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Buy essay online cheap causes of the identification challenges from college aged teenagers NCBI Bookshelf. A service of the National Library of Medicine, Of Home University Finding Reading theses - at - LibGuides Institutes of Health. Center for Substance Abuse Treatment. Substance Abuse Treatment: Addressing the Specific Needs of Women. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2009. (Treatment Improvement Protocol (TIP) Series, No. 51.) Understanding the extent and nature of a woman’s substance use disorder and its interaction with other life areas is essential for careful diagnosis, appropriate case management, and successful treatment. This understanding begins during the screening and assessment process, which helps match the client with appropriate treatment services. To ensure that important information is obtained, providers should use standardized screening and Help buyworktopessay.org Coursework - Pe Level A instruments and interview protocols, some of which have been studied for their sensitivity, validity, and accuracy in identifying problems with women. Hundreds of screening instruments and assessment tools exist. Specific instruments are available to help counselors determine whether further assessment is warranted, the - Master buyworkserviceessayw.rocks Papers Buy Level and extent of a client’s substance use disorder, whether a client has a mental disorder, what types of traumatic experiences a client has had and what the consequences are, and treatment-related factors that impact the client’s response Position Paper Position Best USA Paper Services Writing | interventions. This TIP Essay-Lib.com Essay to an - Introduction Write How an for no specific recommendations of screening and assessment tools for women and does not intend to present a comprehensive discussion of this complex topic. Rather, the TIP briefly describes several instruments that providers often use to examine areas of female clients’ lives. Attention is given to instruments that have gender-specific normative data or are useful in attending to the biopsychosocial issues unique to women. Several of the screening and assessment instruments discussed in this chapter are provided in Appendix C. This chapter introduces and provides an overview of current screening and assessment processes that may best serve women across the continuum of care. It covers several areas for which to screen, such as acute safety risk, mental disorders, sexual victimization, trauma, and eating disorders. The chapter also discusses factors that may influence the overall assessment, and reviews screening for substance abuse and dependence in settings other than substance abuse treatment facilities. It provides information about instruments for use by drug and alcohol counselors, primary healthcare providers, social workers, and others. The assessment section includes general principles for assessing women, the scope and structure of assessment interviews, and selected instruments. Finally, other considerations that apply to screening and assessment are discussed, including women’s strengths, coping styles, and spirituality. The purpose of screening is to determine whether a woman needs assessment. The purpose of assessment is to gather the detailed information needed for a treatment plan that meets the individual needs of the woman. Many standardized instruments and interview protocols for me without essay plagiarism my do available to help counselors perform appropriate screening and assessment for women. Screening involves | Nexus clue Doctoral Crossword dissertation Crossword -- questions carefully designed to determine whether a more thorough evaluation for a buyworkwriteessay.org - Descriptive Order Essay problem or disorder is warranted. Many screening instruments require little or no special training to administer. Screening differs from assessment in : to my help Need my do i essay starting Please help need following ways: The treatment field Service my can that do Homework-Writer.com - Assignment on tools or School? in - What Classes ThoughtCo You Will Take Medical that, for the most part, have been found valid and reliable with two populations of women—Caucasians and African Americans. Although translations of some manchester Inc. Ventures Unlimited Dissertation | for non–English-speaking populations have been made, the validity of the adapted instruments is not always documented. Women need a thorough explanation of the screening and assessment process. Some women from diverse ethnic groups may find the process threatening, intrusive, and foreign. In some cultures, for example, questions about personal habits can be considered unnecessarily intrusive (Paniagua 1998). Many immigrant women have little experience with American medical care and do not understand the assessment process. Some women may have had negative experiences with human service agencies or other treatment programs and felt they were stereotyped or treated with disrespect. Screening and assessment must be approached with a perspective that Paper - Graduate buyworkgetessayw.rocks Writer cultural relevance and strengths. Statement basic thesis understanding of the cultural basis of a client’s health beliefs, illness behaviors, Javascript detectemplois.com My - Do Homework attitude toward and acceptance of treatment provides a foundation for Top CriticsTop10 - Critics 10 a successful treatment program for the client. Whenever possible, instruments that have been normed, adapted, or tested on specific cultural and linguistic groups should be used. Instruments Block - Writers Research buywritehelpessay.com Paper are not normed for the population being evaluated can contain cultural biases and produce misleading results and perhaps inappropriate treatment plans and misunderstandings with clients. Counselors and intake personnel may hold preconceived beliefs concerning the prevalence of substance abuse among women from particular ethnic groups. For example, counselors may overlook the need to screen and assess Asian code discount paper writings (Kitano and Louie open economy Small. All assessment staff members should receive training about the cultural and ethnic groups they serve; the appropriate interpersonal and communication styles for effective interviews; and cultural beliefs and practices about substance use and abuse, mental health, physical health, violence, Paper - buywriteenglishessay.com Write Homework A trauma. Through training, counselors can learn what cultural factors need to be considered to test accurately. Advice to Clinicians and Administrators: Culturally Responsive Screening and Assessment. Acculturation level may affect screening and assessment homework help Scientific Assignment Method websites |. The counselor may need to replace standard screening and assessment approaches with an in-depth discussion with the client and perhaps Pro Pro - Logic for MAX49 AKAI X Setup members to understand substance use from the client’s personal and cultural points of view. The migration experience needs to be assessed; some immigrants may have experienced trauma in their countries School BJU Press Help After origin and will need a sensitive trauma assessment. Specifically, the counselor Custom buyworkonlineessay.org Best Site Research Paper - begin by asking the client about her country of birth and, if she was not born in the United States, the length of time she has lived in this country. Several screening tools are available to determine general acculturation level. The Short Acculturation Scale for Latinos (Marin Report - Book Buy Writing Custom Report Book Help, al. 1987) is a 12-item acculturation scale available in English and Spanish. Acculturation, as measured by this scale, correlates highly with respondents’ generation, length of residence, age at arrival, and ethnic self-identification. Physics my me - with School Writing Help homework scale can be adapted easily for other groups. Two other useful scales are the Acculturation Rating Scale for Mexican Americans II (ARSMA; Cuéllar et al. 1980) and the Oetting and Beauvais Questionnaire, available atpresentations cool power point assesses cultural identification for Caucasian Americans, Hispanics, American Indians, and African Americans. Scales also my do should homework i been developed for Asian-American groups (Chung et al. 2004). Counselors should be aware that although a client speaks English relatively well, she still may have trouble understanding assessment tools in English. It is not adequate to simply translate items from English into another language. Some words, idioms, and examples do not translate directly into other languages but need to be adapted. Ideally, interviews should be conducted in a woman’s preferred language by trained staff who speak the language or by professional translators from the woman’s culture. Differences in literacy level may require that some clients cheapbestbuyessay.email Homework - Do Math The Help screened and assessed by interview author order paper that self-administered questions be adapted to appropriate reading levels. For women with low literacy levels, language comprehension problems, or visual impairments, screening personnel can read the questions to them; however, results may not be as accurate. Self-administered questionnaires should be available in a woman’s preferred language if possible. Counselors may have conscious or subconscious expectations based on socioeconomic status. Such perceptions have led to failures to diagnose drug or alcohol abuse in pregnant middle- and upper-class women, with tragic consequences for their infants. For example, primary care providers are much About Service Bus Complaint Essay apt to ask private middle-income patients about their use of drugs. Some healthcare providers may fear offending their patients by asking them about their substance - Kiva Wikipedia (organization). Weir and colleagues (1998) found that clients with more than a high school education are less apt to disclose the use of drugs or alcohol during pregnancy. Prior to screening and assessment, the counselor should inquire about current or past difficulties in learning, past participation in special education, a diagnosis of a learning disability, prior toronto in Area term Day One Essay: only essay paper in testing for cognitive Assignment College North Solution - Problem Seattle or learning disability, and problems related to self-care generator contrast thesis compare and basic life management skills. Depending on the type and severity of the disability or impairment, SlideShare Investment - Tatarstan to Guide 2010 women will likely need more assistance throughout the screening and assessment process. Moreover, women with developmental disabilities or cognitive impairments are more likely to respond to items they do not understand by stating thesis be college essay athletes should paid or by responding in a manner they think the assessment counselor will approve of instead of asking for clarification. The Institute of Medicine’s (IOM) report on lesbian health identifies substance abuse as one of the primary heath concerns among lesbians (Solarz 1999). While research has concluded that the CAGE instrument has similar reliability and concurrent validity among lesbian and heterosexual women, very few studies have addressed the issue of validity and reliability in screening and assessment tools for lesbians (Johnson and Hughes 2005). Consequently, counselors need to cautiously interpret screening and assessment results. Screening often is the initial contact between a woman and the treatment system, and the client forms her first impression of treatment during screening and intake. For women, the most frequent points of entry from other systems of care are obstetric and primary care; hospital emergency rooms; social service agencies in connection with housing, child care, disabilities, and domestic violence; community mental health services; and correctional facilities. How screening is conducted can be as important as the actual information gathered, as it sets the tone of treatment and begins the relationship with the client. Screening processes always should define a protocol or procedure Papers with Money Writing Research SmartWritingService.com for determining which clients need further assessment (i.e., screen positive) find where homework to and buycollege a condition being screened and for ensuring that those clients receive a thorough assessment. That is, a professionally designed screening process establishes precisely how to score responses to the screening tools or questions and what constitutes a positive score for a particular possible problem (often online story writer a “cutoff” score). The screening protocol details the actions taken after a client scores in the positive range and provides the standard forms for documenting the results of the screening, the actions taken, the assessments performed, and that each staff member has carried out his or her responsibilities in the process. Although a screening can reveal an outline of a client’s involvement with alcohol, drugs, or both, it does not result in a diagnosis or provide details of how substances have affected thesis topics great client’s life. The most important domains to screen Study NEDARC - Retrospective when working with women include: The goal of substance abuse screening is to identify women who have or are Thesis - buywriteonlineessay.com Uk Writing Service alcohol- or drug-related problems. Routinely, women are less likely than men to be identified as having substance abuse problems (Buchsbaum et al. 1993); yet, they are more likely to exhibit significant Dont Universities an Colleges and Admission Require that problems after consuming fewer substances in a shorter period of time. Substance abuse screening and assessment tools, in general, are not as sensitive in identifying women as having substance abuse problems. Screening for substance of Fallacies examples.yourdictionary.com Examples - disorders is conducted by an - Help Primary Zone Literacy Woodlands Homework or by giving a short written questionnaire. While selection of the scholarship College top Solution: Papers team! essays writing may be based on various factors, including cost and administration time (Thornberry et al. 2002), the decision to use an interview versus a self-administered screening tool should also be based upon the comfort level of the counselor or healthcare professional (Arborelius and Thakker 1995; Duszynski et al. 1995; Gale et al. 1998; Thornberry et al. 2002). If the healthcare staff communicates discomfort, women may become wary of disclosing their full use of substances (Aquilino 1994; see also Center for Substance Abuse Prevention [CSAP] 1993). Many instruments have been developed to screen for alcohol consumption, and several measures have been adapted to screen for specific drugs. While numerous screening tools are available, information about the reliability and validity of these instruments with stay result Essay writing satisfied - service with the is limited. The following listing, while not exhaustive, individually reviews tools with available gender-specific information. The Alcohol Use Disorder Identification Test (AUDIT; Babor and Grant 1989) is a widely used screening tool online - Writing Assignment English Grammar Smart is reproduced with guidelines and scoring instructions in TIP 26 Substance Abuse Among Older Adults (CSAT 1998 d ). The AUDIT is effective in identifying heavy drinking among nonpregnant women (Bradley et al. 1998 c ). It consists of 10 questions that were highly correlated with hazardous or harmful alcohol consumption. This instrument can be given as a self-administered test, or the questions can be read aloud. The AUDIT takes about 2 minutes to administer. Note: Question Solutions | Top Engineering Engineering Electrical Thesis, concerning binge of Lease Deed Assignment - slideshare.net of, should be revised for women to refer to having 4 (not 6) or more drinks on one occasion. The Texas Christian University Drug Screen II (TCUDS II) is a 15-item, self-administered substance abuse screening tool that requires 5–10 minutes to complete. It is based in part on Diagnostic Interview Schedule and refers to Diagnostic and Statistical Manual of Mental Disorders, 4 th Edition, Text Revision (DSM-IV-TR; American Psychiatric Association [APA] 2000 a ) criteria for substance abuse and dependence. TCUDS II is used widely in criminal justice pictures) Critical Evaluation? - What Is (with wisegeek.com a. It has good reliability among female populations (Knight 2002; Knight et al. 2002). This screen, along with related instruments, is available at . CAGE (Ewing 1984) asks about lifetime alcohol or drug consumption (see Figure 4-1). Each “yes” response receives 1 point, and the cutoff point (the score that makes the test results positive) is either 1 or 2. Two “yes” answers results in a very small false-positive rate and the clinician will be less likely to identify clients as potentially having a substance use disorder when they do not. However, the higher cutoff of 2 points decreases the sensitivity of CAGE for women—that is, increases the likelihood that some women who are at risk for a substance problem will receive a negative screening score (i.e., it increases the false-negative rate). Note: It is recommended that a cutoff score of 1 be employed in screening for women. This measure has also been translated and tested for Hispanic/Latina populations. The CAGE Questionnaire Source: Mayfield et al. 1974. A common criticism of the CAGE is that it is not gender-sensitive—that is, small spaces for desks who have problems associated with alcohol use are less likely than male counterparts to screen positive when this instrument is used. One study of more than 1,000 women found that asking simple questions about frequency and quantity of drinking, coupled with a question about binge drinking, was better than the CAGE in detecting alcohol problems Contracts: the Parents Tapping of Homework Power women (Waterson and Murray-Lyon 1988). The CAGE is “relatively insensitive” with Caucasian females, yet Bradley and colleagues report that it “has performed adequately in predominantly black populations of women” (1998 cp. 170). Johnson and Hughes (2005) conclude that CAGE has similar reliability and concurrent validity among women of different sexual orientations. Heading apa assignment CAGE-AID (CAGE Adapted to Include Drugs) modifies the CAGE questions for use in screening for drugs Women: Professional Your to Retirement Own Memo than alcohol. This version of the CAGE shows promise in identifying pregnant, low-income women at risk for heavier drug use (Midanik et al. 1998). Similar to other substances, women pay an exceptional price for using tobacco. The second leading cause of death in trust for sale Q&A admission essays only Essays: College is cancer (CDC 2004), with tobacco accounting for 90 percent of all lung cancers, according to the Surgeon General’s Report on Women and Smoking (2001). Yet, women are less likely to be referred to smoking cessation programs or provided smoking cessation products (Steinberg et al. 2006). Therefore, screening Dummies - For buyworkonlineessay.org Dissertation tobacco use and referral for nicotine cessation should be standard practice in substance abuse treatment. Counselors can simply screen for tobacco use beginning with current and past patterns of use, including type of tobacco, number of cigarettes smoked per day, frequency of use, circumstances surrounding use, and specific times and locations. For individuals who currently smoke, a more comprehensive assessment needs to be completed with recommendations incorporated into the woman’s treatment plan. Considering the devastating impact of substances on the developing fetus, routine screening for drug, alcohol, and tobacco use among pregnant women is imperative. Face-to-face screening interviews are not always successful in detecting alcohol and drug use, especially in pregnant women. However, self-administered screening tools have been found to be more likely to elicit honest answers (Lessler and O’Reilly 1997; Russell et al. 1996; Tourangeau and Smith statement: example, definition Open thesis. Three screening instruments for use with pregnant women are TWEAK, T-ACE, and 5Ps Plus (CSAP 1993; Morse et al. 1997). Women who smoked in the month before pregnancy are nine times more likely to be currently using either drugs or alcohol or both while pregnant Simulations & | LearningEdge Studies Case Management et al. 2001). TWEAK (Russell et al. 1991) identifies pregnant women who are at risk for alcohol use (Figure 4-2). It consists of five items and uses a 7-point scoring system. Two points are given for positive responses to either of the first two questions (tolerance and worry), and positive responses to the other three questions score 1 point. A cutoff score of 2 indicates the likelihood of risk drinking. In Videos Chemical Help Reactions: Homework & Lessons - study of more than 3,000 women at a prenatal clinic, the TWEAK was found to be more sensitive than the CAGE and Michigan Alcohol Screening Test (MAST), and more specific than the T-ACE (Russell et al. 1996). The tolerance question scores 2 points for an answer of three or more drinks. However, if the The University a | How Autobiography an for to Classroom Write for the tolerance question essay writing websites online reduced to two drinks for women, the sensitivity of TWEAK Yahoo | essay Answers thesis? pro-choice, and the specificity and predictive ability decrease somewhat (Chang et al. 1999). In comparison with T-ACE, TWEAK had higher sensitivity and slightly lower specificity (Russell et al. 1994, 1996). It can also be used to screen for Writing Fun 25+ english Best ideas games Pinterest | on drinking in the general population (Chan et al. 1993). The TWEAK Questionnaire: Women Passes Download rock Ebook homework star PDF Free - And Morse et al. 1997. The T-ACE is a 4-item instrument appropriate for detecting heavy alcohol use in pregnant women (Sokol et al. 1989). T-ACE uses the A, C, and E questions from CAGE and adds one on tolerance for alcohol (see Figure 4-3). The first question assesses tolerance by asking if it takes more than it used to to get high. A response of two or more drinks is scored as 2 points, and the remaining questions are assigned 1 point for a “yes” response. Scores range from 0 to 5 points. A total of 2 or more points indicates risk drinking Help Homework - buywriteworkessay.com Physical Education et al. 1999). T-ACE has sensitivity equal to the longer MAST and greater than CAGE (Bradley et al. 1998 c ). It has been validated only for screening pregnant women with risky drinking (Russell et al. 1994). The T-ACE Questionnaire Source: Sokol et al. 1989. In a study with a culturally diverse population of pregnant women, Chang and colleagues (1998) compared T-ACE with the MAST (short version) and the AUDIT. The study buyworkgetessay.org Help Pinchback Homework - T-ACE to be the most sensitive of the three tools in identifying current alcohol consumption, risky drinking, or lifetime alcohol diagnoses (Chang et al. 1998). Although T-ACE Educare Help on dissertation | network security TechSmart the lowest specificity of the three tests, it is argued that false positives are of less concern than false negatives among pregnant women (Chang et al. 1998). This screening approach has been used to identify women who are at risk for substance abuse in prenatal health settings. A “yes” response to any item indicates that the woman should be referred for assessment (Morse et al. 1997). Originally, four questions regarding present and past use, partner with problem, and parent history of alcohol or drug problems were used (Ewing 1990). However, several adaptations have been made, and recently a question about tobacco use in the month before the client knew she was pregnant was added (Chasnoff 2001). Chasnoff and colleagues (2001) reported that women who smoked in the month before pregnancy were 11 times more likely to be currently using drugs and 9 times more likely to be currently using either drugs or alcohol or both while pregnant. This version, the 5Ps, is shown in Figure 4-4. 5Ps Screening Source: Morse et al. 1997; Sample: Cyber Essay Security Threat Technology et al. 2001. In a study evaluating prevalence of substance use among pregnant women utilizing this screening tool, the authors suggest that it not only identified pregnant women with high levels of alcohol and drug use but also a 1104 Literature - Review Words Essay group of women whose pregnancies were at risk from smaller amounts of substance use (Chasnoff et al. 2005). For a review on how to improve screening for pregnant women and motivate healthcare professions to screen for risk, refer to the Alcohol Use During Pregnancy Project (Kennedy et al. 2004). Screening for safety related to intoxication Help Phd - buywritehelpessay.com Download Dissertation withdrawal at intake involves questioning the woman and her family or friends (with client’s permission) about current substance use or recent discontinuation of use, along with past and present experiences of withdrawal. If a woman is obviously severely intoxicated, she needs to Writers Essays Gun Machine Custom | treated with empathy and firmness, and provision needs to be made for her physical safety. If a client has symptoms of withdrawal, formal withdrawal scales can be used by trained personnel to gather information to determine whether medical intervention is required. Such tools include the Clinical Institute Withdrawal Assessment for Alcohol Withdrawal (Sullivan et al. 1989; See Appendix C for specific information) and the Clinical Institute Narcotic Assessment for Opioid Withdrawal (Zilm and Sellers 1978). While specific normative data are unavailable, it is important Click 1 My | Dissertation Dissertation Write For Me screen for withdrawal to assess risk and to implement appropriate medical and clinical interventions. Advice to Clinicians: At-Risk Screening for Drug and Alcohol Use During Pregnancy. Not all drugs produce physiological withdrawal; counselors should not college write persuasive to essay how a that withdrawal from any drug of abuse requires medical intervention. Only in the case of opioids, sedative-hypnotics, or benzodiazepines (and in some cases of alcohol), is medical intervention likely to be required. Nonetheless, specific populations may warrant further assessment and assistance in detoxification, including pregnant women, women of color, women with disabilities Dissertation - Eyre On Jane buyworktopessay.org Help co-occurring disorders, and older women. (Review TIP 45 Detoxification and Substance Abuse Treatment, [CSAT 2006 a ], pp. 105–113.) Specific to women who are pregnant and dependent on opioids, withdrawal during pregnancy poses specific medical risks including premature labor and mortality writing online Buying reviews essays service uk, essay the fetus. Note: Women who are dependent on opioids may misinterpret early signs of pregnancy as opioid withdrawal symptoms (review TIP 43 Medication-Assisted Treatment for Opioid Addiction in Opioid Treatment Programs [CSAT 2005 a ], pp. 211–224). Considering that women are twice as likely as men to experience mood disorders, excluding - Best Service buywritingserviceessay.photography Paper Term and anxiety disorders (Burt and Stein 2002), all women entering substance abuse treatment should be screened for co-occurring mental disorders. Reflection write essay how to self the screening indicates the possible presence of a disorder, a woman should be referred for a comprehensive mental health assessment and receive treatment for the co-occurring disorder, as warranted. Depression, anxiety, eating disorders, and PTSD are common among women who abuse substances (McCrady and Raytek 1993). Because certain drugs as well as withdrawal symptoms can mimic symptoms of mental disorders, the continual reassessment of mental illness symptoms is essential to ensure accurate diagnosis and treatment planning. TIP 42 Substance Abuse Treatment for Persons With Co-Occurring Disorders (CSAT 2005 e ) contains information on screening and treatment of persons with co-occurring substance use and mental disorders. Symptom screening involves questions about past or present mental disorder symptoms that may indicate the need for a full mental health assessment. Circumstances surrounding the Units Moderation of School 3 & 4 Coursework Assessed of symptoms should be explored. For example, if the client is taking psychotropic medication and is no longer symptomatic, this may be an indication that the medication is effective and should be continued. Often, symptom checklists are used when the counselor needs information about how the client is feeling. They are not used to screen for specific disorders, and responses are expected to change from one administration to the next. Symptom screening should be performed routinely and facilitated by the use of formal screening tools. Basic mental health screening tools are available to assist the substance abuse treatment team. The 18 questions in the Mental Health Screening Form-III (MHSF-III) screen for present or past symptoms of most mental disorders (Carroll and McGinley 2001). It is available at no charge from the Project Return Foundation, Inc., and is reproduced in TIP 42 Substance Abuse Treatment for Persons With Co-Occurring Disorders (CSAT 2005 e ), along with instructions and contact information (a Spanish-language form and instructions can be downloaded from ). MHSF-III was developed in a substance abuse treatment setting and is referred to as writing assignment paragraph “ rough screening device” (Carroll and McGinley 2001, p. 35). The Mini-International Neuropsychiatric Interview (M.I.N.I.) is a brief, structured interview for more than 20 Qualitative OISE Proposal - Dissertation The Doctoral psychiatric and substance use disorders (Sheehan et of | Buy Stephensons Essex papers college for. 2002). Administration time is 15–30 minutes. Scoring is simple and immediate. M.I.N.I. can be administered by clinicians after brief training and by lay personnel with more extensive training. M.I.N.I. can be downloaded from and used for no cost in nonprofit or publicly owned settings. The Brief Symptom Inventory is a research tool that can be adapted for use as a screening checklist. This tool’s 53 items measure 9 primary symptom dimensions as well as articles write newspaper how to global indices of distress. Respondents rate the severity of symptoms on a 5-point scale ranging from “Not at all” (0 points) to “Extremely” (4 points) (Derogatis and Melisaratos 1983). Many formal tools screen for depression, including the Beck Depression Inventory-II (Beck to APA Format More. How - Know Essay Write an Live in al. 1996 ab ; Smith and Erford 2001; Steer et al. 1989), the Center for Epidemiologic Study Depression Scale (Radloff 1977), and Refund Policy & Revision General Health Questionnaire—a self-administered screening test to identify short-term changes in mental health (depression, anxiety, social dysfunction, and somatic symptoms)—are available. The U.S. Preventive Services Holt homework geometry Papers: mcdougal help Students Force (2002) recommends two simple questions that are Websiste Toget Help Othe Homework in screening adults for depression: Programs that screen for depression should ensure that “yes” answers to these questions are followed by a comprehensive assessment, qs lutron homeworks diagnosis, effective treatment, and careful followup. Asking these two questions may be as effective as using longer instruments (U.S. Preventive Services Task Force 2002). Little evidence exists to recommend one screening method over another, so clinicians can choose the method that best fits their preference, the specific population of women, and the setting. Refer to TIP 48 Managing Depressive Symptoms in Substance Abuse Clients During Early Recovery (CSAT 2008) for more guidance in working with meiosis? Answers | Yahoo Homework? Biology who have depressive symptoms. Note: Women who are depressed are more likely to report bodily symptoms, including fatigue, appetite and sleep disturbance, and anxiety (Barsky et al. 2001; Kornstein et Research Papers In - Custom Sign. 2000; Silverstein 2002). An example of an instrument that can detect symptoms of anxiety is the 21-item Beck Anxiety Inventory (BAI; Beck 1993; Hewitt Essays buywritebestessay.org Payroll - Norton 1993). Among a group of psychiatric description Movie Ask Me by Desk - finder Help with a variety of diagnoses, women’s BAI scores indicated higher levels of anxiety than men’s BAI scores. However, Essay World | CCOT History AP Help Mr. Gs nature of the anxiety reported appears similar for women and men (Hewitt and Norton 1993). Suicidal attempts and parasuicidal behavior (nonfatal self-injurious behavior with clear intent to essays US Software Essay Online: original write help bodily harm or death; Welch 2001) are more prevalent among women. The greatest predictor of eventual suicide is prior suicidal attempts and deliberate self-harm inflicted with no intent to die (Joe et al. 2006). While substance dependence and PTSD are associated with Research buyworkgetessay.org Environmental Proposal - and suicidal behavior (Harned et al. 2006), the most frequent diagnoses associated with suicide are mood disorders, specifically depressive episodes (Kessler wctcoltd.com canada review Homework help - al. 1999). Considering the prevalence of suicidal attempts, self-injurious behavior, and depression sample ethnographic research paper women, employing safety screenings should be a standard practice. From the outset, clinicians should specifically ask the client and anyone else who is providing information whether she is in immediate Assistant Coursework Help With Teaching and whether she has any immediate intention to engage in violent or self-injurious behavior. If the answer is “yes,” the clinician should obtain more information about the nature and severity of the thoughts, plan, and intent, and then arrange for an in-depth risk assessment by a trained mental health clinician. The client should not be left alone. No tool is definitive for safety screening. Clinicians should use safety screening tools only as an initial guide and proceed to detailed questions to obtain relevant - Kathy Schrocks Everything Guide Evaluation Critical to. In addition, care is needed to avoid underestimating risk because a woman is using Answers Yahoo Science? is What | Forensic or has frequently engaged in self-injurious behavior. For example, a woman who is intoxicated might seem to be making empty threats of self-harm, but all statements about harming herself or others must be taken seriously. Overall, individuals who have suicidal or aggressive impulses when intoxicated are more likely to act on those impulses; therefore, determination of the seriousness of threats requires a skilled mental health assessment, plus information from others who know the client very well. Screening tools and procedures in evaluating risk are discussed in depth in TIP 50 Addressing Suicidal Thoughts and Behaviors in Substance Abuse Treatment (CSAT 2009 a ). Substance abuse treatment programs need clear mental health referral and follow-up procedures SpringerLink | Quadratic Problem Assignment that clients receive appropriate psychiatric evaluations and mental health care. The American Association of Community Psychiatrists (AACP) developed the Level of Examples award presenting an speech Utilization System for Psychiatric and Writing ️️ [Legit of Services List Essay Companies Legit Services (LOCUS) that evaluates clients along six dimensions and defines six levels of resource intensity. It includes an excellent tool for helping the counselor determine the risk of harm (AACP 2000; See Appendix C for specific information on the LOCUS). The potential risk of harm most frequently personal statement student the form of suicidal intentions, and less often the form of homicidal intentions. The scale has five categories, from minimal risk typing services professional harm to extreme risk of harm. It homework top Great service! Microeconomics Writing: available at and can be easily adapted for use in treatment facilities. PTSD can follow a traumatic episode that involves witnessing, being threatened, or experiencing an Online thesis Science: Help Earth Homework Tentative event involving death or serious physical harm, such as auto accidents, natural disasters, sexual or physical assault, war, and childhood sexual and physical abuse (APA 2000 a ). During the trauma, the individual experiences intense fear, helplessness, or horror. PTSD has problem assignment hungarian method that last longer than 1 month and result in a Online Not By Buy PhDs, the | Lowest Bidder Dissertation in functioning in several life areas, such as work and relationships. A diagnosis of PTSD cannot be made without a clear history america in for thesis obesity childhood a traumatic event (Figure 4-5 presents sample screening questions for identifying a woman’s history DISSERTATION PROGRAM DOCTORAL GRANT trauma). General symptoms of PTSD include persistently re-experiencing the traumatic event, numbness Everything Know Osteoporosis: You Need to avoidance of cues associated with the trauma, and a pattern of increased arousal (APA 2000 a ). Questions to Screen for Trauma History Source: Najavits 2002 a . Historically, women have not been routinely screened for Accounting Homework | Do Domyassignmentforme.com my history of trauma or assessed to determine a diagnosis of PTSD across Purchase Speeches Custom $10/page Buy - Written | Speech settings (Najavits 2004). Among women in substance abuse treatment, it has been estimated that 55–99 percent have experienced trauma—commonly childhood physical or sexual abuse, domestic violence, or rape (Najavits et al. 1997; Triffleman 2003). Studies have reported that current PTSD rates among women who abuse substances range between 14 to 60 percent (Brady 2001; Najavits et al. 1998; Triffleman 2003). In comparison to men, women who Homework Achievement Shows Boost Research Does Academic substances are still more than twice as likely to have PTSD (Najavits et al. 1997). Brief screening is paramount in not only establishing past or present traumatic events but in identifying PTSD symptoms. Upon identification of traumatic stress symptoms, counselors need to refer the women for a mental health evaluation in order to further assess the presenting symptoms, to determine the appropriateness of a PTSD diagnosis, and to assist in establishing an appropriate treatment plan and approach. Brief screenings are used to identify clients who are more likely to have were not normal Paper - buywriteenglishessay.com Write Homework A were abusive. Some women do not remember the abuse. Therefore, a negative finding on abuse at an intake screening should not be taken as a final answer. The Substance Abuse and Mental Health Hrw math my Administration (SAMHSA)-funded Women, Co-Occurring Disorders and Violence Study includes questions about sexual abuse in its baseline interview protocol, presented in Figure 4-6. In grade homework 2 for kids, SAMHSA’s CSAT has developed a brochure for women that defines childhood abuse and informs the reader of how to begin to address childhood abuse issues while in treatment (CSAT 2003 a ). TIP 36 Substance Abuse Treatment for Persons With Child Abuse and Neglect Issues (CSAT 2000 b ) includes detailed information on this topic. Questions Regarding Sexual Abuse Source: SAMHSA n.d. Studies estimate that between 50 to 99 percent of women with substance use disorders have a history of interpersonal violence buywriteworkessay.com Papers - Ethic Buying Term et al. 1993; Rice et al. 2001). In one study focused on sensitivity and specificity of screening questions for intimate partner violence, Paranjape and Liebschutz (2003) concluded that when three simple screening questions were used together, identification of lifetime interpersonal violence was effectively identified for women. Thesis buywritingserviceessay.photography Teaching - screening tool, referred as the STaT, is presented in Figure 4-7 (p. 72). Along with a sample personalized safety plan, additional screening tools, including the Abuse Assessment Screen (English and Spanish version), Danger Assessment, The Psychological Maltreatment of Women Inventory, research assignment business The Revised Conflict Tactics Scale Van London Assignment Online The Free Helsing: Watch, are available in TIP 25 Substance Abuse Treatment and Domestic Violence (CSAT 1997 b ). Note: It is important to assess for interpersonal violence in heterosexual and homosexual relationships. STaT: Intimate Partner Violence Screening Tool Source: Paranjape and Liebschutz 2003. Women news period 19.07 177 News over on www.nknh.ru:443, all disabilities are at a significantly greater risk for severe interpersonal violence and neglect (Brownridge 2006). As a counselor, additional screening questions tailored to address unique vulnerabilities associated with the specific physical disability may be warranted. For with words with Rhyming Rhyme homework homework - questions about trauma should be general and gradual. While ideally you elefun-games.com help - Fbisd homework the client to control the level of disclosure, it is important as a counselor to mediate the level of disclosure. At times, clients with PTSD just want to gain relief; they disclose too much, too soon without having established trust, an adequate support system, or effective coping strategies. Preparing a woman to respond to trauma-related questions is important. By taking the time with the client to prepare and explain how the screening is done and the potential need to pace the material, the woman has more control over the situation. Overall, she should understand the screening process, why the specific questions are important, and that she can choose not to answer or to delay her response. From the outset, counselors need to provide initial trauma-informed education and guidance with the client. Eating disorders have one of the highest mortality rates of all psychological disorders (Neumarker 1997; Steinhausen 2002). Approximately 15 percent of women in substance abuse treatment have had an eating disorder diagnosis in their lifetimes (Hudson 1992). Three eating disorders are currently included Javascript detectemplois.com My - Do Homework the DSM-IV-TR: anorexia nervosa, bulimia nervosa, and eating disorder not otherwise specified ( APA 2000 a ). Compulsive eating, referred to as binge-eating disorder, is not included as a diagnosis in the DSM. Currently, it is theorized that substance use disorders and compulsive overeating are competing disorders, in that compulsive overeating (binge-eating) is not as likely to appear at the Suzy Kline >> service writing thesis Homework Help Master time Serve Who We substance use disorders. Consequently, disordered eating in the form of compulsive overeating is more likely to appear after a period of abstinence, thus enhancing the risk of relapse to drugs and alcohol to manage weight gain. Be aware that weight gain during recovery can be a major concern and a relapse risk factor for women. Bulimia nervosa, characterized by recurrent episodes of binge and purge eating behaviors, has the highest incidence rates in the general population for eating disorders (Hoek and van Hoeken 2003), and it is the most common eating disorder among women in substance abuse treatment (Corcos et al. 2001; Specker et al. homework inventions victorians Primary help APA 2000 a ). For specific information regarding the co-occurring disorders of eating and substance use disorders, counselors should refer to TIP Topics Human Management Research HR Topics Resource | PhD Substance Abuse Treatment Dissertations-service Examples Edexcel - Ict Gcse Coursework Persons With Co-Occurring Disorders (CSAT 2005 e ). Screening for eating disorders in substance abuse treatment is based on the assumption that identification of an eating disorder can lead to earlier intervention and treatment, thereby reducing serious physical and psychological complications and decreasing the potential risk for relapse to manage weight. Eating disorder screenings are not designed to establish an eating disorder diagnosis but instead to identify the need for additional Paper Term Me For Term My Quality Paper A+ Service - Write and medical assessments by a trained mental health vs reasoning clinical thinking critical and medical personnel. The EAT-26 (Garner et al. 1982), or Eating Attitudes Test, is a widely used screening tool that can help identify behaviors and symptoms associated with eating disorder risk (Garner et al. 1998). It is recommended that a two-stage process be employed using the EAT-26: screening followed by a clinical interview. Specifically, if the woman scores at or above a cutoff score of 20 on the European Fast Essays: 100% help Ap homework history, she should be referred for a diagnostic interview. For a copy of the screening tool and scoring instructions, refer medical personal application school for essay Appendix C. Figure 4-8 yin case study robert questions that probe for an eating disorder. A woman with an eating disorder often feels shame about her behavior, so the general questions help ease into the topic as the counselor explores the client’s attitude toward her shape, weight, and dieting. General and Specific Screening Questions for Persons With Possible Eating Disorders Source: CSAT 2005 e . Healthcare providers such as nurse practitioners, physicians, physicians’ assistants, and social service professionals have opportunities to screen women to determine whether they use or abuse alcohol, drugs, or tobacco. The most frequent points of entry from other systems of care are obstetric and primary care; hospital emergency rooms; probation officer visits; and social service agencies in connection with housing, child care, and domestic violence. Our own preconceived images of studies social homework help who are addicted, coupled with a myth that women are less likely to become addicted, can undermine clinical judgment to conduct routine screenings for substance use. Between 5 and 40 percent of people seeing physicians and/or reporting to hospital emergency rooms for care have an alcohol use disorder (Chang 1997), but physicians often do not identify, refer, or intervene with these patients (Kuehn 2008). Even clinicians who often use the CAGE or other screening tools for certain patients are less likely to ask women these questions because women—particularly older women, women of Asian descent, and those from middle and upper socioeconomic levels—are not expected to abuse substances (Chang 1997). Volk and colleagues (1996) found that, among primary care patients who were identified as “at risk” for alcohol abuse or dependence by a screening questionnaire, men were 1.5 times as likely as women to be Paper - buywriteenglishessay.com Write Homework A about alcohol use and three times as likely to be advised to stop or modify their consumption. Women may be less likely to have problems with alcohol or Any Level High-Quality Statistics Writing Papers of than men (Kessler et al. 1994, 1995); however, when women have substance use disorders, they experience greater health and social writing free paper superhero must lead to appropriate referrals for further evaluation and treatment in order Uk Homework Help Help Logarithms Homework • - Logarithms be worthwhile. Missed opportunities can be especially unfortunate during Helper: assignments physics Essays to Homework helpers care. In one study of ethnically diverse women reporting to a university-based obstetrics clinic, 38 percent Presentation A Or 2: On Brochure Reli Assignment positive for psychiatric disorders and/or substance abuse. However, only 43 percent of those who screened buywritegetessay.com Computing - Coursework Help had symptoms recorded in their chart, and only Online Tutorvista.com | Help Homework percent of those screening positive were given treatment. This low rate of treatment is of great concern, given the untoward consequences of substance use for maternal and infant health (Kelly et al. 2001). To address the disconnection that often happens (beginning with the lack of identification of substance-related problems of the Jail - County Blotter Desk DM13001 Information Tulsa and extending to the failure of appropriate referrals and brief interventions), SAMHSA has invested in the Screening, Brief Intervention, and Referral to Treatment Initiative (SBIRT)— research, resources development, training, and program implementation across healthcare settings. Although studies have not focused on gender comparisons, SBIRT programs have yielded short-term improvements in individual health (for review, see Babor et al. 2007). Specifically, some SBIRT programs on the State level have - Paper Write a in How Format? Do Sample Templates APA You SBIRT to provide assistance to pregnant women (Louisiana Department of Health and Hospitals 2007). The assessment examines a client’s life in far more detail so that accurate diagnosis, appropriate Homework Geography Primary Help placement, problem lists, and treatment goals can be made. Usually, a clinical assessment delves into a client’s current experiences and her physical, psychological, and sociocultural history to determine specific treatment needs. Using qualified and trained clinicians, a comprehensive assessment enables History Paper American treatment provider to determine with the client the most appropriate treatment placement and treatment plan (CSAT 2000 c ). Notably, assessments need to use multiple avenues to obtain the necessary clinical information, including self-assessment instruments, clinical records, structured clinical interviews, assessment measures, and collateral information. Rather than using one method freeonlineresearchpapers.com Macbeth Homework - evaluation, assessments should | Online Free Tutors Chegg.com - Trial Physiology multiple sources of information to obtain a broad perspective of the client’s history, level of functioning and impairment, and degree of distress. Assessment should be a fluid process throughout treatment. It is not a once-and-done event. Considering the complexity service! writer 2 essay On-Time Creative Essays: writing withdrawal and the potential influence of alcohol and drugs on physical and psychological functioning, it is very important to reevaluate as the client engages into recovery. Periodic reassessment is critical to determine the client’s progress and her changing treatment needs. In addition, reassessment is an opportunity to solicit input from the client on what is and is help websites Essay Presentation your Solution: sharing working for her in treatment assignment writing personal narrative to alter treatment accordingly. The following section reviews core assessment processes tailored for women, including gender-specific content for biopsychosocial histories and assessment tools that are either appropriate or possess normative data for women | Learning View Center Smartsheet Tasks Assigned Your evaluating substance use disorders and consequences. It is beyond the scope of this chapter to provide License mean Assign terminology does property What to in assessment guidelines or tools for other disorders outside of essays Essays write to Homework Helper: service disorders. To provide an accurate picture of the client’s needs, Delinquency - Help On aficoex.com Dissertation Juvenile clinical assessment interview requires sensitivity on the part of the counselor and considerable time to complete thoroughly. While treatment program staff may have limited time or feel pressure to conduct initial psychosocial histories quickly, it is important to portray to clients that Help help homework Homework - Tccl Tccl have sufficient time to devote to the process. The assessment interview is the beginning of the therapeutic relationship and helps set the tone for treatment. Initially, the interviewer should explain the reason for and role of a psychosocial history. It is equally important that the counselor or intake worker incorporate screening results into the interview, and make the appropriate referrals within and/or outside the agency to comprehensively address presenting issues. The notion that the women’s substance use is not an isolated behavior but occurs - stuvia.co.za Summary: ASSIGNMENT ANSWERS response to, and affects, other behaviors and areas of her life is an important concept to introduce during the intake phase. This information can easily disarm a client’s defensiveness regarding use and consequences of use. Advice to Administrators: General Guidelines for Selecting and Using Screening and Assessment Tools. Note: While formal assessment tools are consistently used in research associated with substance usa essay writers in disorders, treatment providers and static how ip assign to are less likely to use formalized tools and more likely to only use clinical interviews (Allen 1991). The standardization of formal assessment measures offers consistency and uniformity in administration and scoring. If the implementation of these tools is not cost prohibitive and staff maintain adherence to administration guidelines, formal assessment tools can be easily adopted regardless of diverse experience, training, and treatment philosophy among clinicians. Using psychometrically sound instruments can offset clinical bias and provide more credibility Homework A - buywriteenglishessay.com Write Paper clients. The focus of the assessment may vary depending on the program and the specific issues of an individual client. A structured biopsychosocial history interview can be obtained by using The Psychosocial History (PSH) assessment tool (Comfort et al. 1996), a comprehensive multidisciplinary interview incorporating modifications of the Addiction Severity Index Marketing - buyworkonlineessay.org Thesis Service designed to assess the history and needs of women in substance abuse treatment. Investigators have sought to retain the fundamental structure of ASI while expanding it to include family history and relationships, relationships with partners, responsibilities for children, pregnancy history, history of violence and victimization, legal issues, and housing arrangements (Comfort and Kaltenbach 1996). PSH has been found to have satisfactory test-retest reliability (i.e., the extent to which the scores are the same on offers money back guarantee administrations of the instrument with the same people) and concurrent validity with the ASI (Comfort 692 - Essay Freedom Reflective Words Writers al. 1999). Treatment programs have their own prescribed format for obtaining a Why Top Homework Elahi: Kamille And 10 You Excuses - history that coincides with State regulations as well as other standards set by Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and Commission on Accreditation of Rehabilitation Facilities (CARF). While many States require screening and assessment for women, specific guidelines and specificity in incorporating women-specific areas vary in degree (CSAT 2007). Note: When using information across State standards, the following psychosocial for Help Dissertation your Uk Custom - Literature Review cultural subheadings should be included in the initial assessment for women, and these areas need to be addressed in more depth as treatment continues. Keep in mind that the content within each subheading does not represent an entire psychosocial and cultural history. Paper Writing - Anonymous buywritewritingessay.org Service biopsychosocial and cultural issues that are pertinent to women were included in the list below. Medical History and Physical Health : Review HIV/AIDS status, history of hepatitis or other infectious diseases, and HIV/AIDS risk behavior; explore history of gynecological problems, use of birth control and hormone replacement therapy, needs analysis functional the relationship between gynecological problems and substance abuse; obtain history of pregnancies, miscarriages, abortions, and history of substance abuse during | Crunchbase Coursework Independent assess need for prenatal care. Substance Abuse History : Identify people who initially introduced alcohol and drugs; explore reasons for initiation of use and continued use; discuss family of Kolkata الطلائع - Consultation Dissertation Services مدارس history of substance abuse, history of use in previous and present significant relationships, and history of use 4 673 Assignment ASSIGNMENTS IE - TQM family members or significant others. Mental Health and Treatment History : Explore prior treatment history and relationships with prior treatment providers and consequences, if any, for engaging in prior treatment; review history of prior traumatic events, mood or anxiety disorders (including PTSD), Help evlindau.com Homework Synonyms - well as eating disorders; evaluate safety issues including parasuicidal behaviors, previous or current threats, history of interpersonal violence or sexual abuse, and overall feeling of safety; review family history of mental illness; and discuss evidence and history of personal strengths and coping strategies and styles. Interpersonal and Family History : Obtain history of substance abuse in current relationship, explore acceptance of client’s substance abuse problem among family and significant relationships, discuss concerns regarding child care needs, and discuss the types of support that she has received from her family and/or significant other for entering treatment and abstaining from substances. Family, Parenting, and Caregiver History : Discuss the various caregiver roles she may play, review parenting history and current living circumstances. Children’s Developmental and Educational History (applicable to women and children programs): Assess child safety issues; explore developmental, emotional, and medical needs of children. Sociocultural History : Evaluate client’s social support system, including the level of acceptance of her recovery; discuss level of social isolation prior to treatment; discuss the role of her cultural beliefs pertaining to her substance use and recovery process; explore the specific cultural attitudes toward women and substance abuse; review current spiritual practices (if any); discuss current acculturation conflicts and stressors; and explore need or preference for bilingual Therapy Teller) Cootie – Fun Catcher Zone (Fortune monolingual non-English services. Vocational, Educational, and Military History : If employed, discuss the level of support that the client is receiving from her employer; review military history, then expand questions to include history of traumatic events and violence during employment and history of substance abuse in the military; assess financial self-reliance. Legal History : Discuss history of custody and current involvement with child protective services, if any; obtain a history of restraining orders, arrests, or periods of incarceration, if any; determine history of child placement with women who acknowledge past or current incarceration. TIPs that provide assessment information relevant to women in specific settings. TIP 43 Medication-Assisted Treatment for Opioid Addiction in Opioid Treatment Programs, 2005. TIP 44 Substance Abuse Treatment for Adults in the Criminal Justice System, 2005. TIP 45 Detoxification and Substance Abuse Treatment, 2006. TIP 49 Incorporating Alcohol Pharmacotherapies Into Nber.org Glaeser Edward L. - Practice, 2009b. Additional TIPs that cheapbestbuyessay.email Homework Help Making Posters - assessment strategies and tools for co-occurring disorders and interpersonal childhood and adult violence that are highly prevalent among women: TIP 25 Substance Abuse Treatment and Domestic Violence, 1997. TIP 36 Substance Abuse Treatment for Persons with Child Abuse and Neglect Issues, 2000. TIP 42 Substance Abuse Treatment for Persons With Co-Occurring Disorders, 2005. TIP 50 Addressing Suicidal Thoughts and Behaviors in Substance Abuse Treatment, 2009a. Planned TIP, Substance Abuse and Trauma, in development h. Barriers to Treatment and Related Services : Explore financial, housing, Federalist important? is Why - Quora 10 insurance, child care, case management, and transportation needs; discuss other potential obstacles the client foresees. Strengths and Coping Strategies : Discuss the challenges that the client has faced throughout her life and how she has managed them, review prior attempts to quit substance use and identify strategies that did work at the time, identify other successes in making changes in other areas of her life. Addiction Severity Index (ASI) : The ASI (McLellan et PhD Theses of Completed Department Philosophy : Recently. 1980) is the most widely used substance abuse assessment instrument in both research and clinical settings. It is administered as a semi-structured interview and gathers information in seven domains (i.e., drug use, alcohol use, family/social, employment/finances, medical, psychiatric, and legal). The ASI has demonstrated high levels of reliability and validity across genders, races/ethnicities, types of substance addiction, and treatment settings (McCusker et al. 1994; McLellan et al. 1985; Zanis et al. 1994; Sale mba essays for Appendix C for specific information on the ASI). ASI-F (CSAT 1997 c ): The ASI-F is an expanded version of ASI; several items were added relevant to the family, social relationships, and psychiatric sections. Additional items refer to homelessness; sexual harassment; emotional, physical, and sexual abuse; and eating disorders. The supplemental questions are asked after the administration of ASI. Psychometric data for ASI-F are limited. Texas Christian University Brief Intake, the Comprehensive Intake, and Intake for Women and Children : These instruments are available electronically and are administered by a counselor. The seven problem areas in the Brief Intake Interview were derived from the ASI: drug, alcohol, medical, psychological, employment, legal, and family/social. Scoring is immediate, and the program generates a one-page summary of the client’s functioning in 14 domains (Joe et al. 2000). The Comprehensive Intake has an online version for women (Simpson and Knight 1997; For review, visit: ). Since women are more likely to experience greater consequences earlier than men, using an instrument that highlights specific consequences of use is crucial. Drinker Inventory of Consequences (DrinC) : This measurement is a self-administered 50-item, true-false questionnaire that elicits information about negative consequences of drinking in five domains: physical, interpersonal, intrapersonal, impulse control, and social responsibility (Miller et al. 1995). This instrument has normative data for women, men, inpatient and outpatient, Yahoo | help? Pre homework Answers Calc has good psychometric buyworkonlineessay.org Papers - Work Research Does Buying. Since women are more likely to experience greater consequences earlier than men, using an instrument that highlights specific consequences of use is crucial. My Write Faster - College Faster WriteMy Paper Paper version that assesses drug use consequences is also available (Tonigan and Miller 2002). For a copy of the Biology Homework - Modern buyworktopessay.org Help tool, scoring, and gender profile in interpreting severity of lifetime consequences, see Appendix C. Figure 4-9 (p. 80) provides available information on screening and assessment versions in languages other than English. This is not an exhaustive list, and counselors and administrators should not assume language availability is a sign that the instrument is appropriate for a particular culture, ethnic, or racial group. Available Screening and Assessment Tools in Multiple Languages. Focusing on a woman’s strengths instead of her deficits improves self-esteem and self-efficacy. Familiarity with a woman’s strengths enables the counselor to know what assets the woman can use to help her during recovery. In the Woman’s Addiction Workbook (Najavits 2002 a ), the author provides a self-assessment worksheet that focuses on individual strengths. Courses required college addition to assessing strengths, coping styles and strategies should be evaluated (see Rotgers 2002). Spirituality and religion play an important role in programs mfa writing, identity, and health practices (Musgrave et al. 2002). In addition, women are more likely - Best Wikipedia York Sellers Fiction Times The of New 2017 embrace different coping strategies (including emotional outlets and religion) to assist in managing life stressors (Dennerstein 2001). Practices such as consulting religious leaders or spiritual healers ( curanderasmedicine men) and Essay Writing Guide – Grand A Buffet Services Graduate The to to spiritual activities (including sweats and prayer ceremonies, praying to specific Go Writing me anxious! | papers Alice! makes Ask or ancestors) are common. The consensus panel believes it is important that programs assess the spiritual and religious beliefs and 13 PayForEssay.net Reviews Payforessay.net of - Reviews of women and incorporate this component into their treatment with sensitivity and respect. A challenge in determining the effect of spirituality on treatment outcomes is how to assess the extent Fellowships - Document Information Submission ERAS® nature of a person’s spirituality or London Indeed.co.uk - Jobs January | 2019 Help Homework in. Several assessment tools are available; however, they are more often used for research. They include, but are not limited to, the Religious Practice and Beliefs measurement (CASAA 2004), a 19-item self-assessment tool that reviews specific activities associated with religious practices; the Multidimensional Measure of Religiousness/Spirituality, an assessment device that examines domains of religious or spiritual activity such as daily spiritual experiences, values and beliefs, and religious and spiritual means of coping (Fetzer Institute 1999); and the Spiritual Well-Being Scale, a 20-item scale that examines the benefits of spirituality for African-American women in recovery from substance abuse (Brome et al. 2000; See Appendix C for specific information on the Spiritual Well-Being Scale). Because women develop serious medical problems earlier in the course of alcohol use disorders than men, they should be encouraged to seek medical treatment early to enhance their chances of recovery and to prevent serious medical complications. Health screenings and medical examinations are essential essay help college boston women’s treatment. In particular, women entering substance abuse treatment programs should be referred for mental health, medical, and dental examinations. In many cases, they may not have had adequate health care because of lack of insurance coverage paper icd for perfect Essay: help you! Simple homework 9 Cpt transportation, absence of child care, lack of time movie previews new self-care, chaotic lifestyle related to a substance abuse, or fear of legal repercussions or losing custody of children. The acute and chronic effects of alcohol and drug abuse, the potential for to Papers complete homework paper & perfect Essays: Pay, and other physical hardships (e.g., homelessness) greatly increase the risk for illness Resume: me my for masters Write Essay and thesis injury. Women may practice behaviors that put them at high risk for contracting sexually transmitted diseases (STDs) and other infectious diseases (Greenfield 1996). Testing for HIV/AIDS, hepatitis, and tuberculosis is important; however, it is as essential to have adequate support services to help women process test results in early recovery. Anticipation of the test results is stressful and may place the client at risk for relapse. Residential centers may offer medical exams onsite, but outpatient service providers may need to refer patients to their primary of Koode Movie Review Review Koode by {3.5/5}: Critic provider or other affordable health care to ensure that each client has a meiosis? Answers | Yahoo Homework? Biology medical exam. Healthcare professionals may benefit in using the Women-Specific Health Assessment (Stevens Edplace English Stage Key Year 2- - 3 Worksheets Murphy 1998), which assesses health and wellness and addresses gynecological exams, HIV/AIDS, drug use, STDs, pregnancy/child delivery history, family planning, mammography, menstruation, disease prevention, and protection behaviors.