CADC study guide ch. 2

Gas chromatography/mass
GC/MS is considered the gold standard in urinalysis. It is highly accurate and is the only method of your urinalysis that reliably produces quantative results.
Three basic steps in assessment process
1. information gathering 2. data analysis 3. treatment plan development
Basic components of the treatment plan
Diagnosis
Problems
Goals
Objectives
Interventions
Services w frequencies
Clinician and credentials
ASAM placement criteria
Level 0. 5, early intervention
Level 1, outpatient treatment
Level 2, intensive outpatient/partial hospitalization
Level 3, residential/ inpatient treatment
Level 4, medically managed intensive inpatient treatment
Signs of toxicity or intoxication
Nausea, vomiting, diarrhea, agitation, lethargy or stupor progressing to coma, increased or decreased heart rate, lack of coordination
Screening instruments used for brief screening for co-occurring disorders
Modified mini screen (MMS)
Mental status exam (MSE)
Brief symptom inventory (BSI)
Brief psychiatric rating scale (BPRS)
Mini Mental Status exam (MMSE)
Symptom Checklist 90 – R (Fayne, 1993)
Active listening
Involves an intentional feedback loop between the counselor and the client. In active listening, the counselor reflects, clarifies and summarizes what the client says in order to verify that they understood both the literal content and the feelings being conveyed.
Components of active listening
Reflecting, clarifying, focusing, summarizing
Reflecting
Verbally restating the content of what the client has said
Clarifying
Rephrasing what the client has said in order to improve understanding
Focusing
Helping to direct the client’s attention to a single topic
Summarizing
Putting together key ideas and feelings into a brief statement
Motivational interviewing
A method that works on facilitating and engaging intrinsic motivation within the client in order to change behavior. MI is a goal oriented, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence
Five general principles to keep in mind in motivational interviewing
Express empathy through reflective or active listening, develop discrepancy between the clients goals or values and their current behavior, avoid argument and direct confrontation, adjust to client resistance rather than opposing it directly, support self efficacy and optimism.