ILLINOIS CADC UPDATED EXAM SCRIPT QUESTIONS
AND SOLUTIONS GRADED A+
✔✔Recovery-Oriented Systems of Care - ✔✔ROSCs are a model of sustained recovery
management (RM). The RM model wraps traditional interventions in a continuum of
recovery support services spanning the pre-recovery, recovery initiation and
stabilization, and recovery maintenance stages of problem resolution. Distinctive is the
model's emphasis on post-treatment monitoring and support; long term, stage-
appropriate recovery education; peer- based recovery coaching; assertive linkage to
communities of recovery; and when needed, early re-intervention (White, 2006).
✔✔CSAT - ✔✔Center for Substance Abuse Treatment
✔✔SAMHSA - ✔✔Substance Abuse and Mental Health Services
✔✔Recovery and Recovery-Oriented Systems of Care - ✔✔Important to make the
destiction between Recovery and ROSC.
✔✔Recovery - ✔✔Process of change whereby individuals improve their health and
wellness.
✔✔ROSC - ✔✔Partnering with people in recovery from mental health and SUD to guide
the behavioral health system and promote individual, program and system-level
approaches that foster health and resilience; increase permanent housing, employment,
education and other necessary supports; and reduce barriers to social inclusion.
✔✔Four Major Dimensions in an effective ROSC - ✔✔Health (disease
management);Home;Purpose; Community.
✔✔Clinical Evaluation - ✔✔Effectively assessing a person's alcohol and/or drug misuse
is critical to preventing or early intervention in addiction - can be through outreach,
screening, or assessment.
✔✔Engaging the client in treatment - ✔✔Making a respectful, non-judgmental
connection with client is key to engagement.
✔✔Goals of the Initial Interview - ✔✔(1) Establish trust, rapport and effective
communication with the client. (2)facilitating the client's UNDERSTANDING OF THE
RATIONALE, PURPOSE, AND PROCEDURES ASSOCIATED WITH THE
SCREENING AND ASSESSMENT PROCESS. (3) Exploring the client's problems and
expectations; and (4) determining whether further assessment is needed.
✔✔The Interview Climate - ✔✔Factors include Stigma, Expectations, Likableness, First
Impression, Professional Manner, Environment.
, ✔✔Communication Techniques (reflecting, clarifying, focusing, summarizing) -
✔✔Active Listening is an intentional feedback loop wherein the counselor reflects,
clarifies and summarizes what the client says in order to verify that they understand
both the literal content and feelings being conveyed. Specific skills include: Reflecting
(restating); Clarifying (rephrasing); Focusing (directing client's attention) and
Summarizing.
✔✔Motivational Interviewing (MI) - ✔✔A style of interaction to facilitate change, began
in substance abuse treatment in the early 1980's. It contrasts with the traditional
confrontational style. MI is a client-centered approach that seeks to enhance and
individual's motivation to change by exploring and resolving ambivalence. It has been
framed as a "guiding" style of communication as compared to a more directive style.
✔✔GAIN - ✔✔Standardized Screening tool to obtain information about substance use.
✔✔Assessment - ✔✔A process for defining that nature of the problem, determining a
diagnosis, developing specific treatment recommendations. Entry level counselors
perform screening while assessment is performed by more experienced and
credentialed staff. Assessment is an in-depth evaluation.
✔✔Assessment Interview (Biopsychosocial) - ✔✔Interviews with the person being
assessed are more comprehensive than the brief interviews used for screening. In
screening, information is focused on the self-report of the person seeking services,
while in assessment interviews, a more thorough and systematic method of gathering
information is used.
✔✔Assessment Instruments - ✔✔Include Standardized interviews, Structured
Interviews, Self-administered tests.
✔✔Standardized Interview - more credible than the structured interview for referrals,
legal actions DCFS etc. - ✔✔Differs from the Structured Interview in that it limits the
interviewer to a prescribed style and list of questions. The interviewer is restricted from
freely probing beyond conflicting or superficial answers, which is sometimes a
disadvantage of this technique. An advantage is that this interview may be more
credible than the structured interview.
✔✔Structured Interview - ✔✔A prescribed interview structure but the interviewer is free
to ask probing or clarifying questions when clinically appropriate.
✔✔Self-Administered Tests - ✔✔A less threatening method of self-disclosure
✔✔Risk Assessment - ✔✔At both the screening and assessment stages, counselor
must observe client to assess for signs of psychoactive substance toxicity, intoxication
and withdrawal; aggression or danger to others; potential for self-inflicted harm or
suicide; and coexisting mental health problems,
AND SOLUTIONS GRADED A+
✔✔Recovery-Oriented Systems of Care - ✔✔ROSCs are a model of sustained recovery
management (RM). The RM model wraps traditional interventions in a continuum of
recovery support services spanning the pre-recovery, recovery initiation and
stabilization, and recovery maintenance stages of problem resolution. Distinctive is the
model's emphasis on post-treatment monitoring and support; long term, stage-
appropriate recovery education; peer- based recovery coaching; assertive linkage to
communities of recovery; and when needed, early re-intervention (White, 2006).
✔✔CSAT - ✔✔Center for Substance Abuse Treatment
✔✔SAMHSA - ✔✔Substance Abuse and Mental Health Services
✔✔Recovery and Recovery-Oriented Systems of Care - ✔✔Important to make the
destiction between Recovery and ROSC.
✔✔Recovery - ✔✔Process of change whereby individuals improve their health and
wellness.
✔✔ROSC - ✔✔Partnering with people in recovery from mental health and SUD to guide
the behavioral health system and promote individual, program and system-level
approaches that foster health and resilience; increase permanent housing, employment,
education and other necessary supports; and reduce barriers to social inclusion.
✔✔Four Major Dimensions in an effective ROSC - ✔✔Health (disease
management);Home;Purpose; Community.
✔✔Clinical Evaluation - ✔✔Effectively assessing a person's alcohol and/or drug misuse
is critical to preventing or early intervention in addiction - can be through outreach,
screening, or assessment.
✔✔Engaging the client in treatment - ✔✔Making a respectful, non-judgmental
connection with client is key to engagement.
✔✔Goals of the Initial Interview - ✔✔(1) Establish trust, rapport and effective
communication with the client. (2)facilitating the client's UNDERSTANDING OF THE
RATIONALE, PURPOSE, AND PROCEDURES ASSOCIATED WITH THE
SCREENING AND ASSESSMENT PROCESS. (3) Exploring the client's problems and
expectations; and (4) determining whether further assessment is needed.
✔✔The Interview Climate - ✔✔Factors include Stigma, Expectations, Likableness, First
Impression, Professional Manner, Environment.
, ✔✔Communication Techniques (reflecting, clarifying, focusing, summarizing) -
✔✔Active Listening is an intentional feedback loop wherein the counselor reflects,
clarifies and summarizes what the client says in order to verify that they understand
both the literal content and feelings being conveyed. Specific skills include: Reflecting
(restating); Clarifying (rephrasing); Focusing (directing client's attention) and
Summarizing.
✔✔Motivational Interviewing (MI) - ✔✔A style of interaction to facilitate change, began
in substance abuse treatment in the early 1980's. It contrasts with the traditional
confrontational style. MI is a client-centered approach that seeks to enhance and
individual's motivation to change by exploring and resolving ambivalence. It has been
framed as a "guiding" style of communication as compared to a more directive style.
✔✔GAIN - ✔✔Standardized Screening tool to obtain information about substance use.
✔✔Assessment - ✔✔A process for defining that nature of the problem, determining a
diagnosis, developing specific treatment recommendations. Entry level counselors
perform screening while assessment is performed by more experienced and
credentialed staff. Assessment is an in-depth evaluation.
✔✔Assessment Interview (Biopsychosocial) - ✔✔Interviews with the person being
assessed are more comprehensive than the brief interviews used for screening. In
screening, information is focused on the self-report of the person seeking services,
while in assessment interviews, a more thorough and systematic method of gathering
information is used.
✔✔Assessment Instruments - ✔✔Include Standardized interviews, Structured
Interviews, Self-administered tests.
✔✔Standardized Interview - more credible than the structured interview for referrals,
legal actions DCFS etc. - ✔✔Differs from the Structured Interview in that it limits the
interviewer to a prescribed style and list of questions. The interviewer is restricted from
freely probing beyond conflicting or superficial answers, which is sometimes a
disadvantage of this technique. An advantage is that this interview may be more
credible than the structured interview.
✔✔Structured Interview - ✔✔A prescribed interview structure but the interviewer is free
to ask probing or clarifying questions when clinically appropriate.
✔✔Self-Administered Tests - ✔✔A less threatening method of self-disclosure
✔✔Risk Assessment - ✔✔At both the screening and assessment stages, counselor
must observe client to assess for signs of psychoactive substance toxicity, intoxication
and withdrawal; aggression or danger to others; potential for self-inflicted harm or
suicide; and coexisting mental health problems,
