ILLINOIS CADC COMPREHENSIVE EXAM UPDATED
QUESTIONS AND SOLUTIONS GRADED A+
✔✔Perspectives on SUD Treatment - ✔✔Scientifically based approaches to SUD
treatment can include behavioral therapy (counseling, cognitive, psychotherapy),
medications or their combination. Behavioral therapies offer people strategies for coping
with their drug cravings, teaching them ways to avoid drugs and prevent relapse, help
them deal with relapse if it occurs. Case management and referral to other medical,
psychological and social services are crucial components of treatment for many clients.
No single treatment is appropriate for all individuals.
✔✔Counseling strategies and individual progress - ✔✔Good outcomes: Participation for
less than 90 days is of limited or no effectiveness. For methadone maintenance, 12
months is the minimum. For opiate-addicted individuals, methadone maintenance
treatment can last years. Many individuals have multiple episodes of treatment, often
with a cumulative impact. Recovery support services are complementary to, and
supportive of treatment rather than antithetical or a replacement for treatment.
✔✔Clinical and Recovery Support Services - ✔✔advocacy, housing support, linkage to
legal and child welfare services, employment readiness, education support and
remediation, family programs, child development education, parenting education, life
skills, community and recovery support services.
✔✔Self-Help Approaches - ✔✔Formal Treatment organizations incorporate 12-step
groups into their treatment regimen and recommend them for ongoing recovery support
following the conclusion of treatment. The key to recovery is turning one's life and will
over to a personally meaningful "higher power" such as God or Spirit. An extremely
valuable aid to recovery as a social support network outside of the treatment program,
and teaches skills needed to recover and helps clients take responsibility for their
recovery.
✔✔Alcoholics Anonymous - ✔✔Began in 1935 as a fellowship for those who wanted to
stop drinking. Bill W. a stockbroker and Dr. Bob, a surgeon were the original two
members. The main purpose is to stay sober and help other alcoholics achieve sobriety.
Abstinence is the only treatment. Three legacies are Recovery, Unity and Service.
✔✔Types of Treatment Programs: Withdrawal management: - ✔✔Broad process with
three essential components: Evaluation; Stabilization; Fostering client entry into
treatment. Withdrawal management can be ambulatory (outpatient) methadone
maintenance clinic - less expensive, less disruptive, allows client to remain in same
environment where he/she will function when drug-free. Residential/inpatient programs
can be provided in acute care hospital, residential addiction programs, psychiatric
hospital or freestanding medical care. Outpatient treatment can range from highly
structured to "drop-in" centers.
, ✔✔Specialized Outpatient Programs: - ✔✔Intensive Outpatient Treatment: Highly
structured and consists of 9 to 70 hours of treatment weekly. services may include
group therapy, pharmacotherapy, relapse prevention training, individual counseling,
family therapy and vocational training. Outpatient Treatment for Opioid Dependence:
Methadone Maintenance Treatment is the familiar term but Medication Assisted
Treatment (MAT) is the current term. MAT includes medication e.g. methadone,
naltrexone etc.
✔✔Residential Treatment - ✔✔24 hour intensive medical, psychiatric, and/or
psychosocial treatment and residential care. Therapeutic communities are highly
structured residential programs that can last between 6 months and two years.
✔✔Levels of Treatment - ✔✔Includes Group counseling: a group culture that focuses
on the "here and now" behavior. Active and dynamic approach, empathic style. A
common mistake is for a beginning counselor to focus an entire group meeting on one
client, while others simply look on. Groups work well because they engage therapeutic
forces - like affiliation, support, peer confrontation - enables clients to bond with a
culture of recovery. Also effective in treating problems that accompany addiction such
as depression, isolation and shame.
✔✔Groups commonly used in Substance Abuse Treatment - ✔✔Psycho-educational
which educate clients about substance abuse, Skills development groups to attain and
sustain abstinence (anger and coping skills); Cognitive-behavioral groups which alter
thoughts and actions that lead to substance abuse and support groups for maintaining
abstinence and managing day-to-day healthy living. Interpersonal process groups delve
into major developmental issues that contribute to addiction or interfere with recovery.
✔✔Three other specialized groups common in SUD Treatment - ✔✔Prevent relapse,
bring a specific culture's healing practices to bear on substance abuse, use art to
express thoughts that are difficult to communicate or groups that target specific
problems such as anger or shyness that contributes to substance abuse.
✔✔Treatment Approaches and Evidence-Based Practice (EBP) - ✔✔The goal of EBP is
to integrate clinical expertise, external scientific evidence and client/patient/caregiver
values to provide high quality services reflecting the interests, values, needs and
choices of the individuals we serve. EBP are the only ones that are supported by
scientific evidence that proves they work to produce specific outcomes when used to
treat the disorders for which they were developed and with people who are similar to the
service recipients in the clinical trials.
✔✔Examples of EBP Programs - ✔✔Seeking Safety, Motivational Interviewing, twelve
Step Facilitation Therapy, Behavioral Couples Therapy, Cognitive-Behavioral Therapy,
Solution Focused Brief Therapy (SFBT); Community Reinforcement Approach (CRA)
with vouchers, Dialectical Behavior Therapy (DBT). Fidelity is the degree to which a
program or practice is delivered so that it remains true to the treatment as originally
QUESTIONS AND SOLUTIONS GRADED A+
✔✔Perspectives on SUD Treatment - ✔✔Scientifically based approaches to SUD
treatment can include behavioral therapy (counseling, cognitive, psychotherapy),
medications or their combination. Behavioral therapies offer people strategies for coping
with their drug cravings, teaching them ways to avoid drugs and prevent relapse, help
them deal with relapse if it occurs. Case management and referral to other medical,
psychological and social services are crucial components of treatment for many clients.
No single treatment is appropriate for all individuals.
✔✔Counseling strategies and individual progress - ✔✔Good outcomes: Participation for
less than 90 days is of limited or no effectiveness. For methadone maintenance, 12
months is the minimum. For opiate-addicted individuals, methadone maintenance
treatment can last years. Many individuals have multiple episodes of treatment, often
with a cumulative impact. Recovery support services are complementary to, and
supportive of treatment rather than antithetical or a replacement for treatment.
✔✔Clinical and Recovery Support Services - ✔✔advocacy, housing support, linkage to
legal and child welfare services, employment readiness, education support and
remediation, family programs, child development education, parenting education, life
skills, community and recovery support services.
✔✔Self-Help Approaches - ✔✔Formal Treatment organizations incorporate 12-step
groups into their treatment regimen and recommend them for ongoing recovery support
following the conclusion of treatment. The key to recovery is turning one's life and will
over to a personally meaningful "higher power" such as God or Spirit. An extremely
valuable aid to recovery as a social support network outside of the treatment program,
and teaches skills needed to recover and helps clients take responsibility for their
recovery.
✔✔Alcoholics Anonymous - ✔✔Began in 1935 as a fellowship for those who wanted to
stop drinking. Bill W. a stockbroker and Dr. Bob, a surgeon were the original two
members. The main purpose is to stay sober and help other alcoholics achieve sobriety.
Abstinence is the only treatment. Three legacies are Recovery, Unity and Service.
✔✔Types of Treatment Programs: Withdrawal management: - ✔✔Broad process with
three essential components: Evaluation; Stabilization; Fostering client entry into
treatment. Withdrawal management can be ambulatory (outpatient) methadone
maintenance clinic - less expensive, less disruptive, allows client to remain in same
environment where he/she will function when drug-free. Residential/inpatient programs
can be provided in acute care hospital, residential addiction programs, psychiatric
hospital or freestanding medical care. Outpatient treatment can range from highly
structured to "drop-in" centers.
, ✔✔Specialized Outpatient Programs: - ✔✔Intensive Outpatient Treatment: Highly
structured and consists of 9 to 70 hours of treatment weekly. services may include
group therapy, pharmacotherapy, relapse prevention training, individual counseling,
family therapy and vocational training. Outpatient Treatment for Opioid Dependence:
Methadone Maintenance Treatment is the familiar term but Medication Assisted
Treatment (MAT) is the current term. MAT includes medication e.g. methadone,
naltrexone etc.
✔✔Residential Treatment - ✔✔24 hour intensive medical, psychiatric, and/or
psychosocial treatment and residential care. Therapeutic communities are highly
structured residential programs that can last between 6 months and two years.
✔✔Levels of Treatment - ✔✔Includes Group counseling: a group culture that focuses
on the "here and now" behavior. Active and dynamic approach, empathic style. A
common mistake is for a beginning counselor to focus an entire group meeting on one
client, while others simply look on. Groups work well because they engage therapeutic
forces - like affiliation, support, peer confrontation - enables clients to bond with a
culture of recovery. Also effective in treating problems that accompany addiction such
as depression, isolation and shame.
✔✔Groups commonly used in Substance Abuse Treatment - ✔✔Psycho-educational
which educate clients about substance abuse, Skills development groups to attain and
sustain abstinence (anger and coping skills); Cognitive-behavioral groups which alter
thoughts and actions that lead to substance abuse and support groups for maintaining
abstinence and managing day-to-day healthy living. Interpersonal process groups delve
into major developmental issues that contribute to addiction or interfere with recovery.
✔✔Three other specialized groups common in SUD Treatment - ✔✔Prevent relapse,
bring a specific culture's healing practices to bear on substance abuse, use art to
express thoughts that are difficult to communicate or groups that target specific
problems such as anger or shyness that contributes to substance abuse.
✔✔Treatment Approaches and Evidence-Based Practice (EBP) - ✔✔The goal of EBP is
to integrate clinical expertise, external scientific evidence and client/patient/caregiver
values to provide high quality services reflecting the interests, values, needs and
choices of the individuals we serve. EBP are the only ones that are supported by
scientific evidence that proves they work to produce specific outcomes when used to
treat the disorders for which they were developed and with people who are similar to the
service recipients in the clinical trials.
✔✔Examples of EBP Programs - ✔✔Seeking Safety, Motivational Interviewing, twelve
Step Facilitation Therapy, Behavioral Couples Therapy, Cognitive-Behavioral Therapy,
Solution Focused Brief Therapy (SFBT); Community Reinforcement Approach (CRA)
with vouchers, Dialectical Behavior Therapy (DBT). Fidelity is the degree to which a
program or practice is delivered so that it remains true to the treatment as originally
