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IL CADC EXAM Bundle
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CADC ILLINOIS Exam 2023 Questions and Answers
IOT Intensive Outpatient Treatment - ANSWER-At least 9 hours up to 70 hours. Includes group therapy, pharmacotherapy, relapse prevention, individual counse... [Show More] ling, family therapy, and vocational training. Therapeutic Community - ANSWER-A highly structured residential setting where residents abstain from drugs, alcohol, and criminal behavior. Lasts six months to 2 years. Five medications used for addiction - ANSWER-Naltrexone/Vivitorol, Disulfram/Antibuse, Acamprosate/Camplal, Methadone/Methadose, Burprenophrine/Subutex and Suboxone Group models in treatment - ANSWER-Psychoeducation, Skills Development, Cognitive Behavioral Support, and Interpersonal Treatment of Tobacco use - ANSWER-Buoropion and varenidine Treatment of Alcohol - ANSWER-Naltrexone, acomprosate, and disulfram evidence-based practice - ANSWER-Seeking Safety, Motivational Interviewing, 12 Step Facilitation, CBT, Solution Focus Based, Behavioral Couples, Community Reinforcement, DBT ATRIUM - ANSWER-Addictions and Trauma Recovery Integration Model TREM - ANSWER-Trauma recovery and Empowerment Model Cultural Accomomodation - ANSWER-Modify the practice to a culture or community Cultural Adaptation - ANSWER-Review and change the structure to fit needs of groups or community Client file - ANSWER-The official legal record of treatment process HIPPA - ANSWER-Gives clients rights over their health info when in paper or client has the right to: Receive a copy, request mistakes be changed, be notified when info is shared, specify how they want to be contacted, file a complaint if rights are violated. GAIN - ANSWER-Global Appraisal of individual needs, measures recency, breadth, and frequency of problems. GATE - ANSWER-Gather info, access supervision, take responsible action, extend the action. substance use disorder criteria - ANSWER-2-3 mild, 4-5 moderate, 6+ severe -Using larger amounts or for longer time than intended -Persistent desire or unsuccessful attempts to cut down or control use -Great deal of time obtaining, using, or recovering -Craving -Fail to fulfill major roles (work, school, home) -Persistent social or interpersonal problems caused by substance use -Important social, occupational, recreational activities given up or reduced -Use in physically hazardous situations -Use despite physical or psychological problems caused by use -Tolerance -Withdrawal *(not documented after repeated use of PCP, inhalants, hallucinogens)* What does the experienced effect of a drug depend on? - ANSWER-The amount of the drug ingested will affect the experience with higher does producing a greater effect. Drug Tolerance - ANSWER-decreased sensitivity to a drug over time develops after regular use. Tolerance develops as the body seeks homeostasis. Drug Cues - ANSWER-Prior drug use setting, drug use paraphernalia, seeing others use drugs. Tolerance for barbituates - ANSWER-The margin between intoxication and lethality stays the same. While tolerance does develop tolerance for a lethal dose only marginally increases meaning that the likelihood of an unintentional fatal does increases substantially over time as the need for the intoxicating effect pushes towards a lethal does. Wernicke's encephalopathy - ANSWER-Most common symptom is confusion, also includes poor muscle coordination, oculomotor impairment. It is a short term condition resulting from vitamin B1 thiamine deficiency and develops after years of drinking and poor nutrition. Can lead to to Korsakoff syndrome which is long-term psychosis and memory problems. What conditions does alcohol induce? - ANSWER-Steatosis-fatty deposits in the liver that can be fatal, Hepatitis-inflamation of the liver due to alcohol, Cirrhosis-scarring of the liver from alcohol use NOT Nephrosis Formication - ANSWER-a sensation like insects crawling over the skin. Especially in chronic cocaine, meth, and users of other stimulants. Organ most damaged by Cocaine abuse - ANSWER-The heart-it causes arterial constriction and a cumulative effects of arterial narrowing. Basic chemical classes of amphetamine - ANSWER-Amphetamine sulphate, Dextroamphetamine, Methamphetamine. Synthetic stimulants that are chemically similar to the body's adrenaline. In terms of quitting which drug ranks the highest - ANSWER-Nicotine. THC Content - ANSWER-THC content in marijuana varies widely. Convergence Theory - ANSWER-Rates of substance abuse among women are converging with those of men. Where does alcohol abuse rank in psychiatric disorder with the elderly? - ANSWER-Third, 2-4 percent of the elderly have a substance use disorder. First requirement at initial meeting with a client - ANSWER-Establish Rapport. Explore readiness for change, rules, expectation, confidentiality. Motivational Interviewing (MI) - ANSWER-Supportive Persuasion, the goal is to help clients discover their desire to change. What percent of people with dual diagnosis received treatment for their mental illness only? - ANSWER-32.9 receive treatment for mental illness only, 7.4 percent will be treated for both disorders, What factors affect screening instrument validity - ANSWER-Screening Setting, Privacy, Levels of rapport and trust, how instructions are given and clarified. Functions of a CADC - ANSWER-Screen clients, substance use assessment, create a treatment plan CANNOT-diagnose mental disorders Assessment process and instruments should be sensitive to - ANSWER-Age, gender, race, ethnicity, disabilities NOT-Political orientation Mental health symptoms that resolve with abstinence in 30 days or less are due to? - ANSWER-Substance abuse-induced disorders that require continued abstinence. CRAFFT - ANSWER-6-item screen for alcohol or drugs in adolescents, 14-18 drawing on situations that are common to this age group. (C=car, R=relax, A=alone, F=forget, F= family or friends, T= trouble) AUDIT - ANSWER-Alcohol Use Disorders Identification Test CAGE - ANSWER-Four question screening tool for alcohol. cut down drinking, feeling annoyed, feeling guilty at drinking, needing an eye opener drink MAST - ANSWER-Michigan Alcohol Screening Test 25 questions Suicide Evaluation most important intro statement - ANSWER-I need to ask a few questions about suicide. It is most important to introduce the topic than launch in two questions. Purpose of Screeing - ANSWER-To determine the need for placement or referral. Primary purpose of substance use assessment - ANSWER-To determine the severity and extent of the substance use problem. Who creates a treatment plan? - ANSWER-Collaborative team with the client How to handle assessment info to be most effective? - ANSWER-Converted into goals and objectives. Secondary is careful documentation, information sharing, and client feedback. What encourages a client to complete treatment? - ANSWER-Knowledge of the benefits of treatment Understanding the treatment process Fully assuming the patient role NOT-frequent interdisciplinary consultations. Levels of treatment placement recognized by ASAM - ANSWER-Four levels of treatment placement and five specific levels of care. Level 0.5 early intervention Level I basic non-residential outpatient Level II intensive outpatient or partial hospitalization Level III Residential or inpatient Level IV medically managed inpatient Assessment Dimensions Recognized by ASAM - ANSWER-Six dimensions are recognized. 1. Acute intoxication or withdrawal potential 2. Biomedical conditions and complication 3. Emotional, behavioral or cognitive conditions 4. Readiness to change 5. Relapse continued use or continued problems 6. Recovery environment Stages of Change Model - ANSWER-Five Stages precontemplation, contemplation, preparation, action, maintenance CMRS - ANSWER-Circumstances, Motivation, Readiness, and Suitability Scales are used to determine client readiness for substance use treatment. MATRS - ANSWER-Guiding principles in treatment planning: Measurable Attainable Time Limited Realistic Specific How often do treatment plans need to updated in criminal justice cases - ANSWER-At every transition point. Addiction Severity Index (ASI) Problem Domains - ANSWER-Six problems domains: 1. Medical Status 2. Employment and Supports 3. Alcohol and Drug use 4. Legal Status 5. Family and Social Status 6. Psychiatric Status Which organization adopted the Addiction Severity Index - ANSWER-National Institute on Drug Abuse NIDA, was adopted in 1980. The ASI is the most widely used assessment instrument in the field of addiction. Instrument Validity - ANSWER-The instrument assesses what is purports to assess. Instrument Reliability - ANSWER-how well an instrument consistently gives accurate information. What is true of depression and substance abuse - ANSWER-Depression can lead to self medication with drugs of abuse. Drugs of abuse can induce symptoms of depression Drugs of abuse can worsen symptoms of depression. NOT-Drugs of abuse can successfully treat depression. How does motivation for participation in treatment differ from motivation to change behaviors? - ANSWER-Motivation for change is internal; treatment may be pushed on a client. SOCRATES - ANSWER-A 19 item self report instrument used to assess motivation for change. Treatment Plan Key Components - ANSWER-Problem statements obtained in assessment Goal statements derived from problem statements Objectives which consist of what client will do to meet goals Interventions what the staff will do to assist the client SOAP note - ANSWER-S: subjective O: objective A: assessment P: plan DAP Note - ANSWER-Data, Assessment, Plan The mnemonic DIG-FAST evaluates which psychological state? - ANSWER-Mania. Distractibility, indiscretion, grandiosity, flights of ideas, activity, sleep deficit, talkativeness. Center for Substance Abuse Treatment (CSAT) recommend that substance abuse be considered and treated as a? - ANSWER-Chronic Treatable Condition How does CSAT recommend that interventions following discharge from a formal inpatient or outpatient program be called? - ANSWER-Continuing care keeps with the chronicity model or treatment, suggesting that substance abuse treatment requires a long term treatment model. What is the best distinction between treatment programs and mutual self help/12 step programs? - ANSWER-Programs offer treatment and groups offer support. CSAT agreed upon which core features/services? - ANSWER-intake/orientation Biopsychosocial assessment Individualized treatment planning individual and family counseling psychoed 24 hour crisis support drug screening education and vocational services, psychiatric evaluatio medication management Case Management NOT recreational therapy Naltrexone can be used to treat what substance abuse disorders? - ANSWER-Alcohol and Opioids Core treatment and recovery skills? - ANSWER-Stress management Substance refusal training Relaxation Training Assertiveness Training NOT-Exercise and Health Primary Learning Styles - ANSWER-Kinesthetic Auditory Visual Verbal Logical Social Solitary NOT Gustatory-Taste How does family influence treatment outcomes? - ANSWER-Treatment outcomes can be improved or worsened by family support. How many main levels exist in the substance abuse continuum of care according to ASAM? - ANSWER-Five main levels: Level 0.5 Early intervention Level I outpatient Level II intensive outpatient Level III residential or inpatient Level IV medically managed intensive inpatient How many sequential stages must outpatient clients work through, regardless of their level of care? - ANSWER-Four sequential stages: 1. Treatment engagement 2. Early Recovery 3. Maintenance 4.Community Support Minimum duration of IOT - ANSWER-90 days Most effective relapse prevention training - ANSWER-Both group therapy and individual therapy are effective Most common duration of counseling in an IOT program? - ANSWER-Individual counseling is typically thirty to fifty minutes once a week. How are pharmacotherapy and medication management described in substance use treatment? - ANSWER-Of considerable, albeit limited, value in treatment. They are of critical importance. Topics is psychoeducational groups are - ANSWER-Sequenced by concept for maximal effectiveness, they build upon one another. CIWA-Ar scale originally designed for? - ANSWER-The clinical institute withdrawal assessment, alcohol revised assists in identifying alcohol dependent clients. Which substance lacks effective treatment medications? - ANSWER-Cocaine and Marijuana Adjunctive Therapies - ANSWER-used to enhance the emotional and psychological functioning of client. Stress management Meditation Acupuncture Dealing with smoking cessation during substance abuse treatment should be? - ANSWER-Seriously considered if the client desires it. Disulfiram/Antabuse is contracted for clients who use alcohol and what other substance? - ANSWER-It can be taken with cocaine use or methadone maintenance. sandwich technique - ANSWER-An intake interviewing technique, it increases the likelihood that the client will disclose crucial info an accept treatment. Most effective screening tools for substance use disorders - ANSWER-CSAT Simple Screening Instrument ADS Alcohol Dependence Scale and ASI Addiction Severity Index Texas Christian University Drug Screen SDSS - ANSWER-Substance Dependence Severity Scale. Drug use disorder severit [Show Less]
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IL CADC Exam 2023 with complete solutions
Definition of Counseling - ANSWER-a professional relationship that empowers diverse individuals, families, and groups to accomplish mental health, wellness... [Show More] , education, and career goals Counseling is a.... - ANSWER-Co1laborative process sensitive to individual client characteristics, influence of significant others, and client cultural and social context Counselors help clients to - ANSWER-1. Explore and enhance their motivation to chance behavior 2. Set appropriate treatment goals 3. understand the structure, expectations, purpose, and limitations of the counseling process Counselors must continually evaluate the client's level of risk regarding - ANSWER-personal safety and relapse potential in order to anticipate and respond to crisis situations like high risk situations Counselor skill include knowing how to - ANSWER-individualize treatment plans, adapt counseling strategies to client charactistics and circumstances, apply culturally and linguistically responsive communication syles and practices The effectiveness of addition treatment is measured by - ANSWER-Client's improved functioning, reduced suffering, psysiological indicators, retention in treatment, enhances interactions with other people, work performance The connection between the client and the counselor is - ANSWER-the therapeutic alliance 3 components of the therapeutic alliance - ANSWER-1. relationship or bond b/w the therapist & client 2. consensus b/w the two regarding treatment techniques/methods 3. consensus b/w the 2 regarding treatment goals The collaboration occurs when the clinical knowledge of the counselor combines with the experiential knowledge of the client because - ANSWER-the client is the true expert in their life over 80% of positive treatment outcomes may be due to the therapeutic relationships contributing elements of - ANSWER-warmth, empathy, and respect for the client Motivational Interviewing (MI) - ANSWER-a directive, client-centered style for eliciting behavior change by helping clients explore and resolve ambivalence. The fuel for the chamce process is the client's motivation to make the change. Can enhance motivations starting at the screening and lasting through the treatment process Motivational style of counseling communication is based on the following assumptions - ANSWER-1. Ambivelnce about change is normal and creates a significant obstacle to the recovery process 2. Ambivalence can be resolved by working with the client's intrinsic motivations and values 3. The alliance b/w counselor and client is a collborative partnership to which each brings important expertise 4. An empathetic, supportive yet directive counseling style provides conditions under which change can occure 5. direct argument and confrontaion may tend to increase client defensiveness and reduce the liklihood of behavioral change 5 general principles of MI - ANSWER-1. Express empathy thru reflective or active listening 2. Develop discrepancy b/w client's goals or values and their current behavior 3.Avoid argument and confrontation 4. Adjust to client resistance rather than oppose it directly 5. Support self-efficacy and optimism Strategies based on 5 principles - ANSWER-1. Ask open ended questions to facilitate dialogue in a neutral way 2. Listen reflectively and provide a synthesis of content and process, which reduces the likelihood of resistance and cements the therapeutic alliance. 3. Summarize- to link the clients's positive and negative feelings to promote the perception of discrepancy 4. Affirm- to promote self-efficacy and validate client's feelings 5. Elicit self-motivational statements- that include problem recognition, concern about the problem, intention to change, optimism toward the future. The Spirit of MI is based on 4 key elements - ANSWER-1.Partnership/collaboration-avoid the expert role 2. Acceptance/Autonomy-respecting and accepting the clients autonomy, potentials, strengths, perspectives. (Four aspects of acceptance-worth, empathy, autonomy, affirmation) 3. Compassion-keeping client's best interest in mind 4. Evocation-The best ideas come from the client. The motivation for change is within so discussion of pro & cons of change vs staying the same Areas of Expectation counselor should address w/ client - ANSWER-1. Outcomes achieved? 2. What proportion of clients report that there initial problems have improved by the end of treatment 3. What will treatment involve? ie. making regular appointments, enforcing start & end times, maintaining confidentiality, canseling session if client shows up under the influence 4. What specific goals should the client expect to aim for The strength of the counseling relationship depends on... - ANSWER-The counselors facilitation qualities Strategies used to create a positive environment for exploration and change Facilitation Relationships are characterized by - ANSWER-1. Empathy-understand from another persons perspective 2. Genuineness- when your outside matches your thoughts and feeling on the inside 3. Respect- empowers the client. Belief that the client has the ability to make their own decisions and learn from the consequences 4. Self-disclosure-ability to disclose info about oneselg including the way one thinks and feels 5. Warmth-showing client you care. eye contact, smiling, sincere tone of voice 6. Immediacy- focus on the here & now and on reality to keep the process moving forward 7. Concreteness- ability to identify problems and steps to correct 8. Cultural Sensitivity-requires ongoing counselor self evaluation Active listening skills - ANSWER-1. Clear listening- w/o judgement or immed trying to correct client thoughts 2.Reflecting- Summarizing using statements in clear simple manner to clarify the issues 3. Ask open-ended questions- to promote exploration of why client thinks, feels, acts the way they do 4. Using effective body language- arms & legs uncrossed leaning forward making eye contact-shows interest 5. Watching for nonverbal cues. ie. foot tapping Models of Addiction - ANSWER-1. Medical Model- Chronic & progressive disease with physical causes 2.Spiritual Model- very influential. 12 step fellowships 3. Psychological Model- Deficits in learning, emotional dysfunction, or psycopathology that can be treated behaviorally . 4. Sociocultural Model- Building new social & family relations & skills & working w/in ones cultural infrastructure are avenues for change 5. Composite Biopsychosocial-spiritual model- Confirms some truth in each model and integrates the perspectives b/c of many interacting influences. Chronic diseases are best treated collaboratively and comprehensively Successful treatment may require more than one treatment experience - ANSWER-Cumulative impact Factors associated w/ clients staying in treatment - ANSWER-1. motivation to change 2. family support 3. pressure from criminal justice system 4. CPS 5. employers Features of modern day treatment practices - ANSWER-1. Focus on client competencies & strengths 2. Individualized client centered treatment 3. shift away from labeling "addict", "alcoholic" 4. Acceptance of new broad range of treatment goals. ie. reduction of use, improvement of health, employment stability 5. Adoption of recovery paradigm- shift from problem focused acute care model to solution-focused long-term model of recovery management regaining wholeness & connection to community 6. Integration of substance Abuse Treatment w/ other disciplines. ie. substance abuse treatment w/in criminal justice system, special services for those w/ co-occurring disorders 7. Evidence-based practices-proven to be successful through research methodology 8. Use of medication 9. Telehealth Technologies- continuing care by mobile phone, online chat 10. Technology-based care- multimedia...audio, video AA - ANSWER-ongoing recovery support thru self-help nontraditional self help groups - ANSWER-Rational recovery, women for sobriety AA and other self-help is - ANSWER-not for everyone, but helps develop a sociall support network, teaches skills needed to recover, helps indiv. take responsibility for their own recovery, and provides a sense of belonging and a new identity key features of 12 step groups - ANSWER-accessibility, anonymity, social support and aid, promotion of self-esteem and self-efficacy, introspection & insight, spiritual recovery, advocacy to promote social & legislative remedies AA main purpose - ANSWER-Stay sober and help other alcoholics to achieve sobriety. Belief that abstinence is the only treatment Three legacies of AA - ANSWER-1. Recovery (big book, 12 step, 12 step work) 2. Unity (12 traditions, ) 3. Services (every act toward the functions of AA message to others) Withdrawal Management involves 3 components - ANSWER-1. Evaluation- Drug testing 2. Stabilization- Medically stable, fully supported, substance free. May be medication assisted 3. Fostering the clients entry into treatment- Stressing the continuum of care Withdrawal Management may be delivered... - ANSWER-1. Ambulatory (outpatient) 2. Residential/Inpatient Two examples along the residential care continuum - ANSWER-1.Therapeutic community (TC) -highly structured residential program to help change lifestyles, abstain, eliminate criminal behavior, . Use a hierarchial model w/ treatment stages that refelct increased levels of indiv and social responsibility. Peer influence. Can be confrontational. lasts 6 mos.- 2years. Frequent modalith used for persons in criminal justice systems who are getting addiction treatment 2. Half-way house- clients live at the program receiving couseling while they work or attend school Medication assisted treatment (MAT) - ANSWER-Evidence based oractices that combine pharmacological (drug based) interventions w/ counseling, behavioral therapy, social support to achieve the best results in the shortest time. Medication can be used to manage withdrawal symptoms, reduce cravings, avoid relapse. Most meds require a script & supervision of dr When integrated into comprehensive treatment programs MATs can: - ANSWER-1. Improve rate of treatment retention 2. Decrease opioid & alcohol consumption 3. Increase abstinence 4. Decrease criminal activity 5. Increase employment 6. Improve mental health Addiction treatment drugs - ANSWER-Naltrexone (vivitrol) Opiate antagonist. Prevent effects, decreases desire to use. helps relieve cravings for alcohol Disulfram (antabuse) bad reaction to alcohol Acamprosate (campral) Reduces desire to drink Methodone- narcotic, synthetic opioid supresses withdrawal symptoms of heroin and reduces cravings Buprenorphine (subutex, suboxone-contains naltrexone- pHelps prevent withdrawal symptoms Meds for Opioids - ANSWER-Methodone, buprenorphine, naltrexone meds for tobacco - ANSWER-Nicotine replacement therapy, bupropion, varenicline (chantix) Alcohol meds - ANSWER-naltrexone- reduces craving Acamprosate- reduce protracted withdrawal symptoms such as sleeplessness, anxiety, restlessness, dysphoria Disulfiram - effects the degradation of alcohol making user sick Treatment modalities- levels - ANSWER-1. Individual counseling- privacy, flexible pace, more time on indiv unique issues 2. Group Counseling- Most effective way of treating SUDs because they learn about themselves through interactions w/ others and understand that they are not alone in their problems. Clients bond w/ the culture of recovery and engage therapuetic forces-peer confrontation. Effective in treating depression, isolation, and shame 3. Family counseling- addresses systemic issues, harmful interaction patterns, assist families in understanding substance use disorders. Family can address their own goals & issue 5 Group Models - ANSWER-1. Psychoeducational- educate about substance abuse 2. Skills development group- cultivate skills to sustain abstinance, cope w/ anger, or urges 3. Cognitive Behavioral Groups- alter thoughts and actions 4. Support Groups- pragmatic info managing day to day living 5. Interpersonal Process Group- The goal of EBP is to integrate - ANSWER-clinical expertise, scientific evidence, client values to provide high quality services reflecting the intrests, values, needs, choices of people served EVB - ANSWER-is supported by scientific evidence that proves they work to produce specific outcomes Examples of EBPs - ANSWER-Seeking Safety, MI, 12 step facilitation, CBT, DBT, Community Reinforcement Approach w/ Vouchers Succesful implementation of EBPs include - ANSWER-1. changes in professional behavior, changes in organizational structure in order to support changes in prof. behavior 3. Changes in relationships Implementation failure of EBP occurs when - ANSWER-fidelity does not occur. Fidelity checklist Examples of T [Show Less]
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IL CADC Study Exam Questions with correct Answers
Purpose of client advocate - ANSWER-Formal relationship with the employer, Involve the employer in the patient's treatment, Promote information to employer... [Show More] about the patient's disease, Educate employer on the treatment process, Help provide support for the patient in recovery Community education purpose - ANSWER-Identify the major drug problems in the community Role for local churches and religious groups - ANSWER-Start a self-help group that meets in the facility Counselor responsibilities - ANSWER-Educating other agencies on effective ways to work with specific cases relating to drugs/alcohol Two- Stepping - ANSWER-Defense that is destructive to the newly sober client in which they help others with their alcoholism but do not concentrate on their sobriety Signs/symptoms of Alcoholism - ANSWER-Solitary drinking, Over permissive norms of drinking, Lack of specific drinking norms, Tolerance of drunkenness, Adverse social behaviors, Utilitarian use of alcohol to reduce tension/anxiety, Lack of ritual/ceremonial use of alcohol, Alcohol use separated from eating patterns Signs/symptoms of Alcoholism - ANSWER-Alcohol use separated from family, social functions, Drinking with strangers, Alcohol not introduced in small amounts when a child, Drinking pursued as recreation, Drinking concentrated in young males, Culture that stresses individualism, self-reliance and high achievement Referring to AA/NA - ANSWER-Have a AA/NA person meet w/them and explain how the group and recovery can work together, Not proper to refer an atheist since it is built on a belief in God, do not refer if it would seem to be disrespectful of clients rights and views, Make sure the referral meets the clients personality and background Dual Diagnosis - ANSWER-Sometimes appear as patients sober up Referral processes - ANSWER-Identifying the needs of the client that cannot be met by the counselor/agency and Assisting the client to utilize the support system and community resources available Discharge summary is needed - ANSWER-Inpatient, aftercare, detox, half way houses, etc, Communications from one agency to another and increases accountability, Reports and record keeping tells the story of the client from beginning to end, No universally accepted format for maintaining records Reports - ANSWER-Explains various aspects of the assessment, treatment plans, and discharge to parties who need such information to enhance the care of the client Documents patient can sign - ANSWER-Consent for treatment, Public aid, DASA, statistics, Treatment plans, Release of information, To acquire medical attention, Education/prevention, Client education, Crisis intervention Patient has a right to - ANSWER-Treatment costs they are liable for, When treatment services are available, Types of counseling approaches used, Opportunity to complain to appropriate staff Client files - ANSWER-Only the clinical supervisor has unrestricted access to client's files Physiological dependence for alcohol- Alpha - ANSWER-Psychological dependence, no loss of control, reliance on alcohol to weather problems Physiological dependence for alcohol- Beta - ANSWER-Psychological dependence, physical problems (cirrhosis) but no physical dependence Physiological dependence for alcohol - Gamma - ANSWER-Change in tolerance, physical withdrawal, loss of control. Use for Jellinek Chart with 4 stages Physiological dependence for alcohol - Delta - ANSWER-Same as Gamma but no loss of control but drinks Physiological dependence for alcohol - Epsilon - ANSWER-Periodic alcoholism/binge drinking Aversive therapy - ANSWER-Disulfiram/Antibuse - Most effect for binge drinkers and No alcohol for 2 weeks or severe allergy reactions occur Direct Reinforcement - ANSWER-Providing positive feedback and rewarding in a direct way and Introducing new and competing behaviors to replace negative behaviors Analytic therapy - ANSWER-Oriented toward achieving insight, identifying and experiencing feelings, memories developing, in-depth self-understanding, re-experiencing, reconstructing childhood experience, Not appropriate for first month of counseling Erickson's Psychological Theory - ANSWER-Trust vs Mistrust; Autonomy vs Doubt; Initiative vs Guilt; Industry vs Inferiority; Identity vs Role Diffusion - Adolescent; Intimacy vs Isolation - Adult; Generativity vs Stagnation - Adult; Integrity vs Despair - Old age Social Learning - ANSWER-Behavior learned through interaction with other people, peer group, AA group, group therapy Cognitive Restructuring - ANSWER-Positive affirmations spoken to self to modify negative thoughts Reality Therapy/Transactional Therapy (Glasser 1960s) - ANSWER-What is going on "here and now", How a client can change old patterns, Client makes decisions based on awareness Maslow - Self-actualization - ANSWER-Teaches person to challenge old ideas and replace/internalize logic or science Gestalt Therapy - ANSWER-Increase awareness of feelings, Persons are born innately good, Focuses on unfinished business, Focus on "what and how" and not "why". Client's are to be aware of what they are doing, how they are doing it and the gaining of self-esteem. No diagnosis or interpretation Carl Rogers - ANSWER-Persons need self-fulfillment rather than being occupied with others Relaxation Therapy - ANSWER-If body and breathing are relaxed it is impossible to feel anxious, Tensing and then relaxing muscles Systematic Desensitization - ANSWER-Used w/relaxation for treating phobias Adlerian Therapy - ANSWER-Concept of inferiority complex, Encouragement to recognize strengths and weaknesses, Believes in dignity and self-worth, Mainly used in family counseling Client Centered "Rogerian Therapy" - ANSWER-Based on assumption that the client is in the best position to resolve their own problems, Safe atmosphere to feel/discuss and obtain insight is provided Jungian Therapy - ANSWER-Developed the concept of collective unconscious and archetypes, Goal is to have clients become adequately adopted to reality allowing them to fulfill their creative potential, Individuation is the ultimate goal Vernon Johnson's Therapy - ANSWER-Learning theory; Individual learns that drinking is a successful way to deal w/problems, Family, etc in the addict's life reinforces this by their behaviors which enables the alcoholic's drinking, Relationship w/alcohol deteriorates over time, but the learning was so powerful the person continues to seek those early positive experiences that are not there now It is essential to have an atmosphere of high ethical standards - ANSWER-Establishes a mutual respect during treatment, Using therapy techniques and interventions that lack data are unethical. Transference - ANSWER-Counter-transference becomes unethical when the counselor's unresolved conflicts get in the way of effective therapy. Unethical - ANSWER-Impose values on the client that are not already theirs, Counselors are to refer clients when they can't refrain from imposing views other than the client's Family and Friends - ANSWER-Counselors are not to treat family or friends due to biased opinions they would have. Counselor presentations - ANSWER-Counselors are not to reveal client's identity during teaching or speaking engagements. MMSE - ANSWER-Mini Mental Status Exam that measures: Appearance, affect, thought, content and mood Counselor relapse - ANSWER-When a counselor in recovery has relapsed they are suspended from their duties and are told to see the EAP - Employee Assistance Program. Burn Out - ANSWER-Over involvement with the clients (sign of codependency), Working extra hours, Lack of therapeutic success, Tedious work, Tendency of therapeutic work to being out own conflicts Ellis - ANSWER-Stress of mental health professionals is primarily related to irrational beliefs Burn Out - ANSWER-Burn out can be avoided by moving from direct care to an administrative position. 4 Stages of Alcoholism - ANSWER-1) Pre-Alcoholic 2) Prodromal Phase Black outs occur during promodal 3) Crucial Phase 4) Chronic Phase BECK - ANSWER-Used for Depression MAST - ANSWER-Tests Alcoholism Neuroleptic Drugs - ANSWER-Used for Schizophrenia Common Belief - ANSWER-Pr [Show Less]
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Illinois CADC Exam 2023 Questions with Verified Answers
Understanding Addiction and Recovery - ANSWER-Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. Dysfunctio... [Show More] n in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors. Addiction is characterized by a diminished recognition of significant problems with one's behaviors. (ASAM: American Society of Addiction Medicine) Factors that Influence Addiction - ANSWER-Genetic, Home & Family, Peer & School; Early Use; Method of Administration; Fundamental changes in the Brain. Theories of Causation - ANSWER-Moral Model; Disease Model (E.M. Jellinek 1960); Genetic Model; Cultural Model; Blended Model. Substance Use Disorders (SUDs) - ANSWER-Exist along a continuum. Drugs of Abuse - ANSWER-Alcohol is the most frequently abused substance. Drugs obtained through prescriptions or stolen from pharmacies is a serious problem. Alcohol - ANSWER-Alcohol is classified as a sedative-hypnotic, thus a central nervous system depressant. Alcohol has eights stages of effect: sub-clinical, euphoria, excitement; excitement (2); excitement/confusion; confusion/stupor;coma and death Catholic University of America 2011) Alcohol - ANSWER-While it is trues that men are more likely to drink alcohol and in greater amounts, women have a higher risk of developing problems from alcohol consumption. This is because women generally have less water than men's bodies. Because alcohol mixes with body water, a given amount of alcohol is less diluted in a woman's body than in a man's. Women become more impaired by alcohol's effects and are more susceptible to alcohol-related organ damage. Cannabis (Marijuana) - ANSWER-Contrary to popular belief, marijuana is addictive. Prescription Drugs - ANSWER-Past year abuse of prescription pain killers now ranks second-only behind marijuana- as the nations's most prevalent drug problem. The classes of prescription drugs most commonly abused: - ANSWER-Opioid pain relievers such as Vicodin or Oxycontin; stimulants for treating ADHD such as Adderall, Concerta or Ritalin and Cental Nervous System depressants for relieving anxiety such as Valium and Xanax. Prescription Drugs - ANSWER-More people die from overdoses of prescription opioids than from all other drugs combined, including heroine and cocaine (Centers for Disease Control, 2011). Withdrawal from Drugs of Abuse - ANSWER-Central to the role of nearly all drugs taht are commonly abused to prodeuce euphoria is the nucleus accumbens, the brain's "pleasure center". Withdrawal from Drugs of Abuse - ANSWER-Attempting to give up a benzodiazepine or alcohol dependency can result in seizures and worse if not carried out properly. Recovery - ANSWER-Recovery is a process of change whereby individual's improve their health and wellness, to live a self-directed life, and strive to reach their full potential (SAMHSA, 2014) A New Recovery Paradigm - ANSWER-There has been a shift in traditional clinical practice toward new priorities of supporting the client in working toward self-defined goals and taking responsibility for their own life. The new recovery movement affirms the very real potential for permanent, personal resolution of behavioral health problems. Recovery-Oriented Systems of Care - ANSWER-ROSCs are a model of sustained recovery management (RM). The RM model wraps traditional interventions in a continuum of recovery support services spanning the pre-recovery, recovery initiation and stabilization, and recovery maintenance stages of problem resolution. Distinctive is the model's emphasis on post-treatment monitoring and support; long term, stage-appropriate recovery education; peer- based recovery coaching; assertive linkage to communities of recovery; and when needed, early re-intervention (White, 2006). CSAT - ANSWER-Center for Substance Abuse Treatment SAMHSA - ANSWER-Substance Abuse and Mental Health Services Recovery and Recovery-Oriented Systems of Care - ANSWER-Important to make the destiction between Recovery and ROSC. Recovery - ANSWER-Process of change whereby individuals improve their health and wellness. ROSC - ANSWER-Partnering with people in recovery from mental health and SUD to guide the behavioral health system and promote individual, program and system-level approaches that foster health and resilience; increase permanent housing, employment, education and other necessary supports; and reduce barriers to social inclusion. Four Major Dimensions in an effective ROSC - ANSWER-Health (disease management);Home;Purpose; Community. Clinical Evaluation - ANSWER-Effectively assessing a person's alcohol and/or drug misuse is critical to preventing or early intervention in addiction - can be through outreach, screening, or assessment. Engaging the client in treatment - ANSWER-Making a respectful, non-judgmental connection with client is key to engagement. Goals of the Initial Interview - ANSWER-(1) Establish trust, rapport and effective communication with the client. (2)facilitating the client's UNDERSTANDING OF THE RATIONALE, PURPOSE, AND PROCEDURES ASSOCIATED WITH THE SCREENING AND ASSESSMENT PROCESS. (3) Exploring the client's problems and expectations; and (4) determining whether further assessment is needed. The Interview Climate - ANSWER-Factors include Stigma, Expectations, Likableness, First Impression, Professional Manner, Environment. Communication Techniques (reflecting, clarifying, focusing, summarizing) - ANSWER-Active Listening is an intentional feedback loop wherein the counselor reflects, clarifies and summarizes what the client says in order to verify that they understand both the literal content and feelings being conveyed. Specific skills include: Reflecting (restating); Clarifying (rephrasing); Focusing (directing client's attention) and Summarizing. Motivational Interviewing (MI) - ANSWER-A style of interaction to facilitate change, began in substance abuse treatment in the early 1980's. It contrasts with the traditional confrontational style. MI is a client-centered approach that seeks to enhance and individual's motivation to change by exploring and resolving ambivalence. It has been framed as a "guiding" style of communication as compared to a more directive style. GAIN - ANSWER-Standardized Screening tool to obtain information about substance use. Assessment - ANSWER-A process for defining that nature of the problem, determining a diagnosis, developing specific treatment recommendations. Entry level counselors perform screening while assessment is performed by more experienced and credentialed staff. Assessment is an in-depth evaluation. Assessment Interview (Biopsychosocial) - ANSWER-Interviews with the person being assessed are more comprehensive than the brief interviews used for screening. In screening, information is focused on the self-report of the person seeking services, while in assessment interviews, a more thorough and systematic method of gathering information is used. Assessment Instruments - ANSWER-Include Standardized interviews, Structured Interviews, Self-administered tests. Standardized Interview - more credible than the structured interview for referrals, legal actions DCFS etc. - ANSWER-Differs from the Structured Interview in that it limits the interviewer to a prescribed style and list of questions. The interviewer is restricted from freely probing beyond conflicting or superficial answers, which is sometimes a disadvantage of this technique. An advantage is that this interview may be more credible than the structured interview. Structured Interview - ANSWER-A prescribed interview structure but the interviewer is free to ask probing or clarifying questions when clinically appropriate. Self-Administered Tests - ANSWER-A less threatening method of self-disclosure Risk Assessment - ANSWER-At both the screening and assessment stages, counselor must observe client to assess for signs of psychoactive substance toxicity, intoxication and withdrawal; aggression or danger to others; potential for self-inflicted harm or suicide; and coexisting mental health problems, Treatment Planning - ANSWER-An intentional carefully considered road map for treatment and recovery process. All of the information gathered throughout the assessment process is analyzed and interpreted in order to make decisions about client placement and approaches to treatment. Treatment planning is action-oriented and lays out a logical, goal-oriented strategy for making positive changes in a client's life. Treatment plans are developed once a diagnosis is confirmed, a placement recommendation has been made and the client has been admitted into an appropriate level of care. The level of care is determined based on the diagnosis of the problem and on the client's strengths and assets. Readiness to Change - ANSWER-Proschka and Diclemente 1984: Stages of Change Model. The five stages of change are pre-contemplation, contemplation, preparation, action and maintenance. Case Management - ANSWER-A collaborative process. it's primary purpose is to help individuals identify needed services, select the most appropriate services available in a given geographical area, facilitate linkage with services and promote continued retention in services by monitoring the individual's participation, co-ordinate the activities of multiple services when present and when necessary and advocate for continued participation (NASW 2012). Objectives include continuity of care, accessibility, accountability and efficiency. The core agency for a specific geographic area is responsible for developing contracts with providers for the delivery of specified services for case-managed clients. Memoranda of Understanding (MOU) - ANSWER-MOUs are a means to structure a relationship among agencies. More formal than "social service bartering". Counseling - ANSWER-A professional relationship that empowers diverse individuals, families and groups to accomplish mental health, wellness, education and career goals. Therapeutic Alliance - ANSWER-A key component of successful counseling. Has three components: (1) The relationship or bond between therapist and client (2)Consensus between counselor and client regarding the techniques/methods employed in treatment (3) Consensus between therapist and client regarding the goals of treatment. THE PRIMARY RESPONSIBILITY FOR DEVELOPING AND MAINTAINING THE RELATIONSHIP RESTS WITH THE COUNSELOR. It has been found that over 80% of the positive outcomes of treatment may be due to the therapeutic relationship (warmth, empathy, respect for client). Building Motivation for Treatment - ANSWER-Motivational Interviewing as a style of interaction to facilitate change, began in SUD treatment in the early 1980's. MI was truly an innovation in SUD because it created a shift in the underlying philosophy of care and used a set of specific techniques to engender engagement and empowerment of the persons seeking help for substance use problems. Earlier style used confrontation as an intervention. Five principles for MI - ANSWER-Open-ended questions; Listen reflectively; Summarize; Affirm; Elicit self-motivational statements. The "spirit" of MI is based on 4 key elements: - ANSWER-(1)Partnership/Collaboration: Work in collaboration and avoid the "expert" role. (2)Acceptance/Autonomy:Respecting the client's autonomy, potentials, strengths and perspectives (3)Compassion: Keeping the client's best interests in mind. (4)Evocation: The best ideas come from the client: "You have what you needs and together we will find it". Setting Expectations - ANSWER-Educate the client regarding the structure, expectations and limitations of the counseling process. Personal Dimensions that characterize facilitative relationships are: - ANSWER-Empathy: ability to understand how another person sees and interprets and experience, Genuineness: the ability to be fully oneself and express this to others, Respect, counselor believes that the client has the ability to make it in life, the right to make his or her own decisions, Self-Disclosure: the ability to disclose information about oneself (thoughts and feelings); Warmth: convey care; Immediacy: focus on the :here and now: relationship with another person; Concreteness: the ability to identify specific problems and steps necessary to correct them; Cultural Sensitivity: cultural competence requiring ongoing training and self-evaluation of counselor. Active Listening - ANSWER-Clear listening. New counselors tend to think while listening and is not accurately hearing what the person is saying. Important to listen without judging. Reflecting: summarizing and repeating client's thoughts and feelings in a simple and clear manner. Asking open-ended questions, requiring clients to explore the reasons they think, feel and act the way they do. Use effective body language (sit with legs and arms uncrossed, lean forward and make eye contact. Watch for non-verbal cues. Listen and watch carefully. Process of SUD Treatment: Models of Treatment - ANSWER-Medical model: Views addiction as a chronic and progressive disease. Emphasis on physical causes and genetic factors. Spiritual Model: Largely because of AA and 12 step fellowships - Cocaine Anonymous, Narcotics Anonymous and Al-Anon. Spiritual models give less weight to causation and emphasize the importance of the spiritual path to recovery. Recognizing a higher power beyond one-self, asking for healing of character, maintaining communication withe the Higher Power through prayer and meditation and seeking to conform one's life to its will. Twelve step programs are not "wholly self-help but rather "Higer Power-help" programs. Psychological model - psycopathology can be treated behaviorally or psychoanalytically oriented dynamic therapies. Change process shifts from internal (intrapsychic) to external (behavioral, interpersonal). Sociocultural model: substance related problems are seen as occurring in interactive relations with families, groups, and communities, alterations in policies, laws and norms as part of the change process. Composite Biopsychosocial-Spiritual Model: recognizes the importance of many interacting influences. Perspectives on SUD Treatment - ANSWER-Scientifically based approaches to SUD treatment can include behavioral therapy (counseling, cognitive, psychotherapy), medications or their combination. Behavioral therapies offer people strategies for coping with their drug cravings, teaching them ways to avoid drugs and prevent relapse, help them deal with relapse if it occurs. Case management and referral to other medical, psychological and social services are crucial components of treatment for many clients. No single treatment is appropriate for all individuals. Counseling strategies and individual progress - ANSWER-Good outcomes: Participation for less than 90 days is of limited or no effectiveness. For methadone maintenance, 12 months is the minimum. For opiate-addicted individuals, methadone maintenance treatment can last years. Many individuals have multiple episodes of treatment, often with a cumulative impact. Recovery support services are complementary to, and supportive of treatment rather than antithetical or a replacement for treatment. Clinical and Recovery Support Services - ANSWER-advocacy, housing support, linkage to legal and child welfare services, employment readiness, education support and remediation, family programs, child development education, parenting education, life skills, community and recovery support services. Self-Help Approaches - ANSWER-Formal Treatment organizations incorporate 12-step groups into their treatment regimen and recommend them for ongoing recovery support following the conclusion of treatment. The key to recovery is turning one's life and will over to a personally meaningful "higher power" such as God or Spirit. An extremely valuable aid to recovery as a social support network outside of the treatment program, and teaches skills needed to recover and helps clients take responsibility for their recovery. Alcoholics Anonymous - ANSWER-Began in 1935 as a fellowship for those who wanted to stop drinking. Bill W. a stockbroker and Dr. Bob, a surgeon were the original two members. The main p [Show Less]
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CADC EXAM (IL) Terms 2023 Questions with Verified Answers (Graded A)
What are the client's rights they should be made aware of? - ANSWER--individual dignity -confidentiality -non-discriminatory services -communication -p... [Show More] ersonal effects -minors to be educated -counsel -habeas corpus When are the clients rights explained to them client? - ANSWER-orientation When should a counselor and client start to work on the tx plan? - ANSWER--once a diagnosis is confirmed -placement recommendation has been made -admitted to appropriate LOC What basic functions does the intake process perform? - ANSWER--establish eligibility -complete basic data collection -identify barriers and assets -est. a tx or service plan What is the case conceptualization? - ANSWER-organizing the information and observations made during assessment phase and interpret or make clinical judgement about what client is experiencing. True or False Alcohol can cause delirium tremors, which are fatal? - ANSWER-true What is the definition of recovery? - ANSWER-Change whereby individuals improve their health and wellness, live a self-directed life and strive to reach their full potential What is a stimulant used for? and what are some common ones? - ANSWER--treat narcolepsy, ADHD, obesity -dexedrine, ritalin, adderall What stance does recovery management take on recovery? - ANSWER-"relapse is a not inevitable if the ongoing process is actively managed" What neurotransmitter is strongly related to the experiences of pleasure? - ANSWER-dopamine What should a clinician do if they feel someone they are screening or assessing is at risk? - ANSWER-discontinue services and they the client to a medical, psychiatric care of take another safe intervention What is the rate of suicide among alcoholics who are depressed? - ANSWER-over 75% What re the (3) domains for assessment of a suicide risk? - ANSWER--current SI -history -risk management CURRENT SI SI, Method, Firearms, Hopelessness, substance use, MI HISTORY attempts, family history, psychosocial crises, trauma What measures should be taken if clients has several suicide factors present? - ANSWER-Immediate referral, including transport if necessary, for a more thorough evaluation what are the different types of drug tests? - ANSWER--breath analysis -urine( 1 week- 1 month) -saliva (past day) -sweat (over time) -blood (most accurate, most invasive) -hair (2-4 months) What does GC/Ms stand for? - ANSWER-Gas Chromatography/ Mass Spectrometry What everyday item could cause someone to test positive for opiates? - ANSWER-poppy seeds What is one important role and addiction counselor plays in recovery? - ANSWER-help the client to identify and utilize their recovery capital What are two major types of personality disorders? - ANSWER--boarderline -antisocial What are two common mood disorders? - ANSWER--depression -bipolar True or False-- OCD is not an anxiety disorder - ANSWER-false What are common symptoms of a panic disorder? - ANSWER--hyperventilation -palpitations -trembling -sweating -dizzy -hot flashea -chills True or False-- PTSD is an anxiety disorder - ANSWER-true What doe a counselor do after the screening and assessment? - ANSWER-interpert all available info and formulate a diagnostic impression and determine appropriate cause of action What are the 6-dimensions of ASAM criteria? - ANSWER-1. Acute Intoxication/ withdrawal potential 2. biomedical 3. emotional/ behavioral/ cognitive 4. readiness to change 5. relapse potential 6. recovery/ living environment how many level of care are there and what are they? - ANSWER-5 .5-- early intervention 1--outpatient 2--IOP/PHP 3-- Residential/Inpatient 4--medically-managed intensive inpatient What percentage of users become addicted to weed? - ANSWER-9% True or False Assessment should be ongoing? - ANSWER-True What is empathy? - ANSWER-shared feelings and hope that something can be done to help the situation What is the difference between standardized and structured interviews? - ANSWER-standardized limits the interviewers to prescribed style and list of questions (preferred in legal cases) When it comes to acceptance, what is important for the counselor to convey? - ANSWER-the client is accepted and valued as a human being True or False An over-the-counter decongestant can't create a false-postive for amphetamines - ANSWER-false What are the (3) phases in recovery management process? - ANSWER-1. pre-recovery identification and 2. initiation and stabilization 3. maintenance Why should the counselor use questions? - ANSWER--clarification -motivate to a specific topic -clarify client thoughts What is an example of a co-occuring disorder? - ANSWER-major depressions with cocaine addiction How does the recovery management view substance abuse? - ANSWER-long term condition requiring long-term care What is recovery management? - ANSWER-time sustained collaboration between consumers and traditional and non traditional service providers toward goal of stabilizing and managing substance use and other disorders until full remissions and recovery achieved and can be self-managed What is CNS depressant use for? And what are the most common? - ANSWER--treat anxiety and sleep disorder - Barbiturates (Wembutal) -Benzodiazepines (Valium and Xanax) What is the goal of recovery? - ANSWER-abstinence Reinforces within the cycle of addiction are... - ANSWER-Psychological * enhance sec, social situations, boost self-worth, alleviate stress and tension, relieve painful feelings Social Aspect *becomes part of them, lower inhibitions, helps with social discomfort and tension Biological *Effect reward/pleasure, alter pathways, release and make less overtime What are the (10) principles of recovery? - ANSWER-hope, person centered, many pathways, holistic, support, relationships, cultural based, trauma work, involvement and support system and respect What are the theories of causation? - ANSWER-moral--no willpower disease-- E.M. Jelling 1960 genetic-- genetic predisposition cultual-- American Indians vs. Saudi Arabians blended-- all elements What are the (3) components of ROSC? - ANSWER--collaborative decision-making -continuity of services and support -service quality and responsiveness What is the goal of recovery management? - ANSWER-enhancement of quality of life for individuals and families What are (3) ways prescriptions pills can be abused? - ANSWER--taking someone else's medication -higher quantity than prescribed -taking for another purpose other than prescribed What are the (8) stages of alcohol? - ANSWER-1. sub-clinical 2. euphoria 3. excitement 4/5. excitement 6. excitement/confusion 7. confusion/stupor 8. coma/death What are some factors that can affect climate and relationships in a therapeutic sense? - ANSWER--stigma -expectations -likeableness -first impressions -environment ALOCHOL - ANSWER--most widely used and abused substance -CNS depressant -pleasure/relaxation during What are some effects of opioids on the body? - ANSWER-drowsiness, constipations, depressed breathe (w/ large amounts) What is the "rule of thumb" for withdrawal? - ANSWER--opposite of the drugs direct effect -symptoms appear within hours to days What is the nucleus Accumbens? - ANSWER-pleasure center What does the counselor do during active listening? - ANSWER-Reflecting-- restating content Clarifying-- rephrasing to improve understanding Focusing-- direct towards 1 topic Summarizing-- key ideas and feeling in brief statement What is important for a counselor to observe? - ANSWER--gait -posture -gestures -facial expressions -affect What is Motivational Interviewing? - ANSWER-A client-centered approach that seeks to enhance an individual's motivation to change by exploring and resolving ambivalence What is screening? - ANSWER-review current situation and symptoms to determine most appropriate initial course of action given client's needs, characteristics and available resources In the screening process, when should a person be referred for a comprehensive assessment? - ANSWER-when it is indicated that substance misuse, abuse or dependency is probable What are some effects on the body from CNS depressant? - ANSWER--slow brain activity, sleepiness and loss of coordination What are positive things to for in community capital? - ANSWER--reduced stigma -continuum of care -accessible resources What is the goal of screening? - ANSWER-identify everyone who might have a SUD and /or COD and related services needed What happens when there is an insensitivity in the brain's pleasure center? - ANSWER-sobriety becomes associated w/ dysphoria and discomfort and drug induces is perceived as normal and/or balanced In general population, What does a screening look for? - ANSWER-presence or absence of the disorder What does screening look for in a person who has already identified they are as risk? - ANSWER-severity of the problem and determining need for comprehensive assessment The CAGE test questions as what.... - ANSWER-cutting down, feeling annoyed and guilty, and hangover What are some effects dextrometmophan have on the body? - ANSWER-impaired motor function, numbness, nausea/ vomiting and increased heart and blood pleasure What can happen if you mix alcohol and benzos? - ANSWER-seizures What are things a counselor should focus on to build a strong helping relationship? - ANSWER--rapport -support -reassurance -empathy -acceptance What factors influence addiction? - ANSWER--genetic -peer and school -early use -method of administration -changes in brain What is an opiate used for? and what are the most common? - ANSWER-pain oxycotin, darvon, vicodin, dilaudid, demerol and fentanyl What are the (3) drug classes? - ANSWER-painkillers (opiates) stimulants CNS depressants What groups of people are more likely to abuse prescription drugs? - ANSWER-teens, young adults, older adults and women What is peripheral neuritis? - ANSWER-A condition characterized by inflammation of peripheral nerves. Peripheral nervous system: 43 pairs of mother and sensory nerves that connect the brain and spinal cord to the entire human body. These nerves control the functions of sensation, movement and motor coordination What is a schedule 1 drug? - ANSWER-it is a drug with no medical use and has a high risk for abuse Where is THC stored un the body? - ANSWER-fat cells True or False Women have a higher risk of developing problems if true, why? - ANSWER-true, their bodies contain less water -women develop damage at lower levels of consumption over a short period of time What is harm reduction? - ANSWER-consequences of drug use are lowered What are the (4) dimensions of recovery-oriented systems of care (ROSC)? - ANSWER-health--recovery home--permanent housing purpose--employment/education community-- peer/family, social networks What do cannabinoid receptors influence? - ANSWER-pleasure, memory, thinking, concentration, sensory/time perceptions and movement How many symptoms are needed to meet each level of severity? - ANSWER-2-3--mild 4-5-- moderate 6+-- severe What are the co-occuring disorder screening instruments? - ANSWER--modified mini-screen (MMS) -mental status exam (MSE) -Brief Symptoms Inventory (BSI) -Brief Psychiatric Rating Scale (BPRS) -Mini-Mental status Exam (MMSE [Show Less]
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IL CADC Exam (practice test with complete solutions)
1. It is considered unethical for a counselor to: a. talk with a client any place other than the counseling office b. treat client problems that are be... [Show More] yond his skill level c. refuse treatment for certain clients d. discuss some personal feelings - ANSWER-b. treat client problems that are beyond his skill level 2. When participating in the screening process, a counselor must also be skilled in: a. consulting with other professionals b. making referrals c. family system dynamics d. release of information forms - ANSWER-b. making referrals 3. Which statement is TRUE regarding dual relationships with clients that might impair the counselor's judgement? a. they must be avoided b. they should be discouraged c. they are left to the discretion of the counselor d. they should first be discussed with one's superior - ANSWER-a. they must be avoided 4. If the orientation process is neglected or incomplete a client may: a. remain in denial about his/her addiction and leave against staff advice b. have incorrect information and unanswered questions about the program c. need to be referred to an outside agency for additional counseling d. need additional education about addiction and its effects on the body. - ANSWER-b. have incorrect information and unanswered questions about the program 5. A common error that counselors make when conducting an assessment is: a. processing the data collected from the client b. asking too many questions and interrupting the client c. moving too quickly from data collection to treatment planning d. focusing on strengths and weaknesses rather than relationships - ANSWER-c. moving too quickly from data collection to treatment planning 6. Which of the following is essential for successful recovery from addiction? a. admitting to a drinking and/or drug problem b. working all 12 steps of a 12-step program c. inpatient treatment and aftercare d. resolving family issues - ANSWER-a. admitting to a drinking and/or drug problem 7. Interventions by a group counselor should: a. be governed by group content as outlined during the orientation process b. address issues critical to the functioning of the group as a whole c. disregard the group process when it is deemed necessary d. only be made to halt potential violence - ANSWER-b. address issues critical to the functioning of the group as a whole 8. When clients ask directly for advice, it is usually helpful for counselors to: a. avoid offering advice, since it negatively effects communication with the client b. encourage the client to explore various alternatives c. discuss with the client his/her request for advice d. give advice since it encourages independence in the counseling relationship - ANSWER-b. encourage the client to explore various alternatives 9. Which of the following does NOT have to appear on a "Release of Information" form? a. purpose of the release of information b. name of the recipient of information c. signature of counselor d. signature of client - ANSWER-c. signature of counselor 10. A client experiences a crisis situation. As a counselor, your MOST important function is: a. to solve the client's presenting problem b. to refer him/her to the nearest psychiatrist c. to help convert the emergency into a solvable problem d. to try not to get the client any more upset than they already are - ANSWER-c. to help convert the emergency into a solvable problem 11. While progress has been made, society still disapproves much more strongly of substance abuse by women than by men. Which of the following statements is NOT true? a. women have customarily been expected to live up to a higher standard of moral and social behavior b. society perceives female substance abusers as promiscuous, immoral, and unfeminine c. mothers bear the additional burden of guilt over how substance abuse has interfered with their childrearing responsibilities d. a number of roles traditionally deemed female - in particular, nurturing and maternal duties - are perceived as incompatible with drug-affected behavior - ANSWER-c. mothers bear the additional burden of guilt over how substance abuse has interfered with their childrearing responsibilities 12. Which of the following would be MOST appropriate in providing linkage between a treatment program and AA? a. counselors should take their clients to AA meetings b. counselors should assign the client an AA sponsor c. an AA representative should be invited to visit the program d. counselors should visit AA meetings and have a list of meetings to share with clients - ANSWER-d. counselors should visit AA meetings and have a list of meetings to share with clients 13. Concise and accurate reporting is necessary in order to: a. assist in client education b. ensure continuity of client care c. demonstrate counselor competence d. identify client strengths and weaknesses - ANSWER-b. ensure continuity of client care 14. Consultations are an important component of the treatment process because: a. they are mandated by most funding sources b. they are reviewed and deemed medically necessary c. counselor's caseloads are generally too large to manage alone d. input and information from others will assist the treatment process - ANSWER-d. input and information from others will assist the treatment process 15. Which of the following bodily fluids has the highest risk of potential infection? a. tears b. breast milk c. spinal fluid d. vaginal secretions - ANSWER-d. vaginal secretions 16. Which of the following is an example of exploitation? a. going to the same AA meeting as a former client b. purposely buying groceries at a store that you know is owned by your client c. leaking to the public the name of a celebrity who is in treatment at your facility d. referring a client to someone you personally know for their aftercare sessions - ANSWER-c. leaking to the public the name of a celebrity who is in treatment at your facility 17. In a crisis interview with a client, you are most concerned with: a. the client's family dynamics as they relate to the specific dynamics of the crisis situation b. getting all the information that you can from the client and available family members c. focusing questions about the present situation and the client's means of coping with the stress d. what your immediate response should be regardless of the cleint's response to questions - ANSWER-c. focusing questions about the present situation and the client's means of coping with the stress 18. The style of counseling in which a counselor has made a decision to be committed to equality for all people and acts to treat all people alike, regardless of race or cultural background, is known as: a. cultural ignorance b. covert (hidden) prejudice c. overt racism and hostility d. the "color-blind" counselor - ANSWER-d. the "color-blind" counselor 19. A person wants to accept a party invitation because he/she is very social but is concerned because there will be a lot of drinking and he/she is a member of AA. He/she is experiencing a(an): a. mixed blessing dilemma b. approach-avoidance conflict c. double-avoidance conflict d. relapse conflict - ANSWER-b. approach-avoidance conflict 20. The first stage in the process of family change is: a. a referral to a licensed family therapist b. a period of sobriety for all family members c. development of a 3-generation genogram d. interruption of ongoing patterns with confrontation or disengagement - ANSWER-d. interruption of ongoing patterns with confrontation or disengagement 21. Hallucinogens work on the brain by interfering with various neurotransmitters, causing an overlap of the senses to occur. The term for this overlap of the senses is: a. synergy b. synthesis c. synesthesia d. synaptic overload - ANSWER-c. synesthesia 22. In alcohol and drug abuse, denial is: a. stronger in males than in females b. not a problem after one year of sobriety c. not a problem for the non-substance abusing family members d. a common barrier to overcome in the early stage of accepting the abuse problem - ANSWER-d. a common barrier to overcome in the early stage of accepting the abuse problem 23. Burnout in counselors might be avoided by periodic: a. self-assessment b. attitude adjustment c. medication evaluation d. disputing of rational beliefs - ANSWER-a. self-assessment 24. During the screening process, a critic task is that the counselor has is to: a. complete a mental status exam b. engage the client's family in treatment c. develop a treatment plan d. establish rapport with the client - ANSWER-d. establish rapport with the client 25. During the intake, a counselor can expect to address all of the following issues EXCEPT: a. a client's fears and denial b. information gathering c. preliminary identification of client goals d. treatment planning - ANSWER-d. treatment planning 26. According to Rational-Emotive Behavior Therapy, we develop emotional disturbances because of our: a. need to be accepted by most people b. intrinsic beliefs about certain beliefs c. overemphasis on childhood experiences d. need for systematic desensitization - ANSWER-b. intrinsic beliefs about certain beliefs 27. Which of the following is the BEST indicator that an individual is physically dependent upon alcohol or another drug? a. the amount consumed daily b. the length in years of heavy drinking or drug use c. presence of withdrawal symptoms d. the frequency of memory blackouts - ANSWER-c. presence of withdrawal symptoms 28. Which of the following MUST be included in a treatment plan? a. a compete medical report b. the client's problems and services to be provided c. an overview of the client's educational and psychological history d. a mental status exam including orientation to time, place, and person - ANSWER-b. the client's problems and services to be provided 29. When a client discloses suicidal thoughts, the counselor's first step is to: a. identify alternative courses of action b. contact emergency personnel c. offer emotional support d. assess the degree of risk - ANSWER-d. assess the degree of risk 30. In an apologetic tone, a recovering client tells the counselor that he is still having urges to drink. The counselor can help by: a. challenging the client about behaviors that prompted the urge b. detailing a schedule of increased AA attendance for the client c. confronting the urge to drink by reinforcing the reality that the client can never return to drinking d. normalizing the drinking urge and encouraging continued efforts towards relapse prevention - ANSWER-d. normalizing the drinking urge and encouraging continued efforts towards relapse prevention 31. Which of the following is TRUE about case management? a. it is the coordination of services in an effort to reach the goals of the treatment plan b. it is the clinical supervision of the counseling staff by case manager c. it is management of treatment to assure collateral care with outside agencies d. it is the process of monitoring the client's compliance with accreditation standards - ANSWER-a. it is the coordination of services in an effort to reach the goals of the treatment plan 32. Sally is a 16-year old girl who has been admitted to a program for chemical dependency. She has a history of running away from home, erratic performance in school, and has been arrested twice for petty theft. In assessing Sally, the counselor should first consider: a. Sally's goals in life b. Sally's social resources c. Sally's internal conflict d. Sally's familial relationships and social milieu - ANSWER-d. Sally's familial relationships and social milieu 33. It is appropriate for a counselor to teach a client about the physiological effects of the drugs he/she has been using during the administration of which of these core functions? a. screening b. assessment c. crisis intervention d. client education - ANSWER-d. client education [Show Less]
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IL CADC Exam 2023 Questions and Answers
Key components of addiction/dependence - ANSWER-1.Compulsion-Loss of control/choice. 2. Continued use despite adverse consequences 3. Cravings 4. Deni... [Show More] al Addiction - ANSWER-A chronic disorder precipitated by a combination of genetic, biological/pharmacological and social factors. Also characterized by compulsive, at time uncontrollable drug cravings, seeking, and use that persist even in the face of extremely negative consequences. Dependence - ANSWER-Is usually accompanied by tolerance and withdrawal, also generally associated with a wide range or social, legal, psychiatric, and medical problems The Continuum of Alcohol and other Drug Use - ANSWER-Use Misuse Abuse Dependency Stages of addiction - ANSWER-1. USE- The use of drugs or alcohol in a socially accepted or medically sanctioned manner to modify or control mood 2. MISUSE -Taking drugs or alcohol in damaging quantities other than the prescribed dosage or the use of illicit drugs 3. ABUSE- Is typified by the continued use of alcohol or other drugs in spite of negative consequences. 4. DEPENDENCY- Is characterized by the repeated, compulsive seeking or use of substance despite adverse social, psychological and or physical consequences. Symptoms of the four Stages of Addiction - ANSWER-1. Use - lack of tolerance control the use not yet interfering with lifestyle. 2. Misuse-Tolerance begin to develop - Use may still be controlled and the effect is anticipated. 3. Abuse - Preoccupied with mood swing - high tolerance - increase in frequency in use - solitary use occurs -loss of control-lifestyle begins to change- black outs occur more frequent- violates own value system-experiences many consequences - deterioration of relationships,work and financial problems-denial grows 4. Chronic Dependency/Addiction- uses to feel normal and avoid pain. complete loss of control-feels very alone- isolated Reinforcers within the cycle of addiction - ANSWER-Psychological aspects Biological aspects Social aspects Psychological aspects - - ANSWER-Substance fulfills multiple functions such as - enhance sex,, enhance social situations, boost users sense of self worth, alleviate stress and tension and relieve painful feelings. As the substance user becomes increasingly dependent on the drug/alcohol to fulfill unmet needs and compensate for deficits in coping skills their capacity to manage life's problems diminishes. Confidence in regulating ones moods and self esteem are lost. Biological aspects - ANSWER-Alcohol and other drugs significantly affect the reward/pleasure centers. Addiction alters the pathways in the brain's pleasure centers, stealing the brain's normal ability to experience pleasure. He loses his ability to experience pleasure from normal life experiences creating the dependency on the drug to experience pleasure. It can become a ceaseless craving for the drug. Social aspects - ANSWER-Due to the social networks woven between users, substances often become a crucial part of one's identity. A cultural sense of bonding and belonging develop around the substance and it's users. The substance serves as a social lubricant. Theories of Causation - ANSWER-The moral model The disease model The genetic model The cultural model The blended model The Moral Model - ANSWER-Addiction is the result of human weakness and are defects of character The Disease Model - ANSWER-Addiction is an illness comes about as a result of the impairment of healthy neuro-chemical or behavioral process This popular model is credited to E.M. Jellinek The Blended Model - ANSWER-Considers elements of all other models and holds that the mechanism of dependency is different for different individuals, and that each case must be considered on its own merits. The Genetic Model - ANSWER-Posits a genetic predispostion to certain behaviors. There is strong evidence that genetic predisposition is often a factor in dependency. The Cultural Model - ANSWER-Recognizes that the influence of culture is a strong determinant of whether or not individuals fall prey to certain addictions. Ex- Saudi Arabians prohibits alcohol use and alcoholism is rare them. The Stages of Change - ANSWER-Precontemplation Contemplation Preparation Action Maintance Precontemplation - ANSWER-Not yet acknowledging that there is a problem behavior that needs to be changed Contemplation - ANSWER-Acknowledging that there is a problem but not yet ready or sure of wanting to make a change. Preparation - ANSWER-Getting ready to change Action - ANSWER-Changing behaviors Maintenance - ANSWER-Maintaining the behavior change or Relapse Stimulants - ANSWER-Cocaine, crack cocaine, amphetamines, methamphetamine, nicotine, caffeine Narcotics/Opioids - ANSWER-opium, morphine, heroine, codeine, fentanykl, oxycontin, destromethorphan, methadone, bupreorphine, naloxone Cannabis - ANSWER-Marijuana and hashish Depressants - ANSWER-Alcohol, sedatives and tranquilizers Hallucinogens - ANSWER-PCP, LSD Ectasy and drugs found in natural plants..mescaline and psilocybin (mushrooms) This drugs are either natural substances or drugs made synthetically. Inhalants - ANSWER-Usually aerosols or solvents that are inhaled...spray paints. Inhalants come in the forms of volatile solvents gases, aerosols and nitrites. Developmental Model of Recovery - ANSWER-Transition the period of time needed for the addicted individual to come to grips with the realization that safe use of alcohol/drugs for them is not possible. Stabilization -during which the chemically dependent person experiences physical withdrawl and other medical problems and learns how to seperate from people, places.and things that promote substance abuse. Early Recovery - when an individual faces the need to establish a chemical-free lifestyle and build relationships hat support long-term recover. Middle Recovery - seen as the time for the development of a balanced lifestyle where repairing past damage is important. Late Recovery - during which the individual identifies and changes mistaken beliefs about oneself, others and the world that caused or promoted irrational thinking. Maintenance - the lifelong process of continued growth, development, and managing routine life problems. Screening - ANSWER-Answers one question: Is there a need for assessment or evaluation because it is likely that the person has a substances problem? Process to determine if person seeking services is eligilble and appropriate for admitting to agency. Applicable laws and Regulations - ANSWER-1. Federal 2. Precedent by case law 3. Reasonable person test (Common Sense) 4.Regulations or Administrative laws 5.Contracts Tolerance - ANSWER-The body has adapted to the substance Withdrawl - ANSWER-Symptoms characterized by dysphoria Recovery - ANSWER-is a process by which abusing/addicted person accepts that they have a problem they need hkelp to overcome. Must take individual responsibility. Comprehensive Assessment - ANSWER-Determines the nature and complexity of the individuals problem. 5 Objectives 1. Id potential sub users 2. Assess full spectrum of treatment problem 3. Plan appropriate intervention 4. Involve family members in all aspects of intervention and Tx 5. Evaluate the effectiveness of interventions that are actually used. Related problem areas probed into during assessment - ANSWER-1. General medical status and problems 2. Infectious Disease 3. Psychological status and possible psychiatric disorders 4. Psychiatric disorders 5. History of trauma 6. Social functioning 7. Family and peer relations 8. Educational and job performance 9. Criminal and delinquent behaviors and legal problems 10. Socioeconomic status and difficulties Three basic steps to assessment - ANSWER-Information gathering Data analysis Treatment plan development Forms developed for conduction assessment Interviews - ANSWER-Referred to as biopsychosocial assessment. They exam the individuals physical, psychological and emotional functioning Testing instruments Standardized Interviews Structured Interviews Self-administer test - ANSWER-Used to assess individuals on multiple dimension such as personality, aggression tendencies, social skills. stress factors, risk for substance abuse and intellectual capacity Standardized Interview - ANSWER-Limits the interviewer to a prescribed style and list of questions. Is restricted from probing beyond the questions included in the interview. [Show Less]
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