ADC Exam Through IC&RC Questions and Answers 100% Pass

ADC Exam Through IC&RC Questions and Answers 100% Pass Dependency occurs when a drug user experiences physical or psychological distress upon discontinuing use of the drug. Addiction implies compulsive use, impaired control over using the substance, preoccupation with obtaining and using the drug, and continued use despite adverse consequences. Five Critical Components of Effective Treatment Assess Patient-Treatment Matching (individualized) Comprehensive Services Relapse Prevention Accountability DSMV removed what distinction? The distinction between abuse and dependence. Substance Use Disorders Have _____ Criteria... including ______ and _______. 11 including tolerance and withdrawal. Once addiction reaches dependency, it is now a _____________. Chronic and relapsing disorder. Medical View of Addiction Disease Model Criminal View of Addiction Protect Public Process of Stimulus and response Sensory, Interconnection, Motor Responses Two Major Structures in the Nervous System Central Nervous System and Peripheral Nervous System Two Parts of the Peripheral Nervous System Autonomic and Somatic systems Psychoactive drugs majorly affect this synapses Alcohol affects what part of the Nervous System CNS Two key issues that separate alcohol use from alcohol abuse Tolerance and loss of control Sedatives-Hypnotics Barbiturates Inhalants are CNS Depressants Marijuana has Depressant, stimulant, analgesic and hallucinogenic effects CNS Stimulants Caffeine, Nicotine, and Amphetamines Disease means an involuntary disability treatment approaches Medical, Biopsychosocial, social, clinical Three substances that require detox Alcohol and CNS Depressants, Opiates, Cocaine 12 Core Functions 1. Screening 2. Intake 3. Orientation 4. Assessment 5. Treatment Planning 6. Counseling 7. Case Management 8. Crisis Intervention 9. Client Education 10. Referral 11. Record Keeping 12. Consultation Invented Psychodynamic Theory Sigmund Freud Invented Client-Centered Therapy Carl Rogers Invented Rational-Emotive Therapy Albert Ellis Invented Transactional Analysis Therapy Eric Berne Invented Gestalt Therapy Fritz Perls Invented Reality Therapy William Glasser Types of Behaviorism Classical Conditioning and Operant Conditioning Inventor of Classical Conditioning Pavlov Inventor of Operant Conditioning BF Skinner Four Parts of Operant Conditioning Positive Reinforcement Negative Reinforcement Punishment Extinction Types of Extinction Implosive Therapy and Flooding (PE) Basis of a Treatment Plan Assessment Who invented Johari's Window Joe and Harry Psychodynamic Theory Personalities Id, Ego, SuperEgo The event does not cause the action RET Helping the individual get back in touch with objective and moral reality by making responsible choices Reality Therapy Satisfaction without harming others Reality Therapy Three Ego States of Transactional Analysis Therapy Parent, Adult, Child Transactional Analysis Based on life experience, a person develops one of four life positions from which he/she views himself, other and the world Goal of therapy: new response to old stimulus Behaviorism Common Co-Occuring Disorder for addiction counselors Personality Disorders, Mood Disorders, and Psychotic Disorders 3 Perspectives Moral, Legal, Ethical Wyatt V Stickney: Rights of involuntarily committed patients, constitutionally entitled to treatment Patient Rights Confidentiality of alcohol and drug abuse patients 42 C.F.R. Part 2 Tarasoff V Regents: Threatening violence to specific victim, warn both intended victim and police Only when reasonable identifiable victims when client is violent party Duty to warn 5 MI principles 1. Empathy through reflective listening 2. Develop discrepancy 3. Avoid argument and confrontation 4. Adjust to resistance 5. Roll with resistance Stages of Change 1. Pre-contemplation 2. Contemplation 3. Preparation 4. Action 5. Maintenance Cultural Sensitivity being open to working with issues of culture and diversity Cultural Competence Examine and understand nuances and exercise full cultural empathy Cultural Proficiency working to advance the field through leadership, research, and outreach. ASAM Criteria: 3 Types of Programs for People with COD Addiction only services, Co-Occuring capable, Co-Occuring enhanced Basic example of a system SAMSHA Comprehensive Continuous Integrated Systems of Care Model to bring the mental health and substance abuse treatment systems into an integrated planning process to develip a compmrehensive, integrated system of care Four Quadrant Model A valid model for service planning Screening A process for evaluating the possible presence of a particular problem Assessment A process for defining the nature of that problem and developing specific treatment recommendations for addressing the problem Psychoactive the ability of certain medications, drugs, and other substances to cause acute psychomotor effects and a relatively rapid change in mood or thought Twin Epidemics AOD abuse and HIV Prevention and treatment of AOD abuse and HIV disease require a multidisciplinary approach that relies on the strengths of a variety of providers and treatment settings to provide a comprehensive range of effective services Most important features of any program providing care to HIV-infected patients minimal barriers to access and a "user friendly" environment 1993 Substance Abuse Block Grant recipients must create a waiting list to give preferential treatment to 1. Pregnant IDU 2. Pregnant SA 3. Other IDU 4. All Others Crucial to the Recruitment and retention of HIV-infected AOD abuse patients in treatment Cultural sensitivity and competence Ethics The discipline dealing with what is good and bad and with moral duty and obligations - ethics are the principles of conduct governing an individual or group. Primary justification for breaking confidentiality when a person is a danger to self or others Basic Principle of Confidentiality No information divulged by patients in the course of treatment (inlcuding the fact that the patient is in treatment) may be revealed to an outside source without the written consent of the patient when they are rational & drug-free. Consent forms must specify what information will be disclosed, to whom, and for how long Privilege A legal term that refers to an individual's right not to have confidential information revealed in court or other legal proceedings. Grounds for breaching confidentiality Suicide, child abuse, elderly abuse, neglect MDMA Combo drug with stimulant qualities Predominant action on the CNS is one of depression associated with extreme physical fatigue Interferes with the body's ability to control temperature Increases heart rate and blood pressure Gold Standard for Urinalysis GC/MS Basic Steps of Assessment Information, Data analysis, and Treatment Plan Development Validity accurately measure what it intends to measure Reliability produces stable results Standardized Interview Limits the interviewer to a prescribed style and list of questions. May be more credible than structured interview. Treatment Plan Development includes Problems, goals/objectives, resources, persons responsible, time frame, benefits Maslow's Hierarchy of Needs Physiological, Safety, Belonging/love, Esteem, and Self-Actualization Termination A stage in the counseling process Three Stages of Drug/Alcohol Treatment Medical, Psychosocial, Aftercare 8 Basic Communication Skills 1. Attending 2. Reflection 3. Summarizing 4. Probing 5. Counseling/Self-disclosure 6. Interpreting 7. Confrontation 8. Paraphrasing Feedback should be directed towards behavior Accurate summarizing Selection and tying together Johari's Window Open, hidden, blind, unknown Self disclosure must Be relevant and benefit the client Universiality Profound effect on the chemically dependent individual Styles of Group leadership Authoritarian, Democratic, Laissez-faire Family Roles of Sharon Wegscheider-Cruse Enabler, hero, scapegoat, lost child, and mascot Claudia Black's Family Roles Responsible, adjuster, placater, the acting-out child Counselor is informed of domestic physical abuse of client's children legal obligation to inform the appropriate state or social services agencies Treatment Planning -identify and rank -establish goals -methods and resources Definition of Case Management Activities which bring services, agencies, resources, or people together within a planned framework of action toward the achievement of established goals. It may involve liaison activities and collateral contacts. Types of Trauma 1. Situational 2. Developmental 3. Intrapsychic 4. Existential Goals of Crisis Intervention Stabilize, relieve, convert, return Commits suicide more frequently Men commit suicide more frequently than women, although women attempt it more often. Client informs counselor they have a suicide plan 1. Notify supervisor 2. Formulate protective plan Making a disclosure to the courts subpoena, search warrant, or arrest warrant alone are not sufficient to permit a program to make a disclosure Court Order for release of records 1. program and patient whose records are sought must be given notice of application 2. program and individual have opportunity to make an oral or written statement to the court about the application Criteria for court order to be issued 1. Crime is extremely serious 2. Records sought must contain significant information to prosecution of crime 3. No other feasible way to obtain the information 4. The public interest in disclosure outweighs any harm to the patient, doctor-patient relationship, and agency 5. Program has opportunity to represented by independent counsel when law enforcement personnel seek the order Search Warrant may not be used to allow law enforcement to enter Arrest Warrant permit entry to search for client who committed/threatened crime on program premises or against personnel. Unless arrest warrant is accompanied by a court order, the program cannot cooperate with a search for a patient who committed a crime elsewhere. Duty To Warn activated when a client makes a threat of physical harm to an identified individual or individuals. Threat of harm is deemed imminent.