1. ASSESSMENT ISSUES
FEBRUARY 27, 2012

2. ADSAC
CONTACT INFORMATION Ray Caesar Director of Addiction Specialty Programs Oklahoma Department of Mental Health & Substance Abuse Services (405) (405)

3. ADSAC
CONTACT INFORMATION
Ray Caesar
Patty Patterson
Linda Clark
John Bureman

4. PROBLEMS WITH ALCOHOL AND OTHER DRUGS

5. Public Intoxication

6. Vandalism

7. Homelessness

8. Inappropriate aggression

9. Paranoia

10. Criminal behavior

11. Compromising situations

12. ADSAC ADSAC is an acronym for;
ALCOHOL AND DRUG, SUBSTANCE ABUSE SERVICES
This phrase is found in Title 47 Motor Vehicle Code and refers to the entire process of assessment, education and treatment.
Authority for the ADSAC process comes from Titles;
43A Mental Health Law,
47 Motor Vehicle Code,
22 Criminal Code.

13. ADSAC ODMHSAS has specific responsibility for;
ASSESSMENT ~ defining type, duration and intensity of intervention.
FACILITATION ~ 10 & 24 hour courses
CERTIFICATION ~ Assessors ~ Assessment Agencies
~ Facilitators
~ Course Organizations
TRAINING ~ Assessors
Instruments, Interview Technique, Oklahoma Administrative Code
Adult Education, Interactive Journaling and Oklahoma Administrative Code

14. ADSAC 230 Certified ADSAC Assessors 25
Certified ADSAC Assessment Agencies
2012

15. ADSAC
Access to ADSAC services may be required of almost the entire population of Oklahoma
* Only a very small percentage of the population will not be possible candidates for ADSAC services. Those who never drink or use mood altering drugs and who never associate with those who do. *

16. ADSAC ================================== * * * *
25% to 40% of 30% of the population the population consume 90% of never drink the alcohol
==================================
* * * *
Of this group only 30% or (10% of the total population) are physically dependent

17. ADSAC Alcohol or other drug related driving offenses (upon arrest)
DUI
DUI D
DWI
APC
Drug convictions (with a vehicle involved)
Possession
Transportation
Distribution
Paraphernalia

18. ADSAC HISTORY OF THE PROCESS
November 1, hour DUI school (Testing suspensions)
July 1, hour DUI school (All alcohol related suspensions)
May 26, hour DUI school (Drug convictions)
September 1, 1993 Assessment required
November 1, hour DUI school
July 1, Assessment driven
July 1, Recommendations in code
November 1, 2008 Change in assessment fee collection

19. ADSAC
ADSAC COURSES

20. ADSAC
TITLE 450
Chapter 21
Certification of Alcohol and Drug Substance Abuse Courses (ADSAC), Organizations and Facilitators
Effective July 1, 2009

21. ADSAC
The journals are interactive, requiring the participation of the offender

22. ADSAC 10 Hour Course (sub-clinical)
Conducted in no less than three sessions of three to three and one half hours each
24 Hour Course (sub-clinical)
Conducted in no fewer than twelve sessions of two hours each, twice weekly for six weeks
24 Hour Course (clinical)
Conducted in no fewer than twelve sessions of two hours each, twice weekly for six weeks and offered in conjunction with a group intervention

23. ADSAC
Both the Ten and Twenty-four hour ADSAC journals contain two distinct, interrelated journals The larger section of each journal is an interactive workbook addressing issues related to substance use, decision making and coping strategies The smaller but, possibly more important section of each journal is a personalized change plan based on the transtheoretical model of change and allow the development of an individualized action plan based on the beliefs and decisions of the offender

24. ADSAC
INSTRUCTION COUNSELING THERAPY
FACILITATION

25. ADSAC ASSESSMENT PROCESS

26. ADSAC
TITLE 450
Chapter 22
Certification of Alcohol and Drug Assessment and Evaluations Related to Driver’s License Revocation
Effective July 1, 2009

27. ADSAC
The ADSAC assessment is often the first clinically driven intervention
The ADSAC assessor has the opportunity to provide what may be the only assessment the offender will receive
The ADSAC assessment serves as a critical point of entry

28. ADSAC Requirements for the assessment process Face to face interview
Bio-psych-social ASI
Drivers Risk Inventory, revised DRI II
Defendant Questionnaire DQ
Additional supportive instrument

29. ADSAC
ADSAC assessments completed after July 1, 2008 are valid for six months.
If services have not been initiated within six months, successful completion of a new assessment is required.

30. ADSAC
All requirements must be able to be completed within ninety days (twelve weeks).

31. ADSAC
ADSAC assessors must be a current LADC or CADC in good standing. An LADC under supervision may work as an assessor for a Certified ADSAC Assessment Agency.

32. ADSAC Drivers Risk Inventory, revised (DRI II)
Presumes an alcohol or drug related driving offense has occurred
Appropriate for all alcohol and/or drug related driving offenses resulting in license revocation

33. ADSAC Drivers Risk Inventory revised (DRI II) Six scales Truthfulness
Alcohol
Drug
Substance Abuse/Dependency
Drivers Risk
Stress Coping Abilities

34. ADSAC Defendant Questionnaire
Presumes a drug related criminal offense has occurred
Appropriate for drug convictions for possession, transportation, distribution or paraphernalia

35. ADSAC Defendant Questionnaire Seven scales Truthfulness Alcohol Drug
Substance Abuse/Dependency
Violence
Antisocial Stress Coping Abilities

36. Assessed areas in common
ADSAC
Assessed areas in common
Truthfulness
Alcohol
Drug
Substance Abuse/Dependency
Stress Coping Abilities

37. ADSAC ASSESSMENT INTERVENTION CATEGORIES

38. ADSAC Intervention Category I 0 – 39 Low Risk
Intervention Category II 0 – 39 Low Risk
(Second offense)
Intervention Category III 40 – 69 Moderate
Intervention Category IIIB Override - IV or V
Intervention Category IV 70 – 89 Problem
Intervention Category V 90 – 100 Severe

39. ADSAC
INTERVENTION CATEGORY I LOW RISK Scoring 0 to 39 on the DRI II or DQ supported by the information from the additional instrument. 10 hour ADSAC course Victims Impact Panel

40. ADSAC INTERVENTION CATEGORY II LOW RISK
Scoring 0 to 39 on the DRI II or DQ supported by the information from the additional instrument and having a prior offense.
24 hour ADSAC course
Victims Impact Panel

41. ADSAC INTERVENTION CATEGORY III
MODERATE RISK
Scoring 40 to 69 on the DRI II or DQ supported by the information from the additional instrument.
24 hour ADSAC course
Victims Impact Panel
Six weeks substance abuse group

42. ADSAC
INTERVENTION CATEGORY IIIB from OVER RIDE Scoring 70 to 100 on the DRI II or DQ supported by the information from the additional instrument & appropriate for over ride from Intervention Category IV or V. Twelve weeks substance abuse group (one or two times weekly) Twelve weeks Mutual Support group

43. ADSAC INTERVENTION CATEGORY IV PROBLEM RISK
Scoring 70 to 89 on the DRI II or DQ supported by the information from the additional instrument.
Intensive Outpatient
Mutual Support Group
Aftercare if recommended by provider

44. ADSAC INTERVENTION CATEGORY V SEVERE RISK
Scoring 90 to 100 on the DRI II or DQ supported by the information from the additional instrument.
Residential Treatment
Mutual Support Group
Aftercare if recommended by provider

45. ADSAC Intervention Category I 0 – 39 Low Risk
Intervention Category II 0 – 39 Low Risk
(Second offense)
Intervention Category III 40 – 69 Moderate
Intervention Category IIIB Override - IV or V
Intervention Category IV 70 – 89 Problem
Intervention Category V 90 – 100 Severe

46. ADSAC OVERRIDES Services not available Geographic accessibility
On waiting list for appropriate level of care
Language barriers
Sustained abstinence

47. ADSAC Supportive Instruments
Juvenile Automated Substance Abuse Evaluation (JASAE)
Multidimensional Addictions and Personality Profile (MAPP)
NEEDS Assessment (NEEDS)
Triage Assessment for Addictive Disorders (TAAD)

48. ADSAC Sixty million Americans are functionally illiterate
or illiterate.

49. According to the U.S. Census of 2000
ADSAC
According to the U.S. Census of 2000
20% of Oklahoma residents are illiterate
40% of the residents in some Oklahoma Counties have less than a twelfth grade education

50. ADSAC Generational issues 1922 to 1943 “The Greatest Generation”
Comfortable in formal settings
Dislike too much familiarity
Require respect
Do not volunteer feedback, need encouragement
Incorporate life experiences
Tend not to accept the concepts related to addiction

51. ADSAC Generational issues 1944 to 1960 “Baby Boomers” Value teamwork
May resist concept that certain drugs can be problematic
Value learning
Value self-help strategies
Incorporate life experiences

52. ADSAC Generational issues 1961 to 1980 “Generation X”
See change as a norm
Respect must be earned
Value self-directed learning
Expect learning to be fun
Comfortable with technology
Appreciate “hands on” activities

53. ADSAC Generational issues 1981 to 1992 (1997) “Generation net”
Technology is taken for granted
Diversity is valued
Respect for expertise
Flexible
Require variety in learning

54. ADSAC
STAGES OF CHANGE ~ Precontemplation ~ Contemplation ~ Preparation ~ Action ~ Maintenance

55. ADSAC
M I TECHNIQUES ~ Express empathy ~ Avoid arguments ~ Support self-efficacy ~ Roll with resistance ~ Develop discrepancy

56. ADSAC
CONTACT INFORMATION
Ray Caesar
Patty Patterson
Linda Clark
John Bureman