Podcast
Questions and Answers
How is the concept of culture BEST described?
How is the concept of culture BEST described?
- A shared set of beliefs, norms, and values among a racial group
- A shared set of beliefs, norms, and values among any given group (correct)
- A shared set of beliefs, norms, and values among an ethnic group
- A shared set of beliefs, norms, and values among a given nationality
Who is primarily responsible for ensuring that treatment is effective for culturally diverse clients?
Who is primarily responsible for ensuring that treatment is effective for culturally diverse clients?
- The institution
- The provider (correct)
- The family
- The client
What does the term culture-bound syndrome refer to?
What does the term culture-bound syndrome refer to?
- Both A and B (correct)
- An illness (mental or physical) unique to a cultural group
- Neither A nor B
- An illness presenting or interpreted distinctively, due to cultural influence
How many main levels exist in the substance abuse continuum of care, according to the American Society of Addiction Medicine (ASAM)?
How many main levels exist in the substance abuse continuum of care, according to the American Society of Addiction Medicine (ASAM)?
How many sequential stages must outpatient clients work through, regardless of the level of care at which they enter treatment?
How many sequential stages must outpatient clients work through, regardless of the level of care at which they enter treatment?
What is the usual recommended minimum duration of days for the intensive outpatient treatment (IOT) phase?
What is the usual recommended minimum duration of days for the intensive outpatient treatment (IOT) phase?
How is the MOST effective relapse-prevention training provided?
How is the MOST effective relapse-prevention training provided?
Which of the following is NOT a type of intensive outpatient treatment (IOT) group?
Which of the following is NOT a type of intensive outpatient treatment (IOT) group?
What is the MOST common duration of counseling in an intensive outpatient treatment (IOT) program?
What is the MOST common duration of counseling in an intensive outpatient treatment (IOT) program?
How are pharmacotherapy and medication management in substance abuse treatment described?
How are pharmacotherapy and medication management in substance abuse treatment described?
Topics addressed in psychoeducational groups are typically:
Topics addressed in psychoeducational groups are typically:
What was the original CIWA-Ar scale designed for?
What was the original CIWA-Ar scale designed for?
Which of the following substances lack effective treatment medications?
Which of the following substances lack effective treatment medications?
Adjunctive therapies refer to all EXCEPT which of the following?
Adjunctive therapies refer to all EXCEPT which of the following?
Dealing with smoking cessation during a substance abuse treatment program is:
Dealing with smoking cessation during a substance abuse treatment program is:
Disulfiram (Antabuse) is contraindicated for clients whose alcohol abuse is combined with which of the following circumstances?
Disulfiram (Antabuse) is contraindicated for clients whose alcohol abuse is combined with which of the following circumstances?
What is the sandwich technique?
What is the sandwich technique?
Which of the following was NOT identified as being among the three MOST effective screening tools for substance use disorders?
Which of the following was NOT identified as being among the three MOST effective screening tools for substance use disorders?
What is the SDSS designed to measure?
What is the SDSS designed to measure?
What is the primary purpose of the Texas Christian University Drug Screen (TCUDS)?
What is the primary purpose of the Texas Christian University Drug Screen (TCUDS)?
What is physiological dependence on a drug determined by?
What is physiological dependence on a drug determined by?
According to the DSM-5 criteria, a client that has previously met the criteria for stimulant use disorder but now has not met the criteria for stimulant use in 10 months (except for craving) would be termed to be in ______ remission.
According to the DSM-5 criteria, a client that has previously met the criteria for stimulant use disorder but now has not met the criteria for stimulant use in 10 months (except for craving) would be termed to be in ______ remission.
What is a client's family of choice used to describe?
What is a client's family of choice used to describe?
What does a dual relationship refer to?
What does a dual relationship refer to?
What is an appropriate response to a substantial gift from a client?
What is an appropriate response to a substantial gift from a client?
Two clients in a treatment group begin dating. What would a proper response be?
Two clients in a treatment group begin dating. What would a proper response be?
At a local dance club, a counselor spots a client drinking at the bar. What is the BEST response to this?
At a local dance club, a counselor spots a client drinking at the bar. What is the BEST response to this?
As a substance abuse counselor, you work in a treatment program and also personally attend a twelve-step program in the community. A treatment program client asks you to become his or her twelve-step sponsor. What is the proper, thoughtful response?
As a substance abuse counselor, you work in a treatment program and also personally attend a twelve-step program in the community. A treatment program client asks you to become his or her twelve-step sponsor. What is the proper, thoughtful response?
In providing counseling treatment, what are counselors encouraged to do?
In providing counseling treatment, what are counselors encouraged to do?
What does the Twelve-Step Facilitation Approach refer to?
What does the Twelve-Step Facilitation Approach refer to?
Which of the following is NOT a strength of twelve-step programs?
Which of the following is NOT a strength of twelve-step programs?
Staff familiarity with twelve-step program facilitation is important because of all of the following EXCEPT that:
Staff familiarity with twelve-step program facilitation is important because of all of the following EXCEPT that:
When outcomes from cognitive-behavioral coping skills therapy and motivational enhancement therapy are compared with outcomes from twelve-step facilitation, how do clients fare BEST?
When outcomes from cognitive-behavioral coping skills therapy and motivational enhancement therapy are compared with outcomes from twelve-step facilitation, how do clients fare BEST?
Traditionally, what has the term therapeutic community (TC) referred to?
Traditionally, what has the term therapeutic community (TC) referred to?
Why do therapeutic communities (TCs) often focus on habilitation instead of rehabilitation?
Why do therapeutic communities (TCs) often focus on habilitation instead of rehabilitation?
In what setting is the therapeutic community (TC) treatment model MOST effective?
In what setting is the therapeutic community (TC) treatment model MOST effective?
What is the MOST important reason that ordered and routine activities are built into the therapeutic community (TC) treatment process?
What is the MOST important reason that ordered and routine activities are built into the therapeutic community (TC) treatment process?
What is the Matrix Model designed to treat?
What is the Matrix Model designed to treat?
Which of the following is not a drawback to community reinforcement (CR) and contingency management (CM) approaches?
Which of the following is not a drawback to community reinforcement (CR) and contingency management (CM) approaches?
With regard to co-occurring disorders, what does the term integrated treatment refer to?
With regard to co-occurring disorders, what does the term integrated treatment refer to?
What would be the MOST typical co-occurring disorder client?
What would be the MOST typical co-occurring disorder client?
How many categories does SAMHSA's Service Coordination Framework for Co-Occurring Disorders have?
How many categories does SAMHSA's Service Coordination Framework for Co-Occurring Disorders have?
When behaviorally assessing for a co-occurring disorder, what is the MOST important variable to consider?
When behaviorally assessing for a co-occurring disorder, what is the MOST important variable to consider?
How are substance abuse treatment programs for adolescents described?
How are substance abuse treatment programs for adolescents described?
What is the MOST effective treatment approach for adolescents, in terms of less drug use at treatment completion?
What is the MOST effective treatment approach for adolescents, in terms of less drug use at treatment completion?
How is his use of cocaine BEST described?
How is his use of cocaine BEST described?
What does the experienced effect of a drug depend upon?
What does the experienced effect of a drug depend upon?
How is drug tolerance BEST described?
How is drug tolerance BEST described?
Which of the following is NOT a 'drug cue'?
Which of the following is NOT a 'drug cue'?
What happens as tolerance for barbiturates develops?
What happens as tolerance for barbiturates develops?
What is the MOST common symptom of Wernicke's encephalopathy?
What is the MOST common symptom of Wernicke's encephalopathy?
Which of the following conditions does alcohol NOT induce?
Which of the following conditions does alcohol NOT induce?
What does formication refer to?
What does formication refer to?
What is/are the organ(s) most damaged by cocaine abuse?
What is/are the organ(s) most damaged by cocaine abuse?
Which of the following is NOT a basic chemical class of amphetamines?
Which of the following is NOT a basic chemical class of amphetamines?
In terms of difficulty quitting (dependence), which of the following four drugs ranks the highest?
In terms of difficulty quitting (dependence), which of the following four drugs ranks the highest?
Which of the statements below is MOST correct?
Which of the statements below is MOST correct?
Regarding substance abuse, what does Convergence Theory propose?
Regarding substance abuse, what does Convergence Theory propose?
Among psychiatric disorders in the elderly, where does alcohol abuse rank?
Among psychiatric disorders in the elderly, where does alcohol abuse rank?
Which of the following subcategories of alcohol use disorder onset is NOT found in the elderly?
Which of the following subcategories of alcohol use disorder onset is NOT found in the elderly?
At an initial meeting with a new client, what is the FIRST requirement?
At an initial meeting with a new client, what is the FIRST requirement?
What does motivational interviewing primarily involve?
What does motivational interviewing primarily involve?
What percentage of individuals with a dual diagnosis received treatment for only their mental illness?
What percentage of individuals with a dual diagnosis received treatment for only their mental illness?
What factors can affect screening instrument validity?
What factors can affect screening instrument validity?
Which of the following functions is NOT what a Certified Alcohol and Drug Abuse Counselor can usually perform?
Which of the following functions is NOT what a Certified Alcohol and Drug Abuse Counselor can usually perform?
What does the acronym GATE stand for?
What does the acronym GATE stand for?
To which of the following do assessment processes and instruments NOT need to be sensitive?
To which of the following do assessment processes and instruments NOT need to be sensitive?
What are serious mental health symptoms that resolve with abstinence in thirty days or less MOST likely due to?
What are serious mental health symptoms that resolve with abstinence in thirty days or less MOST likely due to?
Which one of the following alcohol abuse screening tests is designed specifically for use with adolescents?
Which one of the following alcohol abuse screening tests is designed specifically for use with adolescents?
Which of the following is the MOST important introductory statement or question to ask in a suicidality evaluation?
Which of the following is the MOST important introductory statement or question to ask in a suicidality evaluation?
What is the purpose of screening?
What is the purpose of screening?
What is the primary purpose of substance abuse assessment?
What is the primary purpose of substance abuse assessment?
Who should create a treatment plan?
Who should create a treatment plan?
How must assessment information be handled to be the MOST effective?
How must assessment information be handled to be the MOST effective?
Which of these key elements does NOT bolster a client's desire to complete the program?
Which of these key elements does NOT bolster a client's desire to complete the program?
How many levels of treatment placement are recognized by the American Society of Addiction Medicine (ASAM)?
How many levels of treatment placement are recognized by the American Society of Addiction Medicine (ASAM)?
How many Assessment Dimensions are recognized by the American Society of Addiction Medicine (ASAM)?
How many Assessment Dimensions are recognized by the American Society of Addiction Medicine (ASAM)?
The term 'drug use trajectory' refers to:
The term 'drug use trajectory' refers to:
Circumstances, Motivation, Readiness, and Suitability (CMRS) Scales are used for what purpose?
Circumstances, Motivation, Readiness, and Suitability (CMRS) Scales are used for what purpose?
When is a client fully prepared to enter treatment?
When is a client fully prepared to enter treatment?
Guiding principles in treatment planning are identified by which acronym?
Guiding principles in treatment planning are identified by which acronym?
In cases involving the criminal justice system, what is the minimum recommendation for frequency of updating treatment plans?
In cases involving the criminal justice system, what is the minimum recommendation for frequency of updating treatment plans?
How many problem domains are addressed in the Addiction Severity Index (ASI)?
How many problem domains are addressed in the Addiction Severity Index (ASI)?
The Addiction Severity Index has been formally adopted by which organization?
The Addiction Severity Index has been formally adopted by which organization?
What does it mean if an assessment instrument is valid?
What does it mean if an assessment instrument is valid?
All of the following are true of depression and substance abuse EXCEPT that
All of the following are true of depression and substance abuse EXCEPT that
How does motivation for participating in treatment differ from motivation to change behaviors?
How does motivation for participating in treatment differ from motivation to change behaviors?
What of the following is NOT a key component in a treatment plan?
What of the following is NOT a key component in a treatment plan?
What does the SOAP progress note acronym stand for?
What does the SOAP progress note acronym stand for?
What does the DAP progress note acronym stand for?
What does the DAP progress note acronym stand for?
The mnemonic DIG-FAST evaluates which psychological state?
The mnemonic DIG-FAST evaluates which psychological state?
How does the Center for Substance Abuse Treatment (CSAT) recommend that substance abuse be considered and treated?
How does the Center for Substance Abuse Treatment (CSAT) recommend that substance abuse be considered and treated?
How does the Center for Substance Abuse Treatment (CSAT) indicate that treatment or interventions provided following discharge from a formal inpatient or outpatient program be referred to?
How does the Center for Substance Abuse Treatment (CSAT) indicate that treatment or interventions provided following discharge from a formal inpatient or outpatient program be referred to?
What is the BEST distinction between substance abuse treatment programs and mutual-help groups, such as twelve-step support groups?
What is the BEST distinction between substance abuse treatment programs and mutual-help groups, such as twelve-step support groups?
According to the American Society of Addiction Medicine (ASAM), what is the minimum of treatment time the intensive outpatient treatment (IOT) must provide?
According to the American Society of Addiction Medicine (ASAM), what is the minimum of treatment time the intensive outpatient treatment (IOT) must provide?
Which of the following is NOT a core feature or service that the Center for Substance Abuse Treatment (CSAT) consensus panel agreed upon?
Which of the following is NOT a core feature or service that the Center for Substance Abuse Treatment (CSAT) consensus panel agreed upon?
Which form of substance abuse is naltrexone used to treat?
Which form of substance abuse is naltrexone used to treat?
Which of the following is NOT a core treatment and recovery skill?
Which of the following is NOT a core treatment and recovery skill?
Which of the following is NOT a primary learning style?
Which of the following is NOT a primary learning style?
What is the influence of family on treatment outcomes?
What is the influence of family on treatment outcomes?
Study Notes
Substance Use and Counseling Concepts
- Cocaine use is best described as "none of the above" for the husband who primarily uses it recreationally without seeking it out or experiencing cravings.
- The effects of a drug depend on dosage, administration method, polydrug use, setting, and circumstance, combining for a comprehensive impact.
Drug Tolerance and Dependency
- Drug tolerance is characterized by decreased sensitivity over time, requiring greater quantities for the same effect.
- As tolerance for barbiturates develops, the margin between intoxication and lethality remains unchanged.
Alcohol and Mental Health
- Common symptoms of Wernicke's encephalopathy include confusion.
- Alcohol does not cause nephrosis but can lead to steatosis, hepatitis, and cirrhosis.
- The third most common psychiatric disorder in the elderly is alcohol abuse.
Treatment Approaches and Insights
- Motivational interviewing focuses on supportive persuasion to encourage change.
- Clients should establish rapport first in initial meetings before discussing rules and expectations.
Screening and Assessment
- Validation of screening instruments is crucial; they should assess what they aim to measure.
- A significant percentage (32.9%) of individuals with co-occurring disorders receive treatment solely for mental health issues.
Treatment Planning and Intervention
- Different types of plans and assessments are used, with collaborative planning involving the client being ideal.
- The acronym GATE emphasizes gathering information, accessing supervision, taking responsible actions, and extending those actions.
- Treatment time for intensive outpatient treatment (IOT) must provide a minimum of nine hours each week.
Substance Abuse Characteristics
- Key elements of substance use patterns are referred to as "drug use trajectory" which tracks individual patterns throughout their lifespan.
- Continuing care is necessary post-discharge to maintain treatment benefits.
Mental Health and Substance Abuse Relationship
- Drugs of abuse do not effectively treat depression; rather, they can exacerbate depressive symptoms.
- Motivation for behavioral change is internal, while treatment motivation may be externally influenced.
Assessment Instruments and Patient Support
- Assessment processes need to be sensitive to demographics like age, gender, race, and ethnicity but not to political orientation.
- Family involvement can both improve and worsen treatment outcomes.
Learning and Treatment Modalities
- Primary learning styles include kinesthetic, auditory, and visual, but not gustatory.
- The connection between treatment and recovery skills includes stress management and relaxation but excludes exercise and health training.
Levels of Care and Stages in Recovery
- The American Society of Addiction Medicine recognizes five levels in the continuum of substance abuse care, promoting a comprehensive treatment strategy.
- Clients in outpatient treatment navigate through four sequential stages, regardless of their initial treatment level.
Supporting Documentation and Evaluation
-
SOAP and DAP are useful acronyms for progress notes that assess subjective and objective elements, as well as assessment and plans.
-
DIG-FAST is a mnemonic for evaluating mania through symptoms like distractibility, grandiosity, and rapid speech.### Stages of Substance Abuse Treatment
-
Stage 1: Treatment Engagement
- Establish treatment contract with clear goals and client responsibilities
- Resolve acute crises and develop a therapeutic alliance
- Prepare a comprehensive treatment plan
-
Stage 2: Early Recovery
- Continue abstinence and sustain behavioral changes
- Terminate drug-using lifestyle, cultivate drug-free alternatives
- Learn to identify relapse triggers and develop prevention strategies
- Address personal problems contributing to substance use
- Begin participation in a twelve-step or mutual-help program
-
Stage 3: Maintenance
- Solidify abstinence and enhance relapse prevention skills
- Improve emotional functioning and expand sober social networks
- Address additional problem areas affecting recovery
-
Stage 4: Community Support
- Sustain abstinence and maintain a healthy lifestyle
- Establish treatment independence, extend social network connections
- Engage in community activities and pursue new interests
Intensive Outpatient Treatment (IOT)
- Minimum recommended duration is Ninety days
- Typical counseling duration is Thirty to fifty minutes, one time each week
- Effective relapse-prevention training is found in both group and individual therapy
Types of IOT Groups
- Common types include psychoeducational groups, skills development groups, and interpersonal process groups
- Transitional care groups are NOT classified as a type of intensive outpatient treatment
Pharmacotherapy in Substance Abuse Treatment
- Medication management holds considerable, albeit limited, value in treatment approaches
Psychoeducational Group Structure
- Topics are sequenced by concept to ensure maximal effectiveness
Substance Dependence Evaluation
- CIWA-Ar scale is designed for evaluation of alcohol withdrawal risk
- SDSS measures drug use disorder severity over time
Treatment Efficacy and Drawbacks
- Cocaine and marijuana lack effective treatment medications
- Dual relationships in a counseling context refer to a working relationship outside of the professional domain
Counselor Conduct and Ethics
- Acknowledgment of significant gifts from clients should be tempered with caution
- Treatment policies should address client relationships within group settings
- Proper response to client behavior in public settings is to avoid contact and exit the situation
Twelve-Step Facilitation and Community Involvement
- Encouraging clients to engage with community twelve-step programs is essential
- While meeting diverse client needs, twelve-step programs offer free ongoing support
Treatment Models and Strategies
- Therapeutic community typically refers to drug-free residential settings focusing on habilitation
- The Matrix Model directly addresses stimulant abuse
- For co-occurring disorders, integrated treatment means managing both psychiatric and substance abuse issues concurrently
Adolescents in Treatment
- Substance abuse treatment for adolescents is significantly different from adult programs.
- Family therapy is identified as the most effective approach for reducing drug use among adolescents
Cultural Aspects in Treatment
- Culture is defined as a shared set of beliefs, norms, and values among any group
- Treatment effectiveness for culturally diverse clients is primarily the responsibility of the provider
- Culture-bound syndromes are illnesses presenting distinctly due to cultural influences
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
This quiz contains flashcards designed to help you study for the CADC practice exam. It addresses key concepts related to substance abuse, particularly focusing on cocaine use and counseling techniques. Explore scenarios and terminology essential for effective counseling practices.
