Complete Examination Preparation
Guide
‣ Assessment . Answer: An ongoing process through which the
counselor collaborates with the client and others to gather and interpret
information necessary for planning treatment and evaluating client's
progress.
‣ Tools of assessment . Answer: Counselor's observations, clinical
interviews, laboratory test and instruments line tests and self report
inventories.
‣ Bio psychosocial perspective . Answer: There's biological,
psychological, and social causes of substance abuse
‣ Biological factors . Answer: Includes brain chemistry problems that
may be genetic.
‣ Genetics . Answer: Influence biochemistry and biochemistry make
some people vulnerable to addiction.
‣ Psychological factors . Answer: Includes cognitive styles, personality
traits, and early developmental experiences.
,‣ Social factors . Answer: Includes poverty, oppression, poorly
developed social skills, and family dysfunction
‣ Cultural relevance . Answer: Take into account client's social context
and to not interpret client's behavior as pathological, since it doesn't
cause stress to client.
‣ Clients are likely to cooperate with assessment . Answer: If rapport has
been established and the reason for assessment procedure is clear
‣ Rapport . Answer: A comfortable working relationship, with the client
helps assure the client's trust and cooperation
‣ Culturally sensitive language . Answer: Using "people first" language,
communicates respect to clients. Example referring to someone as a
person with alcohol dependence rather than an alcoholic.
‣ Motivational interviewing . Answer: Respects the client's perception of
the problem . Finding out what stage the client is in . Example pre
contemplation, contemplation, action, maintenance. Help client to the
next stage
‣ Assessment instruments . Answer: For counselors to aid their
identification of, and treatment planning for substance disorders
‣ Reliability of the instrument . Answer: Has to do with the consistency
with which an instrument measures.
, ‣ Validity of the instrument . Answer: Has to do with what the
instrument measures and how it's used.
‣ Screening instruments . Answer: CAGE, DAST,MAST,SASSI
‣ CAGE questionaire . Answer: An answer to yes to one or more
questions for alcohol dependence. 4 questions 1. Have you ever felt you
should cut down on your drinking? 2.have people ever annoyed you by
criticizing your drinking? 3. Have you ever felt guilty about your
drinking? 4. Have you ever had a drink first in the morning to relieve the
shakes?
‣ DAST(drug abuse screening test) . Answer: Adopted from MAST.
This self report instrument is used to detect abuse or dependence on
drugs other than alcohol. It provides a measure of lifetime problem
severity.
‣ MAST(Michigan screening test) . Answer: Requires yes/ no questions
answers to 25 questions . Scores indicate the absence of alcohol
dependence 0-3, possible substance dependence 4, or likely alcohol
dependence 5 or higher.
‣ SASSI( substance abuse subtle screening inventory) . Answer: This
brief self report is designed to identify clients with high probability of
having a substance related disorder.