MAC Exam- Orientation to Treatment
Process9
Assessment - ANSWERSMore in-depth and ongoing activity throughout the therapeutic
experience. Refines the nature, duration, and expected outcomes of treatment that have
already been found to be necessary.
Consent - ANSWERSVoluntary agreement from a person able to make a meaningful
choice.
Informed Consent/4 requirements - ANSWERSWhen an individual not only provides
voluntary consent, but he or she is also adequately informed regarding choices, options,
and outcomes.
1. The nature and purpose of the treatment
2. The risks and consequences
3. The available alternatives
4. The risks of no treatment
Patient Identifying Information - ANSWERSAny information whereby a patient can be
identified, whether directly or indirectly.
Code of Federal Regulations (CFR) 42 Part 2 - ANSWERSProtection from the release
of any information that identifies them as a user of drugs or alcohol (created because of
the stigma against them).
Code of Federal Regulations 42 Part 2- establishes specific rights (7) - ANSWERS1.
Inspection and copying of one's own records in most cases
2. Amendment of one's own record by request
3. Accounting of disclosures made
4. A specific request as to restrictions on disclosure
5. That information be communicated in a specific way
6. Receipt of a Notice of Privacy Practices
7. The right to file a complaint with the covered entity
Opiates - ANSWERSCentral nervous system depressants. They can rapidly cross the
blood-brain barrier to produce a euphoric "rush" and physical dependence develops
rapidly when opiates are regularly used.
Withdrawal from Opiates - ANSWERSAnxiety, piloerection, insomnia, diarrhea,
abdominal cramps, vomiting, muscle aches, agitation, excessive yawning, nose running,
sweats, hypertension, and fever.
, Screening - ANSWERSTo determine an appropriate initial course of action, given the
client's needs, characteristics, and available resources, in conjunction with the
counselor, client, and available significant others.
essential screening competencies (9) - ANSWERS1. Creating a rapport, managing any
crises, and determining needs.
2. Systematically collect data, including key collateral information sources and
screening tools, using approaches sensitive to culture, age, gender etc.
3. Screen for toxicity, intoxication, and withdrawal, danger to self and others, and
assess any comorbid mental health problems.
4. Address the impact of addiction and its continuation in the client's life
5. Identify readiness for change and the related needs of significant others
6. Consider available treatment options
7. Select treatment options in keeping with the diagnostic criteria
8. Formulate an action plan with the client and involved others
9. Pursue admission and/or referral, and ensure follow-through
Substance screening - ANSWERSCompleted at the outset of the therapeutic process.
Seeks to answer the question of whether or not professional help is needed.
ASAM Levels of Care (4) - ANSWERS1. Hospitalization
2. Residential Care
3. Intensive Outpatient
4. Outpatient
6 Substance Use Disorder Modalities - ANSWERS1. Detox
2. Residential treatment
3. Highly structured intensive settings (Therapeutic community)
4. Outpatient drug-free (non-methadone)
5. Day treatment
6. Methadone Maintenance
4 Program Phases - ANSWERS1. Engagement and stabilization
2. Early Recovery
3. Maintenance of recovery
4. Transition to aftercare
The role of the counselor - ANSWERSAn adviser, change facilitator, collaborator, and
teacher.
3 conditions of a crisis - ANSWERS1. A hazardous or stressful situation
2. Awareness of the potential for significant life disruption or emotional upset
3. Inadequate coping strategies
Process9
Assessment - ANSWERSMore in-depth and ongoing activity throughout the therapeutic
experience. Refines the nature, duration, and expected outcomes of treatment that have
already been found to be necessary.
Consent - ANSWERSVoluntary agreement from a person able to make a meaningful
choice.
Informed Consent/4 requirements - ANSWERSWhen an individual not only provides
voluntary consent, but he or she is also adequately informed regarding choices, options,
and outcomes.
1. The nature and purpose of the treatment
2. The risks and consequences
3. The available alternatives
4. The risks of no treatment
Patient Identifying Information - ANSWERSAny information whereby a patient can be
identified, whether directly or indirectly.
Code of Federal Regulations (CFR) 42 Part 2 - ANSWERSProtection from the release
of any information that identifies them as a user of drugs or alcohol (created because of
the stigma against them).
Code of Federal Regulations 42 Part 2- establishes specific rights (7) - ANSWERS1.
Inspection and copying of one's own records in most cases
2. Amendment of one's own record by request
3. Accounting of disclosures made
4. A specific request as to restrictions on disclosure
5. That information be communicated in a specific way
6. Receipt of a Notice of Privacy Practices
7. The right to file a complaint with the covered entity
Opiates - ANSWERSCentral nervous system depressants. They can rapidly cross the
blood-brain barrier to produce a euphoric "rush" and physical dependence develops
rapidly when opiates are regularly used.
Withdrawal from Opiates - ANSWERSAnxiety, piloerection, insomnia, diarrhea,
abdominal cramps, vomiting, muscle aches, agitation, excessive yawning, nose running,
sweats, hypertension, and fever.
, Screening - ANSWERSTo determine an appropriate initial course of action, given the
client's needs, characteristics, and available resources, in conjunction with the
counselor, client, and available significant others.
essential screening competencies (9) - ANSWERS1. Creating a rapport, managing any
crises, and determining needs.
2. Systematically collect data, including key collateral information sources and
screening tools, using approaches sensitive to culture, age, gender etc.
3. Screen for toxicity, intoxication, and withdrawal, danger to self and others, and
assess any comorbid mental health problems.
4. Address the impact of addiction and its continuation in the client's life
5. Identify readiness for change and the related needs of significant others
6. Consider available treatment options
7. Select treatment options in keeping with the diagnostic criteria
8. Formulate an action plan with the client and involved others
9. Pursue admission and/or referral, and ensure follow-through
Substance screening - ANSWERSCompleted at the outset of the therapeutic process.
Seeks to answer the question of whether or not professional help is needed.
ASAM Levels of Care (4) - ANSWERS1. Hospitalization
2. Residential Care
3. Intensive Outpatient
4. Outpatient
6 Substance Use Disorder Modalities - ANSWERS1. Detox
2. Residential treatment
3. Highly structured intensive settings (Therapeutic community)
4. Outpatient drug-free (non-methadone)
5. Day treatment
6. Methadone Maintenance
4 Program Phases - ANSWERS1. Engagement and stabilization
2. Early Recovery
3. Maintenance of recovery
4. Transition to aftercare
The role of the counselor - ANSWERSAn adviser, change facilitator, collaborator, and
teacher.
3 conditions of a crisis - ANSWERS1. A hazardous or stressful situation
2. Awareness of the potential for significant life disruption or emotional upset
3. Inadequate coping strategies
