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Forensic Mental Health Professional Individual Assessment Report
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Mr. P is a 26-year-old male with a history of alcohol abuse. He is charged with his fourth Driving Under the Influence (DUI) violation. When he was arrested, he was not observed driving and his blood alcohol content was just above the legal limit. He was also forthright with the arresting officer when he admitted that he had drank alcohol prior to the arrest. However, he did not consider himself intoxicated. This was believed to be true from the arresting officer, but due to the history of offense, he was arrested. Currently, Mr. P is facing a 90-day substance abuse treatment program in a correctional facility. Mr. P admits that his father was an alcoholic and his mother was schizophrenic. Mr. P, himself, also suffered from depression while in college. His drinking largely started at age 14 to deal with the stress of caring for his schizophrenic mother. The drinking escalated with his depression in college. It has been eight years since his last DUI and if he is incarcerated, Mr. P may lose his job in which he has been relatively successful. As such, Mr. P has been referred for a substance abuse assessment.
The purpose of the substance abuse assessment is to determine the needs to the person in regard to substance abuse (Center for Substance Abuse Treatment, 2009). This is then used to form an effective treatment plan for the individual. The report is first used to identify if a problem is present. If a problem is present, the report will describe the nature of the problem, determine a diagnosis, and provide recommendations for treatment for the given diagnosis.
Reason for Referral
Mr. P is being referred for a substance abuse evaluation. Mr. P has a history of alcohol abuse. His first two DUIs were the result of his drinking to cope with his depression. His third DUI was due to drinking at a celebration for passing a difficult exam. Eight years have passed since his last DUI. Upon his fourth arrest, he did not appear intoxicated and was just over the legal limit. Mr. P also does not communicate any current urge to use alcohol due to his immediate stress and denies the seriousness of his charge.
With this assessment, the evaluator hopes to determine the presence and degree of Mr. P’s chemical dependency. In doing so, the most effective treatment plan can be utilized with Mr. P. Currently Mr. P is facing a 90-day substance abuse treatment program and incarceration. Mr. P has shown himself to be legally sober for eight years, and in this case, he was not a notable risk to himself or others due to his substance use. Therefore, this assessment aims to evaluate if incarceration will be effective for Mr. P.
Mock Interview Questions (examples)
In the past 12 months how often have you drank alcohol?
Do you ever use alcohol as a means to relax, fit in, feel better about yourself?
Do you ever feel the need to hide your alcohol use?
Do you ever forget things you did while using alcohol?
Do any of your close friends or family drink regularly?
How often do you feel depressed?
Have you used any other drugs recreationally?
Have you received any treatment for substance use in the past?
Have you ever tried to stop using alcohol?
Referral Questions (examples)
What is the purpose of this assessment?
What are the assessment options for this case?
What impressions are gained by Mr. P’s family history?
What impressions are gained by Mr. P’s current behaviors?
How will I recognize malingering or deception?
What are the treatment options for Mr. P?
What treatment options have been administered in the past?
Can Mr. P’s 90-day incarceration be deferred?
Who is using this assessment?
Presentation
During the interview with Mr. P, Mr. P was cooperative and pleasant. He answered questions openly and seemingly honestly. He was even vocal about problem areas in his life and admitted to drinking the night of his most recent arrest. .
Prior to receiving his potential sentence, Mr. P was fearful, but confident th………………………
