Screening And Assessment

Front 1

Five Ethical considerations in screening and assessment

Back 1

1. Limits of competence: only using tools after sufficient training.

2. Informed consent: explaining purpose, process and how results are used/shared.

3. Confidentiality: releasing assessment results only with client consent.

4. Cultural sensitivity: recognizing social, cultural and economic factors influences worldview and definition of problems.

5. Appropriateness of instrument: acceptable levels of validity and reliability.

Front 2

MHSF-III (Mental Health Screening Form)

Back 2

Screens for mental health issues, including anxiety, depression, mania, psychosis, eating disorder, and gambling.

Front 3

Mental Status Exam (MSE)

Back 3

Screening for cognitive, emotional and behavioral function. Involves clinical observations (appearance, behavior, mood, speech, attitude and orientation).

Front 4

Michigan Alcoholism Screening Test (MAST)

Back 4

Screens for problems with alcohol

Front 5

Drug Abuse Screening Test (DAST)

Back 5

Screening for drug related problems

Front 6

"Gold standard" for assessment of mental health or substance use disorder.

Back 6

Structured Clinical Interview for DSM Disorders.

Front 7

What is the risk of clinical bias in assessment?

Back 7

Clinician may be more likely to label behavior of someone from another culture as pathological.

Front 8

Confirmatory Strategy

Back 8

Clinical cultural error where the clinician tries to confirm what they think is true and deny data that doesn't fit the hypothesis.

Front 9

Attribution errors

Back 9

Attributing 'paranoia' or anxiety to personality rather than sociocultural factors.

Front 10

Four ways to guard against clinical cultural errors in assessment

Back 10

1. Develop awareness of personal bias and power differences in ourselves that may compromise clinician objectivity.

2. Learn about the culture of the client.

3. Identify evidence based practices relevant to client culture.

4. Collaboration with client on understanding and defining the problem, the cause and development of the treatment plan.

Front 11

Explain the "F" of the FICA model

Back 11

F: Faith or beliefs. "What are your spiritual beliefs? Do you consider yourself spiritual? What things do you believe in that give meaning to your life?".

Front 12

What model helps to identify spiritual beliefs?

Back 12

FICA: Faith/beliefs; Importance/influence; Community; Addresd

Front 13

Explain the "I" in the FICA model

Back 13

Importance and influence : "is faith/spirituality important to you? How has your illness/ hospitalization affected your personal practice/beliefs?".

Front 14

Explain the "C" in FICA.

Back 14

Community: "Are you connected with a faith center in your community? Does it provide support for you during times of stress? Is there a leader who assists you spiritually?".

Front 15

Describe the "A" in FICA

Back 15

Address: "What can I do for you? What support/guidance can (treatment center) offer to support your spiritual beliefs and practice?"

Front 16

What is SOCRATES stand for, and what does it measure?

Back 16

Stages of Change Readiness and Treatment Eagerness Scale. It helps determine current stage of change based on the Transtheoretical Model of behavioral change.

Front 17

To perform culturally-sensitive assessments, clinicians need to:

Back 17

- Be open-minded about diversity and how context affects an individual's health

- Ask about cultural groups to which the individual feels connected, and the primary language used in the home

- Ask the client's perception of the problem and be sure to consider issues such as prejudice or oppression

- Get a chronological account of the problem and understand how cultural issues and belief systems might be related to the problem

- Always ask about physical, sexual, and emotional abuse history

- Identify personal strengths as well as culturally-relevant strengths such as pride in one's identity or culture

- Assess medical/physical conditions that may be related to psychological or substance use problems, and inquire about indigenous healing practices

Front 18

Name an assessment to help determine stage of change

Back 18

Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES)

Front 19

Name two assessments for relational functioning

Back 19

(FFS) Family Functioning Scale

(MAT) Marital Adjustment Test

Front 20

What is a standardized tool that is often used in the process of determining severity of substance use?

Back 20

Addiction Severity Index (ASI)

Front 21

The 11 criteria for SUDs include:

Back 21

Two "physiological" symptoms: tolerance (#10) and withdrawal (#11);

Three "loss of control" symptoms: using more/longer than intended (#1), persistent desire or efforts to cut down or quit (#2), and craving (#4);

Six "loss of time, activities, and health" symptoms: spending excessive time obtaining or using the substance (#3), failure to fulfill role obligations (#5), social/interpersonal problems (#6), important activities given up or reduced (#7), using in physically hazardous situations (#8), and using despite physical or psychological illness that is made worse by using (#9).

Front 22

What is described in ASAM Dimension 1

Back 22

Acute Intoxication and/or withdrawal potential

Front 23

What is described in ASAM Dimension 2

Back 23

Biomedical Conditions and Complications

Front 24

What is described in ASAM Dimension 3

Back 24

Emotional, Behavioral, or Cognitive Conditions or complications

Front 25

What is described in ASAM Dimension 4

Back 25

Readiness to Change

Front 26

What is described in ASAM Dimension 5

Back 26

Relapse, Continued Use, or Continued Problem Potential

Front 27

What is described in ASAM Dimension 6

Back 27

Recovery/Living Environment

Front 28

What is SBIRT

Back 28

Screening, Brief Intervention and Referral to Treatment

Front 29

What is the screening tool for Schizophrenia Spectrum and other Psychotic Disorders?

Back 29

Positive and Negative Syndrome Scale and the Brief Psychiatric Rating Scale (BPRS)

Front 30

What is a screening tool that can measure symptoms of bipolar disorder?

Back 30

Mood Disorder Questionnaire (MDQ)

Front 31

What is the HAM-D and does the HAM-D screen for?

Back 31

Hamilton Rating Scale for Depression

Front 32

List three screening tools for Anxiety

Back 32

Beck Anxiety Inventory

Hamilton Anxiety Scale (HAM-A)

Symptom Checklist

Front 33

List a screening tool for OCD

Back 33

Yale-Brown Obsessive Compulsive Scale (Y-BOCS)

Front 34

Name a screening tool for symptoms of PTSD

Back 34

PTSD Civillian Version (Checklist)

Front 35

Assessment tool for personality disorders

Back 35

Ten-Item Personality Inventory

Front 36

What does the assessment SAFE-T stand for, and what does its purpose?

Back 36

Suicide Assessment Five-step Evaluation and Triage. Purpose is to assess risk from self-harm and suicide.

Front 37

List five things measured by the SAFE-T

Back 37

1. Identifies risk factors - including history of suicidality, psychiatric disorders, hopelessness, command hallucinations, family history, precipitants, medical illness, access to firearms

2. Identifies protective factors – internal (religious beliefs, coping skills) and external (children, pets, social supports)

3. Includes a suicide inquiry, i.e. questions about suicidal ideation, plan, behaviors, and intent

4. Determines risk level and interventions based on clinical judgment after completing steps 1-3

5. Documents risk level and rationale, as well as recommendations for the treatment plan.