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Issues in Adolescent Chemical Dependency Assessment

NCJ Number
132356
Journal
Journal of Adolescent Chemical Dependency Volume: 1 Issue: 3 Dated: (1991) Pages: 77-99
Author(s)
J M Nakken
Date Published
1991
Length
23 pages
Annotation
Good outcomes will result in most cases of adolescent chemical dependency if the diagnosis is correct, treatment strategies are assessed according to the client's individual needs, and good treatment is provided.
Abstract
Although the current criteria for diagnosing chemical dependence, DSM-IIIR, is the same for adolescents and adults, it is more difficult to assess in the younger patients. Behaviors which are symptomatic of chemical dependency in adolescents can also signal other conditions including emotional or mental health problems, learning disabilities, effects of abuse, and dysfunctional learning due to home stresses. There is yet no accepted standard for assessing adolescents; standardized criteria for diagnosis and assignment to appropriate levels of care for treatment must come from the treatment field. Another major level of assessment, motivating the adolescent for treatment, remains a function of personal interviewing. The interview consists of engaging the client in the problem-solving process, assessing the diagnostic criteria, and making recommendations based on the assessment outcome. Most adolescents who are chemically dependent are referred to residential treatment programs; some criteria for judging the quality of programs are outlined. 15 references