Module 4C

1
Module 4C

• Introduction
• Assessment
• Step 8Step 12

2
TIP Chapter 4 Assessment

• Module 4A
• Screening and Step 1Step 2
• Module 4B
• The Assessment Process Step 3Step 7
• Module 4C
• The Assessment Process Step 8Step 12

3
12 Step Assessment Process

• 1 Engage the client
• 2 Identify contact collaterals to gather
  additional information
• 3 Screen for detect COD
• 4 Determine quadrant locus of responsibility
• 5 Determine level of care
• 6 Determine diagnosis

7 Determine disability functional
impairment 8 Identify strengths
supports 9 Identify cultural linguistic needs
supports 10 Identify problem
domains 11 Determine stage of change 12 Plan
treatment
4
12 Step Assessment Process

• 1 Engage the client
• 2 Identify contact collaterals to gather
  additional information
• 3 Screen for detect COD
• 4 Determine quadrant locus of responsibility
• 5 Determine level of care
• 6 Determine diagnosis

7 Determine disability functional
impairment 8 Identify strengths
supports 9 Identify cultural linguistic needs
supports 10 Identify problem
domains 11 Determine stage of change 12 Plan
treatment
5
12 Step Assessment Process

• 1 Engage the client
• 2 Identify contact collaterals to gather
  additional information
• 3 Screen for detect COD
• 4 Determine quadrant locus of responsibility
• 5 Determine level of care
• 6 Determine diagnosis

7 Determine disability functional
impairment 8 Identify strengths
supports 9 Identify cultural linguistic needs
supports 10 Identify problem
domains 11 Determine stage of change 12 Plan
treatment
6
Cultural AssessmentCOD

• Three important issues for those with COD
• Not fitting into the treatment culture (do not
  fit into either substance abuse or mental health
  treatment culture) and conflict in treatment
• Cultural and linguistic service barriers
• Problems with literacy

7
12 Step Assessment Process

• 1 Engage the client
• 2 Identify contact collaterals to gather
  additional information
• 3 Screen for detect COD
• 4 Determine quadrant locus of responsibility
• 5 Determine level of care
• 6 Determine diagnosis

7 Determine disability functional
impairment 8 Identify strengths
supports 9 Identify cultural linguistic needs
supports 10 Identify problem
domains 11 Determine stage of change 12 Plan
treatment
8
12 Step Assessment Process

• 1 Engage the client
• 2 Identify contact collaterals to gather
  additional information
• 3 Screen for detect COD
• 4 Determine quadrant locus of responsibility
• 5 Determine level of care
• 6 Determine diagnosis

7 Determine disability functional
impairment 8 Identify strengths
supports 9 Identify cultural linguistic needs
supports 10 Identify problem
domains 11 Determine stage of change 12 Plan
treatment
9
TIP ExerciseStages of Change

• Using the case on p. 94, what stage of readiness
  to change would you and your partner(s) assign
  the client regarding her
• Mental disorder?
• Substance use disorder?
• Give reasons

• Stages of Change
• Precontemplation
• Contemplation
• Preparation
• Action
• Maintenance

(3 minutes)
10
12 Step Assessment Process

• 1 Engage the client
• 2 Identify contact collaterals to gather
  additional information
• 3 Screen for detect COD
• 4 Determine quadrant locus of responsibility
• 5 Determine level of care
• 6 Determine diagnosis

7 Determine disability functional
impairment 8 Identify strengths
supports 9 Identify cultural linguistic needs
supports 10 Identify problem
domains 11 Determine stage of change 12 Plan
treatment
11
TIP ExercisePlan Treatment

• With your group, use format on p. 96 to . . .
• Plan treatment for
• Maria M. (pp. 69, 87, 89, 92) or Jane B. (pp.
  70, 83, 91)
• Address at least two (2) problems
• Include for each
• Related information (strengths, cultural issues,
  etc.)
• Stage of readiness to change
• Recommended interventions
• Goals

(10 minutes)