Gains - The National Gains Co-Occuring Disorders & Justice Center: A SAMHSA Initiative
 
HOME MODULES GLOSSARY CONTACT RESOURCES REFERENCES Module 2 contents

Introduction

  1. Mental Health, Substance Use, and Co-occurring Disorders
  2. Introduction to Screening and Assessment in the Juvenile Justice, Mental Health, and Substance Abuse Treatment Systems
  3. Juvenile Justice System Assessments
  4. Screening for Mental Health and Substance Use Disorders in the Juvenile Justice System
  5. Mental Health and Substance Abuse Assessments in the Juvenile Justice System
  6. Standardized Screening and Assessment Instruments
  7. Special Issues
  8. Collaborative Models of Screening and Assessment

Summary
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Module 2: Screening and Assessment

Stage 3: Habitual Use or Daily Preoccupation with Drugs or Alcohol
The following are characteristics of Stage 3:

Behavioral

  • Engage in almost daily use and may use drugs/alcohol alone
  • May sell drugs to keep personal supply/may steal for money for drugs
  • Have made unsuccessful efforts to control use
  • Have poor school performance/attendance, no straight friends, drug culture appearance, poor family relationships, personality changes
  • Steal, lie, or con others to cover use; are completely focused on obtaining and using drugs/alcohol

Emotional or Mental

  • Experience depression or uncomfortable feelings when not using drugs; use drugs/alcohol to stay high; or use drugs/alcohol to maintain normal feelings
  • May have suicidal thoughts/attempts
  • Experience shame and guilt
  • After euphoria, experience pain, depression, discomfort

Physical

  • Need more substance to produce same effect

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