morbidity

Assessment Task one:
This assessment task relates to the following learning outcomes in this paper: 1, 2, 3, 4, 9, 10.

1. Identify the key elements of assessment including co morbidity
2. Develop capacity to use a range of assessment screening tools and critically evaluate these models and their implications for practice.
3. Develop the capacity to assess readiness to change and identify motivational strategies to promote behaviour change
4. Develop the capacity to demonstrate respectful, inclusive and culturally safe communication and practice with client groups
9. Demonstrate a commitment to honest, integrity, collegiality and safe, ethical and legally appropriate practice.
10. Present work to the appropriate academic standard
Assessment process: (approximately 3,000 words)
Select ONE case study from those provided.
Identify 5 key areas/domains for assessment where it is important that you have more information.
For each area/domain provide a reason/rationale why it is important to gain more information
For each domain, develop a question that you might use to expand your field of inquiry

How might you use the information to formulate the problem’
Use references from Learning Resources to support your decisions one of your reference should be
The Recommended Text:

Hulse, G., White. J & Cape. G, (2002) Management of Alcohol and Drug Problems. Oxford University Press.

Case Studies

Case Study 1

Tu is a 22 year old man of Maori descent who has been sent by the courts for an assessment of his cannabis use. He feels his friends are talking about him behind his back. He has access to his uncle’s gun and says he will use it to defend himself if he has to. He was brought up in a small town by his grandmother but she died three years ago. He is currently unemployed and living with friends. They are mainly drug users and generate an income by growing and selling cannabis.
Case Study 2

Paul is a 27 year old injecting drug user who presents at the local Alcohol and Drug Assessment Service six weeks after release from prison. He doesn’t really want treatment but attendance is a condition of his parole. He has numerous convictions for burglary, assault and possession of drugs for supply. He had a motor cycle accident at age 19 and has not worked since. Since his motor cycle accident he has had anger and impulse control problems.

On assessment it was found that Paul had no specific plans to harm anyone in particular, but he has access to a firearm and states that he will shoot himself and take others with him.

Since his head injury, he has had anger and impulse control problems, short-term memory impairment, poor concentration and has been unable to work as a result.

He has a history of childhood conduct disorder and alcohol and cannabis use from age 12, incorporating benzodiazepines intermittently from 18 years and subsequent polydrug abuse. He used intravenous opioids regularly from 19 years of age. He continues to use cannabis daily and occasional benzodiazepines.

He has numerous convictions for burglary, assault and possessions of cannabis.

On direct questioning, Paul admits depressive symptoms since his most recent incarceration, meeting DSM IV-R criteria for a diagnosis of Major Depressive Episode over the past six weeks. He has had little contact with his family and lives with friends who use intravenous opioids on a daily basis.

He is hepatitis C positive, admits to sharing needles and has unprotected sex especially when using benzodiazepines.

He is placed on a waiting list for methadone maintenance therapy (MMT) and offered detoxification.

Case Study 3

Gemma is a 19 year old AUT student who enjoys student life and has been partying hard. She has got behind in her course work and has started drinking secretly in her room at home to help cope with the stress of assignment deadlines and exams. Student services thought it might be helpful if she spoke to someone about her drinking. There are times when she doesn’t remember what she did the night before or how she got home from the party. She lives at home with her parents and her mother is very worried about Gemma’s drinking because she says her father was an alcoholic.
Case Study 4

Marie is a 65 year old woman who presents at your service because the doctor she has been attending all her adult life has just retired. Her new GP is refusing to prescribe benzodiazepines. She says she has been taking them for her nerves’ since she was in her 30’s and is not happy about the approach her new GP is taking.

Marking criteria €“ Essay 1 €“ Assessment and Intervention in Addiction.

Learning Outcome A B C D
1, 2 Appropriately identifies the domains for assessment based on the client information provided All 5 assessment domains accurately identified with reasons for their choice articulated Most assessment domains identified with reasons for their choice articulated Some assessment domains identified but no clear reason why they are important in this case Fails to identify areas of assessment and does not provide reasons
1, 2,3,
4, Develops a question for each domain that is used to expand the field of inquiry Develops a relevant and appropriate question for each domain. Provides a rationale for the choice of question Develops questions for each domain. Some more relevant than others. Provides a rationale for each question Is able to ask about issues relating to most domains but the questions do not consistently elicit a response that would help in clarifying the issues Fails to develop any or relevant questions
1, 2,
9 Formulate problem clusters and recommends an intervention Formulates a concise set of problem clusters from the information gathered on assessment. Matches the problems to an appropriate intervention and prioritises each intervention based on safety, risk and need. Outcome data is identified. Shows clear understanding of the range of problems from the information gathered on assessment. Matches the problem to an intervention. Some consideration given to risk and safety. Some outcome data is identified.

Shows limited ability to generate a set of problem clusters from the information gathered on assessment. Problems not consistently matched with an appropriate intervention. Outcome data is poorly identified.
Is unable to formulate a set of problem clusters from the information obtained. Fails to identify an appropriate intervention. Outcome data is not considered.
10 Present work at an appropriate academic standard.
Annotated bibliography shows a wide range of appropriate literature.
APA referencing method accurate.
Annotations flow logically. Adheres to word limit. Articulately written.
Annotated bibliography shows a sufficient range of appropriate literature.
APA referencing method usually accurate.
Annotations flow reasonably well. Adheres to word limit. Annotated bibliography shows a limited range of appropriate literature.
APA referencing method referencing haphazard or occasional. Annotations do not flow adequately. Adheres to word limit. Annotations are not of research. Does not consult an appropriate range of literature.
Does not acknowledge source of material in APA format.
Poor flow within annotations. Annotations are not on a similar topic. Does not adhere to wd limit.