Assessment of Addiction and Co-occurring Disorders

Assessment of Addiction and Co-occurring Disorders

For this assignment, you will select one of the case scenarios provided in the assignment’s Resources, Riverbend City: Case Scenarios Part 1, and analyze assessment tools that would support the diagnostic process for both the substance use and mental health issues presented. You are encouraged to focus on the assessments for substance use and mental health issues covered in Chapter 2 of the Substance Use Disorders and Addictions text. This assignment sets the stage for the formulation of the treatment plan in Unit 9 assignment.

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Assignment Instructions

Consider scholarly literature for your selected assessment to analyze the level of appropriateness of the tool to assess clients from diverse backgrounds. The Counseling Masters Research Guide will help you in searching for scholarly articles.

Include information that would be needed to formulate a differential diagnosis.

Formulate a provisional diagnosis following the DSM-5 criteria using the assessment template provided including a concise summary.

Follow the template to address client strengths, challenges, and level of care. You are encouraged to use course readings to support your assessment strategy. Please note that optional articles can be easily accessed by copying and pasting the title of the article into the search box for Summon on the landing page of the Capella University Library.

Assignment Requirements

Written communication: Written communication is thoughtful and free of errors that detract from the overall message.

APA formatting: Resources and citations are formatted according to the current APA style and formatting.

Number of resources: Minimum of six scholarly sources. Distinguished submissions will likely exceed this number.

Length of paper: 6–8 typed, double-spaced pages. Additionally, a title page and references page.

Font and font size: Times New Roman, 12 point.

Case Scenarios Part 1

There is rarely one isolated aspect of a person’s situation that will tell the counselor or therapist what treatment option or setting is right for the presenting circumstances. Instead, you need to be able to generate questions that will help you assess for the level of care most appropriate to the client’s situation.

Select one of the three scenarios and complete the questions for that client. These questions are necessary for your assignments in the course.


Meet Derek

Derek is a 30-year-old Puerto Rican homosexual male. He graduated from law school two years ago and feels fortunate to have a job as a law clerk in a prestigious law firm in Miami. His job demands long hours so it is not unusual for him to go several days with little sleep. His partner, William, is familiar with pushing the limits to get established in a career so he suggested that they both take time to get away.

William Suggests a Vacation

While on vacation, William was hoping to enjoy some downtime. In contrast, Derek seemed particularly keyed up the first few days. Rather than relaxing on the beach, Derek paced and seemed out of place among the happy vacationers. William made excuses for Derek’s agitated behavior noting that it was difficult for many people to wind down after pushing so hard at work. The fourth night at dinner, Derek began berating the waiter who made a mistake in his order to the point of being uncharacteristically rude suggesting that the waiter wasn’t worth his time of day and abruptly left the restaurant. William paid the bill and returned to the hotel only to find Derek out on the balcony of their room screaming, “Do you know who I am?!” at other guests. Becoming truly alarmed, William coxed Derek back into the room and convinced Derek to take a walk to cool down. While he was gone, William wondered if Derek was “on something” and went through Derek’s luggage and found a small baggie of white powder he recognized as methamphetamine. He immediately called Derek’s brother, Angel.

William Reaches out to Derek’s Brother

Angel was not shocked by William’ description of Derek’s explosive behavior. Angel recalled Derek being in trouble in college for similar behavior and that Derek had seen some kind of doctor as part of an agreement for him to remain in school. According to Angel, the incident blew over and the family attributed it to the stress of applying to law schools. When Angel went to visit Derek afterward, Derek seemed down on himself and in a low mood in general. Taking a risk to share an alternate explanation, William admitted that he had seen Derek meet some friends at a club that were into meth, but didn’t think much of it until now. The more Angel and William compared notes; the more concerned they became. While William tried to convince himself that Derek had surely just got mixed up with the wrong people and “a little meth” in his attempt to keep up at work, Angel was more skeptical and insisted this sounded very similar to what his parents vaguely called “Derek’s episode”. Their debate was interrupted by another phone call. Derek was in a local Hospital Emergency Room (ER) being treated for injuries after he took a swing at someone in a nightclub. He missed and hit a wall injuring his hand. William debated whether he should tell the ER staff about his fears of Derek abusing meth or Angel’s description of the story from law school. He didn’t have to debate long as the ER physician concluded that a full assessment was warranted based upon Derek’s insistence that he was the best lawyer in Miami and the ER doctor better not “screw up” the best shot he’d ever have to get out of that “crummy little hospital”. The ER physician referred Derek to the crisis worker on call.




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