Screening and Assessment Flashcards
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Read the first 7 Screening and Assessment flashcards as text
Which of the following best describes the difference between screening and comprehensive assessment in addiction counseling?
Answer: Screening identifies risk and need for further evaluation; assessment gathers detailed information to guide treatment planning
Screening is a brief, preliminary process to identify individuals who may have a problem, while comprehensive assessment provides in-depth information to inform diagnosis and treatment planning.
The CRAFFT screening tool is specifically designed for use with which population?
Answer: Adolescents
CRAFFT (Car, Relax, Alone, Forget, Friends, Trouble) is a validated brief screening tool developed for adolescents ages 12–21.
When using the ASI (Addiction Severity Index), the composite scores range from 0 to 1, where a higher score indicates:
Answer: Greater problem severity in that domain
ASI composite scores closer to 1.0 indicate greater problem severity and need for intervention in the corresponding life domain.
A counselor suspects opioid use disorder in a client but the client denies use. Which biological screening method provides the longest detection window for opioids?
Answer: Hair follicle analysis
Hair follicle testing can detect opioids for up to 90 days, far exceeding the 2–4 day window of urine screens and the hours-long window of blood tests.
Which DSM-5 specifier indicates that a client with alcohol use disorder has been free of all criteria for at least 12 months except for craving?
Answer: In sustained remission
In DSM-5, 'in sustained remission' specifies that no criteria (other than craving) have been met for 12 or more months.
The concept of 'false positives' in substance use screening is clinically significant because:
Answer: They may lead to unnecessary stigma, treatment, or legal consequences
False positives misidentify non-users as users, potentially causing stigma, inappropriate treatment referrals, and legal or employment repercussions.
During a biopsychosocial assessment, which domain addresses the client's employment history, living situation, and financial stability?
Answer: Social/environmental domain
Employment, housing, and finances are social and environmental factors that affect substance use patterns, recovery resources, and treatment planning.