Many standardized instruments and interview protocols are available to help counselors perform appropriate screening and assessment for women. The purpose of assessment is to gather the detailed information needed for a treatment plan that meets the individual needs of the woman. The purpose of screening is to determine whether a woman needs assessment. The Difference Between Screening and Assessment Finally, other considerations that apply to screening and assessment are discussed, including women's strengths, coping styles, and spirituality. The assessment section includes general principles for assessing women, the scope and structure of assessment interviews, and selected instruments. It provides information about instruments for use by drug and alcohol counselors, primary healthcare providers, social workers, and others. 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.
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It covers several areas for which to screen, such as acute safety risk, mental disorders, sexual victimization, trauma, and eating disorders.
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This chapter introduces and provides an overview of current screening and assessment processes that may best serve women across the continuum of care. Several of the screening and assessment instruments discussed in this chapter are provided in Appendix C. Attention is given to instruments that have gender-specific normative data or are useful in attending to the biopsychosocial issues unique to women. Rather, the TIP briefly describes several instruments that providers often use to examine areas of female clients' lives. This TIP makes no specific recommendations of screening and assessment tools for women and does not intend to present a comprehensive discussion of this complex topic. Specific instruments are available to help counselors determine whether further assessment is warranted, the nature 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 to interventions. Hundreds of screening instruments and assessment tools exist.
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To ensure that important information is obtained, providers should use standardized screening and assessment instruments and interview protocols, some of which have been studied for their sensitivity, validity, and accuracy in identifying problems with women. This understanding begins during the screening and assessment process, which helps match the client with appropriate treatment services. 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.