Assessment and Screening Flashcards

The CRAFFT screening tool was specifically developed and validated for use with which population?

Answer: Adolescents under age 21

CRAFFT (Car, Relax, Alone, Forget, Friends, Trouble) is a validated brief screening tool designed to detect substance use problems in adolescents in primary care and clinical settings.

The T-ACE screening tool was specifically developed to detect risky alcohol use in which population?

Answer: Pregnant women during prenatal care

The T-ACE (Tolerance, Annoyed, Cut down, Eye-opener) was developed to identify risky drinking in pregnant women during prenatal visits, as the CAGE was found less sensitive for this population.

Which of the following distinguishes screening from a full diagnostic assessment in addiction services?

Answer: Screening is a brief process to identify potential problems; assessment provides a comprehensive clinical evaluation

Screening is a short, initial step to identify whether a problem may exist, while a comprehensive assessment goes deeper to understand the nature, severity, and context of the disorder to guide treatment.

During a substance use assessment, a client discloses active suicidal ideation with a plan. What is the counselor's first priority?

Answer: Conduct a safety assessment and take appropriate crisis intervention steps immediately

Disclosure of suicidal ideation with a plan constitutes an immediate safety concern; the counselor must pause the assessment and conduct a crisis safety assessment, which may include hospitalization or crisis services.

Which of the following represents a key ethical requirement when initiating a substance use assessment with a new client?

Answer: Obtaining the client's informed consent before conducting the assessment

Obtaining informed consent before assessment is an ethical and legal requirement; clients must understand the purpose, process, and limits of confidentiality before disclosing personal information.

ASAM criteria recommend that patient placement decisions be based on which of the following?

Answer: A multidimensional clinical assessment across six dimensions

ASAM Patient Placement Criteria specify that level-of-care decisions must be driven by clinical findings across all six dimensions, not by administrative, financial, or preference factors.

Which statement best describes the role of collateral information in a comprehensive addiction assessment?

Answer: Collateral information from family, records, or other providers supplements and validates client self-report

Collateral information — obtained with proper releases — enriches the assessment by providing additional perspectives and helping verify the accuracy of self-reported history without dismissing the client's own account.