Alcohol and Drug Counselor Screening and Assessment Techniques Flashcards
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Read the first 7 Alcohol and Drug Counselor Screening and Assessment Techniques flashcards as text
The DAST-10 (Drug Abuse Screening Test) was adapted from which original instrument?
Answer: MAST (Michigan Alcoholism Screening Test)
Harvey Skinner developed the DAST-10 by adapting items from the MAST to screen for drug abuse rather than alcohol.
A counselor is assessing a client's social support network. This information is most critical for which aspect of treatment planning?
Answer: Identifying relapse risk and protective factors
Social support is a key protective factor; its absence or the presence of substance-using peers is a major relapse risk that shapes the treatment plan.
In substance use assessment, the term 'polysubstance use' refers to:
Answer: Using two or more substances, which complicates assessment and treatment
Polysubstance use involves concurrent or sequential use of multiple substances, requiring broader screening and more complex treatment planning.
Which of the following is a key difference between a screening tool and a comprehensive assessment in substance use counseling?
Answer: Screening identifies possible problems quickly; assessment provides detailed clinical information for diagnosis and treatment planning
Screening is a rapid process to identify individuals who may have a problem, while assessment is an in-depth evaluation that informs diagnosis and individualized treatment planning.
A client discloses that they drink to cope with anxiety and have difficulty stopping once they start. According to DSM-5, these behaviors most likely represent which diagnostic criteria for alcohol use disorder?
Answer: Craving and unsuccessful efforts to cut down
Drinking to manage emotions (craving/cue-reactivity) and inability to stop once started (loss of control) align with DSM-5 AUD criteria related to craving and failed attempts to cut down.
When using a structured interview format for substance use assessment, the primary advantage over unstructured interviews is:
Answer: It ensures consistency, reliability, and completeness across clients
Structured interviews follow a standardized format, improving inter-rater reliability and ensuring all critical domains are consistently covered.
Which assessment instrument measures treatment motivation specifically and is often used alongside the ASI to guide treatment matching?
Answer: SOCRATES (Stages of Change Readiness and Treatment Eagerness Scale)
SOCRATES quantifies a client's recognition of a problem, ambivalence, and readiness to take action, making it useful for treatment matching alongside severity measures like the ASI.