Session 11&12 screening

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This powerpoint is part of AllCEU's Addiction Counselor Training Series. Screening is the characterized by the initial encounter between a consumer and a referral source. Screeners can be nurses, volunteers, pastors etc. They gather information and determine if there may be a problem that warrants a closer assessment. Each week we provide 8 hours of face-to-face continuing education and precertification training to LPCs, LADCs, and those wishing to become addiction counselors. Many states allow precertification to be done via online learning as well. We are approved education providers by NAADAC #599 and NBCC #6261

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Session 11&12 screening

  1. 1. Instructor: Dr. Dawn-Elise Snipes, Executive Director, AllCEUs.com
  2. 2.  Importance and purpose of rapport building.  Rapport-building methods and issues.  The range of human emotions and feelings.  Validated screening instruments, including their purpose, application, and limitations.  Concepts of reliability and validity as they apply to screening instruments.  How to interpret the results of screening.  Basic concepts of urine drug screening, limitations, and legal implications.  Toxicology reporting language and the meaning of toxicology reports.
  3. 3.  Importance  Methods and Issues
  4. 4.  Identify synonyms for ◦ Happy ◦ Mad ◦ Sad ◦ Afraid  Describe the functions of each emotion
  5. 5.  Instruments ◦ Help determine the need for further assessment ◦ Should have adequate reliability and validity scores ◦ Should be routinely administered  Provides information about the need for referral— referral resources must be prepared
  6. 6.  Alcohol Use Disorder Identification Test (AUDIT) ◦ Purpose ◦ Application ◦ Limitations  CAGE ◦ Purpose ◦ Application ◦ Limitations
  7. 7.  CRAFFT ◦ Purpose ◦ Application ◦ Limitations  MAST (General, Geriatric, Short) ◦ Purpose ◦ Application ◦ Limitations
  8. 8.  TWEAK ◦ Purpose ◦ Application ◦ Limitations  NIDA Drug Screening Tool ◦ Purpose ◦ Application ◦ Limitations
  9. 9.  Depression—Patient Health Questionnaire 9 ◦ Purpose ◦ Application ◦ Limitations  Comprehensive Screening Duke Health Profile ◦ Purpose ◦ Application ◦ Limitations
  10. 10.  Bipolar—Mood Disorder Questionnaire ◦ Purpose ◦ Application ◦ Limitations  Suicide Behaviors Questionnaire ◦ Purpose ◦ Application ◦ Limitations
  11. 11.  Generalized Anxiety Disorder ◦ Purpose ◦ Application ◦ Limitations  PTSD/ASD– Life Events Checklist ◦ Purpose ◦ Application ◦ Limitations
  12. 12.  Time  Person  Place  Purpose  Fund of Information ◦ Recent ◦ Remote  Suicidal Ideation  Homicidal Ideation
  13. 13.  Screening, Brief Intervention and Referral to Treatment ◦ New Evidence Based Practice encourage ―No Wrong Door‖ access ◦ Can be conducted by trained facilitators, primary care physicians, nurses, even correctional staff
  14. 14. Example Drug Identification in Urine  Temperature: 94-99 degrees  Creatinine ◦ Byproduct of protein metabolism ◦ Relatively stable for each individual over time ◦ 20mg/100ml is considered the least amount of creatinine in general  Specific Gravity (weight of urine relative to water): Between 1.003 and 1.030 ◦ < 1.01 = hydration ◦ > 1.02 = dehydration  Nitrates greater than 500 mcg/mL  pH: 4.5-8 Excellent resource: http://forensiclaboratories.com/faq/
  15. 15.  Cannot screen for everything  Confirmation tests can be very expensive  Can be faked  Drugs are not detectable immediately after ingestion  Most organizational drug testing policies are VERY inaccurate
  16. 16.  Chain of custody  Observed vs. unobserved specimen  Validation (usually temp) of specimen at collection  False Positive and False Negative  Onsite cups are for screening only  Other testing methods ◦ Saliva ◦ Hair ◦ Blood
  17. 17.  There are a variety of screening instruments  Most screening instruments do not require much special training or time  One of the keys to effective screening is normalization and presentation  Screening can take place in a variety of settings from ER to primary care, jail intake, probation intake, employee wellness, online/self-screening.

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