What is the psychology of rehabilitation?
Nov 20, 2018 · According to the 2015 National Survey on Drug Use and Health (NSDUH), 56 percent of people age 18 or older reported that they drank alcohol in the past month, while 9.4 percent of the population ...
What is the purpose of a substance abuse evaluation?
Feb 27, 2020 · Medical Evaluation. After intake interviews are complete, you’ll likely undergo an in-depth medical evaluation, including blood, urine and other lab tests to assess your health and the severity of your drug use. If no drugs or alcohol are present in your system, you may be transferred directly into a behavioral therapy program.
Which rehabilitation outcome measure should you use?
Mar 30, 2004 · Addiction, however, is a complex chronic disorder that often co-occurs with problems in the domains of physical health, mental health, criminal justice, employment, and family and social functioning. All of these areas must be addressed, not just the drug use. Similarly, measuring the outcomes of drug treatment should not be limited to drug use ...
What is drug and alcohol evaluation?
Jun 06, 2015 · The resulting data document cognitive strengths and weaknesses that enable the rehabilitation psychologist to suggest useful strategies for promoting learning and fostering participation in rehabilitation, and to call attention to potential barriers to progress. 344 Neuropsychological assessments involve the evaluation of fundamental skills (e.g., attention, …
What is drug process evaluation?
Process evaluation is an important procedure that assesses the factors affecting program implementation and how the program is received by those involved; the results of process evaluation enable the development of adaptations to enhance the reach and acceptability of the program [14].Jan 7, 2016
What is the most widely used assessment tool for addiction?
The MAST (Michigan Alcohol Screening Test) is a 25-item screen developed in 1971 and with the CAGE has been one of the most widely used to screen for diagnosable abuse or dependence.
What assessments are used for substance abuse?
Choose evidence-based screening tools and assessment resource materialsToolSubstance typePatient ageAlcoholAdolescentsScreening to Brief Intervention (S2BI)XXBrief Screener for Alcohol, Tobacco, and other Drugs (BSTAD)XXTobacco, Alcohol, Prescription medication, and other Substance use (TAPS)X14 more rows•Mar 21, 2022
What is the measure of recovery?
Since there is currently no validated measure specifically for recovery, studies tend to rely on scales of addiction such as the Addiction Severity Index, quality of life scales such as the WHOQOL to measure positive changes that may be indicative of recovery, and the Assessment of Recovery Capital scale for assessing ...
What are the differences between screening and assessment?
Screening is a process for evaluating the possible presence of a particular problem. The outcome is normally a simple yes or no. Assessment is a process for defining the nature of that problem, determining a diagnosis, and developing specific treatment recommendations for addressing the problem or diagnosis.
How screening works in the beginning of the treatment process?
In a screening intake, the behavioral health clinician gathers facts by asking simple questions that evaluate whether a person requires further assessment. For screening, clients often fill out self-reports prior to a clinical interview.
What are screening tools examples?
General Developmental Screening ToolsAges and Stages Questionnaires (ASQ)Battelle Developmental Inventory Screening Tool, 2nd ed (BDI-ST)Bayley Infant Neurodevelopmental Screen (BINS)Brigance Screens-II.Child Development Inventory (CDI)Child Development Review-Parent Questionnaire (CDR-PQ)More items...
What are the 4 P's for substance abuse screening?
The 4P's substance abuse screening tool Parents – Have your parents had any past or present alcohol or drug issues? Partner – Has your partner had a past or present problem with alcohol or drugs? Past – Have you ever had a problem with alcohol or drugs? Pregnancy – Have you used alcohol or drugs during pregnancy?Oct 30, 2020
What is the Sassi assessment?
The Substance Abuse Subtle Screening Inventories (SASSI-A3, SASSI-4 and SASSI Spanish) are self-report screening instruments designed to accurately identify adolescents and adults with high probability of having a substance use disorder (SUD).
What is an indicator of addiction?
An individual using drugs or alcohol after expressing feelings of stress, depression or anxiety can be an indicator of addiction.Oct 13, 2021
What is the medical evaluation for drug use?
Medical Evaluation. After intake interviews are complete, you’ll likely undergo an in-depth medical evaluation, including blood, urine and other lab tests to assess your health and the severity of your drug use.
What is the intake process for drug rehab?
The intake process for drug rehab usually involves a medical assessment and an orientation to the facility. The process can be lengthy and involved, but the information the treatment team collects during intake will set you up for success.
What is Amy's role in addiction?
Amy is an advocate for patient- and family-centered care. She previously participated in Moffitt Cancer Center’s patient and family advisory program and was a speaker at the Institute of Patient-and Family-Centered Care’s 2015 national conference.
Can you bring your phone to rehab?
Most facilities will provide a list of items you can and cannot bring to rehab prior to your admission.
Is it normal to feel trepidation when you first enter drug rehab?
It’s normal to feel some trepidation when you first enter drug treatment. That’s why it’s so important to understand each step of the rehabilitation process. Intake is the step where your treatment team gets to know you personally and learns the unique circumstances of your struggles with addiction.
What is assessment in addiction?
Assessment: a process for defining the nature of that problem, determining a diagnosis, and developing specific treatment recommendations for the problem or diagnosis. These components may be administered by a wide range of professionals trained to assess addiction.
What is a comprehensive substance abuse evaluation?
A comprehensive substance abuse evaluation: determines if you have a drug or alcohol addiction. assesses the extent or level of addiction. determines if there are any co-occurring conditions, including any physical or mental health concerns, as well as polydrug use. assesses how substance use affects your life.
What happens if you hide your habits?
If you hide any habits or information, you’re only hurting yourself and hindering your chances for a healthier life.
What is the first step in alcohol rehab?
The first step of alcohol or drug rehabilitation—before treatment can even begin—is to have your substance use evaluated by the facility’s team. This evaluation gives staff a comprehensive perspective into your individual situation and reveals any special concerns that must be addressed.
What is a release for substance use?
You may be asked to sign a release that allows people with first-hand knowledge of your substance use to report their observations to the professionals assessing you. This information would only be collected from those closest to you and can help round-out the evaluation to better meet your treatment needs.
What is the purpose of a substance abuse assessment?
The purpose of an assessment is to find direct evidence that supports either the presence or absence of a condition that can be diagnosable, such as drug or alcohol addiction. A diagnostic interview is performed when an interviewer goes over ...
What is the cage questionnaire?
CAGE Questionnaire: This is a widely used method that asks four questions in a brief, yet sensitive manner. One criticism of CAGE is its measure of usefulness in circumstances where you may try to shield the extent of your substance abuse.
What are the changes in the brain of drug addicts?
New imaging technologies reveal the neurochemical and functional changes that occur in the brains of drug-addicted individuals. These same techniques also demonstrate that individual differences in the numbers of certain brain receptors can predict whether a person will find a drug to be pleasant or aversive.
How much does drug abuse cost the US?
To put it in dollar figures, substance abuse, including smoking, illegal drugs, and alcohol, costs our Nation more than $484 billion per year. Illicit drug use alone accounts for about $161 billion. But the impact drug abuse and addiction have on individual lives, ...
What are the other pharmacological approaches influenced by NIDA research?
Other pharmacological approaches influenced by NIDA research are nicotine patches and gum, bupropion, and LAAM.
How much does illicit drug use cost?
Illicit drug use alone accounts for about $161 billion. But the impact drug abuse and addiction have on individual lives, families, and communities is even more devastating and in comparison makes the dollar impact seem less significant. Drug abuse is inextricably linked with the spread of infectious diseases such as HIV/AIDS, STD's, tuberculosis, ...
How does addiction occur?
Addiction results from the repeated perturbation of reward circuits. There comes a point, where an individual's brain becomes so altered that normal rewards are no longer sufficient, judgment and decision-making circuits become impaired, and the individual's overriding motivation becomes seeking and taking drugs.
How do drugs affect the brain?
We also now have extensive knowledge on how most drugs of abuse affect the brain--the receptors they bind to, the circuits they activate, and the ways in which the brain can change following chronic exposure to a drug or multiple drugs. For example, almost every drug of abuse, including nicotine, marijuana, cocaine, heroin, and methamphetamine, ...
Why is abstinence important in addiction?
Not only does abstinence improve the health of the individual, but it reduces the adverse consequences that drugs can have on the health and safety of families and communities. Therefore, a primary goal of addiction treatment is to stop all drug use.
What is the role of a rehabilitation psychologist?
The most fundamental function of rehabilitation psychologists is the assessment and treatment of emotional, cognitive, and psychological disorders —whether congenital or acquired. Rehabilitation psychologists evaluate changes in neuropsychological functions that accompany brain injury or dysfunction, and advise on the implications ...
Why do adults benefit from assessment services by rehabilitation psychologists?
Adults benefit from assessment services by rehabilitation psychologists, because these can be used to determine eligibility for services and to inform decisions regarding the nature of services that can be provided by state vocational rehabilitation agencies. Armed with knowledge of the Americans with Disabilities Act 8 and related legislation, ...
What are the effects of memory impairment?
Memory impairments are prevalent after acquired neurologic injuries such as TBI 244 and stroke, 12 and can be significantly disruptive to the rehabilitation process. Memory problems can interfere with a patients’ ability to learn and retain new skills and/or develop compensatory strategies taught by rehabilitation providers. Memory problems can significantly hamper the achievement of important functional outcomes and productivity. 32, 156
Why is a comparison standard required for neuropsychological assessment?
Because a primary goal of neuropsychological testing of rehabilitation populations is to identify deficits that require remediation, a comparison standard is required against which patients’ current performances can be measured. Neuropsychological assessment procedures rely on two primary standards: population normative data and estimates of individuals’ premorbid abilities.
Why are neuropsychological findings considered valid?
Neuropsychological test findings are considered valid when they accurately reflect the patient’s underlying cognitive abilities. In addition to the potential distortions caused by sensory-motor limitations and medical symptoms discussed above, two other factors that can compromise test validity are practice effects and patient effort.
What can rehabilitation psychologists do to help with behavioral issues?
When such a discrepancy is uncovered, rehabilitation psychologists can highlight the interplay between psychological issues and functional performance, and assist the team in developing behavioral strategies to minimize this impediment to progress.
What are the primary domains of neuropsychology?
Primary domains assessed in neuropsychological evaluations include intelligence, academic ability, memory, attention, processing speed, language, visual-spatial skills, executive abilities, sensory-motor functions, behavioral functions, and emotional status. 217 Box 4-2 shows selected neuropsychological measures grouped by primary cognitive domain. (Virtually all neuropsychological tests are multifactorial, so the groupings in Box 4-2 are based on the presumed major cognitive skill required by the test.) While a deficit in any area can have a significant impact on functional outcomes for a given patient, large-scale studies suggest that memory, attention, and executive functioning have particular relevance for rehabilitation populations, including individuals with TBI. 151
What is a drug assessment?
Professional Drug Assessments. Different types of professionals are trained to assess people for addictions, including doctors, nurses, counselors, psychologists, therapists, and social workers. Typically, multiple people will evaluate you, especially if you are being cared for at an addiction treatment program.
How to determine if you have an addiction to drugs?
Although it is best to obtain an official diagnosis from a qualified professional, you can perform a self-assessment test to determine whether you have an addiction to drugs or alcohol. These addiction assessment tests can be found in a number of places across the internet or from local mental health centers.
Why do you need a urine test?
A urine sample may be requested to test for the type of drugs you have consumed. Blood samples are usually not required but may be asked for if there is reason to believe the addiction has affected your health. For example, a blood test may be used to assess liver function in a person with an alcohol abuse problem.
What is the purpose of an addiction assessment?
more1 The purpose of the assessment is to determine whether an addiction is present, the extent of the addiction, whether there are co-occurring conditions, and to assist in the development of a treatment plan. Professionals trained to diagnose addictions typically conduct alcohol and drug abuse assessments in private settings.
What is a blood test used for?
For example, a blood test may be used to assess liver function in a person with an alcohol abuse problem. The doctor or clinician will use the information obtained from the questionnaire, interview, physical examination, blood and urine tests, and their own clinical judgment to make a diagnosis. Objective criteria found in ...
What is the purpose of a professional who diagnoses addiction?
Professionals trained to diagnose addictions typically conduct alcohol and drug abuse assessments in private settings. All information that is provided by you is kept confidential and only used to assist in your treatment.
How long does it take for a drug test to detect hair follicles?
Hair follicle analysis is a more reliable way to test for the presence of drugs. It is less invasive, and most drugs can still be detected as long as 90 days after use, and hair from any part of the body can be collected for analysis.
How does rehabilitation help?
It can help to avoid costly hospitalization, reduce hospital length of stay , and prevent re-admissions . Rehabilitation also enables individuals to participate in education and gainful employment, remain independent at home, and minimize the need for financial or caregiver support.
Why is rehabilitation important?
Rehabilitation is an essential part of universal health coverage along with promotion of good health, prevention of disease, treatment and palliative care . Rehabilitation helps a child, adult or older person to be as independent as possible in everyday activities and enables participation in education, work, recreation and meaningful life roles ...
What are the challenges of rehabilitation?
Global rehabilitation needs continue to be unmet due to multiple factors, including: 1 Lack of prioritization, funding, policies and plans for rehabilitation at a national level. 2 Lack of available rehabilitation services outside urban areas, and long waiting times. 3 High out-of-pocket expenses and non-existent or inadequate means of funding. 4 Lack of trained rehabilitation professionals, with less than 10 skilled practitioners per 1 million population in many low- and middle-income settings. 5 Lack of resources, including assistive technology, equipment and consumables. 6 The need for more research and data on rehabilitation. 7 Ineffective and under-utilized referral pathways to rehabilitation.
What is the rehabilitation workforce?
The rehabilitation workforce is made up of different health professionals, including physiotherapists, occupational therapists, speech and language therapists, orthotists and prosthetists, and physical medicine and rehabilitation doctors.
How many people in the world do not receive rehabilitation services?
More than half of people living in some low- and middle-income countries who require rehabilitation services do not receive them. The COVID-19 pandemic has led to a new increase in rehabilitation needs as well as causing severe disruption to existing rehabilitation services in 60-70% of countries worldwide.
What percentage of people do not receive rehabilitation services?
Currently, the need for rehabilitation is largely unmet. In some low- and middle-income countries, more than 50% of people do not receive the rehabilitation services they require.
What are the natural hazards that can cause rehabilitation?
Rehabilitation in emergencies. Natural hazards such as earthquakes or disease outbreaks and human induced hazards including conflict, terrorism or industrial accidents can generate overwhelming rehabilitation needs as a result of injury or illness.
What is the rule of treatment for substance use disorders?
RULE is based on the same principles as motivational interviewing for patients with substance use disorders. Doctors and nurses should avoid telling patients about the “right” path to wellness without ensuring that patients are motivated to change.
What is motivational interviewing for substance abuse?
Motivational Interviewing for Substance Abuse. People addicted to alcohol or other drugs don’t always recognize the need to stop drinking or using. Some may not realize that they’re addicted. Others may not want to change, or they may not think recovery is possible.
What is motivational enhancement therapy?
Motivational enhancement therapy is a specific type of motivational interviewing that involves structured feedback and future planning. Motivational enhancement therapy begins with an extensive assessment of the client’s history of substance abuse and co-occurring mental health issues.
What is Ambivalence in psychology?
Ambivalence refers to conflicting emotions about substance abuse. People with addiction usually know that alcohol and other drugs are hurting them. A part of them may want to quit, and another part may simultaneously want them to keep using. Motivational interviewing is based on four assumptions:
Who developed the motivational interviewing approach to counseling?
Psychologists William R. Miller and Stephen Rollnick helped develop the motivational interviewing approach to counseling. In their book “Motivational Interviewing: Preparing People to Change Addictive Behavior,” they outlined five principles that therapists should adhere to.
What is the relationship between a therapist and client?
The relationship between a therapist and client is a collaborative partnership. An empathetic, supportive and directive approach to counseling can establish conditions for change to occur. Many people who begin treatment with motivational interviewing sessions are in the early stages of change.
Effects
Definitions
- An evaluation is broken down into two steps: a screening and an assessment. The Substance Abuse and Mental Health Services Administration (SAMHSA) defines them as:
Administration
- These components may be administered by a wide array of people who are trained to assess a person for an addiction, though the former may be administered with little to no training. The person responsible for this task may be a social worker, counselor, therapist, psychologist, psychiatrist, doctor, or nurse. They will, through written assessments and interviews, inquire abo…
Purpose
- The screening is a preliminary evaluation that helps the professional to determine if there is a situation present that warrants a more in-depth look. It is an important element of the process because it can allow for preemptive care and support if it does indeed highlight a risk factor, thus helping a person before their substance abuse progresses even further. This is the first step in h…
Examples
- Here are examples of some of the most commonly used screening tools. They may be either administered online or in person. These are examples of circumstances or convictions where a judge might require an evaluation:
Advantages
- Though the first, by way of set and structured questions, is easier for someone without an intense background in the field to administer, they do not result in as much detail, thus there is not as much information off of which to base a treatment plan. A semi-structured interview allows the professional, who is more skilled within this area, to supplement the structured questions by one…
Usage
- Today, in many cases, a person may begin this process by taking the screening online. In order to begin this you will have to create an account through the agency or platform to which you were directed. If you do not do this online, you will do one on paper in preparation for your evaluation. At your face-to-face interview, the person you are working with will have access to this and shoul…
Types
- There are two ways in which a person finds him or herself in the position of needing an evaluation. The first is when a person is taking steps toward entering a treatment or recovery program, and the second is when a court mandates it. Oftentimes the latter may also result in a person entering a program.
Preparation
- Any time a person is entering into an addiction treatment facility, the staff must first have a way to understand the person and their individual situation. The first stepbefore treatment can even beginis for the person to have their substance abuse evaluated by the facilitys team. This assessment gives the team of professionals a unique perspective into the individuals situation a…
Risks
- Some people who struggle with a co-occurring condition, such as a mental health concern, may falsely think that they must deal with the substance abuse before they can address these circumstances. This is in fact falsethe opposite is truein order for your treatment to achieve maximum success it is imperative that a person treat these co-occurring issues as well. Mental …
Qualification
- If a case involves substance abuse, the judge may order a drug and alcohol evaluation. This evaluation is administered from an agency that is certified through the state. In some situations or certain convictions some states may require this as part of the mandatory sentencing procedures.
Diagnosis
- During the course of the evaluation, which typically takes between 60-90 minutes, you will have an interview with a person who is trained in substance abuse treatment. They will do an in-depth review of your substance abuse history and look over the documents you provided.
Significance
- This evaluation is relevant because it determines if an ongoing condition is present such as a substance use disorder or addiction, or if there may not be enough evidence to support that you struggle with either, such as if the circumstances that resulted in the arrest were a one-time event of substance misuse. Even in the latter circumstance, in many states a person may still have to …
Results
- Though you might feel embarrassed or ashamed, or inclined to not be entirely forthcoming about your substance use behaviors, you must remember that ultimately this evaluation is for your own benefit. The substance abuse professional(s) cannot fully develop a plan or program without knowing exactly where you stand within your substance abuse or addiction. In addition to your s…
Prevention
- If you find that your substance abuse is beginning or continuing to exert a negative impact on your life, or if you see this behavior in someone you love, dont hesitate any longercontact us today. Our team at RehabCenter.net is understanding and highly trained in helping you get the care you deserve.