Gains - The National Gains Co-Occuring Disorders & Justice Center: A SAMHSA Initiative
 
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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 4: Dependency or Addiction to Drugs or Alcohol
The following are characteristics of Stage 4:

Behavioral

  • Use drugs or alcohol daily or on a continuous basis
  • Take serious risks or engage in criminal behavior to obtain drugs
  • Have quit school or were expelled from school
  • Have run away from home
  • Have had possible overdoses

Emotional or Mental

  • Take drugs to avoid depression or pain; many want to escape realities of daily living
  • Are out of control with their drug use
  • Have suicidal thoughts or attempts
  • Experience guilt, shame, remorse
  • Exhibit changing emotions (depression, irritability, aggression, irritation, apathy)
  • Have changes in personality
  • Experience memory loss, flashbacks, paranoia, volatile mood swings, other mental problems
  • Take drugs to feel normal; they are unlikely to experience euphoria
  • Do not care about getting caught; they are focused on getting and using drugs at any cost
  • Focus all interest on getting and using drugs

Physical

  • Have blackouts
  • Show signs of physical deterioration (health problems, weight loss)
  • Have poor physical appearance

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