NCAC/CADC II Exam Study Materials Ques ons and
answers Newest RATED A+ 2025/2026 NEW!!
crisis management
1. Focuses on present or immediate past.
2. Goal is to have situa on subside.
3. Meet in person if possible, nonverbal communica on is important
4. Uses verbal de-escala on, establishes rapport, NOT long history of the problem.
Relapse Preven on
A focus on changing one's lifestyle to healthy and posi ve changes which set a strong
founda on to ward off triggers and tempta ons.
-Concentrates on coping and preven on skills necessary to be prepared throughout the process.
-Does not end abruptly
-If it happens, it should be seen as a learning experience
-Focuses on cogni ve and behavioral techniques
CENAPS Components
1. Assessment
2. Warning Sign Iden fica on
3. Warning Sign Management
4. Recovery Planning
5. Relapse Early Interven on Training
CENAPS Stages
1. Transi on: accept powerlessness and abs nence as the only solu on.
2. Stabiliza on: recuperate from effects of withdrawal, work through feelings of guilt, shame,
and remorse
3. Early Recovery: Live with the past and who we are individually.
4. Middle Recovery: repair damage addic on has caused
5. Late Recovery: overcome dysfunc on and obstacles to healthy living
6. Maintenance: con nually grow and prac ce daily recovery
CENAPS Defini on
Center of applied science; Terrence Gorski: addic on is a disease and strives for the client to be
completely abs nent and make posi ve changes in lifestyle through five stages or components.
,Abs nence Viola on Effect
Marla< & Gordon: A reac on to an ini al lapse that influences whether it becomes a full-blown
relapse. Focuses on emo onal response to lapse and causes of lapse. The progression from
lapse to relapse is NOT inevitable.
Marla< & Gordon's Model
Relapse is caused by immediate determinants and covert antecedents.
Immediate Determinants: High risk situa on coping skills, outcome expecta ons, abs nence
viola on affect
Covert Antecedents: Lifestyle factors, urges, and cravings.
Use both specific and global interven on strategies.
Specific: iden fy high-risk situa on, and hence coping skills, self efficacy, illuminate myths about
effects, manage lapses, restructure percep on of relapse process.
Global: balance lifestyle, develop posi ve addic ons, s mulus control and urge management
techniques, relapse roadmaps.
EBP goals
EBP provide scien fic evidence of why certain treatments work.
The goal is to help the process as a whole, not eradicate other means
EBPs incorporate opinions of clinical experts, uses science to determine usable evidence,
incorporates individual tendencies of client and caregiver into the treatment plan.
Mo va onal Enhancement
Proposes to quicken the process to encourage rapid development through ini al assessment.
This includes ba<ery assessment and individual sessions at a rapid pace.
Con ngency Management
A type of behavioral therapy where pa ents are rewarded or reinforced for posi ve changes.
Uses posi ve reinforcement to increase a behavior or frequency.
EX: giC cards for nega ve UA's.
Cultural Accommoda on vs. Adapta on
Cultural accommoda on: modifies how a model is delivered for be<er understanding.
Cultural adapta on: changes the actual structure of the model for cultural reasons.
Trauma Informed vs Specific
Trauma informed: provides informa on about poten al traumas and how to handle them.
Trauma specific: deals with trea ng effects from a specific event that caused the trauma.
,Qualita ve vs Quan ta ve Assessment
Qualita ve: considers less tangible factors: observa ons, gut reac on.
Quan ta ve: based on facts and associated data
Ethical considera on precedence
1. Law: nothing supersedes federal or state law.
2. Precedent by caselaw
3. Common sense
4. Administra ve rule
5. Contracts
Trauma Informed Care Principles
Decisions are collabora ve and team-based, not from a single source.
1: understanding trauma and its affects.
2. safety.
3. help client gain regain control.
4. sharing of power.
5. cultural sensi vi es power
6. integra ng care.
7. establish or repair rela onships.
8. ensure possibility of recovery.
Elements of Morality
1. The counselor as a person: the counselor's understanding of right and wrong through
experience in life events.
2. A moral sense: innate sense of right and wrong that develops throughout one's life.
3. Values: what is important in a persons life.
Daily Ethical Conduct
1. provide informed consent.
2. operate in a competent manner.
3. ensure confiden ality.
4. maintain appropriate rela onship boundaries.
5. u lize adequate consulta on.
6. honor personal and cultural values.
Informed Consent Parts
, 1. client must be of stable mind to think ra onally
2. client was understand the issue at hand
3. client must not be held against their will
Cultural Competence
1. Destruc veness
2. Incapacity
3. Blindness
4. Pre-Competence
5. Competence & Proficiency
Stereotype vs. Generaliza on
Stereotype: Determines facts upfront without considering evidence. It is important to not use
stereotypes by any means.
Generaliza ons: Are common trend which can be used as a basis and are an acceptable way to
begin inves ga on into facts and then a determina on can be made.
Cultural Competence
One recognizes that culturally responsive prac ces should be implemented. It is more a stage of
mental transforma on, not related to actual implementa on.
Universal/Selec ve/Indicated Preven on
Universal: an a<empt to reduce the risk of alcohol and drugs across a general popula on.
Selec ve: an a<empt to reduce risk of alcohol and drugs for a specific family or group.
Indicated: a<empt to reduce risk for people already using substances.
Comprehensive Risk Assessment
1: recogni on of poten al risk.
2: ini al screening.
3: comprehensive assessment.
4: interven ons.
5: process evalua on and outcome determina on.
Crisis Determina on
A crisis and the need to intervene depends on the client's mental state.
A stressful event occurring doesn't necessarily create a crisis.
The reac on by the client is most important.
Altering of mental state may cause the client to poten ally spiral into a problema c state.
answers Newest RATED A+ 2025/2026 NEW!!
crisis management
1. Focuses on present or immediate past.
2. Goal is to have situa on subside.
3. Meet in person if possible, nonverbal communica on is important
4. Uses verbal de-escala on, establishes rapport, NOT long history of the problem.
Relapse Preven on
A focus on changing one's lifestyle to healthy and posi ve changes which set a strong
founda on to ward off triggers and tempta ons.
-Concentrates on coping and preven on skills necessary to be prepared throughout the process.
-Does not end abruptly
-If it happens, it should be seen as a learning experience
-Focuses on cogni ve and behavioral techniques
CENAPS Components
1. Assessment
2. Warning Sign Iden fica on
3. Warning Sign Management
4. Recovery Planning
5. Relapse Early Interven on Training
CENAPS Stages
1. Transi on: accept powerlessness and abs nence as the only solu on.
2. Stabiliza on: recuperate from effects of withdrawal, work through feelings of guilt, shame,
and remorse
3. Early Recovery: Live with the past and who we are individually.
4. Middle Recovery: repair damage addic on has caused
5. Late Recovery: overcome dysfunc on and obstacles to healthy living
6. Maintenance: con nually grow and prac ce daily recovery
CENAPS Defini on
Center of applied science; Terrence Gorski: addic on is a disease and strives for the client to be
completely abs nent and make posi ve changes in lifestyle through five stages or components.
,Abs nence Viola on Effect
Marla< & Gordon: A reac on to an ini al lapse that influences whether it becomes a full-blown
relapse. Focuses on emo onal response to lapse and causes of lapse. The progression from
lapse to relapse is NOT inevitable.
Marla< & Gordon's Model
Relapse is caused by immediate determinants and covert antecedents.
Immediate Determinants: High risk situa on coping skills, outcome expecta ons, abs nence
viola on affect
Covert Antecedents: Lifestyle factors, urges, and cravings.
Use both specific and global interven on strategies.
Specific: iden fy high-risk situa on, and hence coping skills, self efficacy, illuminate myths about
effects, manage lapses, restructure percep on of relapse process.
Global: balance lifestyle, develop posi ve addic ons, s mulus control and urge management
techniques, relapse roadmaps.
EBP goals
EBP provide scien fic evidence of why certain treatments work.
The goal is to help the process as a whole, not eradicate other means
EBPs incorporate opinions of clinical experts, uses science to determine usable evidence,
incorporates individual tendencies of client and caregiver into the treatment plan.
Mo va onal Enhancement
Proposes to quicken the process to encourage rapid development through ini al assessment.
This includes ba<ery assessment and individual sessions at a rapid pace.
Con ngency Management
A type of behavioral therapy where pa ents are rewarded or reinforced for posi ve changes.
Uses posi ve reinforcement to increase a behavior or frequency.
EX: giC cards for nega ve UA's.
Cultural Accommoda on vs. Adapta on
Cultural accommoda on: modifies how a model is delivered for be<er understanding.
Cultural adapta on: changes the actual structure of the model for cultural reasons.
Trauma Informed vs Specific
Trauma informed: provides informa on about poten al traumas and how to handle them.
Trauma specific: deals with trea ng effects from a specific event that caused the trauma.
,Qualita ve vs Quan ta ve Assessment
Qualita ve: considers less tangible factors: observa ons, gut reac on.
Quan ta ve: based on facts and associated data
Ethical considera on precedence
1. Law: nothing supersedes federal or state law.
2. Precedent by caselaw
3. Common sense
4. Administra ve rule
5. Contracts
Trauma Informed Care Principles
Decisions are collabora ve and team-based, not from a single source.
1: understanding trauma and its affects.
2. safety.
3. help client gain regain control.
4. sharing of power.
5. cultural sensi vi es power
6. integra ng care.
7. establish or repair rela onships.
8. ensure possibility of recovery.
Elements of Morality
1. The counselor as a person: the counselor's understanding of right and wrong through
experience in life events.
2. A moral sense: innate sense of right and wrong that develops throughout one's life.
3. Values: what is important in a persons life.
Daily Ethical Conduct
1. provide informed consent.
2. operate in a competent manner.
3. ensure confiden ality.
4. maintain appropriate rela onship boundaries.
5. u lize adequate consulta on.
6. honor personal and cultural values.
Informed Consent Parts
, 1. client must be of stable mind to think ra onally
2. client was understand the issue at hand
3. client must not be held against their will
Cultural Competence
1. Destruc veness
2. Incapacity
3. Blindness
4. Pre-Competence
5. Competence & Proficiency
Stereotype vs. Generaliza on
Stereotype: Determines facts upfront without considering evidence. It is important to not use
stereotypes by any means.
Generaliza ons: Are common trend which can be used as a basis and are an acceptable way to
begin inves ga on into facts and then a determina on can be made.
Cultural Competence
One recognizes that culturally responsive prac ces should be implemented. It is more a stage of
mental transforma on, not related to actual implementa on.
Universal/Selec ve/Indicated Preven on
Universal: an a<empt to reduce the risk of alcohol and drugs across a general popula on.
Selec ve: an a<empt to reduce risk of alcohol and drugs for a specific family or group.
Indicated: a<empt to reduce risk for people already using substances.
Comprehensive Risk Assessment
1: recogni on of poten al risk.
2: ini al screening.
3: comprehensive assessment.
4: interven ons.
5: process evalua on and outcome determina on.
Crisis Determina on
A crisis and the need to intervene depends on the client's mental state.
A stressful event occurring doesn't necessarily create a crisis.
The reac on by the client is most important.
Altering of mental state may cause the client to poten ally spiral into a problema c state.
