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Counselor / Addiction

Assessment and Co-Occurring Disorders

5.00 - CE credit hours training

$27.50 - Cost of course

This page contains important information about the course, including training details, a comprehensive course description, learning objectives, and source references. We encourage you to review each section to gain a clear understanding of the course content, educational goals, and supporting materials before beginning your training and taking the POST TEST below.

Target audience and instructional level of this course: foundational
There is no known conflict of interest or commercial support related to this CE program.

Assessment and Co-Occurring Disorders

Follow the link below, read the material and then take the 30 question post test

Read the Course Material:
Assessment and Co-Occurring Disorders

30 Questions

1. From "Introduction": The authors take the position that medical issues (including physical disability and sexually transmitted diseases), cultural issues, gender-specific and sexual orientation issues, and legal issues should be always be assessed, whether a basic or more comprehensive assessment is performed.
2. From "Screening": The screening process for COD should be designed to answer which of the following questions?
3. From "Basic Assessment": Which of the following is identified as the gold standard of assessment for co-occurring disorders?
4. From "Treatment Planning": In the case study of Maria M., the treatment is planned to address:
5. From "Treatment Planning": In the case study of Jane B. the treatment was designed with an initial focus on:
6. From "Introduction to the Assessment Process": The twelve steps of the assessment process seek to accomplish particular objectives. Which is NOT one of those objectives?
7. From "Engage the Client": Person-centered assessment emphasizes:
8. From "Engage the Client": Regarding sensitivity to trauma in clients with COD, the article encourages, that prior to conducting the interview, the clinician should consider that the client may have suffered trauma and may have difficulty trusting the counselor.
9. From "Identify and Contact Collaterals (Family, Friends, Other Providers) To Gather Additional Information": Because clients with current COD may be unable or unwilling to report past or present circumstances accurately, the authors recommend all assessments include routine procedures for identifying and contacting any family and other collaterals who may have useful information to provide.
10. From "Screen for and Detect Co-Occurring Disorders": Which assessment tools are identified in the article as useful in safety screening with COD clients?
11. From "Screen for and Detect Co-Occurring Disorders": According to the article, assessing potential risk of harm includes assessing:
12. From "Screen for and Detect Co-Occurring Disorders": The authors advise assessing for withdrawal from substances. Do they advise that withdrawal from any drug of abuse will require medical intervention?
13. From "Screen for and Detect Co-Occurring Disorders": The authors recommend the MMPI and the SCID for screening of mental disorders and substance sue disorders.
14. From "Screen for and Detect Co-Occurring Disorders": Which screening tool takes 15-30 minutes to administer and covers 20 mental health and substance use disorders?
15. From "Screen for and Detect Co-Occurring Disorders": In screening for trauma:
16. the PTSD Checklist and the Modified PTSD Symptom Scale: Self-Report Version are recommended.
17. From "Determine Level of Care": Compared to the ASAM PPC-2R, the LOCUS:
18. From "Determine Level of Care": In the case example pertaining to level of care determination, at first glance it could seem that intensive mental disorder case management is the best level of care for Jane B. However, the authors propose that with further consideration it would become clearer that psychiatric hospitalization or referral for residential substance abuse treatment is the best initial placement for her.
19. From "Determine Diagnosis": The authors take the view that diagnosis of both mental disorders and substance use disorders is established more by _____________ than by _____________.
20. From "Determine Diagnosis": The authors describe past frustration amongst alcohol/drug counselors because past assessment tools did not allow them to easily tie mental symptoms to specific periods of active substance use disorder and periods of abstinence. However they indicate that more recent assessment tools make such "interaction assessment" easier. Which of the following assessments are named as easing such assessment?
21. From "Determine Diagnosis": In the case example of Maria M., a thorough assessment of the timing of substance use and mental disorder symptoms, allowed the clinician to determine that:
22. From "Determine Disability and Functional Impairment": Regarding the assessment of functional impairment, the authors suggest four areas for assessment. They are:
23. From "Determine Disability and Functional Impairment": The authors indicate that no specific tool exists to assess the need for "Capable" or "Enhanced" level services for persons with COD.
24. From "Identify Strengths and Supports": The authors describe criteria to qualify for Social Security disability benefits. Based on the article, which of the following is true regarding qualification for Social Security benefits?
25. From "Identify Cultural and Linguistic Needs and Supports": The case example of George T. highlights a cultural factor that is important to assess amongst people with COD. That factor is:
26. From "Identify Problem Domains": Research indicates that providing assistance in each of the client's problem areas promotes better overall outcomes. Which assessment tool do the authors point to as assessing problem domains related to addiction?
27. From "Determine Stage of Change" Assessing stage of change is important. The authors recommend assessing the client's stage of change for each mental disorder and each substance disorder.
28. From "Plan Treatment": The sample treatment plan for George T. focuses on:
29. From "Plan Treatment": The authors cite critical factors relevant to the process of matching individual clients to available treatment. Which of the following factors is NOT cited as a critical factor?
30. From "Assessment Process Summary": In the Assessment Process Summary, the authors identify three primary aims of the COD assessment process. They report that these aims are covered in most substance abuse-only assessments. However, when assessing COD, they recommend adding what to the typical substance abuse-only assessment?
Clinicians are increasingly called upon to see clients who present with co-occurring disorders (COD). This course consists of three parts: (1) an overview of the basic screening and assessment approach that should be a part of any program for clients with COD; (2) an outline of the twelve steps to an ideal assessment, including some instruments that can be used in assessing COD and re-assessing over the course of treatment; and (3) a discussion of key considerations in treatment matching.

Note: In the section entitled \"Assessment Step 6: Determine Quadrant and Locus of Responsibility\" there is a typo. For Quadrant II the table should read: More severe mental disorder/Less severe substance disorder.
  • Describe a basic screening and assessment approach that should be a part of any program for clients with COD.
  • Describe a model for an optimal process of evaluation for clients with COD.
  • Identify key considerations in treatment matching.
Stanley Sacks, Ph.D.
National Development and Research Institute
Richard K. Ries, M.D.
University of Washington School of Medicine
Published by Center for Substance Abuse Treatment and SAMHSA