Counselor Toolbox Podcast with DocSnipes

1009-Motivating People for Change with Screening and Engagement


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1. Introduction

  • Topic: Screening in Behavioral Health
  • Presenter: Dr. Dawn-Elise Snipes
  • Focus: Understanding the purpose, instrument selection, and information gathering in the screening process.
  • 2. Definition and Purpose of Screening

    • Screening Defined: A process to review current situations, symptoms, and collateral information to assess the probability of a problem.
    • Key Points:
    • Screening is not a diagnosis.
    • Can be performed by various professionals, including HR officers, pastors, nurses, doctors, and pharmacists.
    • Purpose:
    • Determine eligibility and appropriateness for services.
    • Assess immediacy of need (e.g., detoxification for substance abuse).
    • 3. Transparency and Informed Consent

      • Importance of Transparency: Clients must understand the screening process.
      • Informed Consent: Verbal consent is required before conducting a screening.

        4. Screening Process

        • Engagement: Screening is the first opportunity to engage the person in the therapeutic process.
        • Types of Screening:
        • Physical and Mental Health: Screening for issues like diabetes, skin cancer, depression, etc.
        • Risk and Safety: Assessing the risk of harm to self or others.

          5. Screening Tools and Techniques

          • Screening Instruments: Various tools available, such as CAGE for alcohol use, and others for mental health and substance abuse.
          • Observation: Non-verbal cues and physical signs (e.g., intoxication, withdrawal) are crucial.
          • Interviewing: Direct questions to the client or significant others for additional context.

            6. Importance of Multi-Disciplinary Collaboration

            • Collaboration Across Professions: Ensures comprehensive care by involving multiple professionals (e.g., doctors, counselors).
            • Referral to Specialists: If screening indicates a need for further evaluation, referrals are made to appropriate specialists.

              7. Cultural and Socioeconomic Sensitivity

              • Considerations: Screenings should be sensitive to cultural, socioeconomic, gender, and other personal factors.
              • Customizing the Approach: Tailor the screening environment and process to the individual's background and needs.

                8. Addressing Stigma

                • Stigma Awareness: Acknowledge and address any stigma associated with mental health, substance use, or seeking help.
                • Cultural Beliefs: Work within the client's cultural context to reduce stigma and promote engagement.

                  9. Screening as an Ongoing Process

                  • Continuous Engagement: Screening is not a one-time event but part of ongoing assessment and engagement.
                  • Use of Ancillary Information: Gathering additional information from multiple sources to support screening conclusions.

                    10. Practical Considerations in Screening

                    • First Impressions: Professional presentation, punctuality, and courtesy are essential in the initial screening.
                    • Environmental Factors: Ensure the screening environment is welcoming, calm, and sensitive to the client’s needs.
                    • Client Empowerment: Involve the client in decision-making and ensure they feel respected and heard.

                      11. Screening Outcomes and Next Steps

                      • Interpreting Results: After screening, determine the appropriate next steps, whether it involves further assessment or immediate intervention.
                      • Client Follow-Up: Engage with the client to ensure they follow through on referrals and recommendations.



                        Chapters:

                        00:00:00 - Purpose and Process of Screening

                        00:07:12 - The Importance of Wellness Screenings

                        00:14:50 - Importance of Screening

                        00:21:55 - Screening and Engagement

                        00:28:51 - Building Rapport and Providing Support

                        00:36:05 - Creating a Welcoming and Accepting Environment

                        00:43:07 - Factors impacting client engagement

                        00:50:13 - Establishing Trust and Developing Rapport

                        00:56:54 - Screening for Mental Health

                        01:03:34 - Addressing Underlying Issues

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                        Counselor Toolbox Podcast with DocSnipesBy Dr. Dawn-Elise Snipes

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