ABSTRACT

This chapter describes Tier Three of the four-tiered Clinical Interviews, Standardized Speciality, Drug Detection, and Personality Assessment model and also describes the fundamental psychometric properties including the different types of reliability coefficients and the primary types of validity. It provides a general overview of the five alcohol and other drag (AOD) standardized speciality instruments and identifies the four basic drug detection testing types and potential benefits and limitations of each. Standardized AOD speciality assessment instruments such as the Substance Abuse Subtle Screening Inventory-3 and the Beck Depression Inventory-II are invaluable to this process and can help augment the counselor's initial clinical judgment. Four primary drug detection tests exist. These include urine, hair, blood, and Breathalyzer tests. The primary purpose of these tests is to determine the presence of psychoactive substances. Urine drug detection testing is typically used when concerns arise about immediate past drug use.