Assessment

Prior to developing a treatment plan, it is necessary to complete a comprehensive assessment (i.e., evaluation) in order to determine diagnosis and treatment recommendations.  The formal assessments result in a written report that is reviewed with the client upon conclusion of the assessment process.  Informal assessments may be conducted throughout the treatment process to clarify symptoms, life satisfaction, and diagnosis. Click here to learn more about the importance of integrated screening and assessment for both mental health and substance use.

The primary diagnostic tools used are:  Beck Depression Inventory (BDI-2); Burns Anxiety Inventory; SASSI-4; PCL-5 (PSTD Checklist); Life Satisfaction Survey; Multidimensional Inventory of Dissociation (MID); Crisis Triage Rating Scale; Insomnia Severity Index; Women’s Complex Trauma Screen; Multimodal Life History Inventory; Dissociative Experiences Scale (DES); Addiction Severity Index (ASI); Comprehensive Adolescent Severity Index (CASI); and Structured Clinical Interview for DSM-IV® Dissociative Disorders (SCID-D-R).

Pre-Treatment Assessment / Substance Use Evaluation.   At the beginning of treatment, an admission (i.e., intake) for services will be completed and a comprehensive co-occurring assessment will be conducted for evaluation of mental health, substance use, and trauma.  The admission, orientation, and assessment process typically consists of three appointments:  the first for 2 hours , the second for 1.5 hours and the third for 1 hour.  (When the person experiences complex trauma and/or has experienced significant life events, an additional session may be needed to complete the assessment.)  Upon completion of the admission paperwork and orientation to services, diagnostic testing will be conducted and a drug screen obtained.  During the clinical interviews, the clinician will obtain information about many areas of your life, to include:  family of origin; relationship history; living environment, education; employment; mental health history; substance use history; trauma history; physical health; legal; cultural; spiritual; social; and other areas.  Clients will be asked to sign authorizations for an emergency contact as well as current and past providers so that collateral information can be obtained and included in the report.  A follow up session (i.e., fourth or fifth appointment) is scheduled to review the assessment report which includes diagnosis, treatment recommendations, and referrals.  A treatment plan is then developed in collaboration with the client, and the therapy process begins.

• Please  note that we do not complete mental health evaluations for Social Security disability applications or fitness for duty evaluations for first responders.
• Our therapists are Registered Service Providers and are qualified to provide substance use evaluations and treatment for adults who are involved in the Nebraska criminal justice system.

Trauma Assessment.  A brief trauma assessment is completed as a standard component of the Pre-Treatment Assessment (PTA) / Substance Use Evaluation. More detailed evaluation of trauma is often completed when a person is receiving services in the Dual Diagnosis Outpatient Treatment program at Behavioral Health Resources, LLC.

• A formal, detailed trauma assessment (with written report) can also be completed upon request when an individual is receiving services from another provider and a trauma assessment is needed to enhance this ongoing treatment.

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Licensed in Nebraska as a Substance Abuse Treatment Center *

March 20, 2015 to October 1, 2018 *

 *  Nebraska LB 1034 eliminated facility licenses for all outpatient Substance Abuse Treatment Centers

Recovery is a journey, not a destination.