Assignment 2: RA 1: Substance Abuse Intake Assessment

Using the module’s , research intake assessments. Select at least 3–4 scholarly resources from professional literature to reference in this assignment.

For this assignment, read the following scenario and conduct a Psychosocial Needs Assessment for the patient during an Intake Assessment.

Scenario

The Adult Probation Department has referred to your office a client, Sue, for an intake assessment.

Presenting Problem

Sue is a twenty-eight-year-old Haitian woman who has been addicted to crack cocaine. She has recently pled guilty to charges of possession, sale of an illicit substance, and of engaging in prostitution.

to download and review the case history for Sue.

substance abuse assessment 

   

NAME:

DATE(S) OF ASSESSMENT:

 

DOB:

   

DATA SOURCES:

 

   

REASON FOR REFERRAL:

 

   

IDENTIFYING INFORMATION:

   

FAMILY HISTORY:

 

   

EDUCATIONAL AND VOCATIONAL BACKGROUND:

 

   

PREVIOUS MENTAL HEALTH TREATMENT (INCLUDING SUBSTANCE ABUSE TREATMENT):

Make sure to include a summary of previous diagnosis and response to treatment.

 

Needs assessment:

   

AVAILABLE SUPPORTS AND RISKS:

 

   

ACCESS TO COMMUNITY RESOURCES:

 

Intake Review:

   

MENTAL STATUS AND GENERAL OBSERVATIONS:

 

   

RECOMMENDED SCREENING AND ASSESSMENT TOOLS:

Justify your recommendations.

 

   

SUMMARY: Make sure to describe how the client’s background and current mental status may affect their current behaviors and treatment outcomes.

 

 

SUGGESTED DIAGNOSES:

 

Reviewer Signature  

Tasks:

Your task is to complete Sue’s intake assessment on the template provided. Focusing on the last two sections of the template (Needs Assessment and Intake Review), provide a thorough summary and recommendations for Sue’s treatment. Make sure to include research to support diagnostic considerations and treatment recommendations.

Keep in mind that this intake assessment will be included in Sue’s medical record. Thus, make sure you write thoroughly to express all ideas completely in your support of the diagnostic impression and treatment recommendations. This means each section should contain a minimum of 1–2 paragraphs. Your work should rely upon at least 3–4 resources from scholarly, professional literature and relevant resources.

Click to download and review the intake assessment template to complete your assignment.

Write an 8- to 10-page assessment report in a Microsoft Word document. Apply APA standards to citation of sources.