Help Needed Wk 3 Discussion

Wk 3 Discussion – Title
Post a total of 3 substantive responses over 2 separate days for full participation. This includes your initial post and 2 replies to other students.
Respond to the following in a minimum of 175 words each response:

What are some of the standard screening and assessment instruments for substance-related disorders and process addictions?
What are some of the DSM diagnostic criteria in the assessment of disorders related to substance abuse and dependency?

Aimee Kaiser
Screening for substance abuse and addictions may be complex, due to the high presence of comorbid mental health disorders with substance abuse (Capuzzi & Stauffer, 2016). A few basic screening instruments for substance abuse are: the Michigan Alcoholism Screening Test (MAST), CAGE, Substance Abuse Subtle Screening Inventory-3 (SASSI-3), Alcohol Use Disorders Identification Test (AUDIT), Alcohol Use Inventory (AUI), Addiction Severity Index (ASI), and T-ACE, which was developed specifically to assess substance abuse in pregnant women (Capuzzi & Stauffer, 2016). Standardized assessments are helpful because they provide information about a client relative to a normative population, they are objective and indirect, which reduces the clients’ ability to deny or minimize their substance use, and they help counselors plan appropriate treatment responses (Capuzzi & Stauffer, 2016). The DSM-5 outlines 11 factors in the diagnosis of a substance use disorder. A few of the diagnostic criteria that indicate abuse or addiction are: using more than intended or over a longer duration than intended; the desire or attempt to decrease use; the exertion of significant time and effort to obtain a substance; craving the substance; use is negatively affecting the individual’s ability to fulfill obligations, or is causing social or interpersonal problems in the individual’s life; withdrawal from social or occupational activities directly related to substance use; using in hazardous situations and continued use despite negative consequences; increasing tolerance; and withdrawal symptoms/experiences which contribute to the individual’s inability to stop using, or the continued use of the substance, in order to avoid or relieve withdrawal symptoms (Capuzzi & Stauffer, 2016). The essential factors which define abuse or addiction of a substance are the impacts on one’s life and work, and continued or increased use despite persistent negative impacts on one’s life and work.
Capuzzi, D. & Stauffer, M. D. (2016). Foundations of addictions counseling (3rd ed.). Pearson Education, Inc.

Mark Smith
What are some of the standard screening and assessment instruments for substance-related disorders and process addictions?
One of the most widespread assessment tools that is used is the Addiction Severity Index (ASI). The ASI is designed to be a severity rating scale where data is collected through an interview process where the gravity of a clients problem is scored. Like many other rating scale tools used in the medical field, higher the number the more severe the problem is. The ASI covers seven main areas of an individuals personal behavior and environmental influences. The seven sections are medical status, employment/support, drug use, alcohol use, legal status, family/social status, and psychiatric status. The information assembled is used to help plan an effective treatment strategy that is specific to the individuals needs.

What are some of the DSM diagnostic criteria in the assessment of disorders related to substance abuse and dependency?
The DSM-5, being the gold standard text from the American Psychiatric Association, lists out criteria that is used to help define a substance abuse disorder. Some of the criteria are:
Taking substance in larger amounts than desired
Not able to cut down or stop
Spend large amount of time getting, using and recovering from the substance
Craving for the use of the substance
Not managing to do what should be done at work, home, or school
Unending to use, even when it causes difficulties in relationships
Giving up significant social, occupational, or recreational activities
Using substances even when it causes danger
Ongoing use, even when known to have a physical or psychological problem that may have been caused or made worse by the substance
Increased tolerance of the substance, requiring greater amounts
Develop withdrawal symptoms, requiring relief by taking more of the substance
DSM-5 and its use by chemical dependency professionals (naadac.org)
asi5thedition.pdf (bu.edu)

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