Screening and Assessment Flashcards

The CRAFFT screening tool is most appropriate for use with which population?

Answer: Adolescents to screen for alcohol and drug-related risk

CRAFFT is a validated six-item behavioral health screen designed specifically for adolescents to identify substance use risk.

A client is assessed using the Global Appraisal of Individual Needs (GAIN). This tool is best described as:

Answer: A comprehensive biopsychosocial assessment measuring multiple domains of functioning

The GAIN is a comprehensive, standardized assessment covering substance use, mental health, physical health, risk behaviors, environment, and service utilization.

Which of the following is an example of a collateral source of information during a substance use assessment?

Answer: Interview with the client's spouse with appropriate consent

Collateral sources are third parties — such as family members, employers, or prior treatment records — who can provide additional information beyond self-report.

When assessing a client's readiness to change substance use, a counselor using the Transtheoretical Model would identify a client who says 'I know I have a problem but I'm not ready to do anything about it' as being in which stage?

Answer: Contemplation

Contemplation involves acknowledging a problem exists but ambivalence about changing — not yet committed to action.

The primary distinction between a screening and a comprehensive assessment in chemical dependency counseling is that screening:

Answer: Identifies the presence or likelihood of a problem to determine if further evaluation is needed

Screening is a brief first-pass process to identify risk or probable problems, while comprehensive assessment provides detailed diagnostic and treatment-planning information.

Which factor would MOST likely indicate a higher level of care is needed during a placement decision following assessment?

Answer: Client has a history of multiple detoxification episodes and severe withdrawal

Multiple prior detox episodes, severe withdrawal history, and high medical risk are indicators for a higher level of care such as residential or medically managed detoxification.

The ASAM Patient Placement Criteria evaluates clients across six dimensions. Which dimension specifically addresses the client's potential for treatment compliance and resistance?

Answer: Dimension 4: Readiness to Change

ASAM Dimension 4 (Readiness to Change) assesses the client's stage of change and willingness to engage in treatment.