Alcohol and Drug Counselor Exam

Alcohol and Drug Counselor Exam Terms In This Set (191) Culture-bound syndrome - illness truly bound to specific culture; refer to otherwise common mental or physical illnesses that are subsequently construed as unusual because of pathoplastic influence of clture (e.g, hallucinatory sx of schizophrenia could be due to demon possession) pharmacological therapy and psychotherapy - two key mental health treatment paradigms of Western medicine (multimodal therapy) racism and discrimination - refer to attitudes, beliefs, and practices that prejudge and denigrate individuals or gs based on disparate phenotypic characteristics (skin color, hair texture, facial features, etc) or ethnic minority group affiliation What is the trend for cultural diversity in the US? - increasing rapidly and steadily; by 2025, 40% adults (48% children) will be from ethnic and racial minority gps. HIV - the viral agent that causes AIDS (Acquired Immunodeficiency Syndrome), which is the final stage in the HIV disease process; most prevalent in men having sex with men and IV drug users; contributes to poverty, homelessness, an other medical problems 50% - percent increase in the number of seniors needing substance abuse treatment. 70% rate of increase in treatment Limits to confidentiality - 1. Client request for release of information 2. Court orders for release of information 3. Danger to self 4. Danger to others 5. Suspected Child abuse/neglect cause by a client 6. Grave disability CAGE questionnaire - Have you ever felt you should CUT DOWN on your drinking? Have people ANNOYED you by criticizing your drinking? Have you ever felt bad or GUILTY about your drinking? Have you ever had a drink first thing in the morning to steady your nerves (EYE-OPENER)? - 4-question on alcohol abuse MAST - Michigan Alcoholism Screening Test - yes or no to 25 questions to explore number of treatment issues; most accurate and oldest screening tool to identify drinkers with 98% accuracy What is another cultural issues beyond the client's culture? - counselor's culture Relapse-remitting model of addiction - recognizes that some issues tend to return cyclically overtime, can help counselor and CLT make advance contingency plans to avoid having brief relapse in negative circumstances or behaviors Authentically connected referral network - refers to a carefully established set of services providers prepared to meet client needs; goal is for all network agencies an providers to recognize their valued and essential roles in the addiction treatment process and for clients to recognize this and respond with similar trust and confidence. What is the primary aim of case management services, beyond providing seamless care and being client-centered? - to provide least restrictive level of care Ask-teLl-ask technique - asking permission of the client to talk with them, telling them of any concerns you have, and then asking for their thoughts on what you shared. Referral form - used to track the results of the referral; WHO (identifies the client and counselor involved/demographic info; substance use, legal issues, family concerns) WHAT (issues that generated the need for the referral, substance/work, family, and goals and commitments) HOW (address how CLT was engaged and dealt with) When should planning for aftercare be engaged - at the point of initial counselor-client contact What should be the focus of treatment mostly? - positive education and skills in substance abuse triggers, patterns of use, and relapse prevention; substance issues, recovery, health issues, co-occurring disorders; holistic treatment planning an interventions are essential in recovery process Bookend term in substance abuse treatment means.. - discussing a trigger event with someone trusted before and after it occurs Trigger events - often crisis stressors or situations CFR 42, part 2 - confidentiality in areas of alcohol and substance abuse. confidentiality restriction apply: 1) to records, w/c may not be disclosed even in admin, civil, criminal, or legislative proceedings by any govt authority