Screening and Assessment for Co-Occurring Mental and Substance Abuse Disorders
NAK Union NAK Union Behavioral Health utilizes screening as a formal process of testing to determine whether a client does or does not warrant further attention at the current time in regard to a particular disorder and, in this context, the possibility of a co-occurring substance use or mental disorder (COD).
The screening process for COD seeks to answer a “yes” or “no” question: Does the substance abuse (or mental health) client being screened show signs of a possible mental health (or substance abuse) problem?
NAK Union Alcohol Behavioral Health utilizes The Addiction Severity Index (ASI) for the assessment of substance use related problems in adults. Professionals all over the world use the ASI to get a better understanding of their client’s treatment needs and outcomes. It is the most widely used substance abuse severity, treatment planning, and outcome measurement instrument in the United States.
The ASI was developed to serve as a standardized and reliable instrument for evaluating adults seeking treatment for substance abuse problems and is used frequently in a host of clinical, adult justice, and research settings. The semi-structured interview was designed to address seven potential problem areas in substance abusing clients:
- Medical status
- Employment and support
- Drug use
- Alcohol use
- Legal status
- Family/social status
- Psychiatric status
Clients are asked to respond to specific questions about the problems they have experienced, both within the past 30 days and over their lifetimes. Thus, the ASI identifies both urgent and chronic concerns. The ASI provides two scores: severity ratings and composite scores. Severity ratings are subjective ratings of the client’s need for treatment, derived by the interviewer. The severity rating scales range from 0 (no treatment necessary) to 9 (treatment needed to intervene in life-threatening situation). Composite scores are measures of problem severity during the prior 30 days.
The ASI consists of approximately 200 items and is administered by a trained interviewer during a client interview. Assessments.com offers online versions of the ASI appropriate for initial and follow-up assessments. The initial online assessment takes approximately 45 minutes to complete and a follow-up assessment takes about 25 to 30 minutes to complete.
NAK Union Behavioral Health will not offer HIV Rapid Testing, as it is currently offered at both DeKalb County Health and Aid Atlanta at no charge to our participants.
Activities in Institutional Settings
NAK Union Behavioral Health will link with correctional institutions to provide a smooth transition for consumers, but will not directly provide services in these institutions.
Number of Participants Served
NAK Union Behavioral Health anticipates serving dozens of consumers every three months. We anticipate serving 108 – 150 consumers annually unduplicated annually, and 324-450 over three years.
Identify, Recruit, and Retain Population
Identification and Recruitment
NAK Union Behavioral Health is based on the idea that a potential participant’s willingness to enter our program is an essential part of a successful outcome and a strong indicator of his or her suitability for inclusion. Successful clients will have demonstrated by their behavior while still battling addiction that they have the potential to benefit from the services offered by NAK Union Behavioral Health. Potential participants will be referred from community partners, correctional institutions, or seek us on their own accord.
Screening Process/Interviews/Program Intake/Individual Goal Setting
Every participants accepted by the program will undergo a detailed assessment and interview from NAK Union Behavioral Health staff. Interview documents are included in Attachment 2 of the application. While still battling substance abuse, potential clients participate in a self-esteem building opportunity. This serves as the basis of their recovery plan, which includes short and long-term goals, appropriate referrals, and a plan for programming, job training, and housing needs as applicable.