Culture-bound syndrome - ANSWER illness truly bound to specific culture; refer to other-
wise common mental or physical illnesses that are subsequently construed as unusual be-
cause of pathoplastic influence of clture (e.g, hallucinatory sx of schizophrenia could be due
to demon possession)
pharmacological therapy and psychotherapy - ANSWER two key mental health treatment
paradigms of Western medicine (multimodal therapy)
racism and discrimination - ANSWER refer to attitudes, beliefs, and practices that pre-
judge 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? - ANSWER increasing rapidly and stead-
ily; by 2025, 40% adults (48% children) will be from ethnic and racial minority gps.
HIV - ANSWER 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% - ANSWER percent increase in the number of seniors needing substance abuse treat-
ment. 70% rate of increase in treatment
Limits to confidentiality - ANSWER 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
1
,6. Grave disability
CAGE questionnaire - ANSWER Have you ever felt you should CUT DOWN on your drink-
ing?
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 - ANSWER Michigan Alcoholism Screening Test - yes or no to 25 questions to ex-
plore number of treatment issues; most accurate and oldest screening tool to identify drink-
ers with 98% accuracy
What is another cultural issues beyond the client's culture? - ANSWER counselor's cul-
ture
Relapse-remitting model of addiction - ANSWER recognizes that some issues tend to re-
turn 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 - ANSWER refers to a carefully established set
of services providers prepared to meet client needs; goal is for all network agencies an pro-
viders 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? - ANSWER to provide least restrictive level of care
Ask-teLl-ask technique - ANSWER 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.
2
, Referral form - ANSWER used to track the results of the referral; WHO (identifies the cli-
ent 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 - ANSWER at the point of initial counse-
lor-client contact
What should be the focus of treatment mostly? - ANSWER 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.. - ANSWER discussing a trigger
event with someone trusted before and after it occurs
Trigger events - ANSWER often crisis stressors or situations
CFR 42, part 2 - ANSWER confidentiality in areas of alcohol and substance abuse. confi-
dentiality restriction apply:
1) to records, w/c may not be disclosed even in admin, civil, criminal, or legislative proceed-
ings by any govt authority
2) to communications, even if the person seeking information already has it, cold otherwise
obtain it, is an official or law officer, has a subpeona or otherwise claims the right of infor-
mation release not permitted in the CFR
3) to acknowledgements, such as regarding the presence of a client (unless he/she is in a fa-
cility or facility area not dedicated solely to alcohol or drug abuse tx, ad no mention of drug
or alcohol treatment is made)
How is subpoena will be valid for release of information? - ANSWER if a court of compe-
tent jurisdiction also explicitly enters an order authorizing information release specific to the
42CFR part 2 regulations
3
wise common mental or physical illnesses that are subsequently construed as unusual be-
cause of pathoplastic influence of clture (e.g, hallucinatory sx of schizophrenia could be due
to demon possession)
pharmacological therapy and psychotherapy - ANSWER two key mental health treatment
paradigms of Western medicine (multimodal therapy)
racism and discrimination - ANSWER refer to attitudes, beliefs, and practices that pre-
judge 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? - ANSWER increasing rapidly and stead-
ily; by 2025, 40% adults (48% children) will be from ethnic and racial minority gps.
HIV - ANSWER 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% - ANSWER percent increase in the number of seniors needing substance abuse treat-
ment. 70% rate of increase in treatment
Limits to confidentiality - ANSWER 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
1
,6. Grave disability
CAGE questionnaire - ANSWER Have you ever felt you should CUT DOWN on your drink-
ing?
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 - ANSWER Michigan Alcoholism Screening Test - yes or no to 25 questions to ex-
plore number of treatment issues; most accurate and oldest screening tool to identify drink-
ers with 98% accuracy
What is another cultural issues beyond the client's culture? - ANSWER counselor's cul-
ture
Relapse-remitting model of addiction - ANSWER recognizes that some issues tend to re-
turn 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 - ANSWER refers to a carefully established set
of services providers prepared to meet client needs; goal is for all network agencies an pro-
viders 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? - ANSWER to provide least restrictive level of care
Ask-teLl-ask technique - ANSWER 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.
2
, Referral form - ANSWER used to track the results of the referral; WHO (identifies the cli-
ent 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 - ANSWER at the point of initial counse-
lor-client contact
What should be the focus of treatment mostly? - ANSWER 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.. - ANSWER discussing a trigger
event with someone trusted before and after it occurs
Trigger events - ANSWER often crisis stressors or situations
CFR 42, part 2 - ANSWER confidentiality in areas of alcohol and substance abuse. confi-
dentiality restriction apply:
1) to records, w/c may not be disclosed even in admin, civil, criminal, or legislative proceed-
ings by any govt authority
2) to communications, even if the person seeking information already has it, cold otherwise
obtain it, is an official or law officer, has a subpeona or otherwise claims the right of infor-
mation release not permitted in the CFR
3) to acknowledgements, such as regarding the presence of a client (unless he/she is in a fa-
cility or facility area not dedicated solely to alcohol or drug abuse tx, ad no mention of drug
or alcohol treatment is made)
How is subpoena will be valid for release of information? - ANSWER if a court of compe-
tent jurisdiction also explicitly enters an order authorizing information release specific to the
42CFR part 2 regulations
3
