Podcast Beta
Questions and Answers
How is the concept of culture BEST described?
Who is primarily responsible for ensuring that treatment is effective for culturally diverse clients?
What does the term culture-bound syndrome refer to?
How many main levels exist in the substance abuse continuum of care, according to the American Society of Addiction Medicine (ASAM)?
Signup and view all the answers
How many sequential stages must outpatient clients work through, regardless of the level of care at which they enter treatment?
Signup and view all the answers
What is the usual recommended minimum duration of days for the intensive outpatient treatment (IOT) phase?
Signup and view all the answers
How is the MOST effective relapse-prevention training provided?
Signup and view all the answers
Which of the following is NOT a type of intensive outpatient treatment (IOT) group?
Signup and view all the answers
What is the MOST common duration of counseling in an intensive outpatient treatment (IOT) program?
Signup and view all the answers
How are pharmacotherapy and medication management in substance abuse treatment described?
Signup and view all the answers
Topics addressed in psychoeducational groups are typically:
Signup and view all the answers
What was the original CIWA-Ar scale designed for?
Signup and view all the answers
Which of the following substances lack effective treatment medications?
Signup and view all the answers
Adjunctive therapies refer to all EXCEPT which of the following?
Signup and view all the answers
Dealing with smoking cessation during a substance abuse treatment program is:
Signup and view all the answers
Disulfiram (Antabuse) is contraindicated for clients whose alcohol abuse is combined with which of the following circumstances?
Signup and view all the answers
What is the sandwich technique?
Signup and view all the answers
Which of the following was NOT identified as being among the three MOST effective screening tools for substance use disorders?
Signup and view all the answers
What is the SDSS designed to measure?
Signup and view all the answers
What is the primary purpose of the Texas Christian University Drug Screen (TCUDS)?
Signup and view all the answers
What is physiological dependence on a drug determined by?
Signup and view all the answers
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.
Signup and view all the answers
What is a client's family of choice used to describe?
Signup and view all the answers
What does a dual relationship refer to?
Signup and view all the answers
What is an appropriate response to a substantial gift from a client?
Signup and view all the answers
Two clients in a treatment group begin dating. What would a proper response be?
Signup and view all the answers
At a local dance club, a counselor spots a client drinking at the bar. What is the BEST response to this?
Signup and view all the answers
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?
Signup and view all the answers
In providing counseling treatment, what are counselors encouraged to do?
Signup and view all the answers
What does the Twelve-Step Facilitation Approach refer to?
Signup and view all the answers
Which of the following is NOT a strength of twelve-step programs?
Signup and view all the answers
Staff familiarity with twelve-step program facilitation is important because of all of the following EXCEPT that:
Signup and view all the answers
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?
Signup and view all the answers
Traditionally, what has the term therapeutic community (TC) referred to?
Signup and view all the answers
Why do therapeutic communities (TCs) often focus on habilitation instead of rehabilitation?
Signup and view all the answers
In what setting is the therapeutic community (TC) treatment model MOST effective?
Signup and view all the answers
What is the MOST important reason that ordered and routine activities are built into the therapeutic community (TC) treatment process?
Signup and view all the answers
What is the Matrix Model designed to treat?
Signup and view all the answers
Which of the following is not a drawback to community reinforcement (CR) and contingency management (CM) approaches?
Signup and view all the answers
With regard to co-occurring disorders, what does the term integrated treatment refer to?
Signup and view all the answers
What would be the MOST typical co-occurring disorder client?
Signup and view all the answers
How many categories does SAMHSA's Service Coordination Framework for Co-Occurring Disorders have?
Signup and view all the answers
When behaviorally assessing for a co-occurring disorder, what is the MOST important variable to consider?
Signup and view all the answers
How are substance abuse treatment programs for adolescents described?
Signup and view all the answers
What is the MOST effective treatment approach for adolescents, in terms of less drug use at treatment completion?
Signup and view all the answers
How is his use of cocaine BEST described?
Signup and view all the answers
What does the experienced effect of a drug depend upon?
Signup and view all the answers
How is drug tolerance BEST described?
Signup and view all the answers
Which of the following is NOT a 'drug cue'?
Signup and view all the answers
What happens as tolerance for barbiturates develops?
Signup and view all the answers
What is the MOST common symptom of Wernicke's encephalopathy?
Signup and view all the answers
Which of the following conditions does alcohol NOT induce?
Signup and view all the answers
What does formication refer to?
Signup and view all the answers
What is/are the organ(s) most damaged by cocaine abuse?
Signup and view all the answers
Which of the following is NOT a basic chemical class of amphetamines?
Signup and view all the answers
In terms of difficulty quitting (dependence), which of the following four drugs ranks the highest?
Signup and view all the answers
Which of the statements below is MOST correct?
Signup and view all the answers
Regarding substance abuse, what does Convergence Theory propose?
Signup and view all the answers
Among psychiatric disorders in the elderly, where does alcohol abuse rank?
Signup and view all the answers
Which of the following subcategories of alcohol use disorder onset is NOT found in the elderly?
Signup and view all the answers
At an initial meeting with a new client, what is the FIRST requirement?
Signup and view all the answers
What does motivational interviewing primarily involve?
Signup and view all the answers
What percentage of individuals with a dual diagnosis received treatment for only their mental illness?
Signup and view all the answers
What factors can affect screening instrument validity?
Signup and view all the answers
Which of the following functions is NOT what a Certified Alcohol and Drug Abuse Counselor can usually perform?
Signup and view all the answers
What does the acronym GATE stand for?
Signup and view all the answers
To which of the following do assessment processes and instruments NOT need to be sensitive?
Signup and view all the answers
What are serious mental health symptoms that resolve with abstinence in thirty days or less MOST likely due to?
Signup and view all the answers
Which one of the following alcohol abuse screening tests is designed specifically for use with adolescents?
Signup and view all the answers
Which of the following is the MOST important introductory statement or question to ask in a suicidality evaluation?
Signup and view all the answers
What is the purpose of screening?
Signup and view all the answers
What is the primary purpose of substance abuse assessment?
Signup and view all the answers
Who should create a treatment plan?
Signup and view all the answers
How must assessment information be handled to be the MOST effective?
Signup and view all the answers
Which of these key elements does NOT bolster a client's desire to complete the program?
Signup and view all the answers
How many levels of treatment placement are recognized by the American Society of Addiction Medicine (ASAM)?
Signup and view all the answers
How many Assessment Dimensions are recognized by the American Society of Addiction Medicine (ASAM)?
Signup and view all the answers
The term 'drug use trajectory' refers to:
Signup and view all the answers
Circumstances, Motivation, Readiness, and Suitability (CMRS) Scales are used for what purpose?
Signup and view all the answers
When is a client fully prepared to enter treatment?
Signup and view all the answers
Guiding principles in treatment planning are identified by which acronym?
Signup and view all the answers
In cases involving the criminal justice system, what is the minimum recommendation for frequency of updating treatment plans?
Signup and view all the answers
How many problem domains are addressed in the Addiction Severity Index (ASI)?
Signup and view all the answers
The Addiction Severity Index has been formally adopted by which organization?
Signup and view all the answers
What does it mean if an assessment instrument is valid?
Signup and view all the answers
All of the following are true of depression and substance abuse EXCEPT that
Signup and view all the answers
How does motivation for participating in treatment differ from motivation to change behaviors?
Signup and view all the answers
What of the following is NOT a key component in a treatment plan?
Signup and view all the answers
What does the SOAP progress note acronym stand for?
Signup and view all the answers
What does the DAP progress note acronym stand for?
Signup and view all the answers
The mnemonic DIG-FAST evaluates which psychological state?
Signup and view all the answers
How does the Center for Substance Abuse Treatment (CSAT) recommend that substance abuse be considered and treated?
Signup and view all the answers
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?
Signup and view all the answers
What is the BEST distinction between substance abuse treatment programs and mutual-help groups, such as twelve-step support groups?
Signup and view all the answers
According to the American Society of Addiction Medicine (ASAM), what is the minimum of treatment time the intensive outpatient treatment (IOT) must provide?
Signup and view all the answers
Which of the following is NOT a core feature or service that the Center for Substance Abuse Treatment (CSAT) consensus panel agreed upon?
Signup and view all the answers
Which form of substance abuse is naltrexone used to treat?
Signup and view all the answers
Which of the following is NOT a core treatment and recovery skill?
Signup and view all the answers
Which of the following is NOT a primary learning style?
Signup and view all the answers
What is the influence of family on treatment outcomes?
Signup and view all the answers
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.