Wk 3 Discussion – Title
Post a total of 3 substantive responses over 2 separate days for full participation. This includes your initial post and 2 replies to other students.
Respond to the following in a minimum of 175 words each response:
What are some of the standard screening and assessment instruments for substance-related disorders and process addictions?
What are some of the DSM diagnostic criteria in the assessment of disorders related to substance abuse and dependency?
Top of Form
Screening for substance abuse and addictions may be complex, due to the high presence of comorbid mental health disorders with substance abuse (Capuzzi & Stauffer, 2016). A few basic screening instruments for substance abuse are: the Michigan Alcoholism Screening Test (MAST), CAGE, Substance Abuse Subtle Screening Inventory-3 (SASSI-3), Alcohol Use Disorders Identification Test (AUDIT), Alcohol Use Inventory (AUI), Addiction Severity Index (ASI), and T-ACE, which was developed specifically to assess substance abuse in pregnant women (Capuzzi & Stauffer, 2016). Standardized assessments are helpful because they provide information about a client relative to a normative population, they are objective and indirect, which reduces the clients’ ability to deny or minimize their substance use, and they help counselors plan appropriate treatment responses (Capuzzi & Stauffer, 2016). The DSM-5 outlines 11 factors in the diagnosis of a substance use disorder. A few of the diagnostic criteria that indicate abuse or addiction are: using more than intended or over a longer duration than intended; the desire or attempt to decrease use; the exertion of significant time and effort to obtain a substance; craving the substance; use is negatively affecting the individual’s ability to fulfill obligations, or is causing social or interpersonal problems in the individual’s life; withdrawal from social or occupational activities directly related to substance use; using in hazardous situations and continued use despite negative consequences; increasing tolerance; and withdrawal symptoms/experiences which contribute to the individual’s inability to stop using, or the continued use of the substance, in order to avoid or relieve withdrawal symptoms (Capuzzi & Stauffer, 2016). The essential factors which define abuse or addiction of a substance are the impacts on one’s life and work, and continued or increased use despite persistent negative impacts on one’s life and work.