Write 6-8 page paper on Assessment of Addiction and Co-occurring Disorders

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PLEASE MAKE SURE THAT YOU USE THE TEMPLATE TO COMPLETE THE PAPER ASSIGNMENT!!!! SCHOLARLY RESOURCES ONNLY

Assessment of Addiction and Co-occurring Disorders

For this assignment, you will select one of the case scenarios provided in the assignment's Resources and analyze assessment tools that would support the diagnostic process for both the substance use and mental health issues presented. You will need to compare at least two assessments for each area of concern, including the client's risk of harm to self or others, and point out the relative strengths and limitations of each. Consider scholarly literature and reviews for your selected assessment tool in the Mental Measurement Yearbook, if available, in order to analyze the level of appropriateness of the tool to assess clients from diverse backgrounds. Formulate a provisional diagnosis following DSM-5 criteria using the assessment template provided. Follow the template to address client strengths, challenges, and level of care (see page 75 of the text). This assignment sets the stage for the formulation of the treatment plan in u09a1.

Follow these assignment requirements:

  • Written communication: Written communication is thoughtful and free of errors that detract from the overall message.
  • APA formatting: Resources and citations are formatted according to APA (6th edition) style and formatting.
  • Number of resources: Minimum of six scholarly sources. Distinguished submissions will likely exceed this number.
  • Length of paper: 6–8 typed, double-spaced pages, plus title page and references.
  • Font and font size: Times New Roman, 12 point.

Submission Requirements

You are required to submit your final version of this paper to Turnitin to generate a final report prior to submitting the assignment for grading. From the Turnitin tool, use the Final report option for the assignment. When your paper is downloaded and viewable in Turnitin, save the originality report. Refer to the Turnitin.com Tutorial: Viewing Originality Reports (linked in the assignment Resources) for guidance.

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Running head: NAME OF DOCUMENT Name of Document Author First Name MI. Last Name Capella University 1 NAME OF DOCUMENT 2 Assessment of Addiction and Co-occurring Disorders Provide an introduction to your paper making it clear which case you have selected, and include the purpose of the assessment by describing the primary presenting concerns from the scenario. Evaluation of Assessment Tools Select and evaluate at least two assessment tools for each of the following: • • • Addiction Assessment or Screening. Assessment of Co-occurring Mental Health Issue. Assessment of Risk of Harm. Using the Mental Measurement Yearbook and other scholarly sources (peer reviewed journal articles), compare the strengths and weakness of each assessment and justify selecting one that would be the stronger choice for the case. Be certain to analyze how well each assessment performs with relevant diverse populations. When it exists, scholarly literature that addresses how well the assessment tool performs with the specific diversity presented in the case should be cited. Based upon information provided in the case justify a provisional diagnosis including DSM criteria met and those that would require additional information. Note information needed for differential diagnosis and cultural considerations. Results of Assessment Diagnosis Based upon the DSM-5 List: Principal DSM-5 Diagnosis (Focus of treatment): Additional DSM-5 Diagnoses: NAME OF DOCUMENT 3 Relevant Medical Diagnoses (if known): Note: Other Conditions That May Be a Focus of Clinical Attention (see pp. 715–727 of DSM-5 manual) – Measures of Symptom Severity/Disability (see Section III of DSM-5, p. 747 and select appropriate assessment tools such as WHODAS 2.0 for adult or parent/guardian Cross-Cutting Symptom Measure for child age 6–17) – Include a narrative description explaining how the diagnosis was formulated citing the DSM-5 and any other relevant sources. It is likely that the case scenario does not provide enough detail to make a definitive diagnosis. Note the information needed to formulate a more definitive diagnosis and how the results of the assessment tools selected would contribute to the process. Description of Client Strengths This section should focus upon the strengths suggested in the scenario that are relevant to consider for the level of care and modalities (individual, group, family) that will be recommended. Note that only the level of care is included at this point in the project. Considerations should include the client’s support system, motivation to change, and physical health from the perspective of the strengths they may have. NAME OF DOCUMENT 4 Description of Challenges to Be Addressed This section mirrors the information considered strengths, noting the relevant gaps that may present challenges for the client in terms of their support system, motivation to change, and physical risks associated with their substance of choice. The risk of the client harming themselves or others should be addressed here. Recommended Level of Care Based upon ASAM criteria (see pp.72–75 in the Lewis text), a recommendation for the initial level of care is addressed here. The continuum of care that will likely follow should be described and supported by scholarly literature. NAME OF DOCUMENT 5 References Author, A. A., Author, B. B., & Author, C. C. (year). Title of article. Title of Periodical, volume# (issue#), xx–xx. COUN5108 Case Scenarios Case Scenario 1 Tyrell is a 30-year-old African American homosexual male. He graduated from law school two years ago and feels fortunate to have a job as a law clerk in a prestigious law firm in New York. His job demands long hours, so it is not unusual for him to go several days with little sleep. His partner, James, is familiar with pushing the limits to get established in a career, so he suggested that they both take time to get away. While on vacation, James was hoping to enjoy some downtime. In contrast, Tyrell seemed particularly keyed up the first few days. Rather than relaxing on the beach, Tyrell paced and seemed out of place among the happy vacationers. James made excuses for Tyrell’s agitated behavior, noting that it was difficult for many people to wind down after pushing so hard at work. The fourth night at dinner, Tyrell began berating a waiter who made a mistake in his order. Tyrell became uncharacteristically rude, suggesting that the waiter was not worth his time of day, and abruptly left the restaurant. James paid the bill and returned to the hotel only to find Tyrell out on the balcony of their room screaming, “Do you know who I am?!” at other guests. Becoming truly alarmed, James coaxed Tyrell back into the room and convinced him to take a walk to cool down. While Tyrell was gone, James wondered if his partner was “on something.” He went through Tyrell’s luggage and, upon finding some white powder, called Tyrell’s brother, Michael. Michael was not shocked by James’s description of Tyrell’s explosive behavior. Michael recalled Tyrell being in trouble in college for similar behavior and that Tyrell had seen some kind of doctor as part of an agreement for him to remain in school. According to Michael, the incident blew over and the family attributed it to the stress of applying to law schools. When Michael went to visit Tyrell afterward, Tyrell seemed pretty down on himself and in a low mood in general. Taking a risk to share an alternate explanation, James admitted that he had seen Tyrell at a club meeting some friends who were into meth, but he did not think much of it until now. The more Michael and James compared notes, the more concerned they became. James tried to convince himself that Tyrell had surely just got mixed up with the wrong people and got into “a little meth” in his attempt to keep up at work. But Michael was more skeptical and insisted that this sounded too similar to what his parents vaguely called “Tyrell’s episode.” James and Michael’s debate was interrupted by another phone call. Tyrell was in a local hospital emergency room (ER) being treated for injuries after he took a swing at someone in a nightclub. He missed and hit a wall, injuring his hand. James debated whether he should tell the ER staff about his fears of Tyrell abusing meth or Michael’s description of the story from law school. He did not have to debate long, as the ER physician concluded that a full assessment was warranted based upon Tyrell’s insistence that he was the best lawyer in New York and the ER doctor better not “screw up” the best shot he would ever have to get out of that “crummy little hospital.” The ER physician referred Tyrell to the psychiatric crisis worker on call. 1 COUN5108 Case Scenarios Case Scenario 2 Marifel is a 19-year-old woman of Filipino decent. She was born in the Philippines and moved to the United States with her parents when she was 2 years old. She has many relatives in the United States including aunts, uncles, and cousins, but her grandparents and some other extended family members remain in the Philippines. She visited them every couple years while growing up and often stayed for several weeks at a time. Marifel’s parents describe her as a happy child who was able to enjoy time with friends and family on two continents. Unfortunately, this changed after Marifel was in a boating accident last summer. Marifel was enjoying a high school graduation celebration with friends at a nearby lake when the accident occurred. The boat in which she was traveling struck a rock beneath the surface of the water at a high rate of speed, causing the boat to crash into a nearby pier. Marifel suffered severe injuries to her back and legs that required multiple surgeries, but her family felt lucky that she survived, as one of Marifel’s friends died of her injuries the night of the accident. As Marifel struggled to recover from the accident, she came to rely upon opiate medications that were initially prescribed to help manage her pain. As weeks passed, her physical injuries healed, but she found that the numbing sensation that the opiates provided helped block the pain associated with the loss of her friend and memories of the accident. When her physician refused to refill her prescription, Marifel found contacts through a mutual friend who could supply the pills for a price. She found that the pills helped her sleep and gave her a warm feeling that helped her act like her old self. Whenever the pills ran out, she found that memories of the accident grew worse and popped into her head when she had quiet moments to herself. She has had some thoughts of hurting herself when she questions why her friend died while she survived, but with the relief of the pills, she has been able to push those thoughts away. When she was physically well enough to travel, Marifel’s grandparents invited her to visit because they were anxious to see her. To everyone’s shock, she refused to travel to the Philippines. One of her cousins suggested that it might be because Marifel could not get enough pain pills to be away that long. This alarmed Marifel’s parents, who did not know how or where she was getting the pills. Searching Marifel’s room, they found plastic baggies tucked in odd places—some empty and some containing pills. At her parents’ insistence, Marifel agreed to meet with a counselor to help explore how she was really handling the accident. 2 COUN5108 Case Scenarios Case Scenario 3 Miguel is a 60-year-old Mexican-American male. He is married and the father of three adult children who all live on their own. Miguel worked at a food processing plant for 20 years and advanced into a supervisory role until the company relocated a year ago, leaving him unemployed for more than six months. Miguel is proud that he supported his family and created a home where his children were able to grow up and enjoy a good education. Unfortunately, he saved little for his own retirement and has not told his wife that their meager savings will soon be depleted. Miguel recently found a position working in a recycling facility, but it pays only a fraction of what his previous position did. Miguel is anguished as to how he will support his wife and his mother who came from Mexico to live with them. Miguel often pays bills after his wife and mother go to bed at night. He does not want them to worry, so he spends time carefully calculating the minimum payment for each creditor and noting on a calendar how late the payment can be mailed. His concentration has been rather poor so this takes him longer than usual. In spite of his efforts, some creditors have begun to call the house when the payments were late. His spirits have been steadily sinking as the reality of their finances broke his more characteristic optimism. When his family comments on how fatigued he looks, Miguel tells them that he is simply tired from the physical demands of this new job, but this is only partly true. Lately, he has begun to drink as he pays the bills at night to help ease his mind. He has trouble sleeping and reasons that maybe a drink or two may help him unwind. As he drinks, the reality of the bills do not go away, so he drinks a little more. This pattern has developed into a nearly nightly cycle of looking at the bills and drinking as he makes little progress toward a solution. His situation appears increasingly hopeless. His life insurance policy is one bill he makes certain to pay. It may be his final option. In the past month, Miguel has found it difficult to get up in the morning for work due to his late nights with the bills. He has been late to work three times, and the last time, his supervisor smelled alcohol. He confronted Miguel. Miguel told him that he simply had grabbed the wrong shirt in the morning by accident. Perhaps he spilled a little something on the shirt the last time he wore it. Miguel’s supervisor shared how he had tried to cover his own drinking years ago and offered Miguel the chance to save his job if he agreed to follow the company’s referral process as part of the Employee Assistance Plan. Feeling cornered, Miguel agreed. 3
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Running head: Assessment of Addiction and Co-occurring Disorders

1

Assessment of Addiction and Co-occurring Disorders
Institutional Affiliation
Name

Introduction
Addiction is the tendency to be preoccupied by substances like alcohol, or even behaviors
like gam bling. When a person addicted to something it means that the person cannot do without

Assessment of Addiction and Co-occurring Disorders

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such thing. Generally, addiction is also termed as a disorder identified through loss of control,
preoccupation or interested with some activities or being too much into some behaviors that one
can’t let go. In such a situation, one continues to get involved in the activity despite the negative
results or consequences arising from it. Concurrent disorder, on the other hand, involves the use
of substances along a mental illness. The disorder arises from some factors an example being that
some people decide to take the substance because they are trying to treat a psychiatric symptom
or rather as self-medication. As a result, the victim is forced to continue using the substance
because they feel they are treating themselves and in doing so, the aspect of addiction comes in.
This paper will focus on case scenario one involving a lawyer.
The first scenario involves a successful man called Tyrell who has a friend called James.
The two are partners at work place, and due to their busy schedule at work that gives them less
time for themselves, James thinks the idea of going out on vacation together will be selfrelieving. It turns out that Tyrell isn’t happy out there and he finds himself in so much mess. At
first, he berated a waiter at the hotel for making a mistake in the order he made. He was so rude
and caught everyone’s attention because he shouted saying that the waiter wasn’t worth his time
of the day. That seemed so weird for his partner because it was unlike Tyrell. As if that was not
enough, James found him yelling at one of the guests on the balcony of their room. This raised
James suspicions, and he had to check Tyrells luggage, and that was when he realized that he
was on drugs. He then decided to call the brother Michael so that he can help in the situation.
The presenting concerns in this scenario are that Tyrell has a tendency of rudeness and hatred to
everyone he sees and meets because he feels that people are looking upon him when he knows
that he is the only best lawyer in New York. He brags and asks people if they know him.

Assessment of Addiction and Co-occurring Disorders

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Addiction Assessment or Screening tools
To start with, there is a tool known as the Addiction Severity Index, and the main aim of
this tool is to screen for any problems and any impairment that usually and commonly come
along with the drug abuse and dependence to drugs. The tool takes into account one's
relationships with co-workers, family members medical conditions, for example, hepatitis B and
C. According to this scenario we are looking at, the victim has difficulty in socializing and living
with people (Sharon Samet, 2018). He gets into trouble with everybody around him and sorts
into fighting as a solution. This tool is therefore very important because it will provide the nurses
or the clinicians with the information that they could use in addressing the problem or ask for
referrals so that the victim can get help.
There are some ways this tool works, and some of them are by looking at the medical
conditions, use of alcohol and any drugs, legal issues, family and social relationships,
employment or support and so many others. When with the doctor or the administrator, the
victim is asked a series of questions concerning the above domains in his life so that at the end of
it all they will reach some conclusions that will help in finding a way of helping the victim
("Screening & Assessment Tools", 2018). A time is set after doing some calculations for
administering the treatment.

The Composite International Diagnostic Interview
This tool was created by the World Health Organization purposely for assessing and
diagnosing some characteristics of human being in their daily life, and that include mood,
anxiety, and substance use disorder. This tool works in a way that if anything is found
concerning substance use disorder, the tool elicits other information that could be used in

Assessment of Addiction and Co-occurring Disorders

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developing a treatment planning. There are so many versions of this tool that have been used for
decades and have proven to be effective because they work in a double course. Programs or even
projects are advised to apply the tool substance partly or in a whole to achieve the desired results
when doing the assessment.
Self -assessment of an abuse-free environment
This is a tool used in assessing the concurring disorder and mental illness. It was
developed by the N...


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