MAC EXAM: TREATMENT ADMISSION: ORIENTATION
TO THE TX PROCESS
Screening - Answers :To determine if the client is appropriate for the treatment focus.
Ruling out rejection criteria.
Establish rapport, demographic information, explanation of confidentiality guidelines and
limitations. Overview of program: what is covered, costs, scheduling, philosophy/goals
and a description of the credentials of the services providers (disclosure statement).
Assessment Instruments
DAST - Answers :The Drug Abuse Screening Test (DAST) - 20 yes no questions (1
point each)
SAPC - Answers :Substance Abuse Problem Checklist (SAPC) - 300 questions in 8
categories (tx motivation, health, personality, social relationships, employment,
use/misuse of leisure time, religious/spiritual perspectives, and legal problems)
CAGE - Answers :very brief (4 question) alcohol problem screening instrument.
AUDIT - Answers :The Alcohol Use Disorders Identification Test - 10 questions
MAST - Answers :Michigan Alcoholism Screening Test - 24 yes/no "weighted" questions
with a total possible score of 53 and a cutoff of 20 (any score above indicates "severe
alcoholism")
AUI - Answers :Alcohol Use Inventory - multiple choice options from which various
scales can be derived. Explores alcohol use, key consequences of drinking, and
individual awareness of an alcohol problem.
Intake - Answers :A continuation of the screening process. Necessary forms are filled
out. An intake sheet is completed, the initial assessment form is completed, forms
authorizing the release of sensitive information are completed, financial arrangements
finalized, consent forms are signed by the client and counselor is assigned to the case.
Limits to Federally-protected confidentiality - Answers :Confidential information can only
be disclosed under these conditions:
1. if the client gives written permission (ROI)
2. In the case of a medical emergency
3. if a client threatens or harms program property or personnel
4. if the information is needed to assess the functioning of the program
5. If a court order is presented
6. If a client threatens to harm self or others
TO THE TX PROCESS
Screening - Answers :To determine if the client is appropriate for the treatment focus.
Ruling out rejection criteria.
Establish rapport, demographic information, explanation of confidentiality guidelines and
limitations. Overview of program: what is covered, costs, scheduling, philosophy/goals
and a description of the credentials of the services providers (disclosure statement).
Assessment Instruments
DAST - Answers :The Drug Abuse Screening Test (DAST) - 20 yes no questions (1
point each)
SAPC - Answers :Substance Abuse Problem Checklist (SAPC) - 300 questions in 8
categories (tx motivation, health, personality, social relationships, employment,
use/misuse of leisure time, religious/spiritual perspectives, and legal problems)
CAGE - Answers :very brief (4 question) alcohol problem screening instrument.
AUDIT - Answers :The Alcohol Use Disorders Identification Test - 10 questions
MAST - Answers :Michigan Alcoholism Screening Test - 24 yes/no "weighted" questions
with a total possible score of 53 and a cutoff of 20 (any score above indicates "severe
alcoholism")
AUI - Answers :Alcohol Use Inventory - multiple choice options from which various
scales can be derived. Explores alcohol use, key consequences of drinking, and
individual awareness of an alcohol problem.
Intake - Answers :A continuation of the screening process. Necessary forms are filled
out. An intake sheet is completed, the initial assessment form is completed, forms
authorizing the release of sensitive information are completed, financial arrangements
finalized, consent forms are signed by the client and counselor is assigned to the case.
Limits to Federally-protected confidentiality - Answers :Confidential information can only
be disclosed under these conditions:
1. if the client gives written permission (ROI)
2. In the case of a medical emergency
3. if a client threatens or harms program property or personnel
4. if the information is needed to assess the functioning of the program
5. If a court order is presented
6. If a client threatens to harm self or others
