Substance Abuse Counseling Flashcards

Questions and Answers

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?

The institution

The provider (correct)

The family

The client

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)?

Five levels of care 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?

Four stages Signup and view all the answers

What is the usual recommended minimum duration of days for the intensive outpatient treatment (IOT) phase?

Ninety days Signup and view all the answers

How is the MOST effective relapse-prevention training provided?

A and B are roughly equal in effectiveness. Signup and view all the answers

Which of the following is NOT a type of intensive outpatient treatment (IOT) group?

Transitional care groups Signup and view all the answers

What is the MOST common duration of counseling in an intensive outpatient treatment (IOT) program?

Thirty to fifty minutes, one time each week Signup and view all the answers

How are pharmacotherapy and medication management in substance abuse treatment described?

Of considerable, albeit limited, value in treatment Signup and view all the answers

Topics addressed in psychoeducational groups are typically:

Sequenced by concept for maximal effectiveness. Signup and view all the answers

What was the original CIWA-Ar scale designed for?

Evaluation of alcohol withdrawal risk Signup and view all the answers

Which of the following substances lack effective treatment medications?

Both of the above Signup and view all the answers

Adjunctive therapies refer to all EXCEPT which of the following?

Vocational training Signup and view all the answers

Dealing with smoking cessation during a substance abuse treatment program is:

Something to be seriously considered if the client desires it. Signup and view all the answers

Disulfiram (Antabuse) is contraindicated for clients whose alcohol abuse is combined with which of the following circumstances?

None of the above Signup and view all the answers

What is the sandwich technique?

An intake interviewing 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?

The Substance Abuse Screening Instrument Signup and view all the answers

What is the SDSS designed to measure?

Drug use disorder severity over time Signup and view all the answers

What is the primary purpose of the Texas Christian University Drug Screen (TCUDS)?

To identify those with versus those without issues of drug dependency Signup and view all the answers

What is physiological dependence on a drug determined by?

Tolerance or symptoms of withdrawal 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.

early Signup and view all the answers

What is a client's family of choice used to describe?

Relationships created by marriage, friendship, and other associations Signup and view all the answers

What does a dual relationship refer to?

A working relationship with a client outside the professional domain Signup and view all the answers

What is an appropriate response to a substantial gift from a client?

"I can't accept that, but thank you!" Signup and view all the answers

Two clients in a treatment group begin dating. What would a proper response be?

Address program policy preventing dating among group members. 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?

Avoid contact with the client, and leave the club immediately. 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?

Decline, recognizing the potential conflicts in multiple roles. Signup and view all the answers

In providing counseling treatment, what are counselors encouraged to do?

Use multiple counseling approaches to meet clients' needs. Signup and view all the answers

What does the Twelve-Step Facilitation Approach refer to?

Encouraging clients to enter a community twelve-step program Signup and view all the answers

Which of the following is NOT a strength of twelve-step programs?

Twelve-step programs offer easy monitoring of assigned step tasks. Signup and view all the answers

Staff familiarity with twelve-step program facilitation is important because of all of the following EXCEPT that:

Clients feel more pressure to attend twelve-step programs by these staff. 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?

Twelve-step facilitation Signup and view all the answers

Traditionally, what has the term therapeutic community (TC) referred to?

A drug-free residential treatment environment Signup and view all the answers

Why do therapeutic communities (TCs) often focus on habilitation instead of rehabilitation?

Habilitation helps clients learn new skills they never had. Signup and view all the answers

In what setting is the therapeutic community (TC) treatment model MOST effective?

A and B equally 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?

To counter the typically disordered lives of substance-abusing clients Signup and view all the answers

What is the Matrix Model designed to treat?

Stimulant abuse Signup and view all the answers

Which of the following is not a drawback to community reinforcement (CR) and contingency management (CM) approaches?

CR and CM are most effective if used together. Signup and view all the answers

With regard to co-occurring disorders, what does the term integrated treatment refer to?

Treating both psychiatric and substance abuse issues concurrently Signup and view all the answers

What would be the MOST typical co-occurring disorder client?

An alcohol-abusing woman Signup and view all the answers

How many categories does SAMHSA's Service Coordination Framework for Co-Occurring Disorders have?

Four categories Signup and view all the answers

When behaviorally assessing for a co-occurring disorder, what is the MOST important variable to consider?

Alcohol or drug toxicity or withdrawal symptoms Signup and view all the answers

How are substance abuse treatment programs for adolescents described?

Very different from treatment programs for adults Signup and view all the answers

What is the MOST effective treatment approach for adolescents, in terms of less drug use at treatment completion?

Family therapy Signup and view all the answers

How is his use of cocaine BEST described?

None of the above Signup and view all the answers

What does the experienced effect of a drug depend upon?

All of the above Signup and view all the answers

How is drug tolerance BEST described?

Decreased sensitivity to a drug over time Signup and view all the answers

Which of the following is NOT a 'drug cue'?

Drug avoidance strategies Signup and view all the answers

What happens as tolerance for barbiturates develops?

The margin between intoxication and lethality stays the same Signup and view all the answers

What is the MOST common symptom of Wernicke's encephalopathy?

Confusion Signup and view all the answers

Which of the following conditions does alcohol NOT induce?

Nephrosis Signup and view all the answers

What does formication refer to?

A sensation of bugs crawling under the skin Signup and view all the answers

What is/are the organ(s) most damaged by cocaine abuse?

The heart Signup and view all the answers

Which of the following is NOT a basic chemical class of amphetamines?

Phenethylamine Signup and view all the answers

In terms of difficulty quitting (dependence), which of the following four drugs ranks the highest?

Nicotine Signup and view all the answers

Which of the statements below is MOST correct?

THC content in marijuana varies widely. Signup and view all the answers

Regarding substance abuse, what does Convergence Theory propose?

Rates of substance abuse among women are converging with those of men. Signup and view all the answers

Among psychiatric disorders in the elderly, where does alcohol abuse rank?

Third Signup and view all the answers

Which of the following subcategories of alcohol use disorder onset is NOT found in the elderly?

Early-onset alcoholism Signup and view all the answers

At an initial meeting with a new client, what is the FIRST requirement?

Establish rapport. Signup and view all the answers

What does motivational interviewing primarily involve?

Supportive persuasion Signup and view all the answers

What percentage of individuals with a dual diagnosis received treatment for only their mental illness?

32.9 percent Signup and view all the answers

What factors can affect screening instrument validity?

All of the above Signup and view all the answers

Which of the following functions is NOT what a Certified Alcohol and Drug Abuse Counselor can usually perform?

Diagnose mental disorders Signup and view all the answers

What does the acronym GATE stand for?

Gather information; Access supervision; Take responsible action; Extend the action Signup and view all the answers

To which of the following do assessment processes and instruments NOT need to be sensitive?

Political orientation 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?

Substance abuse-induced disorders that require continued abstinence Signup and view all the answers

Which one of the following alcohol abuse screening tests is designed specifically for use with adolescents?

CRAFFT Signup and view all the answers

Which of the following is the MOST important introductory statement or question to ask in a suicidality evaluation?

I need to ask you a few questions about suicide. Signup and view all the answers

What is the purpose of screening?

To determine the need for placement or referral Signup and view all the answers

What is the primary purpose of substance abuse assessment?

To determine the severity of the substance problem Signup and view all the answers

Who should create a treatment plan?

Collaborative team with the client Signup and view all the answers

How must assessment information be handled to be the MOST effective?

Converted into goals and objectives Signup and view all the answers

Which of these key elements does NOT bolster a client's desire to complete the program?

Frequent interdisciplinary consultations Signup and view all the answers

How many levels of treatment placement are recognized by the American Society of Addiction Medicine (ASAM)?

Four levels of treatment placement Signup and view all the answers

How many Assessment Dimensions are recognized by the American Society of Addiction Medicine (ASAM)?

Six assessment dimensions Signup and view all the answers

The term 'drug use trajectory' refers to:

Individual drug use patterns over the lifespan Signup and view all the answers

Circumstances, Motivation, Readiness, and Suitability (CMRS) Scales are used for what purpose?

Assessing client readiness for treatment Signup and view all the answers

When is a client fully prepared to enter treatment?

A client accepts the need for treatment. Signup and view all the answers

Guiding principles in treatment planning are identified by which acronym?

MATRS Signup and view all the answers

In cases involving the criminal justice system, what is the minimum recommendation for frequency of updating treatment plans?

At all transition points Signup and view all the answers

How many problem domains are addressed in the Addiction Severity Index (ASI)?

Six Signup and view all the answers

The Addiction Severity Index has been formally adopted by which organization?

The National Institute on Drug Abuse (NIDA) Signup and view all the answers

What does it mean if an assessment instrument is valid?

The instrument assesses what it purports to assess. Signup and view all the answers

All of the following are true of depression and substance abuse EXCEPT that

Drugs of abuse can successfully treat depression. Signup and view all the answers

How does motivation for participating in treatment differ from motivation to change behaviors?

Motivation for change is internal; treatment may be pushed on a client. Signup and view all the answers

What of the following is NOT a key component in a treatment plan?

The theoretical approach to be operationalized via treatment Signup and view all the answers

What does the SOAP progress note acronym stand for?

Subjective, Objective, Assessment, and Plan Signup and view all the answers

What does the DAP progress note acronym stand for?

Data, Assessment, and Plan Signup and view all the answers

The mnemonic DIG-FAST evaluates which psychological state?

Mania Signup and view all the answers

How does the Center for Substance Abuse Treatment (CSAT) recommend that substance abuse be considered and treated?

A chronic treatable condition 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?

Continuing care 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?

Programs offer treatment, and groups offer support. 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?

Nine hours of treatment per week 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?

Recreational therapy Signup and view all the answers

Which form of substance abuse is naltrexone used to treat?

Both A and B Signup and view all the answers

Which of the following is NOT a core treatment and recovery skill?

Exercise and health training Signup and view all the answers

Which of the following is NOT a primary learning style?

Gustatory Signup and view all the answers

What is the influence of family on treatment outcomes?

Both A and B 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

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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.