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Exam (elaborations)

NCAC_CADC II EXAM STUDY MATERIALS QUESTIONS AND VERIFIED ANSWERS

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NCAC_CADC II EXAM STUDY MATERIALS QUESTIONS AND VERIFIED ANSWERS

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Suicide Assessment


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First are the behavioral indications. Look for giving away or special items,
making plans and getting affairs organized, statements regarding feelings
of worthlessness, verbal threats, and ongoing depression.


Next are historical patterns which include a family history of suicide,
previous attempted suicide, recent widowhood or los of job, or history of
more than one trauma.

Third is the present situation. Look for recent substance abuse, chronic
depression, poor control of impulses, acute stress, recent loss which is
significant, and or strong feeling hopelessness.

In assessing the degree of lethality, several factors are important and are as
follows: specific and current plans of suicide, access to or a plan to get
tools for suicide, timetable, location, and commitment.

,Ambulatory treatment


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Is administered in a setting in which the client does not reside. IOP is
typically administered in an office setting.




Family systems therapy


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Viewed from an interactive and systematic perspective. Clients are
connected to a living system; a change in one part of the system will result
in a change in other parts. The family provides the context for
understanding how individuals function in relationship to others and how
they behave. Treatment deals with the family unit. An individual's
dysfunctional behavior grows out of the interactional unit of the family and
out of larger systems as well.




Continuous quality improvement


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A systematic approach to monitoring the effectiveness of a treatment
facility and its programs.




Tradition 6

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An AA group ought never endorse, finance, or lend the AA name to any
related facility or outside enterprise, lest problems of money, property, and
prestige divert us from our primary purpose




Adolescent Recovery Development Phases


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Pretreatment Phase: come to the realization that unpleasant things have
occurred as a result of the drug use. Emotional pain is a motivating factor in
wanting treatment. A decision to seek treatment is made.
Initial Stabilization: The routine surrounding using drugs is interrupted.
Abstinence occurs which lets recovery from withdrawal take place.
Early Phase Recovery (Phase 1): understanding and excepting addiction.
Triggers identified. Personal responsibilities assumed.
Early Phase Recovery (Phase 2): management of triggers and cravings.
Issues which caused use are addressed.
Middle Phase Recovery (6-12 months): New behaviors are developed.
Committed to recovery. Develops balance in life.
Advanced Phase (12-18 months): coping mechanisms are learned.
Independence from treatment developed. Healthy relationships develop.
Maintenance Phase: spiritual development. Personal growth. Recovery is
not their entire life now.




Co-Occurring Disorders


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People who have both substance abuse and mental illness.
7.4% receive treatment for both disorders
32.9% receive only mental health treatment
3.8% receive only substance abuse treatment

, with severe mental illness, the risk of SUD is 25.7%.
Among people with SUD in the past year, 17.6% will have a concurrent
mental illness disorder.




Refocus/change


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(Brief therapy) this is the working phase of therapy. Every session is an on
task session. Focus is on homework, goal setting, applying lessons,
increasing understanding, reinforcing progress, maintaining the alliance
and reinforcing the clients calls




PRISM


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Psychiatric Research Interview for Substance and Mental Disorders.
Evaluates antisocial personality disorder (pervasive pattern of
disregard/violation of other's rights, lack of empathy) and Borderline
Personality Disorder (pervasive pattern of instability in relationships, self
image, identity, behavior and affect, often leading to self harm and
impulsivity). Takes 1-3 hours, requires training to administer, scoring is
computerized.




Counselor as a person


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