crisis management - ANSWER 1. Focuses on present or immediate past.
2. Goal is to have situation subside.
3. Meet in person if possible, nonverbal communication is important
4. Uses verbal de-escalation, establishes rapport, NOT long history of the problem.
Relapse Prevention - ANSWER A focus on changing one's lifestyle to healthy and positive
changes which set a strong foundation to ward off triggers and temptations.
-Concentrates on coping and prevention skills necessary to be prepared throughout the pro-
cess.
-Does not end abruptly
-If it happens, it should be seen as a learning experience
-Focuses on cognitive and behavioral techniques
CENAPS Components - ANSWER 1. Assessment
2. Warning Sign Identification
3. Warning Sign Management
4. Recovery Planning
5. Relapse Early Intervention Training
CENAPS Stages - ANSWER 1. Transition: accept powerlessness and abstinence as the only
solution.
2. Stabilization: recuperate from effects of withdrawal, work through feelings of guilt, shame,
and remorse
3. Early Recovery: Live with the past and who we are individually.
1
,4. Middle Recovery: repair damage addiction has caused
5. Late Recovery: overcome dysfunction and obstacles to healthy living
6. Maintenance: continually grow and practice daily recovery
CENAPS Definition - ANSWER Center of applied science; Terrence Gorski: addiction is a
disease and strives for the client to be completely abstinent and make positive changes in
lifestyle through five stages or components.
Abstinence Violation Effect - ANSWER Marlatt & Gordon: A reaction to an initial lapse
that influences whether it becomes a full-blown relapse. Focuses on emotional response to
lapse and causes of lapse. The progression from lapse to relapse is NOT inevitable.
Marlatt & Gordon's Model - ANSWER Relapse is caused by immediate determinants and
covert antecedents.
Immediate Determinants: High risk situation coping skills, outcome expectations, abstinence
violation affect
Covert Antecedents: Lifestyle factors, urges, and cravings.
Use both specific and global intervention strategies.
Specific: identify high-risk situation, and hence coping skills, self efficacy, illuminate myths
about effects, manage lapses, restructure perception of relapse process.
Global: balance lifestyle, develop positive addictions, stimulus control and urge management
techniques, relapse roadmaps.
EBP goals - ANSWER EBP provide scientific evidence of why certain treatments work.
The goal is to help the process as a whole, not eradicate other means
EBPs incorporate opinions of clinical experts, uses science to determine usable evidence, in-
corporates individual tendencies of client and caregiver into the treatment plan.
Motivational Enhancement - ANSWER Proposes to quicken the process to encourage
rapid development through initial assessment. This includes battery assessment and individ-
ual sessions at a rapid pace.
2
,Contingency Management - ANSWER A type of behavioral therapy where patients are re-
warded or reinforced for positive changes. Uses positive reinforcement to increase a behav-
ior or frequency.
EX: gift cards for negative UA's.
Cultural Accommodation vs. Adaptation - ANSWER Cultural accommodation: modifies
how a model is delivered for better understanding.
Cultural adaptation: changes the actual structure of the model for cultural reasons.
Trauma Informed vs Specific - ANSWER Trauma informed: provides information about po-
tential traumas and how to handle them.
Trauma specific: deals with treating effects from a specific event that caused the trauma.
Qualitative vs Quantitative Assessment - ANSWER Qualitative: considers less tangible fac-
tors: observations, gut reaction.
Quantitative: based on facts and associated data
Ethical consideration precedence - ANSWER 1. Law: nothing supersedes federal or state
law.
2. Precedent by caselaw
3. Common sense
4. Administrative rule
5. Contracts
Trauma Informed Care Principles - ANSWER Decisions are collaborative and team-based,
not from a single source.
1: understanding trauma and its affects.
2. safety.
3
, 3. help client gain regain control.
4. sharing of power.
5. cultural sensitivities power
6. integrating care.
7. establish or repair relationships.
8. ensure possibility of recovery.
Elements of Morality - ANSWER 1. The counselor as a person: the counselor's under-
standing of right and wrong through experience in life events.
2. A moral sense: innate sense of right and wrong that develops throughout one's life.
3. Values: what is important in a persons life.
Daily Ethical Conduct - ANSWER 1. provide informed consent.
2. operate in a competent manner.
3. ensure confidentiality.
4. maintain appropriate relationship boundaries.
5. utilize adequate consultation.
6. honor personal and cultural values.
Informed Consent Parts - ANSWER 1. client must be of stable mind to think rationally
2. client was understand the issue at hand
3. client must not be held against their will
Cultural Competence - ANSWER 1. Destructiveness
2. Incapacity
3. Blindness
4. Pre-Competence
5. Competence & Proficiency
4
2. Goal is to have situation subside.
3. Meet in person if possible, nonverbal communication is important
4. Uses verbal de-escalation, establishes rapport, NOT long history of the problem.
Relapse Prevention - ANSWER A focus on changing one's lifestyle to healthy and positive
changes which set a strong foundation to ward off triggers and temptations.
-Concentrates on coping and prevention skills necessary to be prepared throughout the pro-
cess.
-Does not end abruptly
-If it happens, it should be seen as a learning experience
-Focuses on cognitive and behavioral techniques
CENAPS Components - ANSWER 1. Assessment
2. Warning Sign Identification
3. Warning Sign Management
4. Recovery Planning
5. Relapse Early Intervention Training
CENAPS Stages - ANSWER 1. Transition: accept powerlessness and abstinence as the only
solution.
2. Stabilization: recuperate from effects of withdrawal, work through feelings of guilt, shame,
and remorse
3. Early Recovery: Live with the past and who we are individually.
1
,4. Middle Recovery: repair damage addiction has caused
5. Late Recovery: overcome dysfunction and obstacles to healthy living
6. Maintenance: continually grow and practice daily recovery
CENAPS Definition - ANSWER Center of applied science; Terrence Gorski: addiction is a
disease and strives for the client to be completely abstinent and make positive changes in
lifestyle through five stages or components.
Abstinence Violation Effect - ANSWER Marlatt & Gordon: A reaction to an initial lapse
that influences whether it becomes a full-blown relapse. Focuses on emotional response to
lapse and causes of lapse. The progression from lapse to relapse is NOT inevitable.
Marlatt & Gordon's Model - ANSWER Relapse is caused by immediate determinants and
covert antecedents.
Immediate Determinants: High risk situation coping skills, outcome expectations, abstinence
violation affect
Covert Antecedents: Lifestyle factors, urges, and cravings.
Use both specific and global intervention strategies.
Specific: identify high-risk situation, and hence coping skills, self efficacy, illuminate myths
about effects, manage lapses, restructure perception of relapse process.
Global: balance lifestyle, develop positive addictions, stimulus control and urge management
techniques, relapse roadmaps.
EBP goals - ANSWER EBP provide scientific evidence of why certain treatments work.
The goal is to help the process as a whole, not eradicate other means
EBPs incorporate opinions of clinical experts, uses science to determine usable evidence, in-
corporates individual tendencies of client and caregiver into the treatment plan.
Motivational Enhancement - ANSWER Proposes to quicken the process to encourage
rapid development through initial assessment. This includes battery assessment and individ-
ual sessions at a rapid pace.
2
,Contingency Management - ANSWER A type of behavioral therapy where patients are re-
warded or reinforced for positive changes. Uses positive reinforcement to increase a behav-
ior or frequency.
EX: gift cards for negative UA's.
Cultural Accommodation vs. Adaptation - ANSWER Cultural accommodation: modifies
how a model is delivered for better understanding.
Cultural adaptation: changes the actual structure of the model for cultural reasons.
Trauma Informed vs Specific - ANSWER Trauma informed: provides information about po-
tential traumas and how to handle them.
Trauma specific: deals with treating effects from a specific event that caused the trauma.
Qualitative vs Quantitative Assessment - ANSWER Qualitative: considers less tangible fac-
tors: observations, gut reaction.
Quantitative: based on facts and associated data
Ethical consideration precedence - ANSWER 1. Law: nothing supersedes federal or state
law.
2. Precedent by caselaw
3. Common sense
4. Administrative rule
5. Contracts
Trauma Informed Care Principles - ANSWER Decisions are collaborative and team-based,
not from a single source.
1: understanding trauma and its affects.
2. safety.
3
, 3. help client gain regain control.
4. sharing of power.
5. cultural sensitivities power
6. integrating care.
7. establish or repair relationships.
8. ensure possibility of recovery.
Elements of Morality - ANSWER 1. The counselor as a person: the counselor's under-
standing of right and wrong through experience in life events.
2. A moral sense: innate sense of right and wrong that develops throughout one's life.
3. Values: what is important in a persons life.
Daily Ethical Conduct - ANSWER 1. provide informed consent.
2. operate in a competent manner.
3. ensure confidentiality.
4. maintain appropriate relationship boundaries.
5. utilize adequate consultation.
6. honor personal and cultural values.
Informed Consent Parts - ANSWER 1. client must be of stable mind to think rationally
2. client was understand the issue at hand
3. client must not be held against their will
Cultural Competence - ANSWER 1. Destructiveness
2. Incapacity
3. Blindness
4. Pre-Competence
5. Competence & Proficiency
4
