POSTTRAUMATIC STRESS DISORDER (PTSD) 261 11. Request Substance Use Information from Su pport System (11) A. The client's family and peers were asked to provide additional information regarding the client's substance use history. B. The treatment staff that have worked closely with the client were asked to provide an objective review of the client's substance abuse history. C. Auxiliary information about this client's substance use pattern was consistent with the client's own description. D. Auxiliary information collected about the client's substance use was not consistent with the client 's description of his/her own substance use. 12. Administer Objective Assessment of Substance Use (12) A. The client was administered an objective assessment of his/her substance use. B. The Alcohol Severity Index was administered to the client. C. The findings of the objective assessment of the client's alcohol use were reviewed with the client. 13. Teach Contributing Factors to Substance Abuse (13) A. The client was taught the familial, emotional, and social factors that have contributed to the develo pment of his/her chemical dependence. B. The client was supported as he/she verbalized an understanding of the factors contributing to his/her chemical dependence and acknowledged it as a problem. C. The client's denial led to a refusal to acknowledge hi s/her chemical dependence and any factors that have contributed to it; this was reflected to him/her. 14. Refer to Chemical Dependence Treatment (14) A. The client was referred for chemical dependence treatment. B. The client consented to chemical depend ence treatment referral, as he/she has acknowledged it as a significant problem. C. The client refused to accept a referral for chemical dependence treatment and continued to deny that substance abuse is a problem. D. The client was reinforced for follow ing through on obtaining chemical dependence treatment. E. The client's treatment focus was switched to his/her chemical dependence problem. 15. Refer for Medication Evaluation (15) A. The client was referred for a medication evaluation to help stabilize his/her moods and decrease the intensity of his/her feelings. B. The client was reinforced as he/she agreed to follow through with the medication evaluation. C. The client was strongly opposed to being placed on medication to help stabilize his/her mood s and reduce emotional distress; his/her objections were processed. 16. Monitor Effects of Medication (16) A. The client's response to the medication was discussed in today's therapy session. B. The client reported that the medication has helped to stabi lize his/her moods and decrease the intensity of his/her feelings; he/she was directed to share this information with the prescribing clinician. 