CADC Study Guide Exam Questions and
Answers 2023/2024
Stages of Change - Answer-1. Pre-contemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
Intensive Outpatient Treatment (IOP) - Answer-- Most structured setting within OP TX.
- At least 9-70hrs of TX weekly.
- Clts receive psychosocial and substance abuse assessment.
- Services may include: groups, relapse prevention, individual, family, vocational
training.
ASAM LEVEL 1 - Answer-Outpatient TX
ASAM LEVEL 2 - Answer-Intensive Outpatient/Partial Hospitalization
Orientation - Answer-Involves describing the general nature, rules and goals of program
to clt.
Alcoholics Anonymous (AA) - Answer-Began in 1935 by Bill W. and Dr.Bob as a
fellowship for those who wanted to stop drinking.
Immediacy - Answer-Is the ability to focus on the "here and now" relationship with
another person. This technique focuses on reality and is very effective at keeping the
counseling process moving forward.
ASAM LEVEL 3 - Answer-Residential/Inpatient TX
ASAM Criteria - Answer-Most current set of national clinical guidelines to improve
multidimensional assessments and outcome-driven TX and recovery. It used to match
patients to appropriate types and levels of care.
Screening - Answer-The process where the counselor reviews clts current situation,
symptoms and other available information to determine the most appropriate initial
course of action.
Medication-Assisted TXs - Answer-Are evidence-based practices that combine
pharmacological interventions w/ counseling, behavioral therapies, and social support to
treat substance abuse disorders.
,Blended Model - Answer-Attempts to consider elements of all other models in
developing a therapeutic approach to dependency. It holds that the mechanism of
dependency is different for different individuals and that each case must be considered
on it's own merits.
ASAM LEVEL 0.5 - Answer-Early Intervention
Self-Disclosure - Answer-Is the ability to disclose information about oneself, including
ways one thinks and feels.
Genetic Model - Answer-Based on the belief that individuals have a genetic
predisposition to certain behaviors.
Culture Model - Answer-Recognizes that the influence of culture is a strong determinant
of whether or not individuals fall prey to certain addictions.
ASAM LEVEL 4 - Answer-Medically-managed intensive inpatient TX
Psychological Model - Answer-Problematic substance use results from deficits in
learning, emotional dysfunction or psychopathology that can be treated by behaviorally
or psychoanalytically oriented dynamic therapies.
Clear Listening - Answer-Listening without judging and without trying to correct clts
thoughts.
Disease Model - Answer-Holds that addiction is an illness and comes about as a result
of the impairment of healthy neurochemical or behavioral process.
Moral Model - Answer-States that addictions are the result of human weakness and are
defects of character. Those who advance this model do not accept that there is any
biological basis for addiction.
The American Psychiatic Association (APA) - Answer-Recognized as the organization
that establishes criteria for diagnosing various behavioral health disorders, including
addiction.
Referrals - Answer-Is the process of facilitating the clt's use of available support
systems and community resources to meet needs identified in clinical evaluation or TX
planning.
3 Legacies of AA - Answer-1. Recovery
2. Unity
3. Service
Stages of Addiction - Answer-1. Use
2. Misuse
,3. Abuse
4. Dependency
Cognitive-behaviorial Therapy (CBT) - Answer-Therapy based on the idea that feelings
and behaviors are caused by a person's thoughts, not on outside stimuli like people,
situations, and events. Goal is to teach the person to recognize situations in which they
are most likely to drink or use substances, avoid these circumstances in possible, and
cope with other problems and behaviors which may lead to their substance use.
Codependency - Answer-Is a term that refers to people who are in a close relationship
with the addicted person. They are typically overly involved with the person and their
problematic behavior. Often takes on the role of the caretaker and is invested in the
welfare of the addicted person.
Enabling - Answer-When the codependent person unintentionally helps the person with
the substance use condition to continue in their problematic behaviors by repeatedly
putting out little fires for the addicted person. Helps the cycle of addiction continue.
2 main purposes of family counseling in substance use tx - Answer-1. To use family
strengths and resources to help find or develop ways to live without substances of
abuse.
2. To ameliorate the impact of addiction on both the clt and the family.
HIPPAs Privacy Protection - Answer-- Receive a copy of their record.
- Request to have any mistakes corrected.
- Receive a notice about how their health information is used and shared.
- Specify how and where they want to be contacted by the service provider.
- File a complaint if they think any of these rights have been violated.
Prevent it. - Answer-The best way to handle a crisis situation.
Verbal de-escalation - Answer-Is aimed at meeting the agitated person's immediate
needs, and calming the situation so that it does not escalate.
Crisis intervention - Answer-Is a process where a response team or individual identities,
assesses and intervenes with the person in crisis to return the person to their prior level
of functioning as quickly as possible and to lessen any negative impact.
Crisis intervention steps - Answer-- Assessing the severity of the crisis.
- Forming a connection.
- Exploring the problem.
- Dealing with feelings and emotions.
- Generating alternative solutions.
- Development of an action plan.
, Relapse - Answer-Is a setback that occurs during the behavior change process, such
that progress toward the initiation of maintenance of a behavioral change goal is
interrupted by a reversion to the target behavior.
3 key points of relapse - Answer-1. Relapse is common following tx for addiction.
2. Relapse is reasonably predictable.
3. Relapse is preventable.
Relapse Prevention Therapy (RPT) - Answer-Is a behavioral self-control program that
teaches individuals with substance addiction how to anticipate and cope with the
potential for relapse.
Recovery - Answer-Is a process of change through which an individual achieves
abstinence, as well as approved health, wellness and qualify of life.
Peer-based recovery - Answer-Is the process of giving and receiving nonprofessional,
non-clinical assistance to achieve long-term recovery from substances. Is provided by
people who are experientially credentialed to assist others in initiating recovery,
maintain recovery, and enhancing the quality of personal and family life.
Controlled Substances Act of 1970 - Answer-Was enacted to limit the availability, use,
and abuse of psychoactive substances.
The major neurotransmitters are - Answer-- Endorphines
- Dopamine
- Serotonin
- GABA
- Glutamate
- Acetylcholine
- Norepinephrine
- Anandamide
- Substance P
Polydrug Abuse - Answer-Taking additional drugs to inhance the effect of their primary
drug, to counteract unwanted side effects, as a substitute for an unavailable drug or for
a number of other reasons.
6 Levels of Use - Answer-1. Abstinence
2. Experimentation
3. Social/recreational use
4. Habituation
5. Abuse
6. Addiction
The Hallmarks of Addiction - Answer-- A loss of control over use.
- A compulsion to use.
Answers 2023/2024
Stages of Change - Answer-1. Pre-contemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
Intensive Outpatient Treatment (IOP) - Answer-- Most structured setting within OP TX.
- At least 9-70hrs of TX weekly.
- Clts receive psychosocial and substance abuse assessment.
- Services may include: groups, relapse prevention, individual, family, vocational
training.
ASAM LEVEL 1 - Answer-Outpatient TX
ASAM LEVEL 2 - Answer-Intensive Outpatient/Partial Hospitalization
Orientation - Answer-Involves describing the general nature, rules and goals of program
to clt.
Alcoholics Anonymous (AA) - Answer-Began in 1935 by Bill W. and Dr.Bob as a
fellowship for those who wanted to stop drinking.
Immediacy - Answer-Is the ability to focus on the "here and now" relationship with
another person. This technique focuses on reality and is very effective at keeping the
counseling process moving forward.
ASAM LEVEL 3 - Answer-Residential/Inpatient TX
ASAM Criteria - Answer-Most current set of national clinical guidelines to improve
multidimensional assessments and outcome-driven TX and recovery. It used to match
patients to appropriate types and levels of care.
Screening - Answer-The process where the counselor reviews clts current situation,
symptoms and other available information to determine the most appropriate initial
course of action.
Medication-Assisted TXs - Answer-Are evidence-based practices that combine
pharmacological interventions w/ counseling, behavioral therapies, and social support to
treat substance abuse disorders.
,Blended Model - Answer-Attempts to consider elements of all other models in
developing a therapeutic approach to dependency. It holds that the mechanism of
dependency is different for different individuals and that each case must be considered
on it's own merits.
ASAM LEVEL 0.5 - Answer-Early Intervention
Self-Disclosure - Answer-Is the ability to disclose information about oneself, including
ways one thinks and feels.
Genetic Model - Answer-Based on the belief that individuals have a genetic
predisposition to certain behaviors.
Culture Model - Answer-Recognizes that the influence of culture is a strong determinant
of whether or not individuals fall prey to certain addictions.
ASAM LEVEL 4 - Answer-Medically-managed intensive inpatient TX
Psychological Model - Answer-Problematic substance use results from deficits in
learning, emotional dysfunction or psychopathology that can be treated by behaviorally
or psychoanalytically oriented dynamic therapies.
Clear Listening - Answer-Listening without judging and without trying to correct clts
thoughts.
Disease Model - Answer-Holds that addiction is an illness and comes about as a result
of the impairment of healthy neurochemical or behavioral process.
Moral Model - Answer-States that addictions are the result of human weakness and are
defects of character. Those who advance this model do not accept that there is any
biological basis for addiction.
The American Psychiatic Association (APA) - Answer-Recognized as the organization
that establishes criteria for diagnosing various behavioral health disorders, including
addiction.
Referrals - Answer-Is the process of facilitating the clt's use of available support
systems and community resources to meet needs identified in clinical evaluation or TX
planning.
3 Legacies of AA - Answer-1. Recovery
2. Unity
3. Service
Stages of Addiction - Answer-1. Use
2. Misuse
,3. Abuse
4. Dependency
Cognitive-behaviorial Therapy (CBT) - Answer-Therapy based on the idea that feelings
and behaviors are caused by a person's thoughts, not on outside stimuli like people,
situations, and events. Goal is to teach the person to recognize situations in which they
are most likely to drink or use substances, avoid these circumstances in possible, and
cope with other problems and behaviors which may lead to their substance use.
Codependency - Answer-Is a term that refers to people who are in a close relationship
with the addicted person. They are typically overly involved with the person and their
problematic behavior. Often takes on the role of the caretaker and is invested in the
welfare of the addicted person.
Enabling - Answer-When the codependent person unintentionally helps the person with
the substance use condition to continue in their problematic behaviors by repeatedly
putting out little fires for the addicted person. Helps the cycle of addiction continue.
2 main purposes of family counseling in substance use tx - Answer-1. To use family
strengths and resources to help find or develop ways to live without substances of
abuse.
2. To ameliorate the impact of addiction on both the clt and the family.
HIPPAs Privacy Protection - Answer-- Receive a copy of their record.
- Request to have any mistakes corrected.
- Receive a notice about how their health information is used and shared.
- Specify how and where they want to be contacted by the service provider.
- File a complaint if they think any of these rights have been violated.
Prevent it. - Answer-The best way to handle a crisis situation.
Verbal de-escalation - Answer-Is aimed at meeting the agitated person's immediate
needs, and calming the situation so that it does not escalate.
Crisis intervention - Answer-Is a process where a response team or individual identities,
assesses and intervenes with the person in crisis to return the person to their prior level
of functioning as quickly as possible and to lessen any negative impact.
Crisis intervention steps - Answer-- Assessing the severity of the crisis.
- Forming a connection.
- Exploring the problem.
- Dealing with feelings and emotions.
- Generating alternative solutions.
- Development of an action plan.
, Relapse - Answer-Is a setback that occurs during the behavior change process, such
that progress toward the initiation of maintenance of a behavioral change goal is
interrupted by a reversion to the target behavior.
3 key points of relapse - Answer-1. Relapse is common following tx for addiction.
2. Relapse is reasonably predictable.
3. Relapse is preventable.
Relapse Prevention Therapy (RPT) - Answer-Is a behavioral self-control program that
teaches individuals with substance addiction how to anticipate and cope with the
potential for relapse.
Recovery - Answer-Is a process of change through which an individual achieves
abstinence, as well as approved health, wellness and qualify of life.
Peer-based recovery - Answer-Is the process of giving and receiving nonprofessional,
non-clinical assistance to achieve long-term recovery from substances. Is provided by
people who are experientially credentialed to assist others in initiating recovery,
maintain recovery, and enhancing the quality of personal and family life.
Controlled Substances Act of 1970 - Answer-Was enacted to limit the availability, use,
and abuse of psychoactive substances.
The major neurotransmitters are - Answer-- Endorphines
- Dopamine
- Serotonin
- GABA
- Glutamate
- Acetylcholine
- Norepinephrine
- Anandamide
- Substance P
Polydrug Abuse - Answer-Taking additional drugs to inhance the effect of their primary
drug, to counteract unwanted side effects, as a substitute for an unavailable drug or for
a number of other reasons.
6 Levels of Use - Answer-1. Abstinence
2. Experimentation
3. Social/recreational use
4. Habituation
5. Abuse
6. Addiction
The Hallmarks of Addiction - Answer-- A loss of control over use.
- A compulsion to use.
