SECTION II: PROFESSIONAL PRACTICE DIMENSIONS
1=Understands 2=Developing 3=Competent 4=Skilled 5=Master
PRACTICE DIMENSION I
CLINICAL EVALUATION - SCREENING
Screening is the process through which a counselor, client and available significant others review the current situation, symptoms, and other available information to determine the most appropriate initial course of action, given the client's needs and characteristics and the available resources within the community.
Establish rapport, including management of crisis situation and determination of need for additional professional assistance.
Gather data systematically from the client and other available collateral sources, using screening instruments and other methods that are sensitive to age, developmental level, culture, and gender. At a minimum, data should include current and historical substance use; health, mental health, and substance-related treatment histories; mental and functional statuses; and current social, environmental, and or/economic constraints.
Screen for psychoactive substance toxicity, intoxication, and withdrawal symptoms; aggression or danger to others; potential for self-inflicted harm or suicide; and coexisting mental health problems.
Assist the client in identifying the impact of substance use on his or her current life problems and the effects of continued harmful use or abuse.
Determine the client’s readiness for treatment and change as well as the needs of others involved in the current situation.
Review the treatment options that are appropriate for the client needs, characteristics, goals, and financial resources.
Apply accepted criteria for diagnosis of substance use disorders in making treatment recommendations.
Construct with client and appropriate others an initial action plan based on client needs, preferences, and resources available.
Based on initial action plan, take specific steps to initiate an admission or referral and ensure follow-through.