Readings
Enter your MyWalden user name: ([email protected]) and password (3#icldyoB1) at the prompt.
· Lichtenberger, E. O. Mather, N., & Kaufman, N. L. (2004). Essentials of assessment report writing. New York, NY: Wiley. Follow this link the main book title, then select your chapter from the Table of Contents.
. Chapter 1, “Introduction and Overview”
Focus on the goals of report writing and how the general goals of any psychological report pertain to individuals facing addictions.
. Chapter 2, “Technical Aspects of Writing”
Although they are not specific to the addictions field, focus on the helpful “Don’t Forget” sidebar boxes on eliminating redundancies, shortening sentences, and other writing tips.
. Chapter 3, “Referral and Background Information”
Focus on critical information and language needed for the referral and background section of a report as well as the standard framework for this section of a report, including common headings. Some of the information refers more to education settings, but focus on Rapid References 3.6 and 3.7.
· Perkinson, R. R. (2012). Chemical dependency counseling: A practical guide (4th ed.). Thousand Oaks, CA: SAGE.
. Appendix 6, “Sample Biopsychosocial Interview”
· Enter your MyWalden user name: ([email protected]) and password (3#icldyoB1) at the prompt.
· Stewart, S. H., & Connors, G. J. (2004/2005). Screening for alcohol problems: What makes a test effective? Alcohol Research & Health, 28(1), 5–16.
Focus on which addictions and disorders are and are not amenable to screening. For your Discussion, focus on the description of cutoff scores and their meaning and implications for next steps.
Consider the following scenario:
Terrence is considering next steps for a client, Angela, who has come for therapy at the family counseling center where he works. When Angela scheduled her appointment on the telephone, she had described her concerns with marital difficulties, insomnia, and depression. During her first session, however, Terrence noticed that Angela had a very nervous demeanor, picked at her skin constantly, and had a rasping cough. When Terrence asked Angela about her employment, she admitted that she had lost her job and that her husband was angry about it. She said she was afraid her husband was on the brink of becoming abusive.
Terrence is not sure what to do first. He suspects Angela might have a substance addiction, but clearly she has several interlocking problems, and many are urgent. Should Terrence administer a screening for addiction or a more general clinical assessment? If he does decide to administer an addictions assessment, which of the many that are available should he choose and why?
Simple Screening Instrument for Substance Abuse Disorders
Figure H-3. Simple Screening Instrument for Substance Abuse Self-Administered Form
During the past 6 months…
1. Have you used alcohol or other drugs? (Such as wine, beer, hard liquor, pot, coke, heroin or other opioids, uppers, downers, ...
This document discusses factors that contribute to drug abuse and ways to address the problem. It provides examples of individuals who abuse drugs, like Jhan and Tina, and explains what led them to drug use. Key contributing factors discussed include family problems, peer pressure, curiosity, and using drugs to cope with problems or feel enjoyment. The document recommends preventing drug abuse through education, counseling, parenting support, and promoting healthy activities as alternatives to drug use.
This document provides information and guidance for representatives on representing clients with bipolar disorder in Social Security disability hearings. It discusses challenges such as clients lacking insight, non-compliance, and substance abuse issues. It provides guidance on initial client interviews, reviewing medical records, developing evidence, and questioning clients and medical providers. The document aims to help representatives properly develop and present cases involving bipolar disorder.
The document discusses reasons why people may take drugs and the effects of drug use. It focuses on a fictional student named Jay who has recently started smoking cannabis. His mother, form tutor, and friends are worried about his behavior and school performance. The document outlines perspectives from various individuals like Jay's mother, form tutor, friends, and others on why Jay started using drugs and how it impacts his life and community. It provides discussion questions on the risks of drug use, pressures of peer influence, and where to find help for drug-related problems.
How Elders should Take Care of their Emotions Sailesh Mishra
This document provides guidance on how elderly people can take care of their emotions. It discusses 10 topics: 1) Knowing your emotions, 2) Emotions and yourself, 3) Emotions in the family, 4) Emotions with friends, 5) Emotions with relatives, 6) Emotions and recreational activities, 7) Emotions and lifestyle, 8) Emotions and physical health, 9) Emotions and life partner, and 10) Emotions and physical difficulties. The document emphasizes focusing on positive emotions, engaging in activities, maintaining relationships, and accepting limitations to promote well-being for the elderly.
The document discusses drugs abuse and provides information about different types of drugs. It notes that drugs affect the mind and body and prolonged use can lead to physical or psychological dependence. Some key points:
- Drugs are substances that alter body function and come in various types, some illegal like cannabis and cocaine, others legal like alcohol and tobacco.
- Drugs make people feel good by affecting the brain's motivation and pleasure pathways.
- Reasons young people take drugs include peer pressure, though having strong family bonds and avoiding drug-using peers can help prevent abuse.
- Signs of drug problems include changes in behavior, mood swings, and loss of interest in other activities. People with drug problems
This presentation details why many teens suffer from there everyday problems from drugs to relationships and also gives way to how to find sobriety from these "addictions" teens face whether considered real addictions or not they are in our world.
American Family - Chapter 9, Understanding Mental Illnessbartlettfcs
This document provides an overview of mental and emotional problems, including definitions of mental disorders, types of mental disorders (organic vs. functional), and specific disorders such as anxiety disorders, mood disorders, eating disorders, conduct disorder, schizophrenia, and personality disorders. It discusses suicide risk factors and warning signs, the grieving process and its stages, and ways to support those who are grieving.
This document discusses factors that contribute to drug abuse and ways to address the problem. It provides examples of individuals who abuse drugs, like Jhan and Tina, and explains what led them to drug use. Key contributing factors discussed include family problems, peer pressure, curiosity, and using drugs to cope with problems or feel enjoyment. The document recommends preventing drug abuse through education, counseling, parenting support, and promoting healthy activities as alternatives to drug use.
This document provides information and guidance for representatives on representing clients with bipolar disorder in Social Security disability hearings. It discusses challenges such as clients lacking insight, non-compliance, and substance abuse issues. It provides guidance on initial client interviews, reviewing medical records, developing evidence, and questioning clients and medical providers. The document aims to help representatives properly develop and present cases involving bipolar disorder.
The document discusses reasons why people may take drugs and the effects of drug use. It focuses on a fictional student named Jay who has recently started smoking cannabis. His mother, form tutor, and friends are worried about his behavior and school performance. The document outlines perspectives from various individuals like Jay's mother, form tutor, friends, and others on why Jay started using drugs and how it impacts his life and community. It provides discussion questions on the risks of drug use, pressures of peer influence, and where to find help for drug-related problems.
How Elders should Take Care of their Emotions Sailesh Mishra
This document provides guidance on how elderly people can take care of their emotions. It discusses 10 topics: 1) Knowing your emotions, 2) Emotions and yourself, 3) Emotions in the family, 4) Emotions with friends, 5) Emotions with relatives, 6) Emotions and recreational activities, 7) Emotions and lifestyle, 8) Emotions and physical health, 9) Emotions and life partner, and 10) Emotions and physical difficulties. The document emphasizes focusing on positive emotions, engaging in activities, maintaining relationships, and accepting limitations to promote well-being for the elderly.
The document discusses drugs abuse and provides information about different types of drugs. It notes that drugs affect the mind and body and prolonged use can lead to physical or psychological dependence. Some key points:
- Drugs are substances that alter body function and come in various types, some illegal like cannabis and cocaine, others legal like alcohol and tobacco.
- Drugs make people feel good by affecting the brain's motivation and pleasure pathways.
- Reasons young people take drugs include peer pressure, though having strong family bonds and avoiding drug-using peers can help prevent abuse.
- Signs of drug problems include changes in behavior, mood swings, and loss of interest in other activities. People with drug problems
This presentation details why many teens suffer from there everyday problems from drugs to relationships and also gives way to how to find sobriety from these "addictions" teens face whether considered real addictions or not they are in our world.
American Family - Chapter 9, Understanding Mental Illnessbartlettfcs
This document provides an overview of mental and emotional problems, including definitions of mental disorders, types of mental disorders (organic vs. functional), and specific disorders such as anxiety disorders, mood disorders, eating disorders, conduct disorder, schizophrenia, and personality disorders. It discusses suicide risk factors and warning signs, the grieving process and its stages, and ways to support those who are grieving.
The document discusses Neil Paul's career in addiction counseling and recovery work over the past 19 years. It provides an overview of the contents of his book on addiction recovery, which includes chapters on identifying addiction, underlying causes, characteristics of addicts and their families, intervention strategies, a personality profile of addicts, Neil Paul's recovery model involving 12 sessions over 4 weeks, frequently asked questions by families, and stories of inspiration. The book and Neil Paul's counseling services can help addicts and their loved ones understand addiction and walk the path to long-term recovery.
This document summarizes common problems experienced by couples in counseling and discusses various assessment approaches. It identifies issues like money, religion, children, stress, and communication breakdown as common sources of conflict. It also explores specific problems including sexual issues, infidelity, addictions, separation and divorce. The document outlines how counselors assess couples to determine if counseling is appropriate and discusses the objectives of marital therapy in supporting the relationship and helping partners identify their role in conflicts.
The document discusses abstinence and choosing not to engage in sexual activity as a teenager. It notes that more teenagers today are choosing abstinence compared to the recent past. Abstinence is defined as refraining from sexual activity and other risky behaviors like drugs and alcohol. The consequences of failing to be abstinent include unintended pregnancy, sexually transmitted diseases, and emotional issues. Some advantages to abstinence include self-respect, faithfulness, better relationships, and freedom from worries. The document provides an assignment for students to write a letter to their future self about their goals, plans to remain abstinent, and advice on achieving this goal.
This document provides information from a presentation on suicide prevention. It discusses recognizing warning signs of suicide in others, the importance of reaching out for help, and what to do if you notice signs or symptoms in yourself or others, including telling a trusted adult. It emphasizes that suicidal thoughts and actions should not be kept secret and provides resources like a crisis hotline number to call for help.
This educational module provides information on LGBTQI health care experiences in rural settings through an interactive case study. The case focuses on Greg Smith, a 34-year-old gay man who is a new patient at a rural community clinic. Key points addressed in the module include identifying health disparities unique to LGBT populations in rural areas, the importance of discussing gender identity and sexual orientation with patients, and providing resources for LGBT individuals living in rural communities.
Narcissism is defined as having an inflated sense of self-importance and deep need for admiration, along with lacking empathy. Characteristics include being boastful, pretending superiority over others, and looking down on others. Causes may include genetics, parenting, and childhood experiences. Effects can include depression, substance abuse, and relationship troubles. When dealing with a narcissist, it is important to educate oneself, build self-esteem, set boundaries, and seek outside support. A case example describes a 42-year-old man who was forced to resign after visiting a brothel and suffered depression. Psychotherapy revealed he had a difficult childhood and felt like an outsider despite accomplishments. He was unwilling to change and ended treatment
This is the powerpoint for the first day of class on child abuse and neglect that I am teaching in the fall of 2016. I'm wondering what other people think of the content.
The document provides information on depression, anxiety, psychosis, burnout and suicide prevention. It discusses the signs and symptoms of these conditions, potential causes, and ways to cope and seek treatment. Key topics covered include the global prevalence of depression, common signs of anxiety, distinguishing between reality and delusions in psychosis, burnout resulting from prolonged stress, and principles of engaging with and supporting those at risk of suicide.
LGBTQIA+ in Healthcare (Med Ethics) FINAL.pptxHerickRobin
1. The document discusses taking a sexual history from LGBTQIA+ patients in a sensitive manner. It emphasizes using inclusive language and respecting a patient's identity, name, pronouns and priorities.
2. Guidelines include asking open-ended questions, avoiding assumptions, and focusing on building trust so patients feel comfortable sharing private health information.
3. An ethical approach involves keeping discussions patient-centered to provide affirming care for all individuals regardless of sexual orientation or gender identity.
This document summarizes an article from the Elim Clinic Newsletter from February 2015. It discusses how addiction affects families and children. Some key points:
- Children in addict families often take on adult roles and responsibilities to care for parents and siblings. They learn not to trust their own feelings and experiences.
- Living with addiction is confusing for children, as they are taught not to believe what they see. They internalize feelings of shame and learn not to trust themselves or others.
- Children may adopt roles like the "responsible child" or "family hero" to cope with the dysfunction in the addict home. These roles can persist into adulthood.
- Growing up in an addict home is lonely and scary for children
- The 15-year-old male patient was admitted to the hospital with a diagnosis of conduct disorder. He exhibits aggressive behavior, lack of interest in school, stealing, and lying. He has a history of violent outbursts and was previously admitted for psychiatric treatment. His family experiences marital conflict which is thought to contribute to his condition. He is being treated with mood stabilizers and antipsychotic medication, as well as family and individual psychotherapy.
Common psycological cases in clinical practiceWafa sheikh
The document discusses common psychological cases seen in clinical practice such as depression among adolescents, adults, and the elderly as well as generalized anxiety disorder and panic attacks. It presents a case study of a 15-year-old adolescent named Faisal experiencing severe depression and anxiety and recommends a treatment plan of cognitive behavioral therapy and the antidepressant fluoxetine to address his conditions. Guidelines for diagnosing and treating adolescent depression are provided, including the effectiveness of cognitive behavioral therapy and SSRIs like fluoxetine, either alone or in combination.
The document provides information about mental health issues among young people, including statistics on depression, self-harm, and suicide attempts. It defines depression and its symptoms. It discusses different types of depression like bipolar disorder and seasonal affective disorder. The document advises seeking help from friends, family, teachers, counselors, and medical professionals. It emphasizes the importance of recognizing the signs of depression and encouraging those suffering to get treatment.
This document provides information about depression and resources for managing mental health as a college student. It discusses common symptoms of depression and encourages seeking help from a GP if symptoms last more than two weeks. It then discusses challenges college students face like transitioning to college life, relationships, and academics. Myths about depression are debunked, and statistics about depression rates among college students are presented. The document recommends students utilize support services at their college like counseling, health centers, and chaplaincy. It also encourages opening up to family and friends, or using anonymous helplines, when feeling depressed. Ways friends can support others and encourage seeking help are discussed.
This document discusses stigma related to mental illness. It begins by asking the reader questions about their own experiences with stigma and discrimination. It then discusses how stigma affects those with mental health problems, including negatively impacting patients. The presentation goes on to define stigma and explain theories for why it occurs, including stereotyping, media portrayal, and the process of labelling. It provides statistics on how common stigma is and its effects, such as creating barriers to accessing healthcare. Next, it shares stories from two individuals discussing their experiences with mental illness and the stigma they faced. It concludes by asking how stigma can be reduced through doctors, individuals, and society listening without judgment and viewing patients as experts in their own conditions.
This document discusses depression, anxiety, and epilepsy in children and adolescents. It finds that depression and anxiety are very common psychiatric issues for those with epilepsy. Rates of depression are over 20% for those with epilepsy, compared to 3.7-6.7% in the general population. Anxiety affects up to 40% of youth with epilepsy. The document examines risk factors, screening tools, and treatments like cognitive behavioral therapy and antidepressant medications to address the high prevalence of these important mental health issues in pediatric epilepsy.
Benchmark Assignment—Risk and Quality Management PaperImagine .docxtangyechloe
This document provides instructions for completing an assessment of a client named Cheyenne using the ASI-Lite template. It explains that the template collects information on general demographics, employment/support status, substance use history, legal issues, family/social relationships, and psychiatric history. For each section, the interviewer should collect relevant details from the client interview and note any contradictions or important issues in the comments section. The goal is to understand the severity of the client's substance use disorder and make an appropriate treatment recommendation.
The document discusses signs of healthy and unhealthy relationships. It provides tips for maintaining healthy relationships, including open communication, respect, trust, and balance. Unhealthy relationship signs include criticism, contempt, defensiveness and stonewalling. The document advises being aware of oneself, one's partner, and the relationship to foster balance and make conscious choices.
A brief description of your employment historyYour career .docxsodhi3
A brief description of your employment history
Your career goals (both short and long term)
Tell me about a leader you look up to. This can be someone you know or don't know, famous or familiar to you, and can even be a TV/Movie character and does not need to real. Describe what this person does makes them your role model.
(My name is Danny Z. i'm a full time student )
.
A budget is a plan expressed in dollar amounts that acts as a ro.docxsodhi3
A budget is a plan expressed in dollar amounts that acts as a road map to carry out an organization’s objectives, strategies and assumptions. There are different types of budgets that healthcare organization use to manage its financial and managerial goals and obligations.
Discuss the difference between an operating budget and a capital budget. What are the steps in creating each budget?
At least 150 words; APA Format
.
More Related Content
Similar to ReadingsEnter your MyWalden user name ([email protected]) and.docx
The document discusses Neil Paul's career in addiction counseling and recovery work over the past 19 years. It provides an overview of the contents of his book on addiction recovery, which includes chapters on identifying addiction, underlying causes, characteristics of addicts and their families, intervention strategies, a personality profile of addicts, Neil Paul's recovery model involving 12 sessions over 4 weeks, frequently asked questions by families, and stories of inspiration. The book and Neil Paul's counseling services can help addicts and their loved ones understand addiction and walk the path to long-term recovery.
This document summarizes common problems experienced by couples in counseling and discusses various assessment approaches. It identifies issues like money, religion, children, stress, and communication breakdown as common sources of conflict. It also explores specific problems including sexual issues, infidelity, addictions, separation and divorce. The document outlines how counselors assess couples to determine if counseling is appropriate and discusses the objectives of marital therapy in supporting the relationship and helping partners identify their role in conflicts.
The document discusses abstinence and choosing not to engage in sexual activity as a teenager. It notes that more teenagers today are choosing abstinence compared to the recent past. Abstinence is defined as refraining from sexual activity and other risky behaviors like drugs and alcohol. The consequences of failing to be abstinent include unintended pregnancy, sexually transmitted diseases, and emotional issues. Some advantages to abstinence include self-respect, faithfulness, better relationships, and freedom from worries. The document provides an assignment for students to write a letter to their future self about their goals, plans to remain abstinent, and advice on achieving this goal.
This document provides information from a presentation on suicide prevention. It discusses recognizing warning signs of suicide in others, the importance of reaching out for help, and what to do if you notice signs or symptoms in yourself or others, including telling a trusted adult. It emphasizes that suicidal thoughts and actions should not be kept secret and provides resources like a crisis hotline number to call for help.
This educational module provides information on LGBTQI health care experiences in rural settings through an interactive case study. The case focuses on Greg Smith, a 34-year-old gay man who is a new patient at a rural community clinic. Key points addressed in the module include identifying health disparities unique to LGBT populations in rural areas, the importance of discussing gender identity and sexual orientation with patients, and providing resources for LGBT individuals living in rural communities.
Narcissism is defined as having an inflated sense of self-importance and deep need for admiration, along with lacking empathy. Characteristics include being boastful, pretending superiority over others, and looking down on others. Causes may include genetics, parenting, and childhood experiences. Effects can include depression, substance abuse, and relationship troubles. When dealing with a narcissist, it is important to educate oneself, build self-esteem, set boundaries, and seek outside support. A case example describes a 42-year-old man who was forced to resign after visiting a brothel and suffered depression. Psychotherapy revealed he had a difficult childhood and felt like an outsider despite accomplishments. He was unwilling to change and ended treatment
This is the powerpoint for the first day of class on child abuse and neglect that I am teaching in the fall of 2016. I'm wondering what other people think of the content.
The document provides information on depression, anxiety, psychosis, burnout and suicide prevention. It discusses the signs and symptoms of these conditions, potential causes, and ways to cope and seek treatment. Key topics covered include the global prevalence of depression, common signs of anxiety, distinguishing between reality and delusions in psychosis, burnout resulting from prolonged stress, and principles of engaging with and supporting those at risk of suicide.
LGBTQIA+ in Healthcare (Med Ethics) FINAL.pptxHerickRobin
1. The document discusses taking a sexual history from LGBTQIA+ patients in a sensitive manner. It emphasizes using inclusive language and respecting a patient's identity, name, pronouns and priorities.
2. Guidelines include asking open-ended questions, avoiding assumptions, and focusing on building trust so patients feel comfortable sharing private health information.
3. An ethical approach involves keeping discussions patient-centered to provide affirming care for all individuals regardless of sexual orientation or gender identity.
This document summarizes an article from the Elim Clinic Newsletter from February 2015. It discusses how addiction affects families and children. Some key points:
- Children in addict families often take on adult roles and responsibilities to care for parents and siblings. They learn not to trust their own feelings and experiences.
- Living with addiction is confusing for children, as they are taught not to believe what they see. They internalize feelings of shame and learn not to trust themselves or others.
- Children may adopt roles like the "responsible child" or "family hero" to cope with the dysfunction in the addict home. These roles can persist into adulthood.
- Growing up in an addict home is lonely and scary for children
- The 15-year-old male patient was admitted to the hospital with a diagnosis of conduct disorder. He exhibits aggressive behavior, lack of interest in school, stealing, and lying. He has a history of violent outbursts and was previously admitted for psychiatric treatment. His family experiences marital conflict which is thought to contribute to his condition. He is being treated with mood stabilizers and antipsychotic medication, as well as family and individual psychotherapy.
Common psycological cases in clinical practiceWafa sheikh
The document discusses common psychological cases seen in clinical practice such as depression among adolescents, adults, and the elderly as well as generalized anxiety disorder and panic attacks. It presents a case study of a 15-year-old adolescent named Faisal experiencing severe depression and anxiety and recommends a treatment plan of cognitive behavioral therapy and the antidepressant fluoxetine to address his conditions. Guidelines for diagnosing and treating adolescent depression are provided, including the effectiveness of cognitive behavioral therapy and SSRIs like fluoxetine, either alone or in combination.
The document provides information about mental health issues among young people, including statistics on depression, self-harm, and suicide attempts. It defines depression and its symptoms. It discusses different types of depression like bipolar disorder and seasonal affective disorder. The document advises seeking help from friends, family, teachers, counselors, and medical professionals. It emphasizes the importance of recognizing the signs of depression and encouraging those suffering to get treatment.
This document provides information about depression and resources for managing mental health as a college student. It discusses common symptoms of depression and encourages seeking help from a GP if symptoms last more than two weeks. It then discusses challenges college students face like transitioning to college life, relationships, and academics. Myths about depression are debunked, and statistics about depression rates among college students are presented. The document recommends students utilize support services at their college like counseling, health centers, and chaplaincy. It also encourages opening up to family and friends, or using anonymous helplines, when feeling depressed. Ways friends can support others and encourage seeking help are discussed.
This document discusses stigma related to mental illness. It begins by asking the reader questions about their own experiences with stigma and discrimination. It then discusses how stigma affects those with mental health problems, including negatively impacting patients. The presentation goes on to define stigma and explain theories for why it occurs, including stereotyping, media portrayal, and the process of labelling. It provides statistics on how common stigma is and its effects, such as creating barriers to accessing healthcare. Next, it shares stories from two individuals discussing their experiences with mental illness and the stigma they faced. It concludes by asking how stigma can be reduced through doctors, individuals, and society listening without judgment and viewing patients as experts in their own conditions.
This document discusses depression, anxiety, and epilepsy in children and adolescents. It finds that depression and anxiety are very common psychiatric issues for those with epilepsy. Rates of depression are over 20% for those with epilepsy, compared to 3.7-6.7% in the general population. Anxiety affects up to 40% of youth with epilepsy. The document examines risk factors, screening tools, and treatments like cognitive behavioral therapy and antidepressant medications to address the high prevalence of these important mental health issues in pediatric epilepsy.
Benchmark Assignment—Risk and Quality Management PaperImagine .docxtangyechloe
This document provides instructions for completing an assessment of a client named Cheyenne using the ASI-Lite template. It explains that the template collects information on general demographics, employment/support status, substance use history, legal issues, family/social relationships, and psychiatric history. For each section, the interviewer should collect relevant details from the client interview and note any contradictions or important issues in the comments section. The goal is to understand the severity of the client's substance use disorder and make an appropriate treatment recommendation.
The document discusses signs of healthy and unhealthy relationships. It provides tips for maintaining healthy relationships, including open communication, respect, trust, and balance. Unhealthy relationship signs include criticism, contempt, defensiveness and stonewalling. The document advises being aware of oneself, one's partner, and the relationship to foster balance and make conscious choices.
A brief description of your employment historyYour career .docxsodhi3
A brief description of your employment history
Your career goals (both short and long term)
Tell me about a leader you look up to. This can be someone you know or don't know, famous or familiar to you, and can even be a TV/Movie character and does not need to real. Describe what this person does makes them your role model.
(My name is Danny Z. i'm a full time student )
.
A budget is a plan expressed in dollar amounts that acts as a ro.docxsodhi3
A budget is a plan expressed in dollar amounts that acts as a road map to carry out an organization’s objectives, strategies and assumptions. There are different types of budgets that healthcare organization use to manage its financial and managerial goals and obligations.
Discuss the difference between an operating budget and a capital budget. What are the steps in creating each budget?
At least 150 words; APA Format
.
A 72-year-old male with a past medical history for hypertension, con.docxsodhi3
A 72-year-old male with a past medical history for hypertension, congestive heart failure, chronic back pain, and diabetes is admitted to the hospital for hypotension suspected from a possible accidental overdose. What are the criteria for discharge? Explain the importance of utilizating hospital recommendations and teachings. List some meaningful community resources in the response.
.
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Code of Ethics: This is a synopsis of some of the most important ethical
considerations you need to be aware of as a professional in the real estate
industry.
Terminology:
Agency: The fiduciary relationship created between a principal and an agent whereby the agent
can act on behalf of the principle for certain transactions. Agency is usually created when the
principal signs a listing agreement to list their property for sale or a management contract to rent
a property for instance.
Agent: The broker or sales associate acting on behalf of the principal (see Agency)
Client: The person with whom the broker or sales associate has a legal contract to represent.
Customer: Is not contractually bound to the industry professional
Principal: Person who hires an agent to act on his or behalf.
Code of Ethics:
#1: The agent has a responsibility to promote the interests of their client(s) and treat all involved
in any real estate transaction in an honest and fair manner. They must disclose if they are a
dual agent (representing both buyer and seller in a transaction) or a designated agent
(represent either the buyer or seller depending on state law), or they are a limited representative
(will provide only certain duties in the transaction per state law).
#2: Agents must openly acknowledge to clients any personal interest they might have in any
transaction prior to showing a property; they must acknowledge any personal relationships
involved. Ex: Agent says, “I want to disclose to you before we look at it, that this property
belongs to is my brother and my sister in-law is his agent.”
#3: The Agent will not allow anyone that is not pre-authorized by the owner, to access the
property of the client.
#4: Never overstate benefits or attributes of a property or opportun.
a brief explanation of the effect of Apartheid in South Africa. Prov.docxsodhi3
a brief explanation of the effect of Apartheid in South Africa. Provide two specific examples that demonstrate how people adapted. Finally explain the impact and implications of the changes we have seen in recent years. Cite specific cases. Your original post must be no less than 600 words.
.
A 32-year-old female presents to the ED with a chief complaint of fe.docxsodhi3
A 32-year-old female presents to the ED with a chief complaint of fever, chills, nausea, vomiting, and vaginal discharge. She states these symptoms started about 3 days ago, but she thought she had the flu. She has begun to have LLQ pain and notes bilateral lower back pain. She denies dysuria, foul-smelling urine, or frequency. States she is married and has sexual intercourse with her husband. PMH negative.
Labs: CBC-WBC 18, Hgb 16, Hct 44, Plat 325, Neuts & Lymphs, sed rate 46 mm/hr, C-reactive protein 67 mg/L CMP wnl
Vital signs T 103.2 F Pulse 120 Resp 22 and PaO2
99% on room air. Cardio-respiratory exam WNL with the exception of tachycardia but no murmurs, rubs, clicks, or gallops. Abdominal exam + for LLQ pain on deep palpation but no rebound or rigidity. Pelvic exam demonstrates copious foul-smelling green drainage with reddened cervix and + bilateral adenexal tenderness. + chandelier sign. Wet prep in ER + clue cells and gram stain in ER + gram negative diplococci.
Develop a 1- to 2-page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following as it relates to the case you were assigned (omit section that does not pertain to your case, faculty will give full points for that section).
The sections that you are to omit are for the above case study are: 1. Explain why prostatitis and infection happen. Also explain the causes of systemic reaction, 2. Explain why a patient would need a splenectomy after a diagnosis of ITP, and 3. Explain anemia and the different kinds of anemia (i.e., micro and macrocytic).
In your Case Study Analysis related to the scenario provided, explain the following:
The factors that affect fertility (STDs).
Why inflammatory markers rise in STD/PID.
Why prostatitis and infection happens. Also explain the causes of systemic reaction.
Why a patient would need a splenectomy after a diagnosis of ITP.
Anemia and the different kinds of anemia (i.e., micro and macrocytic).
PLEASE ANSWER IN DETAIL ALL OF THE ABOVE
.
A 4 years old is brought to the clinic by his parents with abdominal.docxsodhi3
A 4 years old is brought to the clinic by his parents with abdominal pain and a poor appetite. His mother states, “He cries when I put him on the toilet.”
1. What other assessment information would you obtain?
2. What interventions may be necessary for this child?
3. What education may be necessary for this child and family?
Your responses must be at least 150 words total.
.
A 19-year-old male complains of burning sometimes, when I pee.”.docxsodhi3
A 19-year-old male complains of “burning sometimes, when I pee.” He is sexually active and denies using any contraceptive method. He denies other symptoms, significant history, or allergies.
From the information provided, list your differential diagnoses in the order of “most likely” to “possible but unlikely.”
.
A 34-year-old trauma victim, the Victor, is unconscious and on a.docxsodhi3
A 34-year-old trauma victim, the Victor, is unconscious and on a ventilator. He was admitted yesterday, and his condition remains critical. His religious affiliation is unknown; however, he has a tattoo of a crucifix.
What can the nurse do to assess and integrate spirituality into Victor’s care? If the family is in another state what can the nurse do to integrate the family into the care?
Your initial post must include a minimum of 300 words and include proper grammar, punctuation, and reference(s).
.
A 27-year-old Vietnamese woman in the delivery room with very st.docxsodhi3
A 27-year-old Vietnamese woman in the delivery room with very strong and closely spaced contractions. The baby was positioned a little high and there was some discussion of a possible c- section. Despite her difficulties, she cooperates with the doctor's instructions and labors in silence. The only signs of pain or discomfort were her look of concentration and her white knuckles.
· Should she be offered pain medication when she is not showing a high level of pain? Why or why not?
350 words
APA
.
A 25 year old male presents with chronic sinusitis and allergic .docxsodhi3
A 25 year old male presents with chronic sinusitis and allergic rhinitis.
Define adaptive vs. acquired immunity.
Discuss the genetic predisposition of allergens.
Describe the antigen-antibody response.
What is the pathology of sinusitis?
Expectations
Initial Post of Case Study:
Due: Saturday, 11:59 pm PT
Length: A minimum of 250 words, not including references
Citations: At least one high-level scholarly reference in APA from within the last 5 years
Peer Responses:
Due: Monday, 11:59 pm PT
Number: A Minimum of 2 to Peer Posts, at least one on a different day than the main post
Length: A minimum of 150 words per post, not including references
Citations: At least one high-level scholarly reference in APA per post from within the last 5 years
Discussion: Respond to Posts in Your Own Thread
.
A 500-700 word APA formatted PaperInclude 2 sources on your re.docxsodhi3
A 500-700 word APA formatted Paper
Include 2 sources on your reference page in addition to your textbook "
We the People
."
Select one issue area: CIVIL RIGHTS
Research which interest groups represent your issue area
Examine the membership and benefits of groups
Provide data on how much groups contribute to politicians
Discuss legislation the groups helped influence
Include reference page
Submit
your summary in APA format clicking on the assignment in Canvas and uploading your document. Be sure whichever assignment version you choose has an introduction, clear focus, conclusion, and references. Include a reference page for the video clip if that’s what you decide to prepare.
.
A 65-year-old obese African American male patient presents to his HC.docxsodhi3
A 65-year-old obese African American male patient presents to his HCP with crampy left lower quadrant pain, constipation, and fevers to 101˚ F. He has had multiple episodes like this one over the past 15 years and they always responded to bowel rest and oral antibiotics. He has refused to have the recommended colonoscopy even with his history of chronic inflammatory bowel disease (diverticulitis), sedentary lifestyle, and diet lacking in fiber. His paternal grandfather died of colon cancer back in the 1950s as well. He finally underwent colonoscopy after his acute diverticulitis resolved. Colonoscopy revealed multiple polyps that were retrieved, and the pathology was positive for adenocarcinoma of the colon.
Develop a 1- to 2-page case study analysis in which you:
Explain why you think the patient presented the symptoms described.
Identify the genes that may be associated with the development of the disease.
Explain the process of immunosuppression and the effect it has on body systems.
.
A 5-year-old male is brought to the primary care clinic by his m.docxsodhi3
A 5-year-old male is brought to the primary care clinic by his mother with a chief complaint of bilateral ear pain with acute onset that began “yesterday.” The mother states that the child has been crying frequently due to the pain. Ibuprofen has provided minimal relief. This morning, the child refused breakfast and appeared to be “getting worse.”
Vital signs at the clinic reveal HR 110 bpm, 28 respiratory rate, and tympanic temperature of 103.2 degrees F. Weight is 40.5 lbs. The mother reports no known allergies. The child has not been on antibiotics for the last year. The child does not have history of OM. The child is otherwise healthy without any other known health problems.
Physical examination reveals: Vital signsl HR 110 bpm, 28 respiratory rate, and tympanic temperature of 103.2 degrees F. Weight is 40.5 lbs. Bilateral TMs are bulging with severe erythematous. Pneumatic otoscopy reveals absent mobility. Ear canals are nomal.
After your questioning and examination, you diagnose this child with bilateral Acute Otitis Media.
.
92 S C I E N T I F I C A M E R I C A N R e p r i n t e d f r.docxsodhi3
92 S C I E N T I F I C A M E R I C A N R e p r i n t e d f r o m t h e O c t o b e r 1 9 9 4 i s s u e
ome creators announce their inventions with grand
éclat. God proclaimed, “Fiat lux,” and then flooded
his new universe with brightness. Others bring forth
great discoveries in a modest guise, as did Charles
Darwin in defining his new mechanism of evolu-
tionary causality in 1859: “I have called this principle, by which
each slight variation, if useful, is preserved, by the term Natur-
al Selection.”
Natural selection is an immensely powerful yet beautifully
simple theory that has held up remarkably well, under intense
and unrelenting scrutiny and testing, for 135 years. In essence,
natural selection locates the mechanism of evolutionary change
in a “struggle” among organisms for reproductive success, lead-
ing to improved fit of populations to changing environments.
(Struggle is often a metaphorical description and need not be
viewed as overt combat, guns blazing. Tactics for reproductive
success include a variety of nonmartial activities such as earlier
and more frequent mating or better cooperation with partners
in raising offspring.) Natural selection is therefore a principle of
local adaptation, not of general advance or progress.
Yet powerful though the principle may be, natural selection
is not the only cause of evolutionary change (and may, in many
cases, be overshadowed by other forces). This point needs em-
phasis because the standard misapplication of evolutionary the-
ory assumes that biological explanation may be equated with
devising accounts, often speculative and conjectural in practice,
about the adaptive value of any given feature in its original en-
vironment (human aggression as good for hunting, music and
religion as good for tribal cohesion, for example). Darwin him-
self strongly emphasized the multifactorial nature of evolu-
tionary change and warned against too exclusive a reliance on
natural selection, by placing the following statement in a max-
imally conspicuous place at the very end of his introduction: “I
am convinced that Natural Selection has been the most impor-
tant, but not the exclusive, means of modification.”
Reality versus Conceit
N A T U R A L S E L E C T I O N is not fully sufficient to explain evo-
lutionary change for two major reasons. First, many other caus-
es are powerful, particularly at levels of biological organization
both above and below the traditional Darwinian focus on or-
ganisms and their struggles for reproductive success. At the low-
est level of substitution in individual base pairs of DNA, change
is often effectively neutral and therefore random. At higher lev-
els, involving entire species or faunas, punctuated equilibrium
can produce evolutionary trends by selection of species based
on their rates of origin and extirpation, whereas mass extinc-
tions wipe out substantial parts of biotas for reasons unrelat-
ed to adaptive struggles of constituent species in “normal”
t.
a 100 words to respond to each question. Please be sure to add a que.docxsodhi3
a 100 words to respond to each question. Please be sure to add a question and answer a fellow student's question.
Q1. Mead argues that most human understanding of the "self" of animals is fallacious. What is his argument, please explain.
Q2. What does Lacan mean by the subject's assumption of the imago in the short excerpt from the Mirror Stage?
.
A 12,000 word final dissertation for Masters in Education project. .docxsodhi3
A 12,000 word final dissertation for Master's in Education project. A UK L7 writing.
Submitting the dissertation
The dissertation will be submitted online via
blackboard.
Presentation Style
Your research project needs to be clearly presented:
·
The front page should include your
name, project title (around 15 words), your supervisor’s name, the date it
was completed;
·
Work should be presented single
sided, in Arial, minimum font size 11 and be one and a half spaced;
·
A contents page detailing the section
and any tables/charts should be included;
·
Any quotes of less than 12 words
should be identified by quotation marks and kept as part of the paragraph text;
·
Quotes of 12 words and above should
be separated out from the text, indented on the left and right and be displayed
in italics (no quotation marks required);
·
All tables and charts should be
numbered appropriately and have a title;
·
Each section of your project should
be started on a new page;
·
All pages should be numbered;
·
Each section should be numbered (e.g.
1. Introduction) and any charts/graphs within the section should be numbered
accordingly. For example if you are writing about something in section 4.1 (the
first sub-section) then the first chart or graph would be 4.11. So charts and
graphs (if included) are numbered according to the section/sub-section.
Word limit
The project should be written up in
no more than 12,000
words
. This includes everything except the reference list, any appendices
and acknowledgements.
A
final checklist:
1.
Does
your abstract say succinctly what the project set out to do and what has been
found?
2.
Does
your contents page signpost chapter subheadings as well as chapter headings?
3.
Has
your introduction made clear the sub questions/objectives you are addressing in
this enquiry
4.
Is
a framework presented in your lit review chapter and a methodological approach
presented in your methodology chapter, and is it clear how this framework and
methodology inform your data collection, presentation of findings and
discussion and reflections? Have you discussed your positionality?
5.
Does
your discussion chapter relate closely to the data in your results chapter and
tie back to the literature in your literature review?
6.
Have
you answered your research questions?
7.
Have
you carefully considered any ethical implications of your research?
8.
Have
you included a signed, anonymised ethics form in the appendix?
9.
Does
your conclusion summarise what has been found out about the questions you set
yourself in your introduction?
10.
Have you kept to the 12,000 word
limit?
11.
Have you met
all
the assessment criteria?
M
odule
Bibliogr
a
p
h
y
Compulsory
reading:
B
r
y
m
an
,
A
.
(
20
1
6
)
.
S
o
ci
a
l
r
e
s
ea
r
ch
m
e
t
h
o
d
s
(
5
t
h
e
d
.
)
.O
x
f
o
rd
:
O
x
f
o
r
d
U
n
i
v
e
r
sity
P
r
e
ss.
Further optional reading
:
A
l
de
r
s
o
n
,
P
.
&
M
o
rr
o
w
,
V
.
(2
011
)
.
T
h
.
9/18/19
1
ISMM1-UC 752:
SYSTEMS ANALYSIS
Fall 2019 – Lecture 3
Instructor: Dr. Antonios Saravanos
Incremental Model
• Development and delivery of
functionality occurs in increments
• Works well when requirements are
known beforehand
• Projects are broken down into sub-
projects
Source: Project Management for IT-Related Projects (p.
18)
2
9/18/19
2
Incremental Cycle
Incremental Model
9/18/19
3
Iterative Model
• Ideal for situations where not all requirements are
known up front
• Need for development to begin as soon as possible
Source: Project Management for IT-Related Projects (p. 19)
5
Iterative Cycle
9/18/19
4
Iterative Model
Incremental vs. Iterative
• Incremental fundamentally means
add onto. Incremental development
helps you improve your process.
• Iterative fundamentally means re-
do. Iterative development helps you
improve your product.
9/18/19
5
• Is iterative and incremental the
same thing?
Incremental vs. Iterative
Source: http://www.applitude.se/images/inc_vs_ite.png
10
9/18/19
6
Iterative and Incremental Combined
A Simple Software Development Method
• Initial Planning
• Design
• Implementation
• Testing
Source: Making Things Happen: Mastering Project Management (p. 30)
12
n
9/18/19
7
Alistair Cockburn
• What’s Alistair’s take on Iterative vs. Incremental?
Incremental vs. Iterative
• in incremental development, you do each of those
activities multiple times … that is, you go around the
requirements – design – programming – testing –
integration – delivery cycle multiple times. You
“iterate” through that cycle multiple times. (“iterate” –
get it? sigh…)
• in iterative development, you also do each of those
activities multiple times … you go around the
requirements – design – programming – testing –
integration – delivery cycle multiple times. You
“iterate” through that cycle multiple times. By Gummy!
Both of those are “iterative” development! WOW!
9/18/19
8
Incremental vs. Iterative (cont’d)
• Of course, the $200,000 question is,
do you repeat the cycle “on the same
part of the system you just got done
with” or “on a new part of the
system”? How you answer that
question yields very different results
on what happens next on your
project.
Roles
• Product Owner (Business)
– Represents the customer
– Controls the product backlog
– Signs off on deliverables
• The Scrum Master
– Ensures scrum values are understood and kept
– Tracks progress and finds ways to overcome obstacles
• The Development Team
– The people actually responsible for delivering the system
– Self-organizing unit
– Members of the team are generalists not specialists
• Cross functional (Each member of the team knows all aspects of the
product that is being developed)
16
9/18/19
9
The Agile System Development Methodology
17
Manifesto for Agile Software Development
18
9/18/19
10
Manifesto for Agile Software Development
Source: http://www.applitude.se/images/inc_vs_i.
96 Young Scholars in WritingFeminist Figures or Damsel.docxsodhi3
96 | Young Scholars in Writing
Feminist Figures or Damsels in Distress?
The Media’s Gendered Misrepresentation
of Disney Princesses
Isabelle Gill | University of Central Florida
A gender bias seems to exist when discussing Disney princesses in entertainment media that could have
significant consequences for girls who admire these heroines. Prior research and my own extensions have
shown that modern princesses display almost equal amounts of masculine and feminine qualities; how-
ever, my research on film reviews shows an inaccurate representation of these qualities. These media
perpetuate sexist ideals for women in society by including traditionally feminine vocabulary, degrading
physical descriptions, and inaccuracies about the films, as well as syntax and critiques that trivialize the
heroines’ accomplishments and suggest the characters are not empowered enough. The reviews also
encourage unhealthy competition between the princesses and devote significantly more words to these
negative trends than to positive discussions. These patterns result in the depiction of the princesses as
more stereotypically feminine and weak than is indicated by the films themselves, which hinders the cre-
ation of role models for girls.
Despite significant strides women have made
toward combatting sexism in American
society, news and entertainment media rep-
resentations of women continue to be one of
the many obstacles left before reaching
equality. Numerous studies have identified
gender bias in the ways media represent
women (Fink and Kensicki; Niven and
Zilber; Shacar; Wood). Media tend to favor
representations of women who are “tradi-
tionally feminine” as well as not “too able,
too powerful, or too confident,” over more
complex representations (Wood 33). For
example, research by Janet Fink and Linda
Jean Kensicki shows that when media aimed
at both men and women discuss female ath-
letes, their focus is on sex appeal, fashion,
and family rather than athletic accomplish-
ment. Female scientists as well as female
members of Congress also fall victim to this
trend. Interviews with male scientists often
portray them as primarily professionals
while interviews with female scientists tend
to reference their professionalism while high-
lighting domesticity and family life (Shacar).
Similarly, media descriptions of the female
members of Congress focus on domestic
issues even though the congresswomen por-
tray themselves as having diverse interests
(Niven and Zilber). In sum, biased, gendered
representations of women are common in
various forms of media.
Media misrepresentation of women in
these ways can lead to significant social
consequences, such as reinforcing anti-
quated gender roles and diminishing the
perception of women’s impact on society
(England, Descartes, and Collier-Meek;
Fink and Kensicki; Graves; Niven and
Zilber; Shacar; Wood). Since media are
Gill | 97
Gill | 97
likely one of the most p.
Assessment and Planning in Educational technology.pptxKavitha Krishnan
In an education system, it is understood that assessment is only for the students, but on the other hand, the Assessment of teachers is also an important aspect of the education system that ensures teachers are providing high-quality instruction to students. The assessment process can be used to provide feedback and support for professional development, to inform decisions about teacher retention or promotion, or to evaluate teacher effectiveness for accountability purposes.
Main Java[All of the Base Concepts}.docxadhitya5119
This is part 1 of my Java Learning Journey. This Contains Custom methods, classes, constructors, packages, multithreading , try- catch block, finally block and more.
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
A review of the growth of the Israel Genealogy Research Association Database Collection for the last 12 months. Our collection is now passed the 3 million mark and still growing. See which archives have contributed the most. See the different types of records we have, and which years have had records added. You can also see what we have for the future.
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...PECB
Denis is a dynamic and results-driven Chief Information Officer (CIO) with a distinguished career spanning information systems analysis and technical project management. With a proven track record of spearheading the design and delivery of cutting-edge Information Management solutions, he has consistently elevated business operations, streamlined reporting functions, and maximized process efficiency.
Certified as an ISO/IEC 27001: Information Security Management Systems (ISMS) Lead Implementer, Data Protection Officer, and Cyber Risks Analyst, Denis brings a heightened focus on data security, privacy, and cyber resilience to every endeavor.
His expertise extends across a diverse spectrum of reporting, database, and web development applications, underpinned by an exceptional grasp of data storage and virtualization technologies. His proficiency in application testing, database administration, and data cleansing ensures seamless execution of complex projects.
What sets Denis apart is his comprehensive understanding of Business and Systems Analysis technologies, honed through involvement in all phases of the Software Development Lifecycle (SDLC). From meticulous requirements gathering to precise analysis, innovative design, rigorous development, thorough testing, and successful implementation, he has consistently delivered exceptional results.
Throughout his career, he has taken on multifaceted roles, from leading technical project management teams to owning solutions that drive operational excellence. His conscientious and proactive approach is unwavering, whether he is working independently or collaboratively within a team. His ability to connect with colleagues on a personal level underscores his commitment to fostering a harmonious and productive workplace environment.
Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
-------------------------------------------------------------------------------
Find out more about ISO training and certification services
Training: ISO/IEC 27001 Information Security Management System - EN | PECB
ISO/IEC 42001 Artificial Intelligence Management System - EN | PECB
General Data Protection Regulation (GDPR) - Training Courses - EN | PECB
Webinars: https://pecb.com/webinars
Article: https://pecb.com/article
-------------------------------------------------------------------------------
For more information about PECB:
Website: https://pecb.com/
LinkedIn: https://www.linkedin.com/company/pecb/
Facebook: https://www.facebook.com/PECBInternational/
Slideshare: http://www.slideshare.net/PECBCERTIFICATION
it describes the bony anatomy including the femoral head , acetabulum, labrum . also discusses the capsule , ligaments . muscle that act on the hip joint and the range of motion are outlined. factors affecting hip joint stability and weight transmission through the joint are summarized.
Executive Directors Chat Leveraging AI for Diversity, Equity, and InclusionTechSoup
Let’s explore the intersection of technology and equity in the final session of our DEI series. Discover how AI tools, like ChatGPT, can be used to support and enhance your nonprofit's DEI initiatives. Participants will gain insights into practical AI applications and get tips for leveraging technology to advance their DEI goals.
ReadingsEnter your MyWalden user name ([email protected]) and.docx
1. Readings
Enter your MyWalden user name: ([email protected]) and
password (3#icldyoB1) at the prompt.
· Lichtenberger, E. O. Mather, N., & Kaufman, N. L. (2004).
Essentials of assessment report writing. New York, NY:
Wiley. Follow this link the main book title, then select your
chapter from the Table of Contents.
. Chapter 1, “Introduction and Overview”
Focus on the goals of report writing and how the general goals
of any psychological report pertain to individuals facing
addictions.
. Chapter 2, “Technical Aspects of Writing”
Although they are not specific to the addictions field, focus on
the helpful “Don’t Forget” sidebar boxes on eliminating
redundancies, shortening sentences, and other writing tips.
. Chapter 3, “Referral and Background Information”
Focus on critical information and language needed for the
referral and background section of a report as well as the
standard framework for this section of a report, including
common headings. Some of the information refers more to
education settings, but focus on Rapid References 3.6 and 3.7.
· Perkinson, R. R. (2012). Chemical dependency counseling: A
practical guide (4th ed.). Thousand Oaks, CA: SAGE.
. Appendix 6, “Sample Biopsychosocial Interview”
· Enter your MyWalden user name: ([email protected]) and
password (3#icldyoB1) at the prompt.
· Stewart, S. H., & Connors, G. J. (2004/2005). Screening for
alcohol problems: What makes a test effective? Alcohol
2. Research & Health, 28(1), 5–16.
Focus on which addictions and disorders are and are not
amenable to screening. For your Discussion, focus on the
description of cutoff scores and their meaning and implications
for next steps.
Consider the following scenario:
Terrence is considering next steps for a client, Angela, who has
come for therapy at the family counseling center where he
works. When Angela scheduled her appointment on the
telephone, she had described her concerns with marital
difficulties, insomnia, and depression. During her first session,
however, Terrence noticed that Angela had a very nervous
demeanor, picked at her skin constantly, and had a rasping
cough. When Terrence asked Angela about her employment, she
admitted that she had lost her job and that her husband was
angry about it. She said she was afraid her husband was on the
brink of becoming abusive.
Terrence is not sure what to do first. He suspects Angela might
have a substance addiction, but clearly she has several
interlocking problems, and many are urgent. Should Terrence
administer a screening for addiction or a more general clinical
assessment? If he does decide to administer an addictions
assessment, which of the many that are available should he
choose and why?
Simple Screening Instrument for Substance Abuse Disorders
Figure H-3. Simple Screening Instrument for Substance Abuse
Self-Administered Form
During the past 6 months…
1. Have you used alcohol or other drugs? (Such as wine, beer,
hard liquor, pot, coke, heroin or other opioids, uppers, downers,
hallucinogens, or inhalants.) (yes/no)
3. 2. Have you felt that you use too much alcohol or other drugs?
(yes/no)
3. Have you tried to cut down or quit drinking or using drugs?
(yes/no)
4. Have you gone to anyone for help because of your drinking
or drug use? (Such as Alcoholics Anonymous, Narcotics
Anonymous, Cocaine Anonymous, counselors, or a treatment
program.) (yesB)
5. Have you had any of the following?
• Blackouts or other periods of memory loss
Yes
• Injury to your head after drinking or using drugs
No
• Convulsions, or delirium tremens (“DTs”)
No
· • Hepatitis or other liver problems
No
· Feeling sick, shaky, or depressed when you stopped drinking
or using drugs
Yes
• Feeling “coke bugs,” or a crawling feeling under the skin,
after you stopped using drugs No
• Injury after drinking or using drugs No
• Using needles to shoot drugs No
6. Has drinking or other drug use caused problems between you
and your family or friends? (yes/no)
7. Has your drinking or other drug use caused problems at
school or at work? (yes/no)
8. Have you been arrested or had other legal problems? (Such as
bouncing bad checks, driving while intoxicated, theft, or drug
possession.) (yes/no)
9. Have you lost your temper or gotten into arguments or fights
4. while drinking or using drugs? (yes/no)
10. Are you needing to drink or use drugs more and more to get
the effect you want? (yes/no)
11. Do you spend a lot of time thinking about or trying to get
alcohol or other drugs? (yes/no)
12. When drinking or using drugs, are you more likely to do
something you wouldn't normally do, such as break rules, break
the law, sell things that are important to you, or have
unprotected sex with someone? (yes/no)
13. Do you feel bad or guilty about your drinking or drug use?
(yes/no)
Now I have some questions that are not limited to the past 6
months.
14. Have you ever had a drinking or other drug problem?
(yes/no)
15. Have any of your family members ever had a drinking or
drug problem? (yes/no)
16. Do you feel that you have a drinking or drug problem now?
(yes/no)
• Thanks for answering these questions.
• Do you have any questions for me?
• Is there something I can do to help you?
Notes: ________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
View in own window
Thanks for filling out this questionnaire.
Scoring for the Simple Screening Instrument for Substance
Abuse
Name/ID No.: ____________________________________ Date:
________________________________
Place/Location:
5. _____________________________________________________
_____________________
Items 1 and 15 are not scored. The following items are scored as
1 (yes) or 0 (no):
___ 2 ___ 7 ___ 12
___ 3 ___ 8 ___ 13
___ 4 ___ 9 ___ 14
___ 5 (any items listed) ___ 10 ___ 16
___ 6 ___ 11
Total score: ____ Score range: 0-14
Preliminary interpretation of responses:
Score Degree of Risk for Substance Abuse
0-1 None to low
2-3 Minimal
>4 Moderate to high: possible need for further assessment.
Adapted from U.S. Department of Health and Human Services.
(2005). Substance abuse treatment for persons with co-occurring
disorders: A treatment improvement protocol TIP 42 (pp. 509-
511). Washington, DC: Author. Retrieved from
http://www.ncbi.nlm.nih.gov/books/NBK64197/pdf/TOC.pdf
Book Reference
6. Perkinson, R. R. (2012). Chemical dependency counseling: A
practical guide (4th ed.). Thousand Oaks, CA: SAGE.
Appendix 6
Sample Biopsychosocial Interview
DATE: 2-2-11
CLIENT NAME: Jane Roberts
DEMOGRAPHIC DATA: This is a 28-year-old single white
female. She is childless. She lives in Sioux, South
Dakota, by herself. She has lived in Watertown for the past 5
years. She has a high school education. She is
self-employed as a beautician at The Cut Above.
CHIEF COMPLAINT: "I could not go on drinking the way I
was. "
HISTORY OF THE PRESENT ILLNESS : This client's father
died when she was very young. She was raised
by an overly demanding alcoholic mother. Her mother had strict
rules and made the client work hard to
keep the house clean. The client never made an emotional
connection with her mother. "I grew up feeling
left out, abandoned, lost, and alone. I think I was loved, but I
was not shown it. " In school, she continued to
feel isolated from her peers. She began drinking during her
early teens. In high school, the client did not
date a lot, but when she did, she fell immediately in love. She
began a series of addictive relationships with
7. men. In these relationships , she was able to experience the
affection she had always longed for. The client
was "devastated" when her boyfriends would go out with
someone else. She would frantically "keep grasp-
ing" to hold on to these relationships . After high school, the
client had an affair with a married man. This
man was demonstrative in his affection, and this fooled the
client into thinking that he "really loved me." The
client was unable to disengage from this relationship, even
though the man was married and emotionally
and physically abusive. The client's drinking began to increase.
Her tolerance to alcohol increased. She had
blackouts. The client began to use Valium for sleep. Her dose of
Valium has more than doubled. She
currently is drinking at least a six-pack of beer and taking 30
milligrams of Valium every night. The client
currently is suffering from acute alcohol and anxiolytic
withdrawal. Her withdrawal will probably be pro-
tracted because she has been on Valium for 5 years. In
withdrawal, she reports that she feels restless and is
sleeping poorly. The client has few assertive skills and can be
excessively dependent. She enjoys men who
are powerful and controlling. The client has few healthy
relationship skills, and she is dishonest. The client
is accepting of treatment and has a strong desire to get help for
her chemical dependency.
PAST HISTORY: This client was born in Livingston , South
Dakota, on June 28, 1983. She reports a normal
birth and normal developmental milestones . She was raised
with her mother and two younger sisters. Her
father died when she was too young to know him. Her ethnic
heritage is Irish. She describes her home of
origin as "I did not like it. I felt alone." In grade school, "I was
timid, not very outgoing." In high school, "I
was scared to relate. " The client denies ever serving in the
8. military. Her occupational history includes a
5-year stint as a secretary. She has held her current job as a
beautician for 5 years. She is happily employed .
Sexually, the client is heterosexual. She has a complex history
of addictive relationships with men who have
been abusive both verbally and physically. The client currently
is involved with a new boyfriend. She has
been seeing him for the past few months. She reports that this
relationship is going well. Her friends and
family support her coming into treatment. Spiritually, the client
believes in God. She was raised in the
261
262 CHEMICAL DEPENDENCY COUNSELING
Lutheran faith. She attends church regularly. She denies any
legal difficulties. For strengths, the client
identifies that "I am caring. I get along with people real well. I
think that I am intelligent. " For weakness,
the client states, "I have a drinking problem. " For leisure
activities , the client enjoys biking and jogging. Her
leisure activities have been only mildly affected by her
chemical use.
MEDICAL HISTORY:
• Illnesses: Measles, mumps , chicken pox
• Hospitalizations: None
• Allergies: None
• Medications at present: 5 milligrams of Valium three times a
day for withdrawal
FAMILY HISTORY:
9. • Father: Age of death, "in his 20s"; cause of death, unknown;
client does not remember her father
• Mother: Age 53, in good health; history of alcoholism;
described as "quiet, demanding"
• Other relatives with significant psychopathology: None
MENTAL STATUS : This is a tall , thin , 28-year-old white
female. She has short, curly light brown hair and blue
eyes. She has a broad smile and a freckled face. She was
dressed in white jeans and a white sweatshirt. Her
sensorium was clear. She was oriented to person, place, and
time. Her attitude toward the examiner was coop-
erative, friendly, and pleasant. Her motor behavior was mildly
restless. The client fidgeted in her chair. She
made good eye contact. Her speech was spontaneous and
without errors. Her affect was mildly anxious. Her
range of affect was within normal limits. Her mood was mildly
anxious. Her thought processes were productive
and goal directed. Suicidal ideation was denied. Homicidal
ideation was denied. Disorders of perception were
denied. Delusions were denied. Obsessions and compulsions
were denied. The client exhibited an above aver-
age level of intellectual functioning. She could concentrate
well. Her immediate, recent, and remote memories
were intact. She exhibited fair impulse control. Her judgment
was fair. She is insightful about her alcohol prob-
lem and is in minimal denial about her drinking. She is in more
denial about her problem with Valium.
Diagnostic Summary
DATE: 2-10-11
CLIENT NAME: Jane Roberts
This is a 28-year-old single white female. She is childless. She
10. lives in Watertown, South Dakota, by her-
self. She has lived in Sioux Falls for the past 5 years. She has a
high school education. She currently is self-
employed as a beautician. She comes to treatment with a chief
complaint of a drinking problem. The client's
father died when she was very young. She was raised by an
emotionally distant alcoholic mother. Patty grew
up feeling a profound sense of abandonment. All her life, she
has felt empty and lost. She could gain her
mother's approval only by being a hard worker. In grade school,
the client was timid and shy. In high school,
she began a series of addictive relationships with men. Patty
gets love and sex mixed up. She is starved for
attention and affection. She is vulnerable to manipulation. She
had an affair with a married man. Her relation-
ships with men have been dysfunctional and abusive . The client
has few assertive skills. She cannot ask
people for what she wants or share how she feels. She is
dishonest. She lies to get what she wants. Patty
began drinking during her early teens. After high school, her
drinking began to increase. Her tolerance to
alcohol increased. She has had multiple blackouts and has
suffered withdrawal symptoms. She is drinking at
least a six-pack of beer per day. Patty has been taking Valium
for sleep for the past 5 years. She has increased
her tolerance to Valium, and she has more than doubled her
bedtime dose. The client currently is experienc-
ing symptoms of alcohol and Valium withdrawal. She has been
anemic for the past several years. She is being
treated with vitamins . She has cold symptoms and is taking
aspirin and an antihistamine. She has a history
Appendix 6 Sample Biopsychosocial Interview 263
11. of arthritis , but she exhibits no current symptoms. She has a
history of a heart murmur. The client is highly
mo tivated for treatment, and her relapse potential is low. She is
psychologically minded and is opening up
"'-ell in group. She shows minimal resistance to treatment. Her
current recovery environment is poor. She
has no social support system except for her boyfriend of the
past 2 months. The psychological testing shows
that Patty is emotionally unstable and manipulative. She will
break the rules of society to get her own way.
She will openly defy authority She is suffering from mild
depressive symptoms , and she is experiencing
ignificant daily anxiety These symptoms seem to relate to the
client's chemical dependency
DIAGNOSIS:
Axis I: 303.90 Alcohol dependence
304.10 Anxiolytic dependence
291.80 Alcohol withdrawal
292.00 Anxiolytic withdrawal
Axis II: V 71.09 No diagr:osis Axis II
Axis III: Anemia, mild cold symptoms
Axis IV: Severity of psychosocial stressors, personal illness,
Severity 3 (moderate)
Axis V: Current global assessment of functioning : 50
Highest global assessment of functioning past year: 70
12. PROBLEM LIST AND RECOMMENDATIONS :
Problem 1: Extended withdrawal from alcohol and Valium, as
evidenced by autonomic arousal and
elevated vital signs
Problem 2: Inability to maintain sobriety outside a structured
program of recovery, as evidenced by cli-
ent having tried to quit using chemicals many times
unsuccessfully
Problem 3: Anemia, as evidenced by a chronic history of low
red cell counts
Problem 4: Upper respiratory infection, as evidenced by sore
throat and rhinitis
Problem 5: Fear of rejection and abandonment , as evidenced by
client feeling abandoned by both her
mother and her father and now clinging to relationships even
when abusive
Problem 6: Poor relationship skills, as evidenced by client not
sharing the truth about how she feels or
asking for what she wants , leaving her unable to establish and
maintain intimate relationships
Problem 7: Dishonesty, as evidenced by client chronically lying
about her chemical use history
Problem 8 : Poor assertiveness skills, as evidenced by client
allowing other people to make important
decisions for h er, inhibiting her from developing a self-directed
program of recovery
13. Treatment Plan
Problem 1: Inability to maintain sobriety outside a structured
program of recovery, as evidenced by
repeated unsuccessful attempts to remain abstinent as well as
increased tolerance and
withdrawal symptoms
Goal A: Acquire the skills necessary to achieve and maintain a
sober lifestyle.
264 CHEMICAL DEPENDENCY COUNSELING
Objective 1: Patty will discuss three times when she unsu
ccessfully attempted to stop drug and alcohol
use with her counselor by 2-15-11.
Intervention: Assign the client to list three times when she
unsuccessfully attempted to stop
or cut down on her drug and alcohol use , and have her discuss
this in a one-to-one session.
*Responsible professional: Carla Smith, C.C.D.C. , Level II
Objective 2: Patty will verbalize her powerlessness and
unmanageability in group by 2-15-11.
Intervention: Encourage the client to share her powerlessness
and unmanageability in group .
*Responsible professional: Carla Smith, C.C.D .C. , Level II
Objective 3: Patty will verbalize her understanding of her
chemical dependency with her group by 2-15-11.
14. Intervention: Assign the client to complete her chemical use
history, and encourage her to
share her story in group.
*Responsible professional: Robert Johnson , C.C.D .C. , Level
III
Objective 4: Patty will share her understanding of how to use
Step Two in recovery with her counselor
by 2-20-11.
Intervention: Assign the client to meet with her clergy person to
discuss how to use a
Higher Power in recovery.
*Responsible professional: Father Larry Jackson
Objective 5: Patty will log her meditation daily and will discuss
how she plans to use the Third Step in
sobriety with her clergy person by 2-25-11.
Intervention : The staff will administer medications as ordered
and monitor for side effects .
*Responsible professional: Margaret Roth , RN
Objective 6: Patty will develop a written relapse prevention
plan by 2-30-11.
Intervention: Help the client to develop a written relapse
prevention plan.
*Responsible professional: Carla Smith, C.C.D .C. , Level II
Objective 7: Patty will develop a continuing care plan with her
15. counselor by 3-5-11.
Intervention: Have the continuing care coordinator help the
client to develop a continuing
care program.
*Responsible professional: Martha Riggs , C.C.D.C., Level I
Problem 2: Chronic fear of abandonment, as evidenced by fear
of losing all interpersonal relationships
CoalE: To alleviate the fear of abandonment by connecting the
client to her Higher Power and her
Alcoholics Anonymous (AA)/Narcotics Anonymous (NA)
support group
Objective 1: In one-to-one counseling, Patty will share her
feelings of abandonment by her parents and
how this relates to her chemical dependency by 2-15-11.
...
Intervention : In a one-to-one session, encourage the client to
share her feelings of aban-
donment by her parents , and help her to connect this to her
chemical dependency.
*Responsible professional: Carla Smith, C.C.D.C., Level II
Objective 2: Patty will share her feelings of fear, loneliness ,
and isolation with her group by 2-20-11 .
Appendix 6 Sample Biopsychosocial Interview 265
16. Intervention: Assign the client to share her feelings of fear,
loneliness, and isolation in group.
*Responsible professional: Carla Smith, C.C.D .C. , Level II
Objective 3: Patty will discuss her fear that the group will
abandon her and receive feedback from the
group by 2-25-11.
Intervention: In group, encourage the client to share her fears
that the members of the
group will abandon her.
*Responsible professional: Carla Smith, C.C.D.C., Level II
Objective 4: In one-to-one counseling, the client will discuss
accepting her AA/NA group as her new sup-
port system by 2-28-11.
Intervention: Teach the client about how her recovery group can
be her new support system.
*Responsible professional: Carla Smith, C.C.D.C., Level II
Objective 5: Patty will write a letter to her father and mother
telling them how she felt as a child, and
she will share this letter with her counselor and in group by 2-
20-11.
Intervention: Assign the client to write a letter to her father and
mother telling them about
the abandonment she felt as a child, and have her read this letter
to her primary counselor
and the group.
*Responsible professional: Carla Smith, C.C.D .C. , Level II
17. Problem 3: Poor interpersonal relationship skills, as evidenced
by inability to share emotions, wishes,
and wants with others
Goal C: To develop healthy interpersonal relationship skills
Objective 1: Patty will verbalize an identification of her
problem with relationships with her counselor
by 2-15-11.
Intervention: Teach the client about interpersonal relationship
skills and how her addiction
affected her ability to have healthy relationships.
*Responsible professional: Carla Smith, C.C.D.C., Level II
Objective 2: Patty will ask five treatment peers for something
she wants and share with them how she
feels, keeping a log of each conversation and sharing this with
her counselor by 2-15-11.
Intervention : Assign the client to ask five treatment peers for
something she wants and
share how she feels, and have her log each event and share in a
one-to-one session.
*Responsible professional: Carla Smith, C.C.D.C., Level II
Objective 3: Patty will complete the Addictive Relationships
exercise (see Appendix 12) and share her
understanding of the differences in addictive and healthy
relationships with her counselor
by 2-20-11 .
Intervention: Assign the client to complete the Addictive
18. Relationships exercise, and teach
her the difference between addictive and healthy relationships.
*Responsible professional: Carla Smith, C.C.D.C., Level II
Objective 4: Patty will use and log 10 "I feel" statements a day
until the end of treatment, and she will
share her daily feeling log with her counselor weekly by 2-25-
11.
266 CHEMICAL DEPENDENCY COUNSELING
Intervention: Assign the client to log 10 feeling statements a
day and to share in one-to-one
sessions.
*Responsible professional: Carla Smith , C.C.D.C. , Level II
Objective 5: Patty will discuss her normal and addictive
relationships with her group by 2-30-11.
Intervention: In group, encourage the client to share her
understanding of addictive relation-
ships and the tools she can use to develop and maintain healthy
relationships in recovery.
*Responsible professional: Carla Smith, C.C.D.C. , Level II
Problem 4: Dishonesty, as evidenced by chronic lying about
chemical use
GoalD: To develop a program of recovery based on rigorous
honesty
19. Objective 1: Patty will complete the Honesty exercise (see
Appendix 8) and verbalize in group 10 times
when she was dishonest about her chemical use by 2-15-11.
Intervention: Assign the client to complete the Honesty
exercise, and in group have her
verbalize 10 times when she was dishonest about her addiction.
'~Responsible professional: Bill Thompson, MSW
Objective 2: Patty will discuss in group how her alcohol use
contributed to her dishonesty by 2-20-11.
Intervention: In group, have the client discuss the connection
between addiction and
dishonesty.
*Responsible professional: Bill Thompson, MSW
Objective 3: Patty will keep a daily log of the times when she
lies in treatment and will share this log with
her counselor weekly by 2-25-11.
Intervention: Help the client to keep a daily log of the lies she
tells in treatment, and discuss
with her how it feels to lie and how it feels to tell the truth.
'''Responsible professional: Carla Smith, C.C.D.C., Level II
Objective 4: Patty will give a 20-minute speech to her group
about why it is important to be honest in
recovery by 2-25-11.
Intervention: Assign the client to write a 20-minute speech
about why it is important for her
to get honest , and then encourage her to read her paper in
20. group.
*Responsible professional: Carla Smith, C.C.D.C. , Level II
Objective 5: In a conjoint session with her mother, Patty will
share her chemical use history by 2-30-11.
Intervention: In a family session , have the client share her
chemical use history with her
mother.
'''Responsible professional: Ronda Vocal, L.M.F.T.
Objective 6: Patty will discuss how dishonesty separated her
from her Higher Power with the clergy by
2-20-11.
.. Intervention: Have clergy meet with the client and discuss
how her lies kept her away from her Higher Power .
*Responsible professional: Pastor Steve Schultz
-
Appendix 6 Sample Biopsychosoc ial Interview 267
Problem 5: Poor assertiveness skills, as evidenced by being too
passive and allowing other people to
make important decisions
CoalE: To develop assertiveness skills
Objective 1: In group, Patty will verbalize an identification of
her problem of being passive and will
directly relate her passivity to her chemical use by 2-20-11.
21. Intervention: The psychologist will help the client to understand
passive traits and how this
relates to addiction.
*Responsible professional: Frank Rockman, PhD
Objective 2: Patty will verbalize an understanding of how her
passive behaviors lead directly to increased
chemical use with her group by 2-15-11.
Intervention: Assign the client to discuss in group how her
passive traits lead to chemical use.
*Responsible professional: Carla Smith, C.C.D.C. , Level II
Objective 3: Patty will practice the assertiveness formula with
two treatment peers per day, keeping a
daily log of each interaction by 2-20-11.
Intervention: The psychologist will teach the client the
assertiveness formula and, using
behavior rehearsal, will role-play several assertiveness
situations.
*Responsible professional: Frank Rockman , PhD
Objective 4: Patty will have weekly individual sessions with the
psychologist in which she will role-play
assertiveness situations by 2-30-11.
Intervention: The psychologist will meet with the client weekly
to role-play assertiveness
situations.
*Responsible professional: Frank Rockman , PhD