Master Addiction Counselor Exam

adaptive consequences - Answer-behavioral enhancements that preserve family dysfunction. (i.e., researchers have noted that couples were often more relaxed and communicative when the alcoholic partner was drinking, as opposed to abstaining). What are the principle behavioral features of addiction? - Answer-1) obsession/preoccupation with the behavior or drug; 2) continued use/conduct despite serious negative consequences; 3) compulsive/out-of-control behavior Kinney and Leaton's six stages of family responses to alcoholism (1987) - Answer-1) denial; 2) bargaining; 3) disorganization & chaos; 4) reorganizing around the problem; 5) efforts to escape; 6) family reorganization where the user is eventually excluded and must reenter the family as a different (sober) person. These responses are also identical to codependent features of a family. What is the ASUS? - Answer-Adult Substance Use Survey: 64-item self-report survey. Administration time is 8 to 10 mins; takes less than 5 mins to score and no training to administer. What is the AUDIT? - Answer-Alcohol Use Disorders Identification Test: 10-item instrument with tree sub scales. Self-administered or given via interview; admin time is 2 mins. Must be given by trained professional. What is the CRAFFT questionnaire? - Answer-6-item screen for alcohol and drug use among adolescents; self-administered in less than 1 min. CMRS questionnaire - Answer-Circumstances (external motivation), Motivation (internal), Readiness (openness to treatment) and Suitability (perception of the client's appropriateness for the proposed treatment modality). What is the VAT? - Answer-Venerability Assessment Tool: recommended for assessing homeless/comorbid populations. Addresses 10 domains: survival skills, basic needs, indicated mortality risks, medical risks, organization/orientation, mental health, substance use, communication, social behaviors and homelessness status. Alcohol's influence on the GABA system - Answer-GABA (gamma-aminobutyric acid) is a key inhibitory neurotransmitter that regulates the nervous system. ETOH replicates the activity of GABA. % of inpatient drug users who attempt to stop smoking via an initial cessation program and remain smoking-free 6 months later - Answer-Around 12% or less. The 5 A's of Tobacco Treatment - Answer-Ask, advise, assess, assist and arrange neuroadaptation - Answer-the body's tolerance and withdrawal reactions to chemical substances. With persistent use of a drug, the body attempts to create an accommodation for the continuous presence of the drug (i.e., increased production of hormones, neurotransmitters and other mediating responses).