ADC PRACTICE EXAMS 2025/2026 QUESTIONS AND
SOLUTIONS GRADED A+
✔✔CART - ✔✔progress note format: Client condition, Actions, Response, and
Treatment plan
✔✔CHART - ✔✔progress note format: Client condition, Historical significance, Actions,
Response, and Treatment plan
✔✔episode of treatment - ✔✔length of stay is not always critical; completion is more
important; avoid high drop-out rate in first few weeks
✔✔ideal group size - ✔✔process groups most effective w/ 6-8 members;
psychoeducational ones can be larger
✔✔co-occurring treatment severity - ✔✔none- moderate/severity: IOP (i.e.
anxiety/mood dx)
severe: dual-diagnosis (psychotic/personality disorders)
✔✔Composite International Diagnostic Interview (CIDI) - ✔✔covers both DSM and ICD
criteria for SA disorders; addresses consequences and onset of symptoms; primarily
used for epidemiology
✔✔MINI scale - ✔✔screens for major psych disorders based on DSM and ICD criteria;
reliable dx in brief time frame
✔✔PRISM instrument - ✔✔Psychiatric Research Interview for Substance Abuse and
Mental Disorders; differentiates antisocial and borderline personality dx from SA; 1-3
hours/training required
✔✔AASE Scale - ✔✔Alcohol Abstinence Self-Efficacy Scale; to ax level of client's
confidence in being able to abstain from alcohol in 20 situations that include common
drinking cues; no training req'd
✔✔ASRPT - ✔✔Alcohol-Specific Role Play Test (ASRPT) uses role-playing scripts to
evaluate client situations in taped responses by acting out; 20 mins/requires training
✔✔SCQ - ✔✔Situational Confidence Questionnaire: 29 self-report items that explores
self-efficacy in alcohol-related scenarios
✔✔CBT - ✔✔not effective in group counseling
✔✔Motivational interviewing (MI) - ✔✔counselor is coach/consultant, asking key
questions for learning. nonjudgmental, collaborative style
, ✔✔Motivational enhancement therapy (MET) - ✔✔incorporates structured assessments
and follow-up sessions as adaptation to MI
✔✔Matrix Model of treatment - ✔✔relapse prevention, family education, and early
recovery skills groups (NOT stress management); very effective
also neurobehav. tx
✔✔Osher & Kofoed co-occurring treatment - ✔✔four stages:
1. engagement
2. persuasion
3. active treatment
4. relapse prevention
✔✔symptom presentation - ✔✔most influential for counselor;
✔✔alcohol use among adults 25+ - ✔✔lower in rural areas
women have higher rate of alcohol use in rural areas
✔✔Clinical/Rehabilitation model - ✔✔integrate clinical therapy + resource activities
✔✔service coordination - ✔✔case management and advocacy are subsets
defined as action framework by which a client is enabled to achieve goals in ID
treatment plan
✔✔Qualified Service Organization Agreement (QSOA) - ✔✔used when outside
person/agency provided services directly to treatment
✔✔#1 client changer - ✔✔ability to be empathetic
✔✔communication - ✔✔50% is nonverbal
✔✔developmental stages - ✔✔age of significant SA use is when developmental stages
were arrested/missed altogether
✔✔programmed confrontation - ✔✔used to mobilize a substance user to accept
treatment (usually by family member); trained in Unilateral Family Therapy
✔✔community reinforcement training (CRT) - ✔✔used by families to hasten a user into
treatment who seek help same-day
✔✔ARISE method - ✔✔uses 3-level approach to motivate an addict to enter treatment
SOLUTIONS GRADED A+
✔✔CART - ✔✔progress note format: Client condition, Actions, Response, and
Treatment plan
✔✔CHART - ✔✔progress note format: Client condition, Historical significance, Actions,
Response, and Treatment plan
✔✔episode of treatment - ✔✔length of stay is not always critical; completion is more
important; avoid high drop-out rate in first few weeks
✔✔ideal group size - ✔✔process groups most effective w/ 6-8 members;
psychoeducational ones can be larger
✔✔co-occurring treatment severity - ✔✔none- moderate/severity: IOP (i.e.
anxiety/mood dx)
severe: dual-diagnosis (psychotic/personality disorders)
✔✔Composite International Diagnostic Interview (CIDI) - ✔✔covers both DSM and ICD
criteria for SA disorders; addresses consequences and onset of symptoms; primarily
used for epidemiology
✔✔MINI scale - ✔✔screens for major psych disorders based on DSM and ICD criteria;
reliable dx in brief time frame
✔✔PRISM instrument - ✔✔Psychiatric Research Interview for Substance Abuse and
Mental Disorders; differentiates antisocial and borderline personality dx from SA; 1-3
hours/training required
✔✔AASE Scale - ✔✔Alcohol Abstinence Self-Efficacy Scale; to ax level of client's
confidence in being able to abstain from alcohol in 20 situations that include common
drinking cues; no training req'd
✔✔ASRPT - ✔✔Alcohol-Specific Role Play Test (ASRPT) uses role-playing scripts to
evaluate client situations in taped responses by acting out; 20 mins/requires training
✔✔SCQ - ✔✔Situational Confidence Questionnaire: 29 self-report items that explores
self-efficacy in alcohol-related scenarios
✔✔CBT - ✔✔not effective in group counseling
✔✔Motivational interviewing (MI) - ✔✔counselor is coach/consultant, asking key
questions for learning. nonjudgmental, collaborative style
, ✔✔Motivational enhancement therapy (MET) - ✔✔incorporates structured assessments
and follow-up sessions as adaptation to MI
✔✔Matrix Model of treatment - ✔✔relapse prevention, family education, and early
recovery skills groups (NOT stress management); very effective
also neurobehav. tx
✔✔Osher & Kofoed co-occurring treatment - ✔✔four stages:
1. engagement
2. persuasion
3. active treatment
4. relapse prevention
✔✔symptom presentation - ✔✔most influential for counselor;
✔✔alcohol use among adults 25+ - ✔✔lower in rural areas
women have higher rate of alcohol use in rural areas
✔✔Clinical/Rehabilitation model - ✔✔integrate clinical therapy + resource activities
✔✔service coordination - ✔✔case management and advocacy are subsets
defined as action framework by which a client is enabled to achieve goals in ID
treatment plan
✔✔Qualified Service Organization Agreement (QSOA) - ✔✔used when outside
person/agency provided services directly to treatment
✔✔#1 client changer - ✔✔ability to be empathetic
✔✔communication - ✔✔50% is nonverbal
✔✔developmental stages - ✔✔age of significant SA use is when developmental stages
were arrested/missed altogether
✔✔programmed confrontation - ✔✔used to mobilize a substance user to accept
treatment (usually by family member); trained in Unilateral Family Therapy
✔✔community reinforcement training (CRT) - ✔✔used by families to hasten a user into
treatment who seek help same-day
✔✔ARISE method - ✔✔uses 3-level approach to motivate an addict to enter treatment
