CAADC EXAM |208 QUESTIONS AND
ANSWERS
5 stages of change - -Pre-Contemplation, Contemplation, Preparation,
Action, Maintenance
- 6 Dimensions of ASAM - -1. Acute Intoxication/Withdrawal
2.Biomedical
3.Emotional/Behavioral
4.Readiness to Change
5.Relapse or Continued Use Potential
6.Recovery/Living Environment
- 12 Core Functions - -screening, intake, orientation, assessment, treatment
planning, counseling, case management, crisis intervention, client education,
referral, report/record keeping, consultation
- ASAM - -American Society of Addiction Medicine
- ASAM Continuum of Care: 5 Levels of Care - -0.5 Early Intervention
1.0 Outpatient services
2.0 Intensive Outpatient/partial hospitalization (2.1=intensive outpatient;
2.5=partial hospitalization)
3.0 Residential/Inpatient (3.1=clinically managed low intensity residential;
3.3=clinically managed population specific high intensity residential;
3.5=clinically managed high intensity residential; 3.7=medically monitored
intensive inpatient services
4.0 Medically Monitored Intensive Inpatient Services
- CBT - -A short term focused approach to helping people become abstinent.
Assumption that learning processes play an important role. Based on the
idea that feelings and behaviors are cause by a persons thoughts. People
may not be able to change their circumstances but they can change how
they think about them. The goal is to teach the person to recognize
situations in which they may drink, avoid these situations and cope with
other problems that may lead to substance abuse.
- Counseling Groups - -Counseling groups are a process group, and
generally less educations. All counseling groups shall be facilitated by
professional staff.
- Cultural Blindness - -Ignores differences and proceeds as if they did not
exist
, - Cultural Destructiveness - -Counselors filter interactions through a biased
lens without engaging in self reflection
- Didactic Group - -Didactic groups primary purpose is to educate patients
and their significant others on a specific treatment related topic in a group
setting. Should not exceed 24 people
- Dimensions included in an effective ROSC - -Health, Home, Purpose,
Community
- Disease Model - -Addiction is a disease. Comes as result of the impairment
of healthy neurochemical or behavioral processes. Jellinek is the pioneer of
this model.
- Informed Consent - -The client has a right and power to consent to
treatment. Elements include the clients rational capacity to provide consent,
clients comprehension, and clients sense of self determination
- Intake - -The process of enrolling a client in a specific course of treatment.
Primarily an administrative function. It is the extension of the screening
process. 1) Establish Eligibility 2) Complete basic data collection 3) Identify
barriers 4) Establish a treatment approach
- Moral Model - -the belief that people abuse alcohol because they choose
to do so. This model has no sympathy for people with serious addictions
believing that the addict demonstrated a great moral failure.
- Motivational Enhancement Therapy (MET) - -*method of counseling where
the client's internal motivation is the driving force for changing problem bx
*FRAMES (feedback, emphasis on personal responsibility, clear advice to
change, a menu of alternative, therapist empathy, facilitation of client self
efficacy)
*Goes hand in hand with the stages of change
Used in arenas where sessions are infrequent
- Motivational Interviewing - -a collaborative, person-centered form of
guiding to elicit and strengthen motivation for change. 1) Ask open ended
questions 2) Listen Reflectively 3) Summarize 4) Affirm 5) Elicit self-
motivational statements
- Orientation - -Involves describing the nature and goals of the program to
the client and the family.
- Prefrontal Cortex - -The part of the brain that enables us to assess
situations. This part of the brain is still maturing during adolescence.
, - Psychological Model - -Substance use results from deficits in learning,
emotional dysfunction, or psychopathology that can be treated behaviorally
or psychoanalytically oriented therapies.
- Recovery Management - -Model of care
Wraps traditional interventions in a continuum of recovery support services
- ROSC's - -Recovery Oriented Systems of Care- distinctive emphasis on
post treatment monitoring and support.
- Sociocultural Model - -The cultural milieu in developing substance use
disorders.
- Spiritual Model - -Substances are used in an attempt to fill spiritual
emptiness. 12 step programs
- Standardized interview - -Also known as a structured interview. An
interview employed by quantitative researchers in which the same
questions, worded identically and presented in the same order, are asked of
participants in a uniform manner.
- Therapeutic Alliance - -the relationship between therapist and client that
develops as a warm, caring, accepting relationship characterized by
empathy, mutual respect, and understanding.
- Types of Learning Styles - -Auditory, Visual, Kinesthetic
- Addiciton Severity Index (ASI) - -Developed in 1980, most used
assessment instrument.
- Agonist - -a molecule that, by binding to a receptor site, stimulates a
response
- Antagonist - -Blocks the action of the agonist, and an inverse agonist
causes an action opposite to that of the agonist
- Akathisia - -motor restlessness
- Alcohol Use Disorders Identification Test (AUDIT) - -10 items on
instrument, developed by WHO; asks about frequency of drinking, alcohol
dependence & problems caused by alcohol in the past 12 months; scores
range from 0-40; a score of 8+ indicates likelihood of harmful alcohol
consumption
- Alcohol Withdrawal Timeframe - -Peeks 2-3 days and subsides in 4-5 days.
Carvings may continue for years.
ANSWERS
5 stages of change - -Pre-Contemplation, Contemplation, Preparation,
Action, Maintenance
- 6 Dimensions of ASAM - -1. Acute Intoxication/Withdrawal
2.Biomedical
3.Emotional/Behavioral
4.Readiness to Change
5.Relapse or Continued Use Potential
6.Recovery/Living Environment
- 12 Core Functions - -screening, intake, orientation, assessment, treatment
planning, counseling, case management, crisis intervention, client education,
referral, report/record keeping, consultation
- ASAM - -American Society of Addiction Medicine
- ASAM Continuum of Care: 5 Levels of Care - -0.5 Early Intervention
1.0 Outpatient services
2.0 Intensive Outpatient/partial hospitalization (2.1=intensive outpatient;
2.5=partial hospitalization)
3.0 Residential/Inpatient (3.1=clinically managed low intensity residential;
3.3=clinically managed population specific high intensity residential;
3.5=clinically managed high intensity residential; 3.7=medically monitored
intensive inpatient services
4.0 Medically Monitored Intensive Inpatient Services
- CBT - -A short term focused approach to helping people become abstinent.
Assumption that learning processes play an important role. Based on the
idea that feelings and behaviors are cause by a persons thoughts. People
may not be able to change their circumstances but they can change how
they think about them. The goal is to teach the person to recognize
situations in which they may drink, avoid these situations and cope with
other problems that may lead to substance abuse.
- Counseling Groups - -Counseling groups are a process group, and
generally less educations. All counseling groups shall be facilitated by
professional staff.
- Cultural Blindness - -Ignores differences and proceeds as if they did not
exist
, - Cultural Destructiveness - -Counselors filter interactions through a biased
lens without engaging in self reflection
- Didactic Group - -Didactic groups primary purpose is to educate patients
and their significant others on a specific treatment related topic in a group
setting. Should not exceed 24 people
- Dimensions included in an effective ROSC - -Health, Home, Purpose,
Community
- Disease Model - -Addiction is a disease. Comes as result of the impairment
of healthy neurochemical or behavioral processes. Jellinek is the pioneer of
this model.
- Informed Consent - -The client has a right and power to consent to
treatment. Elements include the clients rational capacity to provide consent,
clients comprehension, and clients sense of self determination
- Intake - -The process of enrolling a client in a specific course of treatment.
Primarily an administrative function. It is the extension of the screening
process. 1) Establish Eligibility 2) Complete basic data collection 3) Identify
barriers 4) Establish a treatment approach
- Moral Model - -the belief that people abuse alcohol because they choose
to do so. This model has no sympathy for people with serious addictions
believing that the addict demonstrated a great moral failure.
- Motivational Enhancement Therapy (MET) - -*method of counseling where
the client's internal motivation is the driving force for changing problem bx
*FRAMES (feedback, emphasis on personal responsibility, clear advice to
change, a menu of alternative, therapist empathy, facilitation of client self
efficacy)
*Goes hand in hand with the stages of change
Used in arenas where sessions are infrequent
- Motivational Interviewing - -a collaborative, person-centered form of
guiding to elicit and strengthen motivation for change. 1) Ask open ended
questions 2) Listen Reflectively 3) Summarize 4) Affirm 5) Elicit self-
motivational statements
- Orientation - -Involves describing the nature and goals of the program to
the client and the family.
- Prefrontal Cortex - -The part of the brain that enables us to assess
situations. This part of the brain is still maturing during adolescence.
, - Psychological Model - -Substance use results from deficits in learning,
emotional dysfunction, or psychopathology that can be treated behaviorally
or psychoanalytically oriented therapies.
- Recovery Management - -Model of care
Wraps traditional interventions in a continuum of recovery support services
- ROSC's - -Recovery Oriented Systems of Care- distinctive emphasis on
post treatment monitoring and support.
- Sociocultural Model - -The cultural milieu in developing substance use
disorders.
- Spiritual Model - -Substances are used in an attempt to fill spiritual
emptiness. 12 step programs
- Standardized interview - -Also known as a structured interview. An
interview employed by quantitative researchers in which the same
questions, worded identically and presented in the same order, are asked of
participants in a uniform manner.
- Therapeutic Alliance - -the relationship between therapist and client that
develops as a warm, caring, accepting relationship characterized by
empathy, mutual respect, and understanding.
- Types of Learning Styles - -Auditory, Visual, Kinesthetic
- Addiciton Severity Index (ASI) - -Developed in 1980, most used
assessment instrument.
- Agonist - -a molecule that, by binding to a receptor site, stimulates a
response
- Antagonist - -Blocks the action of the agonist, and an inverse agonist
causes an action opposite to that of the agonist
- Akathisia - -motor restlessness
- Alcohol Use Disorders Identification Test (AUDIT) - -10 items on
instrument, developed by WHO; asks about frequency of drinking, alcohol
dependence & problems caused by alcohol in the past 12 months; scores
range from 0-40; a score of 8+ indicates likelihood of harmful alcohol
consumption
- Alcohol Withdrawal Timeframe - -Peeks 2-3 days and subsides in 4-5 days.
Carvings may continue for years.
