Purpose of Assessment

Assessment has three important functions, namely:

Different patients will need different approaches, as persons with unhealthy alcohol use do not have a homogeneous group of problems. Any underlying or accompanying problems should be identified and addressed, even if the causal relationship is unclear. The treatment plan should be based on the most effective intervention for the patient, not just on the kind of treatment typically provided by the agency. The patient should be informed about the range of options for intervention available locally and assisted to make a reasoned decision as to which intervention is most suited to his or her needs (see ‘Treatment planning’ below).

This is an opportunity for the clinician and patient to develop rapport. If the clinician shows the patient empathy and courtesy and provides a sense of hope and optimism, the patient is less likely to take a defensive stance in the interview, and resist change. Feedback from the clinician can encourage the patient to appraise their situation from a new perspective. Assessment can be defined as the beginning of therapy; it often reveals, for the first time, the full extent of the drinking-related problems to both patient and clinician.

The patient’s perception of a gap between their goals and their present state may improve motivation for change. It is important to highlight the patient’s perception of the opportunity for change; this requires the clinician to have a positive and realistic approach and a sympathetic understanding of the implications of change for the person who drinks and their family.