating. Have you ever been hospitalized?
Yeah. I had my appendix out last year. It almost burst. That’s because my mom wouldn’t take me to the hospital. She said it was just period cramps and I was faking the pain to get attention. But I wasn’t faking it! My grandma came by and she believed me and took me to the hospital. My mom said she was really sorry for not believing me. I was in the hospital for three days.
Do you take any medications?
No.
Have you had any health problems lately?
No.
I know you’re only 15, Kiana, but do you have a job—or do anything to earn money?
I used to babysit my neighbors. But my mom doesn’t want me doing that anymore, since my grades are bad.
Kiana, I need to ask you some questions about drug and alcohol use. Have you ever used alcohol?
Um. Yeah. Not a lot. There’s kids around here who drink all the time. I’ve tried alcohol at parties at stuff, but I don’t really like it.
Have you ever been intoxicated? You know—drunk?
Yeah. But just a few times.
Have you ever taken prescription pills before that weren’t prescribed by a doctor?
Um, yeah. I do that. But it’s no big deal. I know that some people get addicted to pills, but I’m not like that. Like I said, it’s no big deal?
Can you tell me more? What kinds of pills do you take?
I don’t know. I’ve taken a bunch of stuff. Vicodin and Xanax and stuff like that.
Tell me more about the Vicodin use? How many do you take per day? Has your use increased?
I don’t know. It depends. I guess I take a couple a day. I used to only take one at a time, but I have to take more now to feel like it’s working.
Tell me more about the use of Xanax? How many do you take per day? Has the use increased?
The same. It depends, but I guess I usually take a couple a day. And I didn’t used to take as much.
How long have you been doing this?
Just since the beginning of the school year.
And how many pills do you take at one time?
I don’t know. Like I said I used to take just one. But now I take three or four. It’s like, the more you take, the more you have to take for it to feel like it’s working. Look, do we have to talk about this? It’s no big deal.
Okay, Kiana. Let’s move on and talk about something else—but maybe later we can talk about this a little more, okay? Have you ever taken illegal drugs of any kind—like marijuana, or meth, or anything like that?
I tried pot once. I don’t like drugs because my mom’s old boyfriend was a pusher. My mom used to take his drugs sometimes and that was really bad.
That sounds like a very stressful situation for you. Is he still around?
No. He’s dead. He got into a fight with someone about drugs and they shot him.
Wow. How did that make you feel?
Bad. I mean…well. Not so bad actually. I don’t want to talk about it.
Are you sure?
I never told anyone about this. I was…I was actually kind of glad he died. I know that makes me a really bad person. But he used to…well, do stuff to me.
That doesn’t make you a bad person, Kiana. Can you tell me what he did to you?
He used to touch me and stuff when my mom wasn’t home. Like, touching my privates and stuff. And he made me…Look, I don’t want to talk about it.
We do not have to talk about this. I want you to know that you can trust me if you ever decide to talk about this situation. Does anyone else know?
My mother, sort of. I tried to tell her once and she slapped me. She didn’t believe me. She never does, so I never tell her anything. Mostly she doesn’t hit me. But she calls me bad names and swears at me and tells me that I’m a terrible kid and stuff like that. When she saw my last report card she flipped out because I used to get all As and this time I got two Cs.
Kiana, I’m hearing this is a stressful time in your life and it has affected your grades at school. Are there any specific issues happening at school?
I don’t know. I don’t do all my homework all the time. I mean, before I didn’t have much of a social life, so I had lots of time to do homework. But now I have a boyfriend.
Tell me about your boyfriend.
His name is Aiden. He’s a junior. I really like him. I see him after school every day. My mom doesn’t know about him so we don’t go out or anything. We just hang out after school. He’s really nice to me.
What do you do when the two of you get together?
Look. Like I said, it’s no big deal. But that’s when I take the pills. He gets them and we take them together. I didn’t want to at first but he talked me into it. And now I do it because it makes me feel better about stuff. I’m super anxious all the time, especially about my mom. The pills make me feel relaxed and happy. I can deal with my mom a lot better! And everything else too.
I need to ask you a few more questions. Have you ever been in trouble with the law?
No. Never.
Good. So, you mentioned that you’re living with your mom. Is it just the two of you in your house?
Yeah. But my grandmom comes around a lot.
You mentioned that your mother used to take drug sometimes when she was with the boyfriend who died. Does she still take drugs?
I don’t know. I don’t think so. She drinks sometimes. She goes out really late at night with her friends. I try to be over at my grandmother’s house when she does because she’s even meaner than usual.
That sounds like a scary situation, I am sorry you had to deal with that. Do you know if anyone in your family has ever had a problem with drugs or alcohol?
My grandmom used to drink when she was younger, but she went to this group called AA or something and now she doesn’t drink at all. She’s always trying to get my mom to go to that group.
Kiana, have you ever seen a counselor before?
No.
You said that you feel anxious sometimes. Can you tell me about that?
I don’t know. Usually it’s because I’m scared that my mom is going to get mad at me. So if I get a bad grade or something I really freak out. I know, that’s stupid, right? That’s why I like taking the pills.
Have you ever felt depressed? Depressed means that you feel overwhelmed by sadness.
I guess. Mostly I just feel really anxious.
Have you ever thought about harming yourself?
You mean, like suicide? I mean, I guess I fantasize about that sometimes. Like, when my mom is really mean to me, I imagine what she would feel like if I killed myself. But I’d never really do that.
Kiana, do you have any close friends? Other than Aiden?
Not really. There’s girls I hang out with. I had a best friend, but she moved away last year.
Modified ASI
Demographic Information
• Gender.
• Age.
• Ethnicity.
• Other relevant Information.
Medical Status
• How many times in your life have you been hospitalized for medical problems? Include O.D.’s and D.T.’s. Exclude detox, alcohol/drug, psychiatric treatment, and childbirth (if no complications). Enter the number of overnight hospitalizations for medical problems.
• How long ago was you last hospitalization?
• Are you taking any prescribed medication on a regular basis for a physical problem?
• How many days have you experienced medical problems in the past 30 days?
Employment/Support Status
• Education completed?
• Training or technical education completed? Formal, organized training only. For military training, only include training that can be used in civilian life.
• Do you have a valid driver’s license?
• How long was your longest full-time job?
• Does someone contribute to your support in any way?
• Usual employment pattern, past 3 years?
o Full Time: (35+ Hours).
o Part Time: (Regular Hours).
o Part Time: (Irregular Hours).
o Student.
o Military Service.
o Retired/Disability.
o Unemployed.
o In Controlled Environment.
• How many days have you experienced employment problems in the past 30?
Alcohol and Drugs
• In your lifetime, have you used any of the following and, in the past 30 days, have you used any of the following:
o Alcohol.
o Alcohol until intoxication.
o Heroin.
o Methadone.
o Other Opiates/Analgesics.
o Barbiturates.
o Other Sedatives/Hypnotics/Tranquilizers.
o Cocaine.
o Amphetamines.
o Cannabis.
o Hallucinogens.
o Inhalants.
Legal
• Was this admission prompted or suggested by the criminal justice system?
• Are you on probation or parole?
• How many times have you been arrested?
• How many times in your life have you been charged with a crime?
• Disorderly conduct, vagrancy, public intoxication.
• Driving while intoxicated.
• Major driving violations.
• Are you presently awaiting charges, trial, or sentence? What for?
• How many days in the past 30 have you engaged in illegal activities for profit?
Family/Social History
• Have any of your blood-related relatives had what you would call a significant drinking, drug use or psychiatric problem? Specifically, was there a problem that did or should have led to treatment?
• Marital Status
• How long have you been in this marital status? If never married, then since age 18.
• Are you satisfied with this situation?
• Do you live with anyone who has a current alcohol problem or uses non-prescribed drugs?
• How many close friends do you have? Stress that you mean close Exclude family members. These are “reciprocal” relationships or mutually supportive.
• Have you had significant periods in which you have experienced serious problems getting along family? Friend?
• Has anyone ever abused you?
o Emotionally? (Make you feel bad through harsh words).
o Physically? (Caused you physical harm).
o Sexually?
Psychiatric Status
• How many times have you been treated for any psychological or emotional problems?
• Have you had a significant period of time (that was not a direct result of drug/alcohol use) in which you have experienced the following:
o Serious depression.
o Sadness, hopelessness, loss of interest, difficulty with daily functioning.
o Serious anxiety or tension been uptight, unreasonably worried, inability to feel relaxed.
o Hallucinations: Saw things/heard voices that others didn’t see/hear.
o Trouble understanding, concentrating or remembering.
o Trouble controlling violent behavior including episodes or rage or violence. (Patient can be under the influence of alcohol/drugs).
o Serious thoughts of suicide. (Patient seriously considered a plan for taking his/her life. Patient can be under the influence of alcohol/drugs).
o Attempted suicide. (Include actual suicidal gestures or attempts. Patient can be under the influence of alcohol/drugs).
o Been prescribed medication for any psychological or emotional problems. (Prescribed for the patient by a physician. Record “Yes” if a medication was prescribed even if the patient is not taking it).
DSM 5 Diagnosis
• Based on the assessment information, list the most appropriate diagnosis based on the DSM 5 and utilize the specific criteria to substantiate the diagnosis.
Initial Treatment Recommendations
• Based on the assessment data and the DSM 5 diagnosis, what initial treatment recommendation for the client?
Treatment Goals
• Based on the assessment data, what are two potential goals the client might want to include in the treatment plan?
Legal and Ethical Issues
• Based on the assessment data, what are potential ethical or legal issues that will need to be addressed throughout the treatment process?
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Mental Health Considerations in the Assessment Process
Readings
Use The Substance-Related Disorder Assessment: A Roadmap to Effective Treatment Planning to read the following:
• Review Chapter 5, “Comprehensive Assessment,” pages 53–62.
Use the Capella Library to read the following:
• Borsari, B., Apodaca, T. R., Yurasek, A., & Monti, P. M. (2017). Does mental status impact therapist and patient communication in emergency department brief interventions addressing alcohol use? Journal of Substance Abuse Treatment, 73, 1–8.
• Drymalski, W. M., & Nunley, M. R. (2016). The use of the addiction severity index psychiatric composite scores to predict psychiatric inpatient admissions. Journal of Addictions Nursing, 27(3), 190–196.
• Lundgren, L., Wilkey, C., Chassler, D., Sandlund, M., Armelius, B., Armelius, K., & Brännström, J. (2014). Integrating addiction and mental health treatment within a national addiction treatment system: Using multiple statistical methods to analyze client and interviewer assessment of co-occurring mental health problems. Nordic Studies on Alcohol and Drugs, 31(1), 59–79.
Use the Internet to complete the following:
• U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration. (n.d.). Screening tools. https://www.integration.samhsa.gov/clinical-practice/screening-tools
• Substance Abuse and Mental Health Services Administration. (2017). Treatments for mental disorders. https://www.samhsa.gov/treatment/mental-disorders
Assessment Practice
This assignment provides the opportunity to interpret results from an assessment tool to determine client problems, strengths, resources, and potential barriers to treatment. For this assignment, learners will select a case study from Riverbend City: Cases Studies media piece that was reviewed in u05s3 (see the Resources for a link). Learners will complete the Addiction Severity Index (ASI) using the media piece for the client in the chosen case study.
Assignment Instructions:
- Select a case study from Riverbend City: Case Studies.
- Apply all sections of the ASI using the media piece for this unit.
- Interpret results for each section, indicating client problems, strengths, resources, and potential barriers to treatment.
- Analyze the assessment data to develop a diagnosis based on the DSM-5 criteria.
- Analyze the assessment data and develop initial treatment recommendations for the client in the chosen case study?
- Create two treatment goals for the client in the chosen case study based on the completed ASI data.
- Identify any legal and ethical issues associated with use of the assessment for diagnosis and treatment planning.
- Submit the completed template to the assignment submission area.
Assignment Requirements
• Written communication: Written communication must be free of errors such that the overall message is clear.
• APA formatting: Resources and citations are formatted according to current APA style.
• Length of paper: Three to five double-spaced, typed pages, excluding title and reference pages.
• Font and font size: Times New Roman, 12 point.
Resources
• Assessment Practice Scoring Guide.
• Capella University Library.
• Capella Writing Center.
• Riverbend City: Case Studies.
• Evidence and APA.
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