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Presents information on identifying, screening, and assessing adolescents who use substances. This report focuses on the most current procedures and instruments for detecting substance abuse among adolescents, conducting comprehensive assessments, and beginning treatment planning. Presents appropriate strategies and guidelines for screening and assessment. Explains legal issues concerning Federal and State confidentiality laws. Provides guidance for screening and assessing adolescents in juvenile justice settings. Summarizes instruments to screen and assess adolescents for substance and general functioning domains.
Author : U.S. Department of Health and Human Services Publisher : Lulu.com Page : 163 pages File Size : 33,57 MB Release : 2019-11-21 Category : Reference ISBN : 1794760202
reatment Improvement Protocols (TIPs) are developed by the Substance Abuse and Mental Health Services Administration (SAMHSA) within the U.S. Department of Health and Human Services (HHS). Each TIP involves the development of topic-specific best-practice guidelines for the prevention and treatment of substance use and mental disorders. TIPs draw on the experience and knowledge of clinical, research, and administrative experts of various forms of treatment and prevention. TIPs are distributed to facilities and individuals across the country.
EXECUTIVE SUMMARY AND RECOMMENDATIONS. In recognition of the importance of developing reliable, valid, and clinically useful instruments as well as procedures for screening adolescents for substance use disorders, the Center for Substance Abuse Treatment (CSAT) in 1992 convened a Panel of experienced researchers and clinicians who work with troubled youths and their families. A year later, CSAT convened another Panel that examined substance use disorder treatment for adolescents and outlined state-of-the-art treatment guidelines. Two Treatment Improvement Protocols (TIPs 3 and 4) were developed from these efforts. Given the continued significance of assessment and treatment of adolescents' substance use, CSAT convened another Panel in 1997 to update both of the earlier TIPs. This TIP should be viewed as a companion volume to TIP 32, Treatment of Adolescents With Substance Use Disorders (CSAT, 1999), which updates TIP 4. The original Panel on adolescent substance use screening and assessment had two goals. The first was to discuss the problems of adolescent substance use disorders from the viewpoints of the Panel Members, who come from a wide spectrum of backgrounds and specialty areas. The emphasis was on practical clinical procedures to help treatment providers improve care. A second goal for the Panel was to review, from a practical perspective, available instruments, procedures, and measures for assessing adolescent substance use in various settings, including rehabilitation, that could be used easily by clinicians and other workers in the field. The Revision Panel preserved the original goals but also incorporated new research, updated summaries of previously listed instruments, and added recently developed tools. This TIP incorporates the deliberations of the 1992 Consensus Panel and the 1997 Revision Panel. It concentrates on the strategies, procedures, and instruments that are appropriate for the initial detection of substance-using adolescents, the comprehensive assessment of their problems, and subsequent treatment planning. Although the TIP summarizes many instruments, it does not endorse any screening or assessment tools. The purposes of the TIP are several: (1) To provide general guidelines for evaluating, developing, and administering screenings and assessment instruments and processes for those who screen and assess young people for substance use disorders (2) To inform a wide range of people whose work brings them in contact with adolescents in problem situations (e.g., teachers, guidance counselors, school nurses, police probation officers, coaches, and family service workers) about the processes, methods, and tools available to screen for potential substance use problems in adolescents (3) To discuss strategies and accepted techniques that can be used by treatment personnel to detect related problems in the adolescent's life, including problems with family and peers, and psychiatric issues, and to see that these problems are dealt with during the primary intervention for a substance use disorder (4) To outline a screening and assessment system designed to identify those youths with potential substance use problems in various settings Adolescents differ from adults physiologically and emotionally and are covered by different laws and social services. This revised TIP is designed to help juvenile justice, health and human service, and substance use disorder treatment personnel better identify, screen, and assess people 11 to 21 years old who may be experiencing substance-related problems. The TIP details warning signs of substance use disorders among adolescents, when to screen, when to assess, what domains besides substance use to assess, and how to involve the family and other collaterals. Also covered are the legal issues of screening and assessing teenagers, including confidentiality, duty to warn, and how to communicate with other agencies. The TIP also includes a chapter specifically for those working in the juvenile justice system who want to improve their screening and assessment procedures. Appendix A lists the citations referred to throughout this TIP and relevant to the instrument summaries. Appendix B provides up-to-date summaries of instruments relevant for screening and comprehensively assessing substance-abusing adolescents. Appendix C contains excerpts from "Drug Testing of Juvenile Detainees," a publication prepared by the American Correctional Association and the Institute for Behavior and Health, Inc., under a grant from the Office of Juvenile Justice and Delinquency Prevention, Office of Justice Programs, U.S. Department of Justice.
Stay up-to-date in the continuing fight to assess and treat adolescent drug and alcohol abuse Adolescent Substance Abuse: New Frontiers in Assessment presents up-to-date research on the assessment, intervention, and treatment of alcohol and drug use behaviors in adolescents, using screening tools developed to accurately measure the extent and nature of the problem. This unique book provides evidence of how the field has matured over the past 20 years, highlighting the rapid growth in research with a focus on topics deserving of more study. Leading experts working in adolescent health and assessment examine treatment-oriented typologies, treatment matching, problem identification and referral, parent-report, self-report, and the compatibility of anonymous and confidential surveys. Recent advancements in the development and evaluation of research materials have led to vast improvements in the study of adolescent drug abuse. Counselors can now depend on user-friendly features and rigorous psychometric evidence in determining the important differences between adolescent and adult drug use; distinguishing between normative and severe-end drug use behaviors; detecting faking bad, faking good, and other sources of compromised self-reports; and developing a greater understanding of substance abuse disorders. Still, challenges remainthe validity of adolescent self-report tools is vital; there is a need for more precise identification of related psychosocial problems, and there is a lack of data of whether current assessment tools can identify distinct levels of a problem’s severity. Adolescent Substance Abuse works to meet those challenges. Adolescent Substance Abuse examines: how assessment can be used to identify treatment-oriented typologies to improve treatment matching how to use community readiness for drug abuse prevention how to use the psychometric data of a screening tool for problem identification urinalysis, parent report and self-report in working with American Indian youth parent-child concordance in assessment of substance use anonymous versus confidential survey formats in Mexico, Puerto Rico, and the United States gender differences in measuring substance abuse and much more Adolescent Substance Abuse is an essential professional resource for counselors and researchers working in the field of adolescent health, particularly drug abuse.
It is well known that many children and adolescents entering the juvenile justice system suffer from serious mental disorders. Yet until now, few resources have been available to help mental health and juvenile justice professionals accurately identify the mental health needs of the youths in their care. Filling a crucial gap, this volume offers a practical primer on screening and assessment together with in-depth reviews of over 20 widely used instruments. Comprehensive and timely, it brings together leading experts to provide authoritative guidance in this challenging area of clinical practice. Grounded in extensive research and real world practical experience, this is an indispensable reference for clinical and forensic psychologists, social workers, and psychiatrists, as well as juvenile justice administrators and others who work with youths in the justice system. An informative resource for students, it is an ideal supplemental text for graduate-level courses.