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Assessment and Diagnosis for Substance Abuse and Addiction Nick Salvesen College of Humanities and Social Sciences, Grand Canyon University CNL501: Substance Use Disorders and Addiction Mark Brana 11.1.23 1
Assessment and Diagnosis for Substance Abuse and Addiction This paper provides an overview of the process of screening, assessment, and treatment planning for clients with addictive disorders. It includes definitions and description of these processes, and the criteria according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) for diagnosis. Additionally, the paper reviews commonly used substance use disorder assessment tools, and provides their benefits and limitations. Definition of Screening, Assessment, and Treatment Plan Screening, assessment, and treatment planning are important aspects of the clinical process for individuals with addictive disorders. These processes aim to identify, evaluate, diagnose, and develop effective treatment strategies for individuals struggling with substance use. Essential components of the intake process include, and are not limited to, screening, patient assessment, and treatment planning (Capuzzi & Stauffer, 2015). Screening is the first step in identifying individuals who may be at risk for substance use. It is a brief process that helps to determine if further assessment is needed. Screening tools, such as questionnaires, are administered to detect signs and symptoms of substance use disorders. While screening does not always provide a concrete diagnosis, it helps to understand and identify individuals who should undergo a more comprehensive assessment. Assessment is a more in-depth evaluation of the client's substance use and contributing factors. It involves an examination of the client’s history, as well as their behaviors. Assessment typically includes questionnaires, interviews, and observations. The goal is to diagnose the severity of substance use, as well as identifying contributing factors such as mental health disorders, and or trauma that may exacerbate the substance use concerns. 2
Diagnosing Clients for Addictive Disorders Identifying, assessing, and diagnosing clients for addictive disorders is a process that requires careful consideration of various factors. This process consists of identifying individuals who may be at risk for addictive disorders, assessing the client’s history with substance use, and forming a diagnosis for the client. The initial step involves identifying individuals who may be at risk for, or already have addictive disorders. This can be done through various means, including self-referral, referral from family or friends, healthcare professionals, or legal authorities. Screening tools, such as the Alcohol Use Disorders Identification Test (AUDIT) or the Drug Abuse Screening Test (DAST), can be used to determine whether further assessment is necessary (McNeely & Adam, 2020). Assessment of the client follows the initial step of identifying risk factors. Assessment includes a comprehensive evaluation of the client's history, current substance use, and any associated problems. Protocol for proper assessment of a client may come in the form of administering assessment tools and questionnaires, conducting clinical interviews, and gathering additional information that may be pertinent to the client. The final step in the process is forming a diagnosis. According to the DSM-5, substance use disorders should be classified through various methodologies. The client should be given a diagnosis, pertinent to their substance, such as alcohol or opioid use. The extent of the addiction or usage should be classified by severity of addiction or usage (mild, moderate, or severe). 3
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Considerations for Choosing an Appropriate Assessment Tool When selecting an assessment tool for clients with addictive disorders, counselors must consider factors such as the tool's validity, reliability, and cultural sensitivity. Additionally, it's essential to select tools that align with the client's substance use (Abuse, 2023). For example, if a client primarily abuses alcohol, it would be more appropriate to use an alcohol-specific assessment tool like AUDIT. In addition to validity of the tool used, reliability of the tool should be considered. The reliability of the tool ensures that the outcome cannot be influenced by additional factors. Cultural sensitivity of the assessment tool ensures that the cultural background of the client is taken into consideration to ensure the client’s understanding of the assessment. An example of this would be providing a translator if a client’s primary language is something other than the counselor’s native language. The final consideration for assessment is the clinical utility and efficacy of the tool being used. Factors to consider regarding clinical utility include time of the assessment, time constraints, and efficacy of the tool. Overview of the Assessment Tool According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), provides specific criteria for the diagnosis of substance use disorders. The criteria for substance use disorders include 11 symptoms, and the severity of the disorder is determined by the number of criteria met over a 12-month period. These criteria are organized into four categories, impaired control, social impairment, risky use, and pharmacological criteria (American Psychiatric Association, 2013). 4
Impaired control refers to the patient’s urge to use, and frequency of use. Typically, clients who portray factors related to impaired control, have tried to stop usage previously, but were unsuccessful in stopping or reducing usage (Sripada, 2022). Social Impairment refers to the degree of substance use. Typically, clients who exhibit signs of social impairment have had responsibilities that they have been unable to fulfil due to their addiction. Risky use is similar to social impairment in that despite the risk associated with substance use, the client’s addiction prevents the individual from stopping or reducing usage (American Psychiatric Association, 2013, p. 483). The final step in this process requires the counselor to consider the tolerance or pharmacological criteria associated with usage. Depending on the usage of the individual, and tolerance built up over time, a counselor would categorize usage from mild, moderate to severe. The tolerance and substance usage over time helps the clinician as they formulate a treatment plan and consider any adverse effects that may transpire as a result, such as withdrawal. The severity of the substance use disorder is categorized as mild (2-3 criteria), moderate (4-5 criteria), or severe (6 or more criteria) based on the number of criteria met. Potential Problems When Relying Solely on DSM Criteria for Treatment Planning The DSM-5 criteria provide valuable guidelines for diagnosing substance use disorders. There are potential problems when relying solely on these criteria for treatment planning. Some of these problems include and are not limited to, lack of individualization, comorbidity, and stigmatization (Chmielewski et al., 2015). The DSM 5 is a valuable resource but does not meet the clients individual needs. Proper treatment should include considering the clients’ needs and customizing a treatment plan 5
according to those needs. Comorbidity is an additional factor that the DMS 5 fails to recognize. Often substance use, and addiction are triggered by a traumatic event and or mental disorder. The DSM 5 is unable to identify any comorbidities that may be affecting the client. The final aspect to consider is stigmatization of the client’s diagnosis. Often, clients may feel overwhelmed with the amount of work required to stop the addiction and end up feeling somewhat defeated with what may be a very serious diagnosis. It is important to empower the client, and not let them focus on the stigma of their diagnosis. Encouragement should be provided to the client to ensure they don’t get overwhelmed with what is being asked of them. Commonly Used Substance Use Disorder Assessment Tools There are a variety of commonly used assessment tools. In this paper we will examine two specific tools, the “Alcohol Use Disorders Identification Test” or (AUDIT). The benefits associated with this assessment tool are primarily its validity as well as efficiency of the tool. AUDIT’s have been widely used and are known to be relatively short in nature and practical to understand (de Meneses-Gaya et al., 2009). Limitation of this tool is that it is only used for Alcohol related disorders. This tool also relies on the information a client provides, and at times can fall subject to personal bias. Drug Abuse Screening Test or (DAST-10) is another commonly used assessment tool and is tailored to individuals battling drug use. The test is short and easy to administer and often times provides valid and reliable information. Like AUDIT, the DAST-10, may be subject to personal bias from the client, and may not properly depict the degree of substance use or addiction (Skinner & University, 1982). 6
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In conclusion, screening, assessment, and treatment planning are essential steps in the management of addictive disorders. While the DSM-5 provides a foundation for diagnosis, it is important to consider individualization, and comorbidity when developing treatment plans. Assessment tools like the AUDIT and DAST-10 have their benefits and limitations, and combining multiple tools can lead to a more comprehensive understanding of a client's needs. Ultimately, an effective treatment plan should be client-centered, evidence-based, and consider the unique circumstances of each individual with an addictive disorder. 7
References Abuse, N. I. on D. (2023). Screening Tools and Prevention . National Institute on Drug Abuse. https://nida.nih.gov/nidamed-medical-health-professionals/screening-tools-prevention American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596 Capuzzi, D., & Stauffer, M. D. (2015). Foundations of Addictions Counseling. In Google Books . Pearson Education. Chmielewski, M., Clark, L. A., Bagby, R. M., & Watson, D. (2015). Method matters: Understanding diagnostic reliability in DSM-IV and DSM-5. Journal of Abnormal Psychology , 124 (3), 764–769. https://doi.org/10.1037/abn0000069 de Meneses-Gaya, C., Waldo Zuardi, A., Regina Loureiro, S., & Alexandre S. Crippa , J. (2009). APA PsycNet . Psycnet.apa.org. https://psycnet.apa.org/fulltext/2011-13717-012.html McNeely, J., & Adam, A. (2020). Substance Use Screening and Risk Assessment in Adults. National Library of Medicine . https://www.ncbi.nlm.nih.gov/books/NBK565474/ Skinner, H., & University, Y. (1982). GUIDE FOR USING THE DRUG ABUSE SCREENING TEST (DAST) . https://socwel.ku.edu/sites/socwel/files/documents/Research %20Projects/Family%20First/Survey%20Measures/DAST%20Guide%202019%20- %20Remediated.pdf Sripada, C. (2022). Impaired control in addiction involves cognitive distortions and unreliable self-control, not compulsive desires and overwhelmed self-control. Behavioural Brain Research , 418 , 113639. https://doi.org/10.1016/j.bbr.2021.113639 8