What is the primary purpose of screening in addiction counseling?

• A. Identify whether an individual may have a substance use issue or related concerns and determine the appropriate level of care or next steps.
• B. Diagnose a substance use disorder.
• C. Schedule ongoing counseling sessions.
• D. Collect billing and insurance information.

Answer: (A)

Screening is the first step in the counseling process, aimed at quickly determining whether a person may have a substance use issue or related concerns and guiding what comes next in care. It helps flag risk and safety issues, determine the appropriate level of care (for example, whether they need outpatient, intensive outpatient, or more intensive services), and point toward the next steps such as a full assessment or referral. It’s not a diagnostic tool; a formal diagnosis requires a more in-depth evaluation using established criteria. By using brief questions or standardized screening tools, counselors triage cases, identify immediate needs, and plan appropriate next actions. Administrative tasks like scheduling sessions or collecting billing information aren’t the purpose of screening.