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Case Study
   Blake
   21 year old male
   University of Mississippi Student
   Junior year
   Academic Issues
   Drug and alcohol abuse
   Diagnosed with ADHD and depression
Intake Assessment
 Client demographics
 Reason for coming
 Stages of change
SASSI-3
 Assess drug usage
 Assess alcohol usage
 Determine likely hood of dependence
   Intake Assessment

   Substance Abuse Subtle Screening Inventory
    (SASSI-3)
Intake Assessment
 First Meeting

 Series of Questions via Paperwork

 Prochaska and DiClemente stages of change

SASSI-3
 Series of 86 questions

 Two face-valid scales

 4-point Lickert type scale
   Has been diagnosed with ADHD since 10th
    grade
   Diagnosed with Depression since freshman
    year in college
   Started abusing drugs freshman year
   Started abusing alcohol and drugs together
    sophomore year.
   Mother is an pharmacist and self medicates
    him.
   He reported no family psychiatric history.

   Father and grandfather were alcoholic

   Has an uncle who is currently on drugs
   Student has an 2.0 overall gpa
   Freshman year student had 3.0 gpa
   Sophomore year student had an 2.2 gpa
   Freshman year student was caught with drug
    paraphernalia in his dorm room sent to BASIC
    course.
   Junior year student received an DUI 1st offense
    and was sent to JADE course.
   Parents are divorce and he is an only child
   Student has an apartment off campus
   Student is apart of a fraternity
   Drinks at least five beers every night
   Eats mushrooms and takes
    oxycotton, ecstasy, and snorts cocaine
    recreationally
   Enjoys the party atmosphere of college.
Intake assessment
 Student is very close to mother.
 Wants to stay in college
 Is in action stage of changing


SASSI-3
 Student Face Valid for alcohol is 22
 Student Face Valid for drugs is 24
 Student knows he is dependent on alcohol and
  drugs.
 Student wants help with learning ways to cope
  with his depression other then alcohol an drugs.
Intake assessment
   General assessment given to all students that have to take
    JADE/BASIC

SASSI-3
 The SASSI-3 has been empirically tested and can identify
  substance dependence disorder with an overall accuracy
  of 94%.
 The SASSI is shown to have good reliability in terms of
  internal consistency as well as stability over time.
 The SASSI has been measured countless times and the
  “Coefficient alpha” results .93 out of an 0-1.00 scale.
Treatment Plan
 Monitor his alcohol and drug usage

 Challenge his negative thinking

 Refer over to the counseling center



Recommendations: Encourage client to seek
  counseling outside of our facility because we
  only meet for such a short amount of time.

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Counseling 621

  • 2. Blake  21 year old male  University of Mississippi Student  Junior year  Academic Issues  Drug and alcohol abuse  Diagnosed with ADHD and depression
  • 3. Intake Assessment  Client demographics  Reason for coming  Stages of change SASSI-3  Assess drug usage  Assess alcohol usage  Determine likely hood of dependence
  • 4. Intake Assessment  Substance Abuse Subtle Screening Inventory (SASSI-3)
  • 5. Intake Assessment  First Meeting  Series of Questions via Paperwork  Prochaska and DiClemente stages of change SASSI-3  Series of 86 questions  Two face-valid scales  4-point Lickert type scale
  • 6. Has been diagnosed with ADHD since 10th grade  Diagnosed with Depression since freshman year in college  Started abusing drugs freshman year  Started abusing alcohol and drugs together sophomore year.  Mother is an pharmacist and self medicates him.
  • 7. He reported no family psychiatric history.  Father and grandfather were alcoholic  Has an uncle who is currently on drugs
  • 8. Student has an 2.0 overall gpa  Freshman year student had 3.0 gpa  Sophomore year student had an 2.2 gpa  Freshman year student was caught with drug paraphernalia in his dorm room sent to BASIC course.  Junior year student received an DUI 1st offense and was sent to JADE course.
  • 9. Parents are divorce and he is an only child  Student has an apartment off campus  Student is apart of a fraternity  Drinks at least five beers every night  Eats mushrooms and takes oxycotton, ecstasy, and snorts cocaine recreationally  Enjoys the party atmosphere of college.
  • 10. Intake assessment  Student is very close to mother.  Wants to stay in college  Is in action stage of changing SASSI-3  Student Face Valid for alcohol is 22  Student Face Valid for drugs is 24  Student knows he is dependent on alcohol and drugs.  Student wants help with learning ways to cope with his depression other then alcohol an drugs.
  • 11. Intake assessment  General assessment given to all students that have to take JADE/BASIC SASSI-3  The SASSI-3 has been empirically tested and can identify substance dependence disorder with an overall accuracy of 94%.  The SASSI is shown to have good reliability in terms of internal consistency as well as stability over time.  The SASSI has been measured countless times and the “Coefficient alpha” results .93 out of an 0-1.00 scale.
  • 12. Treatment Plan  Monitor his alcohol and drug usage  Challenge his negative thinking  Refer over to the counseling center Recommendations: Encourage client to seek counseling outside of our facility because we only meet for such a short amount of time.