CADC II-NCAC Exam Study Guide
Questions and Answers215
Client Education - ANSWERS-Provision of information to individuals and groups concerning
alcohol and other drug abuse and the available services and resources.
Global Criteria:
33. Present relevant alcohol and other drug use/abuse information to the client through formal
and/or informal processes.
34. Present information about available alcohol and other drug services and resources.
Referral - ANSWERS-Identifying the needs of a client that cannot be met by the counselor or
agency and assisting the client to utilize the support systems and community resources
available.
Global Criteria:
35. Identify need(s) and or problem(s) that the agency and/or counselor cannot meet.
36. Explain the rationale for the referral to the client.
37. Match client needs and/or problems to appropriate resources.
38. Adhere to applicable laws, regulations and agency policies governing procedures related to
the protection of the client's confidentiality.
39. Assist the client in utilizing the support systems and community resources available.
Report and Record Keeping - ANSWERS-Charting the results of the assessment and treatment
plan, writing reports, progress notes, discharge summaries and other client-related data.
Global Criteria:
40. Prepare reports and relevant records integrating available information to facilitate the
continuum of care.
41. Chart pertinent ongoing information pertaining to the client.
,42. Utilize relevant information from written documents for client care.
Consultation - ANSWERS-Relating with in-house staff or outside professionals to assure
comprehensive, quality care for the client.
Global Criteria:
43. Recognize issues that are beyond the counselor's base of knowledge and/or skill.
44. Consult with appropriate resources to ensure the provision of effective treatment services.
45. Adhere to applicable laws, regulations and agency policies governing the disclosure of client-
identifying data.
46. Explain the rationale for the consultation to the client, if appropriate.
crisis management - ANSWERS-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 - ANSWERS-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 process.
-Does not end abruptly
-If it happens, it should be seen as a learning experience
-Focuses on cognitive and behavioral techniques
CENAPS Components - ANSWERS-1. Assessment
2. Warning Sign Identification
3. Warning Sign Management
4. Recovery Planning
,5. Relapse Early Intervention Training
CENAPS Stages - ANSWERS-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.
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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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,
incorporates individual tendencies of client and caregiver into the treatment plan.
Motivational Enhancement - ANSWERS-Proposes to quicken the process to encourage rapid
development through initial assessment. This includes battery assessment and individual
sessions at a rapid pace.
Contingency Management - ANSWERS-A type of behavioral therapy where patients are
rewarded or reinforced for positive changes. Uses positive reinforcement to increase a behavior
or frequency.
EX: gift cards for negative UA's.
Cultural Accommodation vs. Adaptation - ANSWERS-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 - ANSWERS-Trauma informed: provides information about potential
traumas and how to handle them.
Trauma specific: deals with treating effects from a specific event that caused the trauma.
Qualitative vs Quantitative Assessment - ANSWERS-Qualitative: considers less tangible factors:
observations, gut reaction.
Quantitative: based on facts and associated data
Ethical consideration precedence - ANSWERS-1. Law: nothing supersedes federal or state law.
2. Precedent by caselaw
Questions and Answers215
Client Education - ANSWERS-Provision of information to individuals and groups concerning
alcohol and other drug abuse and the available services and resources.
Global Criteria:
33. Present relevant alcohol and other drug use/abuse information to the client through formal
and/or informal processes.
34. Present information about available alcohol and other drug services and resources.
Referral - ANSWERS-Identifying the needs of a client that cannot be met by the counselor or
agency and assisting the client to utilize the support systems and community resources
available.
Global Criteria:
35. Identify need(s) and or problem(s) that the agency and/or counselor cannot meet.
36. Explain the rationale for the referral to the client.
37. Match client needs and/or problems to appropriate resources.
38. Adhere to applicable laws, regulations and agency policies governing procedures related to
the protection of the client's confidentiality.
39. Assist the client in utilizing the support systems and community resources available.
Report and Record Keeping - ANSWERS-Charting the results of the assessment and treatment
plan, writing reports, progress notes, discharge summaries and other client-related data.
Global Criteria:
40. Prepare reports and relevant records integrating available information to facilitate the
continuum of care.
41. Chart pertinent ongoing information pertaining to the client.
,42. Utilize relevant information from written documents for client care.
Consultation - ANSWERS-Relating with in-house staff or outside professionals to assure
comprehensive, quality care for the client.
Global Criteria:
43. Recognize issues that are beyond the counselor's base of knowledge and/or skill.
44. Consult with appropriate resources to ensure the provision of effective treatment services.
45. Adhere to applicable laws, regulations and agency policies governing the disclosure of client-
identifying data.
46. Explain the rationale for the consultation to the client, if appropriate.
crisis management - ANSWERS-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 - ANSWERS-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 process.
-Does not end abruptly
-If it happens, it should be seen as a learning experience
-Focuses on cognitive and behavioral techniques
CENAPS Components - ANSWERS-1. Assessment
2. Warning Sign Identification
3. Warning Sign Management
4. Recovery Planning
,5. Relapse Early Intervention Training
CENAPS Stages - ANSWERS-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.
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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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 - ANSWERS-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,
incorporates individual tendencies of client and caregiver into the treatment plan.
Motivational Enhancement - ANSWERS-Proposes to quicken the process to encourage rapid
development through initial assessment. This includes battery assessment and individual
sessions at a rapid pace.
Contingency Management - ANSWERS-A type of behavioral therapy where patients are
rewarded or reinforced for positive changes. Uses positive reinforcement to increase a behavior
or frequency.
EX: gift cards for negative UA's.
Cultural Accommodation vs. Adaptation - ANSWERS-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 - ANSWERS-Trauma informed: provides information about potential
traumas and how to handle them.
Trauma specific: deals with treating effects from a specific event that caused the trauma.
Qualitative vs Quantitative Assessment - ANSWERS-Qualitative: considers less tangible factors:
observations, gut reaction.
Quantitative: based on facts and associated data
Ethical consideration precedence - ANSWERS-1. Law: nothing supersedes federal or state law.
2. Precedent by caselaw
