What does bookend mean?
Discuss a potentially triggering event before it happens, "bookend" it, and then discuss it again during a debriefing style
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Typically how long must someone be in treatment before results are seen?
3 months
Is inpatient or outpatient more effective?
They are generally the same, but provide different levels of services.
According to the most popular recovery outline, how many stages are there?
3
Early recovery- (1 month-1 year): involves entering treatment and embarking on abstinence. Relapse is highly likely.
Middle recovery (at least one year- could be indefinite): someone may stay in this stage if they continue to relapse. Greater confidence in abstinence is obtained, defeating cravings, lifestyle changes take place.
Late recovery/maintenance: maintains abstinence, improves other areas of life (relationships), utilizes relapse prevention skills.
What are the group stages as identified by Tuckerman?
Forming, storming, morning, performing, adjourning.
When is someone most likely to develop an SUD?
Adolescents.
Because the brain is still functioning, hormonal changes are occurring, significant social stressors.
What types of interventions are used for youth in schools and communities?
Universal programs- risk and protective factors for all children
Selective programs- used with identified at risk youth
Indicated programs- address youth who have already been involved with substance use.
What is not fundamental to an intake assessment?
Any referrals the client has had made.
What is not a component of the treatment plan?
The morality being used. However, interventions should be listed and perceived benefit of these interventions for the client is essential.
What is DAP
A format for notes.
Data, assessment, plan
What is the biggest distinction between self-help groups and other groups?
Self-help groups offer support and other groups offer treatment
What is the primary aim of case management services?
To provide the least restrictive level of care that meets the clients needs.
What are the parts of tracking the success of a referral for a client?
Who- who is the client, provider, and their demographics
What- what led to the referral?
How- how did the referral source handle the client and their problem?
What steps are taken if a subpoena is issued?
1. Contact the issuing lawyer.
2. Ensure the information the lawyer is requesting is relevant.
3. Contact the client and their lawyer to ask if they would like the information released. If yes, this needs to be in writing.
4. A subpoena does not automatically allow records to be released.
How often are treatment and recovery plans updated?
30-90 days or as the client wishes.
How often are client treatment program charts update per state requirements?
At least weekly.
Includes client attendance in programs, progress towards goals, anything preventing progress, and actions to be taken in treatment
What are the three ways ethics can be viewed?
Moral/professional- the view of the individual counselor.
Ethical implications- the view of the governing agency under which the counselors license is held.
Legal- the view of the state and federal laws.
Does HIV or infectious diseases need to be reported?
This is determined on a state by state basis.
How are the rights of SU clients different than MH clients?
SUD clients can be forced into treatment legally and often are pressured by family and friends.
What are the 5 criteria that must be met before a court order is issued?
1. The crime must be serious, such as having a risk of harm.
2. The requested information must be germane to the investigation
3. The info must be unable to be obtained from any other sources
4. The need for the information must be greater than the harm that is likely to be caused to the client, counselor, and program relationship.
5. The program must be given a chance to consult legal counsel.
What are simple, amplified, and double-sides reflections?
Simple reflection- repeating the clients statement in one's own words in a non-judgement way.
Amplified reflection- repeating the clients statement in an exaggerated form.
Double- sided reflection- pointing out a contradiction by acknowledging the clients current statement and then repeating the previous contradicting statement they made.
All are ways to deal with resistance.
What is reframing?
The counselor repeats the clients statement with a positive or different twist to it to help the client see alternative interpretations, useful in dealing with resistance and changing understanding .
When would a counselor side with the negative statement of a client?
If they were resistant to something. Siding with the negative helps the client feel companionship and change their confrontational direction
What are the parts of the brain stem?
Oblongata, pons, and midbrain
What are the parts of the limbic system?
Hypothalamus, hippocampus, amygdala, and others.
What does the limbic system primarily control?
Emotional response, long-term memory, and is necessary for decision making
In what part of the hypothalamus and what does it control?
It is part of the limbic system
It control involuntary functions such as body temp, heart rate, sex drive, and hunger. Also helps regulate emotions and is a binding spot of drugs.
What does the cerebellum control?
Coordinates voluntary movements involved in motor learning, language, and attention.
Drugs that bind here cause motor dysfunction and balance problems.
What does the thalamus control?
A part of the midbrain that controls consciousness, regulates arousal, awareness, and sleep cycle. Is involved in relating sensory information to the cerebral cortex and interpreting sensations of pleasure and pain
What does the subthalamas do?
Works in conjunction with the cerebellum to control motor activity.
What are the lobes of the cerebrum?
Occipital- vision
Parietal- collects information on the location of objects in relation to the body
Frontal lobes- planning, processing, impulse control, judgement.
Temporal lobes- hearing
What is the best way to provide feedback to a client?
Be clear
Provide both negative and positive
communicate clearly
give feedback immediately
give negative feedback onlyin private
encourage the individual to express any feelings or feedback they have. [Show Less]