I met with Aileen Byron, Substance Abuse Lead Therapist for New Horizons CMHC, who explained that assessment/intake is the first procedure clients undergo upon their arrival at New Horizon. Assessment/Intake screening consists of collecting data from the client such as demographics and medical history to help link the individuals to appropriate services within the New Horizon database. Intake/Assessment services are provided on a first come first serve basis at its main location. Once the client has gone through the screening process of intake, he/she then moves on to a Bio Psychosocial Assessment that indicates the clients presenting problem and why he/she is requesting services, which is usually conducted by a Master Level Social Worker.
Aileen expressed 30 percent of the walk-in clients are homeless and is not able to provide proof of their identification. Aileen refers the clients over to Camillus House to obtain all the necessary documents they need to precede into the program. The Camillus house generates documents for the homeless free of charge. New Horizon does not require the clients to have health insurance because the agency is affiliated with the Project for Assistance for Transition from Homelessness (PATH) – Homeless Program. PATH is for homeless adults who meet the eligible requirements and have mental, substance abuse, and medical complications. The included services are residential treatment facilities, case management and outpatient medical management and counseling. Therapy plays a significant role in the client’s road to recovery because clients are required to express what lead them illegal drug usage and helps the therapist make suggestions for their treatment plan. The ultimate goal of therapy is to receive support as you are making progress on a healthier way of life. New Horizons also serve children and families who are at risk for abuse and neglect; adolescents at risk for involvement with the juvenile justice system; adult clientele involved with state and local criminal justice system; single mothers transitioning from public assistance to work and self-sufficiency; residential care for HIV/AIDS infected persons and mothers addicted to drugs and their children.
formal application for an assessment. If social services know that they may need services, they
Coley is a timber cutter that is addicted to crystal meth. He has three young children, two girls and a boy and a wife that he affects everyday with his crystal meth abuse. Throughout the episode Coley locks himself in the garage, so he can snort powder form of crystal meth without his children being directly in front of it. Coley thinks that if he locks himself in the garage his children do not see his behaviors. Coley's addiction stemmed from his childhood where his mother was a speed addict and alcoholic and allowed Coley to do drugs and drink with her throughout his young teens and late adult hood. After Coley married his wife and his wife recognized the problem was connected to when he was at his mother's home she asked that he not be involved with his mother. Coley does this and shortly after his mother dies. This leads Coley to more drug abuse and his addiction becomes worse, due to the guilt he feels for hurting his mother and the guilt from the fact that she died alone. Coley somewhat blames his wife for this. Coley put his family in great danger with the bills not being paid and him putting off jobs for something he thinks will become his gold mine and turns out not to.
Have you ever questioned the tax taken out of your hard-earned money? Questions similar to that are where the money is going and if it is being used properly. In the U.S. news recently those questions have been on a great deal of State’s minds; reaching back to 2003, this issue has been brought up time and time again. The main topic of tax money is the use of assistance money and are the recipients really using the money for the right reasons. There are many problems with the assistance program but the one that comes to mind the most is that many people abuse the money given to buy the essentials and provide, for their family for illegal drugs. The solution that many state representatives have come up with is drug testing as a requirement for assistance. This will eliminate the abuse of the assistance program; also it will cut down the cost of assistance which is very expensive as a whole.
The Addition Severity Index is a well-known and widely used tool for use in treating alcoholics and other addicts. It is an approximately 45 to 60 minute long interview comprised of questions about the patient’s life. The interview covers eight subscales focusing on many different parts of a person’s life which helps to provide a comprehensive understanding of their life. The severity is scored on a ten point scale ranging from no problem or treatment indicated to extreme problem, treatment absolutely necessary. The scale helps the interviewer determine the seriousness of a client’s problem and to plan an effective course of treatment. The ASI can also be found in a self-administered paper-and-pencil form and an interactive CD-ROM multimedia version for the computer (Maleka, 2004). This test has been found to be reliable by most but some others do not agree. It is difficult to say whether or not the test is a reliable and valid measure of treatment due to the complexity of the questions. Once a client’s psychosocial needs are identified it is easier to find treatment suitable for that client. There are some problems with the test such as it is not properly designed to cover such a wide population (Maleka, 2004). Other problems include irrelevant questions for alcoholics and other drug users, difficulty remembering relevant information, and lying and exaggerating information for the best interest of the patient (Maleka, 2004). Use of the ASI can be found to be particularly problematic when used with the homeless or double-diagnosis patients. The ASI can be used in a wide range of treatment settings including clinical, research, and administrative. This comprehensive evaluation is a useful tool that helps professionals understand the
“Ultimately, diagnosis of a substance use disorder or PTSD relies on clinical assessment using DSM criteria. Screening instruments exist that can help uncover or point the way toward a potential diagnosis. For alcohol use disorders, the Alcohol Use Disorders Identification Test (AUDIT) and the AUDIT-Consumption (AUDIT-C) have been widely validated as self-report screening measures. A single-item screening measure was recently validated for drug use disorders consisting of the single question, “How many times in the past year have you used an illegal drug or used a prescription medication for nonmedical reasons?” A response of 1 time or more yields a positive screen.” -Returning Veterans With Addictions. (2011, July 11). Psychiatric Times. Retrieved Februa...
Substance addiction is becoming an epidemic. While some people can quit using a substance without any help, most people need help to their recovery. Narcotics anonymous is an important support group for our society. There are many different narcotic anonymous programs to join that have meetings throughout the week. The members of the support group all share one thing in common, they suffer from different types of chemical dependency. Members help each other because they have the same problems and worries that everyone in the room has. Though they may be struggling with different stages in their life, for the most part, they all relate to what each is going through. Just as AA, NA focuses on the 12-step program. The members of
substance use and mental health outcomes for patients in two integrated service delivery systems. Drug and alcohol dependence, 110(1), 92-100.
The first therapy to discuss is Cognitive-Behavioral Therapy, otherwise know as CBT. The main focus of CBT therapy is a “functional analysis of the thinking and behavioral process” (Content Guide 4, n.d.). This being said, CBT has been effective in the treatment of those struggling with substance
Together, traditional substance abuse services and harm reduction approaches can be incorporated to provide a comprehensive sequence of care—from safer substance use to reduced use to maintaining total abstinence.
Substance Abuse and Mental Health Services Administration (Office of Applied Studies). Treatment Episode Data Set(TEDS): Highlights-2003. National Admissions to Substance Abuse Treatment Services, Rockville, MD: Department of Health and Human Services, 2003.
Nobody denies that every client and situation is unique, but there is a general layout out of a treatment plan that can be used thought out the facility to ensure success for the client. The first step in the treatment plan is to screen clients to determine if he/she meets the criteria of the facilities drug, or alcohol program. The facility will use the standard CAGE, of the Substance Abuse Subtitle Screening Inventory questioner as a screening tool. These two screening tools are consist of few questions and require only short answers to determine (American Society of Addiction Medicine, 2012). These tools are easy to use and can be done by any qualified staff according to the ASAM. If more through information is needed then the client will go under an assessment.
The intake interview assists in establishing and diagnosing any problems the client may have. The therapist may then explain to the client what to expect during the interview, including the time duration. A good assessment/ or intake will focus on the individual situation, strength and coping mechanism. The intake form is for the client, it gives the therapist more information and an idea of who you are. The intake process that is considered of a series of questions and consent form that the client has to sign and agree to. A professional relationship between a counselor and a client begins with an intake interview.
...nt, 2 caregiver individual sessions, and 2 sessions with the caregiver and the adolescent. During each session, the adolescent will work on basic skills to support sobriety: coping skills, communication skills, relapse prevention, drug refusal, and anger management among others. When the caregiver(s) is brought into the session, the therapist describes the procedures briefly then allows the adolescent to engage the caregiver and explain the procedure further.
When you first arrive our staff will assistance you in the intake process, drug and alcohol screenings, as well as explaining the coming and going of the facility. No one will be denied entry regardless of drug or alcohol usage, but we do encourage counseling to help with additions. Those of a multiple family will be given a private room, which includes the comforts of two or more beds, linens, and personal care items. We aim to offer everything you could need and more to make your stay as comfortable as possible. After you are adjusted in, we would like for you to meet and talk with a caseworker to determine how we can best help you during your
Forming a counseling group may seem simple, but it’s not. A “major issue in putting a group together is screening it for potential members” (Gladding, pg. 212). The reason it can be a complicated task to complete is because members are not always volunteers. Screening members for a “group counseling session, is a three step process” (Gladding, pg. 212). We’ll discuss how these steps are an important component of having a successful group.