Assessing a client

Personal assessment Work assessment See also One of the first stages after meeting your client is to assess them, understanding as much as you can about them so you can then optimally help them.

Assessing a client

Motivations for using substances Goals and values The purpose of this chapter is to aid you in assessing where clients are in terms of motivation levels and also to help you apply the motivational principles and appropriate strategies for different stages of change that are discussed in Assessing a client 4 through 7.

A variety of valuable and psychometrically sound instruments and scales that are easy to administer are now available Allen and Columbus, You may wish to try several different instruments to find those that work best with your clients, that measure the dimensions of most interest to you, and that match your clinical style.

Many of the instruments discussed in this chapter appear in Appendix B. Self-Efficacy Individuals in recovery have very different levels of confidence regarding their ability self-efficacy to change and abstain from substances.

Some are overly confident, while others feel hopeless about achieving sobriety or even reducing use.

The stages-of-change model has inspired instruments for assessing readiness to change or a client's motivational change state. Depending on the level of readiness--or change stage--different motivational intervention strategies will be more or less effective (see Chapters 2 through 7). Down to Earth is a Registered Training organisation (RTO) accredited by the ASQA – Australian Skills Quality Authority to provide a range of nationally recognised training and assessing solutions relevant to the mining, civil construction, logi. We deliver world-class situational judgment assessment and development tools to help your organization find and keep high-performing employees and leaders—accelerating productivity and .

Self-efficacy, particularly with respect to capabilities for overcoming alcohol dependence or abuse, is an important predictor of treatment outcome DiClemente et al.

Because certain situations are more likely to lead to setbacks for those in recovery Marlatt and George,identifying these high-risk situations is an important Assessing a client in treatment.

Self-efficacy questionnaires ask clients to rate how risky certain situations are and to estimate their confidence in how well they would do in avoiding the temptation to use substances in these situations.

Some computerized versions of these instruments generate small bar graphs that add a visual dimension to the numbers. By using these tools, clients gain an understanding of where their individual risks lie--high-risk situations in which they have low self-efficacy.

This information can be extremely useful in setting realistic goals and developing an individualized change plan and can provide a sound basis for self-monitoring. Clients who rank many situations as high risk i. The instrument consists of items that ask clients to identify their level of confidence in resisting drinking as a response to the following eight types of situations Marlatt and Gordon, Unpleasant emotions Testing personal control over substance use Urges and temptations to drink Pleasant times with others Pleasant emotions Social pressure to drink Clients are asked to imagine themselves in each situation and rate their confidence on a 6-point scale, ranging from not at all confident a rating of 0 to totally confident a rating of 6 that they can resist the urge to drink heavily in that situation.

Assessing a client

The SCQ is accompanied by an Inventory of Drinking Situations that assesses the frequency of heavy drinking in different situations. The results of this questionnaire can be used to provide personalized feedback to the client as well as for treatment planning Annis and Davis, High confidence scores have been shown to predict positive treatment outcomes Annis and Davis,whereas low confidence scores have identified clients who are likely to have poor treatment outcomes Sobell et al.

Brief Situational Confidence Questionnaire The Brief Situational Confidence Questionnaire BSCQ was developed as an alternative to the SCQ because some treatment programs found the length and scoring and graphing systems of the original instrument to be too time-consuming in clinical practice Sobell, Respondents in a community study Sobell et al.

A comparison of the brief and long versions of the SCQ Breslin et al.

Assessing a client

The BSCQ, although not as comprehensive and not yet as extensively tested, has several clinical advantages over the longer version. It can be administered in a few minutes, is easily interpreted by clinicians, provides immediate feedback for the client, and can be used easily in primary care and other nonaddiction-specific settings Breslin et al.

The AASE consists of 20 items and can be used to assess both the temptation to drink and the confidence to abstain see Figure Clients rate their temptation to drink and their confidence that they would not drink in each situation on separate 5-point Likert scales that range from 1 not at all likely to 5 extremely likely.This TIP, Screening and Assessing Adolescents for Substance Use Disorders, updates TIP 3, published in , and presents information on identifying, screening, and assessing .

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Built upon the core principles of NDT the RPSF™ is a step by step framework of problem-solving strategies and manual cues for assessing potential and individualizing functional outcomes when implementing interventions for adult clients with hemiplegia.

Assessing the Client. Disciplines > Coaching > Process > Assessing the Client. Personal assessment | Work assessment | See also. One of the first stages after meeting your client is to assess them, understanding as much as you can about them so you can then optimally help them.

to-face client interview allows counselors to meet their clients at the beginning of the counseling process (Jones, ).

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Counselors rely on interview skills to obtain clinical information from their clients. The second type of clinical assessment is the use of assessment tools. The. The stages-of-change model has inspired instruments for assessing readiness to change or a client's motivational change state.

Depending on the level of readiness--or change stage--different motivational intervention strategies will be more or less effective (see Chapters 2 through 7).

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