ADC Evidence-Based Treatment,
Counseling, and Referral Exam-
Graded A
SMART goals - ANSWER-Specific, Measurable, Attainable, Realistic, Timely (MATRS)
proximal vs distal factors - ANSWER-proximal are behaviors, distal are traits
Four Quadrant Model - ANSWER-Quadrant 1- low substance/mental health concerns
(outpatient, primary care)
Quadrant 2- serious mental health, mild substance use (inpatient mental health
treatment)
Quadrant 3- severe substance use, mild mental health (dual diagnosis facilities)
Quadrant 4- severe mental health/substance use (hospitals, CBCF)
operant conditioning - ANSWER-Skinner, a type of learning in which behavior is
strengthened if followed by a reinforcer or diminished if followed by a punisher
Social learning theory - ANSWER-Bandura's version of learning theory, which
emphasizes the role of modeling, or observational learning, in behavior.
cue exposure therapy - ANSWER-Exposure of a person to drug cues to help him control
urges to use the drug.
counterconditioning - ANSWER-a behavior therapy procedure that uses classical
conditioning to evoke new responses to stimuli that are triggering unwanted behaviors;
includes exposure therapies and aversive conditioning
rational-emotive behavior therapy (REBT) - ANSWER-a confrontational cognitive
therapy, that vigorously challenges people's illogical, self-defeating attitudes and
assumptions, uses ABD model,
cognitive behavioral therapy - ANSWER-Aaron Beck, emotional distress is caused by
cognitive distortions, therapists help client restructure their automatic thoughts
dialectical behavior therapy (DBT) - ANSWER-about acceptance and change, based on
the premise that client experienced childhoods in which emotions were either dismissed
or minimized. emphasizes trust and radical acceptance
, DBT viewpoints - ANSWER-DBT teaches clients to recognize and accept two opposing
viewpoints or dialects by examining black-and-white or all-or-nothing dialects that
accompany common thinking patterns of those with SUD
4 stages of DBT - ANSWER-Client exhibits harmful behaviors, client begins to make
behavioral changes, clients have progressed through therapy. client's begin to
experience belonging and connectedness
Reality Theory - ANSWER-reality is not based on actual events but on a person's
perception of events. Main goal is to help clients take responsibility for their current
feelings, thoughts, and behaviors. Help clients learn to connect with others, humans
have a core need for love and belonging
Reality therapy 8 principles - ANSWER-involvement, identifying current behaviors,
evaluating behavior, planning transition into responsible behavior, commitment to
change, no excuses, no punishment, remain steadfast
failure and success identities - ANSWER-reality therapy, transform failure identities into
success ones where clients take personal responsibility for their actions
solution focused therapy - ANSWER-aims to differentiate methods that are effective
from those that are not and to identify areas of strengths so they can be used in
problem solving. time limited, uses the miracle question, not past based
brief therapy - ANSWER-time sensitive and goal-orientated, moving client through the
stages of change to action
OARS - ANSWER-Open-ended questions
Affirmations
Reflective listening
Summaries
foundational components of MI - ANSWER-collaboration, evoking, autonomy,
compassion
MI strategies - ANSWER-Rolling with resistance, increase change talk, flexible pacing
(move at client's pace)
SATIR'S COMMUNICATION IMPEDIMENTS - ANSWER-placating- trying to please
others
blaming
irrelevance- person displaces the potential problem and substitutes another unrelated
activity
responsible analyzer- emotions in check and functions like a machine
Counseling, and Referral Exam-
Graded A
SMART goals - ANSWER-Specific, Measurable, Attainable, Realistic, Timely (MATRS)
proximal vs distal factors - ANSWER-proximal are behaviors, distal are traits
Four Quadrant Model - ANSWER-Quadrant 1- low substance/mental health concerns
(outpatient, primary care)
Quadrant 2- serious mental health, mild substance use (inpatient mental health
treatment)
Quadrant 3- severe substance use, mild mental health (dual diagnosis facilities)
Quadrant 4- severe mental health/substance use (hospitals, CBCF)
operant conditioning - ANSWER-Skinner, a type of learning in which behavior is
strengthened if followed by a reinforcer or diminished if followed by a punisher
Social learning theory - ANSWER-Bandura's version of learning theory, which
emphasizes the role of modeling, or observational learning, in behavior.
cue exposure therapy - ANSWER-Exposure of a person to drug cues to help him control
urges to use the drug.
counterconditioning - ANSWER-a behavior therapy procedure that uses classical
conditioning to evoke new responses to stimuli that are triggering unwanted behaviors;
includes exposure therapies and aversive conditioning
rational-emotive behavior therapy (REBT) - ANSWER-a confrontational cognitive
therapy, that vigorously challenges people's illogical, self-defeating attitudes and
assumptions, uses ABD model,
cognitive behavioral therapy - ANSWER-Aaron Beck, emotional distress is caused by
cognitive distortions, therapists help client restructure their automatic thoughts
dialectical behavior therapy (DBT) - ANSWER-about acceptance and change, based on
the premise that client experienced childhoods in which emotions were either dismissed
or minimized. emphasizes trust and radical acceptance
, DBT viewpoints - ANSWER-DBT teaches clients to recognize and accept two opposing
viewpoints or dialects by examining black-and-white or all-or-nothing dialects that
accompany common thinking patterns of those with SUD
4 stages of DBT - ANSWER-Client exhibits harmful behaviors, client begins to make
behavioral changes, clients have progressed through therapy. client's begin to
experience belonging and connectedness
Reality Theory - ANSWER-reality is not based on actual events but on a person's
perception of events. Main goal is to help clients take responsibility for their current
feelings, thoughts, and behaviors. Help clients learn to connect with others, humans
have a core need for love and belonging
Reality therapy 8 principles - ANSWER-involvement, identifying current behaviors,
evaluating behavior, planning transition into responsible behavior, commitment to
change, no excuses, no punishment, remain steadfast
failure and success identities - ANSWER-reality therapy, transform failure identities into
success ones where clients take personal responsibility for their actions
solution focused therapy - ANSWER-aims to differentiate methods that are effective
from those that are not and to identify areas of strengths so they can be used in
problem solving. time limited, uses the miracle question, not past based
brief therapy - ANSWER-time sensitive and goal-orientated, moving client through the
stages of change to action
OARS - ANSWER-Open-ended questions
Affirmations
Reflective listening
Summaries
foundational components of MI - ANSWER-collaboration, evoking, autonomy,
compassion
MI strategies - ANSWER-Rolling with resistance, increase change talk, flexible pacing
(move at client's pace)
SATIR'S COMMUNICATION IMPEDIMENTS - ANSWER-placating- trying to please
others
blaming
irrelevance- person displaces the potential problem and substitutes another unrelated
activity
responsible analyzer- emotions in check and functions like a machine
