Assessment and Diagnosis of Psychoactive Substance Use Disorders - - PowerPoint PPT Presentation

Assessment and Diagnosis of Psychoactive Substance Use Disorders

Winter 2005 Glenn Maynard, LPC 503-725-4620 MaynarG@pdx.edu

Course Objectives:

• Understand the elements of a bio-psychosocial assessment
• Knowledge of standardized screening and assessment

instruments for chemical dependency.

• Knowledge and skills of motivational interviewing.
• Ability to formulate a DSM IV psychoactive substance use

disorder diagnosis based on a bio-psychosocial assessment

• Ability to determine an appropriate level of treatment

based on a patient placement criteria

Evaluation Activities:

• Credit:
• Attendance-20 points: Absence=5 point grade

deduction (starting with the second absence) .

• Case analysis paper-40 points: The case analysis

will be due two weeks before finals.

• Role-play and case presentation-40 points:

Evaluation Activities:

• Non-Credit:

Participation in all class activities including case analysis, role-play and case presentation

Goals of Assessment

• Engage the client in the treatment process

through motivating the client for change

• Understand the nature and extent of the

problem(s)

• Identify client strengths and resources
• Develop a plan for change

Assessment Paradigms

• DSM-IV-Biopsychosocial Assessment
• Level of Care-ASAM
• Readiness for Change

Assessment Data Sources

• Past Assessment/Treatment Information
• Current Findings Including Clinical

Interview and Toxicology

• Collateral Family, School, Work, Legal, and

Medical Information

Biopsychosocial Assessment

• Presenting Problem
• History of Problem
• Psychosocial History
• Medical History
• Psychiatric History
• Mental Status
• Drug Use History
• Treatment History

Drug Use History

• Specific Questions About All Classes of

Psychoactive Substances

• Age of First Use
• Last Use
• Frequency, Duration, and Amount Used
• Route of Administration
• History of Withdrawal