Assessment of Addiction and Mental Health Issues Identifying the Problem Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com Presented by: Dr. Dawn-Elise Snipes Executive Director, AllCEUs Podcast Host: Counselor Toolbox & Happiness isn’t Brain Surgery Author: Journey to Recovery (2015) & Happiness Isn’t Brain Surgery (2017)
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Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
Assessment of Addiction and Mental Health Issues Identifying the Problem
Presented by: Dr. Dawn-Elise Snipes Executive Director, AllCEUsPodcast Host: Counselor Toolbox & Happiness isn’t Brain Surgery Author: Journey to Recovery (2015) & Happiness Isn’t Brain Surgery (2017)
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
Objectives Define screening and assessment Define the purpose of assessment Explore the steps in the assessment Recognize the stage of change a client is in
with regards to mental health and substance abuse and utilize this towards creating a treatment plan.
Learn about the first steps in moving toward happiness
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Why Is This Important 47% of US Adults suffers from maladaptive
signs of an addictive disorder over a 12-month period
Co-Occurring Disorders are the EXPECTATION not the Exception
Statistics indicate that the majority of people seen in mental health treatment struggle with addictive behaviors.
Refer for treatment or treat yourself
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Screening and Assessment Screening is a very quick process which can
be done by Physicians Coaches Specialists/Techs Counselors
Screening simply determines if there may be a need for further evaluation.
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Purpose of Assessment To identify symptoms Explore the course of the symptoms Identify exacerbating and mitigating factors Determine the impact of symptoms Identify change goals Develop an action plan based on identified
goals
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Assessment Provides Awareness of SNAP Strengths
◦ Resources◦ Skills◦ Mitigating Factors and exceptions
Needs◦ Biological◦ Safety◦ Love and Belonging
Attitudes◦ About recovery◦ Cultural
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Awareness of SNAP Preferences
Learning style Treatment approach Quality of Life
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5 Principles of Motivational Interviewing Generate a Gap Roll with Resistance Avoid Arguing Can Do Express Empathy
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Stages of Readiness for Change Most people have multiple issues Readiness for change can be different for each
issue---even each symptom of each issue Stages
Precontemplation Contemplation Preparation/Determination Action Maintenance (needs attention when addressing new
issues)
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Addiction (vs. Recreational Use) Tolerance need more to get the same rush, high or feeling. Withdrawal: Anxiety, irritability, shakes, sweats, nausea,
depression when unable to access the addiction Negative consequences: Continued to use even though
there have been negative consequences. Neglected or postponed activities because of your use? Significant time or energy spent obtaining, using,
concealing, planning, or recovering from your use. Unsuccessful attempts to cut down or control your use
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Chemical and Behavioral Addictive behaviors causes a “flood” of neurochemicals This flood contributes to an imbalance Like a “hangover” occasional use does not necessarily
alter brain functioning Repeated use causes the brain to shut down certain
pathways so it is not constantly being flooded (tolerance)
Many other issues such as pre-existing anxiety or depression can indicate a pre-existing neurochemical imbalance which is being self-medicated
Requires additional stimulation to produce the same relief because many fewer “doors” are open
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Mental Health Depression/Hopelessness/Apathy Anxiety/Worry Difficulty Concentrating Irritability Agitation Fatigue Changes in sleep duration or quality Changes in eating
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First Steps Identify the Problem Identify the Solution Learn about what causes the problem in
general Learn about what causes the problem for
you Learn about possible solutions Identify solutions that will work for you Develop a plan to start implementing those
solutions
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Presenting Problem Presenting problem
What are your symptoms (as evidenced by) How long has each been going on What makes it worse What makes it better What are the consequences of each symptom (as
evidenced by)
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Resolution/Goal What does happiness look like for you?
What will be different?EmotionallyMentallyPhysicallySocially (self-esteem, relationships and recreation)Environmentally
What will be the same?
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Transactional Model The way you feel emotionally or physically
impacts: How you interact with others Your stress response Your attitude and ability to concentrate Your environment
Each one of those things also impacts how you feel
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Evaluate potential causes of the symptoms Physical