E-Book Overview
Substance abuse counseling has gone beyond being viewed as optional training; instead it is fast becoming an essential part of the education of helping professionals. In this book, Dr. Gerald Juhnke presents an innovative, practical model to be used in the assessment and diagnosing of substance abuse and related co-morbid disorders. Substance Abuse Assessment and Diagnosis includes practical "nuts and bolts" direction on how to facilitate a thorough, multi-tiered substance abuse assessment. This book uniquely incorporates detailed examples of how to use individual and significant other clinical interviews, including the CAGE, SUBSTANCE -Q, etc, standardized specialty instruments, drug detection types, and personality instruments to accomplish this feat. This is the only book of its kind that provides practical detail on how to use and score these varied assessment instruments-including the newest "cornerstone instruments," the MMPI-2, the SASSI-3 and the recently released SASSI-A2. Students and practitioners alike will benefit from this comprehensive volume on the assessment and diagnosis of substance abuse.
E-Book Content
Substance Abuse Assessment and Diagnosis Substance Abuse Assessment and Diagnosis A Comprehensive Guide for Counselors and Helping Professionals Gerald A. Juhnke 11 Routledge ~ Taylor&FranclsGroup New Yolk London Routledge is an imprint of the Taylor & Francis Group, an informa business Routledge Taylor and Francis Group 711 Third Avenue New York, NY 10016 Routledge Taylor and Francis Group 2 Park Square Milton Park, Abingdon Oxon OX14 4RN Contents Preface vii The Clinical Interviews, Standardized Speciality, Drug Detection, and Personality Assessment (CLISD-PA) Model Overview 1 Chapter 2 The DSM-IV-TR Multiaxial System and Common Substance-Related Disorders 7 Chapter 3 Tier One: Individual Clinical Interviews Chapter4 Significant Other Interviews: Understanding and Promoting Change through Others 101 Chapter 5 Standardized Alcohol and Other Drug (AOD) Speciality Assessment Instruments and Drug Detection Testing 147 Chapter 6 Personality Assessment and Therapeutic Feedback 195 Chapter 7 Conclusion 229 Index 231 Chapter 1 53 v Preface As counselors and mental health professionals face greater numbers of persons experiencing addictions and addiction-related concerns, we continually strive to (a) more fully understand our clients and their specific needs and concerns, (b) accurately conceptualize clients' current alcohol and other drug (AOD) use within their overall drinking and drugging history, and (c) identify clients' potential strengths and resources so they may more effectively battle and achieve their ongoing recovery and sustained abstinence. Thus, this text is founded upon the assumption that addictions assessment is more than a one-time paperwork procedure, conducted at the onset of treatment to simply gather minimal facts and secure a Diagnostic and Statistical Manual of Mental Disorders (4th Edition)-Text Revision (2000) (DSM-IV-TR) diagnosis to fulfill Medicaid billing requirements. I view assessment and counseling as one. Neither is exclusive of the other or operating in a neutral vacuum. Instead, each impacts the other and is intertwined in complex ways as client, significant others, and counselor cocreate an effective, economical, and mutually respectful assessment and treatment. Within the text I describe how to assess without becoming lost in the assessment process or losing sight of assessment's purpose-to help engender effective treatment. Too often, counselors and men