LCDC-Alcohol and Drug Counselor-
Exam Questions with Solved Solutions.
Culture-bound syndrome - Answer illness truly bound to specific culture; refer to otherwise
common mental or physical illnesses that are subsequently construed as unusual because of
Patho plastic influence of culture (e.g, hallucinatory sx of schizophrenia could be due to demon
possession)
pharmacological therapy and psychotherapy - Answer two key mental health treatment
paradigms of Western medicine (multimodal therapy)
racism and discrimination - Answer refer to attitudes, beliefs, and practices that prejudge and
denigrate individuals or gs based on disparate phenotypic characteristics (skin color, hair
texture, facial features, etc) or ethnic minority group affiliation
What is the trend for cultural diversity in the US? - Answer increasing rapidly and steadily; by
2025, 40% adults (48% children) will be from ethnic and racial minority gps.
HIV - Answer the viral agent that causes AIDS (Acquired Immunodeficiency Syndrome), which
is the final stage in the HIV disease process; most prevalent in men having sex with men and IV
drug users; contributes to poverty, homelessness, an other medical problems
50% - Answer percent increase in the number of seniors needing substance abuse treatment.
70% rate of increase in treatment
Limits to confidentiality - Answer 1. Client request for release of information
2. Court orders for release of information
3. Danger to self
4. Danger to others
5. Suspected Child abuse/neglect cause by a client
6. Grave disability
CAGE questionnaire - Answer Have you ever felt you should CUT DOWN on your drinking?
Have people ANNOYED you by criticizing your drinking?
Have you ever felt bad or GUILTY about your drinking?
Have you ever had a drink first thing in the morning to steady your nerves (EYE-OPENER)?
- 4-question on alcohol abuse
,MAST - Answer Michigan Alcoholism Screening Test - yes or no to 25 questions to explore
number of treatment issues; most accurate and oldest screening tool to identify drinkers with
98% accuracy
What is another cultural issues beyond the client's culture? - Answer counselor's culture
Relapse-remitting model of addiction - Answer recognizes that some issues tend to return
cyclically overtime, can help counselor and CLT make advance contingency plans to avoid having
brief relapse in negative circumstances or behaviors
Authentically connected referral network - Answer refers to a carefully established set of
services providers prepared to meet client needs; goal is for all network agencies an providers
to recognize their valued and essential roles in the addiction treatment process and for clients
to recognize this and respond with similar trust and confidence.
What is the primary aim of case management services, beyond providing seamless care and
being client-centered? - Answer to provide least restrictive level of care
Ask-teLl-ask technique - Answer asking permission of the client to talk with them, telling them
of any concerns you have, and then asking for their thoughts on what you shared.
Referral form - Answer used to track the results of the referral; WHO (identifies the client and
counselor involved/demographic info; substance use, legal issues, family concerns) WHAT
(issues that generated the need for the referral, substance/work, family, and goals and
commitments) HOW (address how CLT was engaged and dealt with)
When should planning for aftercare be engaged - Answer at the point of initial counselor-client
contact
What should be the focus of treatment mostly? - Answer positive education and skills in
substance abuse triggers, patterns of use, and relapse prevention;
substance issues, recovery, health issues, co-occurring disorders; holistic treatment planning an
interventions are essential in recovery process
Bookend term in substance abuse treatment means.. - Answer discussing a trigger event with
someone trusted before and after it occurs
Trigger events - Answer often crisis stressors or situations
, CFR 42, part 2 - Answer confidentiality in areas of alcohol and substance abuse. confidentiality
restriction apply:
1) to records, w/c may not be disclosed even in admin, civil, criminal, or legislative proceedings
by any govt authority
2) to communications, even if the person seeking information already has it, cold otherwise
obtain it, is an official or law officer, has a subpeona or otherwise claims the right of information
release not permitted in the CFR
3) to acknowledgements, such as regarding the presence of a client (unless he/she is in a facility
or facility area not dedicated solely to alcohol or drug abuse tx, ad no mention of drug or
alcohol treatment is made)
How is subpoena will be valid for release of information? - Answer if a court of competent
jurisdiction also explicitly enters an order authorizing information release specific to the 42CFR
part 2 regulations
What does HIPAA statues guidelines address? - Answer health privacy and confidentiality
standards; governs the management and release of protected health information (PHI); right to
privacy for all adults and minors ages 12-18
DHHS Privacy Rule 3 additional privacy protections - Answer 1)consent of ROI must comply
with 45CFR
2)clients gets copy of ROI
3)copy is kept for 5 yrs from its exp date
How does group therapy and 12-step program differ? - Answer Group therapy - focuses on
helping individuals to examine, understand, and interpret the intrapsychic and interpersonal
influence and conflict that motivate and perpetuate substance abuse; denial is explored
12-step prg - centered on drawing upon focuses such as affiliation, peer confrontation and
support, and creating a culture of abstinence and the mutual accountability to sustain it; denial
is confronted and broken down
What are the 5 primary group models used in substance abuse treatment? - Answer 1)
Psychoeducation - teach about substance abuse
2) Skills development - hone on skills to break free of addiction
3) Cognitive-behavioral - rearrange patterns of thinking/action that lead to addiction.
4) Support group - Provide a forum where members can support constructive change.
5) Interpersonal process group - enable members to rethink past problems/solutions that led to
substance abuse
When does positive effects of treatment starts to emerge? - Answer around 3 mos is the
baseline duration for improved outcomes
Exam Questions with Solved Solutions.
Culture-bound syndrome - Answer illness truly bound to specific culture; refer to otherwise
common mental or physical illnesses that are subsequently construed as unusual because of
Patho plastic influence of culture (e.g, hallucinatory sx of schizophrenia could be due to demon
possession)
pharmacological therapy and psychotherapy - Answer two key mental health treatment
paradigms of Western medicine (multimodal therapy)
racism and discrimination - Answer refer to attitudes, beliefs, and practices that prejudge and
denigrate individuals or gs based on disparate phenotypic characteristics (skin color, hair
texture, facial features, etc) or ethnic minority group affiliation
What is the trend for cultural diversity in the US? - Answer increasing rapidly and steadily; by
2025, 40% adults (48% children) will be from ethnic and racial minority gps.
HIV - Answer the viral agent that causes AIDS (Acquired Immunodeficiency Syndrome), which
is the final stage in the HIV disease process; most prevalent in men having sex with men and IV
drug users; contributes to poverty, homelessness, an other medical problems
50% - Answer percent increase in the number of seniors needing substance abuse treatment.
70% rate of increase in treatment
Limits to confidentiality - Answer 1. Client request for release of information
2. Court orders for release of information
3. Danger to self
4. Danger to others
5. Suspected Child abuse/neglect cause by a client
6. Grave disability
CAGE questionnaire - Answer Have you ever felt you should CUT DOWN on your drinking?
Have people ANNOYED you by criticizing your drinking?
Have you ever felt bad or GUILTY about your drinking?
Have you ever had a drink first thing in the morning to steady your nerves (EYE-OPENER)?
- 4-question on alcohol abuse
,MAST - Answer Michigan Alcoholism Screening Test - yes or no to 25 questions to explore
number of treatment issues; most accurate and oldest screening tool to identify drinkers with
98% accuracy
What is another cultural issues beyond the client's culture? - Answer counselor's culture
Relapse-remitting model of addiction - Answer recognizes that some issues tend to return
cyclically overtime, can help counselor and CLT make advance contingency plans to avoid having
brief relapse in negative circumstances or behaviors
Authentically connected referral network - Answer refers to a carefully established set of
services providers prepared to meet client needs; goal is for all network agencies an providers
to recognize their valued and essential roles in the addiction treatment process and for clients
to recognize this and respond with similar trust and confidence.
What is the primary aim of case management services, beyond providing seamless care and
being client-centered? - Answer to provide least restrictive level of care
Ask-teLl-ask technique - Answer asking permission of the client to talk with them, telling them
of any concerns you have, and then asking for their thoughts on what you shared.
Referral form - Answer used to track the results of the referral; WHO (identifies the client and
counselor involved/demographic info; substance use, legal issues, family concerns) WHAT
(issues that generated the need for the referral, substance/work, family, and goals and
commitments) HOW (address how CLT was engaged and dealt with)
When should planning for aftercare be engaged - Answer at the point of initial counselor-client
contact
What should be the focus of treatment mostly? - Answer positive education and skills in
substance abuse triggers, patterns of use, and relapse prevention;
substance issues, recovery, health issues, co-occurring disorders; holistic treatment planning an
interventions are essential in recovery process
Bookend term in substance abuse treatment means.. - Answer discussing a trigger event with
someone trusted before and after it occurs
Trigger events - Answer often crisis stressors or situations
, CFR 42, part 2 - Answer confidentiality in areas of alcohol and substance abuse. confidentiality
restriction apply:
1) to records, w/c may not be disclosed even in admin, civil, criminal, or legislative proceedings
by any govt authority
2) to communications, even if the person seeking information already has it, cold otherwise
obtain it, is an official or law officer, has a subpeona or otherwise claims the right of information
release not permitted in the CFR
3) to acknowledgements, such as regarding the presence of a client (unless he/she is in a facility
or facility area not dedicated solely to alcohol or drug abuse tx, ad no mention of drug or
alcohol treatment is made)
How is subpoena will be valid for release of information? - Answer if a court of competent
jurisdiction also explicitly enters an order authorizing information release specific to the 42CFR
part 2 regulations
What does HIPAA statues guidelines address? - Answer health privacy and confidentiality
standards; governs the management and release of protected health information (PHI); right to
privacy for all adults and minors ages 12-18
DHHS Privacy Rule 3 additional privacy protections - Answer 1)consent of ROI must comply
with 45CFR
2)clients gets copy of ROI
3)copy is kept for 5 yrs from its exp date
How does group therapy and 12-step program differ? - Answer Group therapy - focuses on
helping individuals to examine, understand, and interpret the intrapsychic and interpersonal
influence and conflict that motivate and perpetuate substance abuse; denial is explored
12-step prg - centered on drawing upon focuses such as affiliation, peer confrontation and
support, and creating a culture of abstinence and the mutual accountability to sustain it; denial
is confronted and broken down
What are the 5 primary group models used in substance abuse treatment? - Answer 1)
Psychoeducation - teach about substance abuse
2) Skills development - hone on skills to break free of addiction
3) Cognitive-behavioral - rearrange patterns of thinking/action that lead to addiction.
4) Support group - Provide a forum where members can support constructive change.
5) Interpersonal process group - enable members to rethink past problems/solutions that led to
substance abuse
When does positive effects of treatment starts to emerge? - Answer around 3 mos is the
baseline duration for improved outcomes
