Assessment of Addiction and Co-occurring Disorders

or 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.

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.

***TOOLS***

U05a1: Approved Assessment Tools

When considering assessment tools for the Unit 5 assignment, please choose two or more from each category of this list to compare and contrast in your assignment:

Drug & Alcohol Assessment Tools

ASI (Addiction Severity Index)

CAGE (Alcohol Screening Assessment)

CAAPE (Comprehensive Addictions and Psychological Evaluation)

DAST – 20 (Drug Abuse Screening Test/Drug Use Questionnaire)

MAST (Michigan Alcoholism Screening Test)

SASSI – 3 (Substance Abuse Subtle Screening Inventory).

Co-Occurring Disorders
DSM-5 Cross Cutting Symptom Measure

MMPI (Minnesota Multiphasic Personality Inventory – 2)

MCMI-III (Millon Clinical Multiaxial Inventory – III)

PDSQ (Psychiatric Diagnostic Screening Questionnaire)

PRISM (Psychiatric Research Interview for Substance and Mental Disorders)

Evaluation of Harm Tools

BDI (Beck Depression Inventory – II)

BHS (Beck Hopelessness Scale)

BSI (Beck Scale for Suicide Ideation)

CARS (Cultural Assessment of Risk for Suicide)

SPS (Suicide Probability Scale)

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