CADC Final EXAM Questions With Correct Answer - Latest Updated 2023/2024 (VERIFIED)

What are the (12) steps in the Assessment of COD? - correct answer ment of client 2. realize of info to gather additional info n/ detect COD 4. determine severity 5. appropriate care setting osis 7. disability and functional impairment 8. strengths and supports al and linguistic needs and supports 10. additional problem areas 11. readiness to change 12. plan tx How is substance-induces disorders different from an independent co-occuring mental disorder? - correct answer all or most of the psychiatric symptoms are the direct result of substance use What is the main idea of family/social capital? - correct answer relationships that support recovery What are some examples of human capital? - correct answer less tangible -values -knowledge -education -optimism -communication skills What does personal capital entail? - correct answer -physical health -financial -insurance -shelter -clothing -food -transportation How many types of capital of recovery are there and what are they? - correct answer (3); personal, family/social and community What are some adverse physical and mental health effects related to marijuana? - correct answer -respiratory illness -higher risk of heart attack -exacerbation of schizophrenia K2, Spice, moon rocks are examples of what? - correct answer synthetic marijuana What method of administration is used with marijuana? - correct answer smoking -joints -pipes -bongs What is successful recovery dependent on? - correct answer internal and external assets I-- qualities, characteristics E-- resources outside True or False Transparency is important in the screening process - correct answer True Who usually comes in contact with the client first? - correct answer person performing the screening Why is it important to get a client into tx in a timely manner? - correct answer to assure their motivation is at their peak What is engagement? - correct answer making the connection between the client and clinician or program What are the (3) important skills to have in a clinical evaluation? - correct answer 1. rapport/effective working alliance 2. welcoming atmosphere 3. motivate and engage client How many goals are there in an initial interview? and what are they? - correct answer (4) 1. trust, rapport and communication 2. understand rational, purpose, procedures associated with screening and assessment 3. client's problems and expectations 4. further assessment needed Screening is designed to answer what single question? - correct answer is there a need for additional assessment or evaluation because it is likely that this person has a substance abuse problems True or False Substance use and co-occurring disorders should be treated separately - correct answer false What core function leads to tx planning? - correct answer assessment What are the (3) key elements in the drug recognition process? - correct answer - physical deviate from the norm -not a non-drug related cause for deviation -determine category of drug What is an assessment? - correct answer an in-depth evaluation that confirms the presence of a problem, determines severity and specifies tx options for addressing problems What should a SUD assessment focus on? - correct answer -factors contrubuting to onset of substance abuse -patterns of use -signs and symptoms of substance use px consequences What should an individualized tx plan include? - correct answer - establish what changes ideally are expected through achievable goals -clarifies what interventions and counseling methods will be employed to facilitate these changes -sets the types of measures that will be used to gauge the degree of success at reaching the goals for change -incorporates the client's strengths, needs, abilities and preferences At minimum, when should a tremens plant be reviewed? - correct answer key points in treatment; admission, transfer, discharge or major change in condition If a client with housing needs was not accepted at certain facilities, what might a counselor do? - correct answer work with a state-level community housing program to find the transitional or supported housing the client needs Practitioners often divide treatment into phases, what are those phases? - correct answer engagement, stabilization, primary tx, after care and recovery support What are some ways a counselor can ensure the client's input and participation in the development of the tx plan? - correct answer -review the list of problems and strengths with the client that were identified in the assessment. Ask them what problems are of greatest priority to them -solicit client input and feedback when selecting objective and goals ( use I-statments; attend AA meetings vs. I will attend AA) -both parties sign the treatment plan What is another way to look at a tx plan? - correct answer a roadmap for services What is the ASAM Criteria for tx planning? - correct answer -identifies problems or priorities -includes strengths, skills and resources -states goals that guide realistic, measurable achievable and short-term resolutions of symptoms or problems -list methods or strategies that identify the personal actions of the patient and the staff - written as to facilitate measurement of progress What does an initial tx plan include? - correct answer a. presenting problems b. preliminary goals and objective c. type, frequency and duration of service d. signature and date of the client and counselor and counselor credentials What is an initial tx plan based on? - correct answer information obtained from screening, referred sources, the client and other present in intake or admission. What are the core elements of the individualized tx plan? - correct answer A. problem and problem description; client's own words, include evidence of the problem (EX: engaging in dangerous behavior while under the influences of alcohol, as evidenced by arrest for driving while intoxicated, engaging in sex with a condom and engaging in physical altercations with family members) B.Strengths: what the client bring in to the mix C. Goals; broad statement that describe achievable goals, stated in terms of the presence of something (EX: the client will maintain sobriety rather than the client will not drink) D. Objective; specific measurable steps to be taken to accomplish goals with target dates E. Strategies; services provided by counselor and treatment team (EX: therapeutic model to be use and specific techniques to be employed-- CBT and assertiveness training and refusal skills training) F. Diagnosis G. Signature of the client and date H. Signature of the counselor, date , credentials I. Signature, date and credentials of clinical supervisors (if required) What are the stages of change? - correct answer Precontemplation Contemplation Preparation Action Maintenance What would a client look like in the precontemplation stage? - correct answer not considering change and do not intend to change behaviors in the foreseeable future If a client is ambivalent, what stage of change are they most likely in? - correct answer contemplation When a client starts looking into treatment and actively starts trying to stop and cut down and begins to set goals for themselves, what stage of change are they most likely in? - correct answer preparation When a client is starts to actively modify their habits and environment and have chosen a strategy for change and are pursuing it, what stage of change are they in? - correct answer action When a client is actively making an effort to sustain behavioral changes and prevent recurrence of behaviors, they are in what stage of change? - correct answer maintenance If a client returns to behaviors, what is one way, as a counselor, you can reframe the situation? - correct answer the knowledge gained about personal cues and dangerous situations, from the recurrence targeted behaviors change, will help future change attempts. What 12 core function helps the client to address the problems both contributing to and caused by the substance abuse in order to help them sustain recovery in the community? - correct answer case management Achieving and maintaining abstinence and recover nearly always requires forming what? - correct answer new, healthy peer associations. What are the principles of Service Coordination? - correct answer -matching client needs to community -communicating with community resources -collaboration with the client and significant other -coordination of treatment and referral services -client advocacy -ongoing evaluation of the effectiveness of case management What are some examples of tasks that are performed within service coordination? - correct answer -collaboration with referral source -obtaining, reviewing and interpreting all relevant screening, assessment and initial treatment planning information -completing necessary administrative procedures for admission -establishing realistic treatment and recovery expectations -coordinating all treatment activities with services provided to the client What would be considered one of the biggest challenges to collaboration among numerous agencies? - correct answer use of different assessment tools to gather information What is one method to prevent fragmentation? - correct answer designate one agency as the primary contact both for the client and for the other agencies What are the three different level barriers can occur in collaboration? - correct answer personal, professional and organizational What is the primary purpose of case management? - correct answer to help individuals identify needed services, select the most appropriate services available in a given geographical area, facilitate linkage with service and promote continued retention in services by monitoring individuals' participation, coordinate the activities of multiple services when present and when necessary and advocate for continued participation What are the objectives that are most commonly associated with case management? - correct answer continuity of care, accessibility, accountability and efficiency What is a case manager? - correct answer someone who acts to coordinate services for the individual client by serving as a human link between the person being help and the service system. What is one of the advantages to case management? - correct answer it offers the client a single point of contact with the health and social services True or False Case management is client- driven and strengths-based. - correct answer True Why does case management focus on the clients strengths? - correct answer because the focus on the strengths is more effective than focusing on a problem-oriented point of view What is the paramount goal of case management? - correct answer advocacy True or False Some agencies have a case manager physically go with clients to register for services to be better able to calm the client's anxiety and ensure follow through with needed services - correct answer True True or False It is essential for case management to be pragmatic, anticipatory and flexible - correct answer True What should the counselor be doing to better assist their clients with referrals? - correct answer obtain basic information (philsophy, structure, admission criterion financial requirement) about agencies they are referring to What steps should the counselor take when making referrals? - correct answer discuss why they are making the referral, familariaize the client with he agency, contact agency in front of client and then have client schedule actual appointment Why might a counselor refer a client out? - correct answer - agency doesn't provide needed service -not the best person to provide service (sexual identity) -conflict of interest -different level of care (psychiatric care) At the very least, what is expected of the counselor when a referral is made? - correct answer -document in the client's case record (if there is one) -make a follow up call to service provider to determine outcome of client's referral What two roles does the counselor play within case management? - correct answer facilitator- keeps the team focused on the client's attainment of his/her long-term goals advocator What are the responsibilities of a facilitator? - correct answer composing team, notifying of the meeting, chairing meeting, keep focus on client, make sure client's desire and needs are met