Exhibit IV2 Dsmiv Substance Abuse Criteria

1. Recurrent substance use resulting in a failure to fulfill major role obligations at work, school, or home

2. Recurrent substance use in situations in which it is physically hazardous

3. Recurrent substance-related legal problems

4. Continued substance use despite having persistent or recurrent social or interpersonal problems caused by the effects of the substance

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Copyright 1994. American Psychiatric Association (1994).

Overview of Assessment Session: Building Rapport and Assessing Marijuana Use

Total Time: 1 hour, 30 minutes (1 hour, 20 minutes for session; 10 minutes to prepare PFR)

Delivery Method: MET-focused individual therapy

Materials (all forms include instructions and are at the end of this section):

Sample Timeline Follow-Back Calendar for past month (form AS1)

Timeline Follow-Back Grid (form AS2)

Timeline Follow-Back Marijuana Use Summary Sheet (form AS3)

Structured Clinical Interview for DSM-IV (form AS4)

Marijuana Problem Scale (form AS5)

Reasons for Quitting Questionnaire (form AS6)

Self-Efficacy Questionnaire (form AS7)

Personal Feedback Report and percentage tables (form AS8)

Goals for This Session:

To build rapport with the client, creating a nonthreatening therapeutic environment

To collect and document baseline marijuana use information to monitor therapeutic


Session Outline:


Build rapport and give an overview of the assessment process


Conduct an overview assessment using open-ended and summary questions


Use the timeline follow-back (TLFB) method to assess marijuana use

• Complete the TLFB Calendar (form AS1)

• Complete the TLFB Grid (form AS2)

• Complete the TLFB Marijuana Use Summary Sheet (form AS3)


Administer the Structured Clinical Interview for DSM-IV (form AS4)

• Assess substance dependence

• Assess substance abuse


Explain and ask client to complete the Marijuana Problem Scale (form AS5); evaluate

consequences of marijuana use


Administer Reasons for Quitting Questionnaire (form AS6); evaluate reasons for

seeking treatment


Explain and ask client to complete Self-Efficacy Questionnaire (form AS7); assess

targets for intervention


Conclude the session


Prepare the PFR before session 1

Continue reading here: Assessment Session Protocol

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