2026 LCDC CORRECT TEST PAPER QUESTIONS AND
ANSWERS SET A+
✔✔How many sequential stages must outpatient clients work through, regardless of the
level of care at which they enter treatment, and what are they? - ✔✔Four stages:
1.Treatment Engagement
2.Early Recovery
3.Maintenance
4.Community Support
✔✔What is the usual recommended minimum duration of days for the intensive
outpatient treatment (IOT) phase? - ✔✔(90) days
✔✔How is the most effective relapse-prevention training provided? - ✔✔Group &
Individual are equally effective.
✔✔What are some types of intensive outpatient treatment (IOT) groups? - ✔✔1.
Psychoed
2. Interpersonal process
3. Skills Development
4. Family & Couples
5. Support
✔✔What is the most common duration of counseling in an intensive outpatient
treatment (IOT) program? - ✔✔(30 to 50 minutes)
1 x weekly
✔✔What is involved in a common session format of individual counseling? - ✔✔Ask
about: Reactions to group & feelings, urgent issues, drug-alcohol use & outside
activities
,✔✔What can Intensive Outpatient Treatment (IOT) based pharmacotherapy and
medication management facilitate? - ✔✔1.ambulatory detox
2.withdrawal symptom relief
3.craving reduction
4.blocking reinforcing effects of drugs
5.reducing risks of drug injecting
6.mitigation of psychpathologies
7.monitoring medical conditions
✔✔How are pharmacotherapy and medication management in substance abuse
treatment described? - ✔✔Of considerable, yet limited, value in treatment
✔✔Topics addressed in psychoeducational groups are typically - ✔✔sequenced by
concept for better results
✔✔What are just (5) of the 22 CORE topics addressed in psychoeducational groups? -
✔✔1. Stress management/coping skills
2. Understanding relapse process
3. Relapse prevention tools
4. Creating personal relapse plan
5. Managing desires to test control
✔✔What is the original (CIWA-Ar) scale designed for, & what does acronym stand for? -
✔✔Assesses alcohol withdrawal risk.
(Clinical Institute Withdrawal Assessment)
(10 item scale)
✔✔Which of the following substances lack effective treatment medications? -
✔✔cocaine & marijuana
✔✔(Adjunctive) therapies refers to these 3 types: - ✔✔1.Stress-Mngmt
2.Acupuncture
3.Meditation
✔✔Dealing with smoking cessation during a substance abuse treatment program is
something to seriously consider only if - ✔✔the client wants it
✔✔Is this statement True or False?
Disulfiram (Antabuse) is contraindicated for clients whose alcohol abuse is combined
with cocaine or methadone use. - ✔✔False
✔✔What is the 'Sandwich' technique? - ✔✔An (intake interviewing) technique
,✔✔What are the (3) most effective screening tools for substance use disorders? -
✔✔1.The (CSAT) Simple Screening Instrument
2.The (ADS) Alcohol Dependence Scale
3.The (ASI) Addiction Severity Index scale
3.The (TCUDS) Texas Christian University Drug Screen
✔✔What does the acronym (SDSS) stand for & what is it designed to measure? -
✔✔(Substance Dependence Severity Scale)
It measures Drug use disorder severity-over time
✔✔What is the (primary purpose) of the Texas Christian University Drug Screen
(TCUDS)? - ✔✔To identify those (with and without) issues of drug dependency
✔✔What is physiological dependence on a drug determined by? - ✔✔The tolerance or
symptoms of withdrawal
✔✔According to the DSM-5 criteria, a client that (has) previously met the criteria for
stimulant use disorder but now (has not) met the criteria for stimulant use in 10 months
(except for craving) would be termed to be in _________remission. - ✔✔Early
✔✔What is the clients family of choice used to describe? - ✔✔Relationships by
marriage or friendships
✔✔What does a (dual relationship) refer to? - ✔✔A working relationship with a client
outside the professional domain
✔✔What is an appropriate response to a substantial gift from a client? - ✔✔"I can't
accept that, but thank you anyway."
✔✔Two clients in a treatment group begin dating. What would a proper response be? -
✔✔Address program policy preventing dating among group members.
✔✔At a local dance club, a counselor spots a client drinking at the bar. What is the best
response? - ✔✔Avoid contact & leave immediately.
✔✔As a substance abuse counselor, you work in a treatment program and also
personally attend a 12 step program in the community. A treatment program client asks
you to become his 12 step sponsor, what is the best response? - ✔✔(Decline) knowing
the potential conflicts in multiple roles.
✔✔In providing counseling treatment, what are counselors encouraged to do? - ✔✔Use
multiple counseling approaches.
, ✔✔What does the 12 -step Facilitation Approach refer to? - ✔✔Encourages clients to
enter a 12 step program.
✔✔List (3) strengths of 12- step programs? - ✔✔1.free & offer support
2.work w/ diverse clients
3.recovery in mental, health, & spiritual areas
✔✔Why is Staff familiarity with 12 step program facilitation is important? - ✔✔Clients
are more motivated, their issues are better resolved & they stay abstinent longer
✔✔When outcomes from cognitive-behavioral coping skills therapy and motivational
enhancement therapy are compared with outcomes of 12 step facilitation, how do
clients fare best with? - ✔✔12-step facilitation
✔✔Traditionally, what has the term therapeutic community (TC) referred to? - ✔✔A
(drug free) residential treatment environment
✔✔Why do therapeutic communities (TC's) often focus on (habilitation) instead of
rehabilitation? - ✔✔Habilitation teaches new skills & rehabilitation teaches old ones
✔✔In what setting is the therapeutic community (TC) treatment model most effective? -
✔✔A formal (full-time residential), & an intensive (day treatment)
✔✔What is the most important reason that ordered and routine activities are built into
the therapeutic community (TC) treatment process? - ✔✔Its the opposite of the usual
disordered lives of addicts.
✔✔What is the MATRIX model designed to treat? - ✔✔Stimulant abuse
✔✔What are significant drawbacks to community reinforcement (CR) and contingency
management (CM) approaches? - ✔✔(CR) is hard work.
(CM) is costly.
✔✔With regard to co-ocurring disorders, what does the term (integrated) treatment refer
to? - ✔✔Treating (Psychiatric & Substance Abuse) issues at same time.
✔✔What would be the most typical co-occurring disorder client? - ✔✔An alcoholic
woman
✔✔How many categories does SAMHSA's Service Coordination Framework for Co-
ocurring Disorders have? - ✔✔Four (4) categories
ANSWERS SET A+
✔✔How many sequential stages must outpatient clients work through, regardless of the
level of care at which they enter treatment, and what are they? - ✔✔Four stages:
1.Treatment Engagement
2.Early Recovery
3.Maintenance
4.Community Support
✔✔What is the usual recommended minimum duration of days for the intensive
outpatient treatment (IOT) phase? - ✔✔(90) days
✔✔How is the most effective relapse-prevention training provided? - ✔✔Group &
Individual are equally effective.
✔✔What are some types of intensive outpatient treatment (IOT) groups? - ✔✔1.
Psychoed
2. Interpersonal process
3. Skills Development
4. Family & Couples
5. Support
✔✔What is the most common duration of counseling in an intensive outpatient
treatment (IOT) program? - ✔✔(30 to 50 minutes)
1 x weekly
✔✔What is involved in a common session format of individual counseling? - ✔✔Ask
about: Reactions to group & feelings, urgent issues, drug-alcohol use & outside
activities
,✔✔What can Intensive Outpatient Treatment (IOT) based pharmacotherapy and
medication management facilitate? - ✔✔1.ambulatory detox
2.withdrawal symptom relief
3.craving reduction
4.blocking reinforcing effects of drugs
5.reducing risks of drug injecting
6.mitigation of psychpathologies
7.monitoring medical conditions
✔✔How are pharmacotherapy and medication management in substance abuse
treatment described? - ✔✔Of considerable, yet limited, value in treatment
✔✔Topics addressed in psychoeducational groups are typically - ✔✔sequenced by
concept for better results
✔✔What are just (5) of the 22 CORE topics addressed in psychoeducational groups? -
✔✔1. Stress management/coping skills
2. Understanding relapse process
3. Relapse prevention tools
4. Creating personal relapse plan
5. Managing desires to test control
✔✔What is the original (CIWA-Ar) scale designed for, & what does acronym stand for? -
✔✔Assesses alcohol withdrawal risk.
(Clinical Institute Withdrawal Assessment)
(10 item scale)
✔✔Which of the following substances lack effective treatment medications? -
✔✔cocaine & marijuana
✔✔(Adjunctive) therapies refers to these 3 types: - ✔✔1.Stress-Mngmt
2.Acupuncture
3.Meditation
✔✔Dealing with smoking cessation during a substance abuse treatment program is
something to seriously consider only if - ✔✔the client wants it
✔✔Is this statement True or False?
Disulfiram (Antabuse) is contraindicated for clients whose alcohol abuse is combined
with cocaine or methadone use. - ✔✔False
✔✔What is the 'Sandwich' technique? - ✔✔An (intake interviewing) technique
,✔✔What are the (3) most effective screening tools for substance use disorders? -
✔✔1.The (CSAT) Simple Screening Instrument
2.The (ADS) Alcohol Dependence Scale
3.The (ASI) Addiction Severity Index scale
3.The (TCUDS) Texas Christian University Drug Screen
✔✔What does the acronym (SDSS) stand for & what is it designed to measure? -
✔✔(Substance Dependence Severity Scale)
It measures Drug use disorder severity-over time
✔✔What is the (primary purpose) of the Texas Christian University Drug Screen
(TCUDS)? - ✔✔To identify those (with and without) issues of drug dependency
✔✔What is physiological dependence on a drug determined by? - ✔✔The tolerance or
symptoms of withdrawal
✔✔According to the DSM-5 criteria, a client that (has) previously met the criteria for
stimulant use disorder but now (has not) met the criteria for stimulant use in 10 months
(except for craving) would be termed to be in _________remission. - ✔✔Early
✔✔What is the clients family of choice used to describe? - ✔✔Relationships by
marriage or friendships
✔✔What does a (dual relationship) refer to? - ✔✔A working relationship with a client
outside the professional domain
✔✔What is an appropriate response to a substantial gift from a client? - ✔✔"I can't
accept that, but thank you anyway."
✔✔Two clients in a treatment group begin dating. What would a proper response be? -
✔✔Address program policy preventing dating among group members.
✔✔At a local dance club, a counselor spots a client drinking at the bar. What is the best
response? - ✔✔Avoid contact & leave immediately.
✔✔As a substance abuse counselor, you work in a treatment program and also
personally attend a 12 step program in the community. A treatment program client asks
you to become his 12 step sponsor, what is the best response? - ✔✔(Decline) knowing
the potential conflicts in multiple roles.
✔✔In providing counseling treatment, what are counselors encouraged to do? - ✔✔Use
multiple counseling approaches.
, ✔✔What does the 12 -step Facilitation Approach refer to? - ✔✔Encourages clients to
enter a 12 step program.
✔✔List (3) strengths of 12- step programs? - ✔✔1.free & offer support
2.work w/ diverse clients
3.recovery in mental, health, & spiritual areas
✔✔Why is Staff familiarity with 12 step program facilitation is important? - ✔✔Clients
are more motivated, their issues are better resolved & they stay abstinent longer
✔✔When outcomes from cognitive-behavioral coping skills therapy and motivational
enhancement therapy are compared with outcomes of 12 step facilitation, how do
clients fare best with? - ✔✔12-step facilitation
✔✔Traditionally, what has the term therapeutic community (TC) referred to? - ✔✔A
(drug free) residential treatment environment
✔✔Why do therapeutic communities (TC's) often focus on (habilitation) instead of
rehabilitation? - ✔✔Habilitation teaches new skills & rehabilitation teaches old ones
✔✔In what setting is the therapeutic community (TC) treatment model most effective? -
✔✔A formal (full-time residential), & an intensive (day treatment)
✔✔What is the most important reason that ordered and routine activities are built into
the therapeutic community (TC) treatment process? - ✔✔Its the opposite of the usual
disordered lives of addicts.
✔✔What is the MATRIX model designed to treat? - ✔✔Stimulant abuse
✔✔What are significant drawbacks to community reinforcement (CR) and contingency
management (CM) approaches? - ✔✔(CR) is hard work.
(CM) is costly.
✔✔With regard to co-ocurring disorders, what does the term (integrated) treatment refer
to? - ✔✔Treating (Psychiatric & Substance Abuse) issues at same time.
✔✔What would be the most typical co-occurring disorder client? - ✔✔An alcoholic
woman
✔✔How many categories does SAMHSA's Service Coordination Framework for Co-
ocurring Disorders have? - ✔✔Four (4) categories
