1009-Motivating People for Change with Screening and Engagement

Counselor Toolbox Podcast with DocSnipes

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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