How to Conduct Quality Substance Abuse Evaluations

  Рет қаралды 6,549

Dr. Aaron Norton

Dr. Aaron Norton

5 жыл бұрын

This is a recording of a 2-hour webinar presented to members of the National Board of Forensic Evaluators on 10/26/18. Substance use disorders (SUDs) are common, affecting 10% of the population in the U.S. One of the many characteristics of SUDs that makes them unique is that the nature of the addictive process is such that denial, minimization, and lack of insight are a natural component of the development of the disorder. Accordingly, clients often deny, minimize, rationalize, and under-report, both intentionally and unintentionally, making clinical and forensic evaluations very challenging. Additionally, there are many incentives for clients to avoid full disclosure, because the stakes are often so high (e.g., child custody evaluations, employment evaluations, etc.).
In spite of these challenges, there are many strategies and techniques that evaluators can use to differentiate fact from fiction, arriving at a solid and defensible conclusion that the clinician can feel confident with. This webinar was designed to provide you with those strategies.
Learning Objectives:
1. Identify the diagnostic criteria for substance use disorders, and apply the criteria in a case scenario.
2. Learn several questions that can be asked to determine if a client meets diagnostic criteria.
3. Identify tests that identify subtle attributes of SUDs and have built-in validity scales to detect defensiveness, denial, and inconsistencies.
4. Learn to use collateral sources for additional information, and identify what to look for when reviewing those sources to help determine diagnoses and treatment needs.
5. Explore the American Society of Addiction Medicine (ASAM) treatment criteria, and learn how to apply the criteria to the data obtained from the biopsychosocial assessment to determine a client's specific treatment needs.
About the Presenter:
Aaron Norton is a Licensed Mental Health Counselor and Licensed Marriage and Family Therapist with certifications in addictions, alcohol and drug counseling, rehabilitation counseling, clinical mental health counseling, forensic mental health evaluation, and forensic behavioral analysis. He is recognized by the American Mental Health Counselors Association as a Diplomate and Clinical Mental Health Specialist in Substance Abuse and Co-Occurring Disorders. He serves as Executive Director of the National Board of Forensic Evaluators, a national not-for-profit board officially endorsed by the American Mental Health Counselors Association that provides training, certification, and professional advocacy for licensed mental health professionals specializing in forensic mental health evaluation. He is an Adjunct Instructor at the University of South Florida's College of Behavioral and Community Sciences as well as a doctoral candidate in the Counselor Education and Supervision program at USF. He serves as Southern Regional Director for the American Mental Health Counselors Association and President-Elect and Chair of Education, Training Standards, and Continuing Education for the Florida Mental Health Counselors Association. He also works in a private practice specializing in both therapy and forensic and clinical evaluation, as well as providing clinical supervision to mental health counselor and marriage and family therapist interns as a Qualified Supervisor. He has more than 15 years of experience in the counseling profession. He was awarded Mental Health Counselor of the Year by the American Mental Health Counselors Association and Counselor Educator of the Year by the Florida Mental Health Counselors Association in 2016 and has been published in Addiction Professional, American Journal of Orthopsychiatry, Journal of Gay and Lesbian Social Services, and The Advocate Magazine.

Пікірлер: 4
@wandawyatt8698
@wandawyatt8698 3 жыл бұрын
Great and educational information thank you for sharing.
@dismfcooked
@dismfcooked 4 жыл бұрын
Where is the "Kelly, finny, & moos (2005) article that states mandated treatment is just as effective? I went on two college library websites and google scholar and found nothing. I even searched the names individually. There is a boatload of evidence to the contrary, can you post a link to that article or find another article that has been replicated that is not 15 years old.
@AaronNorton
@AaronNorton 4 жыл бұрын
Hello, Ronald, and thank you for your thoughtful comment. The reference in question can be viewed in its entirety at www.journalofsubstanceabusetreatment.com/article/S0740-5472(05)00045-0/fulltext. I originally found the reference in NIDA’s Principles of Drug Abuse Treatment (2014), where NIDA reports “Most studies suggest that outcomes for those who are legally pressured to enter treatment are as good as or better than outcomes for those who entered treatment without legal pressure.” (www.drugabuse.gov/publications/principles-drug-abuse-treatment-criminal-justice-populations-research-based-guide/legally-mandated-treatment-effective). For more recent studies concluding that mandated treatment is no more or less effective as compared to “voluntary” treatment, here are a couple options to explore: (www.ncbi.nlm.nih.gov/pmc/articles/PMC3578041/, www.karger.com/Article/Abstract/265938). However, I think you are absolutely right that some studies have concluded that compulsory treatment is not as effective (e.g., www.bmj.com/content/353/bmj.i2943). I think that one of the problems with sweeping conclusions about mandated treatment is that results likely vary based on many other factors such as the type of treatment being provided, study design, the specific population of focus, and the nature and quality of the therapeutic relationship between clinicians and clients. In hindsight, perhaps it would have been better for me to word the polling question as “According to NIDA, court ordered substance abuse treatment is ____ compared to voluntary treatment.” Personally, I do believe that mandated treatment is superior to no treatment and that treatment is usually a better idea than incarceration only for individuals with substance use disorders (a position that the United Nations appears to take as well: www.unodc.org/docs/treatment/Coercion_Ebook.pdf) , but I’d also much rather work with someone who is not mandated into treatment.
@dismfcooked
@dismfcooked 4 жыл бұрын
@@AaronNorton Thanks for getting back to me so quickly, I was able to find the article. I do agree with you that study design and population affects these study outcomes. The research example that you used in your presentation compared a sample size of mandated clients which was only 7% of the total number of participants, it was comprised of all veterans, and the mandated sample was almost seventy percent white, which might not reflect the demographics of most drug courts. It is interesting that most of the research does not mention that there are usually significant consequences for not participating in treatment when being mandated, and treatment engagement may just be a result of avoiding incarceration or other consequences. I find the topic interesting because I was court-mandated to treatment numerous times, participated in treatment voluntarily, and also participated in treatment while incarcerated. Thank you for making this presentation, I had watched it because I was assigned to watch your video by my clinical supervisor. I am currently on the path to licensure as an addictions counselor.
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