ILLINOIS CADC EVALUATION EXAM ACTUAL
QUESTIONS AND SOLUTIONS GRADED A+
✔✔What does the experienced effect of a drug depend on? - ✔✔The amount of the
drug ingested will affect the experience with higher does producing a greater effect.
✔✔Drug Tolerance - ✔✔decreased sensitivity to a drug over time develops after regular
use. Tolerance develops as the body seeks homeostasis.
✔✔Drug Cues - ✔✔Prior drug use setting, drug use paraphernalia, seeing others use
drugs.
✔✔Tolerance for barbituates - ✔✔The margin between intoxication and lethality stays
the same. While tolerance does develop tolerance for a lethal dose only marginally
increases meaning that the likelihood of an unintentional fatal does increases
substantially over time as the need for the intoxicating effect pushes towards a lethal
does.
✔✔Wernicke's encephalopathy - ✔✔Most common symptom is confusion, also includes
poor muscle coordination, oculomotor impairment. It is a short term condition resulting
from vitamin B1 thiamine deficiency and develops after years of drinking and poor
nutrition. Can lead to to Korsakoff syndrome which is long-term psychosis and memory
problems.
✔✔What conditions does alcohol induce? - ✔✔Steatosis-fatty deposits in the liver that
can be fatal, Hepatitis-inflamation of the liver due to alcohol, Cirrhosis-scarring of the
liver from alcohol use
NOT Nephrosis
✔✔Formication - ✔✔a sensation like insects crawling over the skin. Especially in
chronic cocaine, meth, and users of other stimulants.
✔✔Organ most damaged by Cocaine abuse - ✔✔The heart-it causes arterial
constriction and a cumulative effects of arterial narrowing.
✔✔Basic chemical classes of amphetamine - ✔✔Amphetamine sulphate,
Dextroamphetamine, Methamphetamine. Synthetic stimulants that are chemically
similar to the body's adrenaline.
✔✔In terms of quitting which drug ranks the highest - ✔✔Nicotine.
✔✔THC Content - ✔✔THC content in marijuana varies widely.
,✔✔Convergence Theory - ✔✔Rates of substance abuse among women are converging
with those of men.
✔✔Where does alcohol abuse rank in psychiatric disorder with the elderly? - ✔✔Third,
2-4 percent of the elderly have a substance use disorder.
✔✔First requirement at initial meeting with a client - ✔✔Establish Rapport. Explore
readiness for change, rules, expectation, confidentiality.
✔✔Motivational Interviewing (MI) - ✔✔Supportive Persuasion, the goal is to help clients
discover their desire to change.
✔✔What percent of people with dual diagnosis received treatment for their mental
illness only? - ✔✔32.9 receive treatment for mental illness only, 7.4 percent will be
treated for both disorders,
✔✔What factors affect screening instrument validity - ✔✔Screening Setting, Privacy,
Levels of rapport and trust, how instructions are given and clarified.
✔✔Functions of a CADC - ✔✔Screen clients, substance use assessment, create a
treatment plan
CANNOT-diagnose mental disorders
✔✔Assessment process and instruments should be sensitive to - ✔✔Age, gender, race,
ethnicity, disabilities
NOT-Political orientation
✔✔Mental health symptoms that resolve with abstinence in 30 days or less are due to?
- ✔✔Substance abuse-induced disorders that require continued abstinence.
✔✔CRAFFT - ✔✔6-item screen for alcohol or drugs in adolescents, 14-18 drawing on
situations that are common to this age group.
(C=car, R=relax, A=alone, F=forget, F= family or friends, T= trouble)
✔✔AUDIT - ✔✔Alcohol Use Disorders Identification Test
✔✔CAGE - ✔✔Four question screening tool for alcohol.
cut down drinking, feeling annoyed, feeling guilty at drinking, needing an eye opener
drink
✔✔MAST - ✔✔Michigan Alcohol Screening Test
25 questions
, ✔✔Suicide Evaluation most important intro statement - ✔✔I need to ask a few
questions about suicide. It is most important to introduce the topic than launch in two
questions.
✔✔Purpose of Screeing - ✔✔To determine the need for placement or referral.
✔✔Primary purpose of substance use assessment - ✔✔To determine the severity and
extent of the substance use problem.
✔✔Who creates a treatment plan? - ✔✔Collaborative team with the client
✔✔How to handle assessment info to be most effective? - ✔✔Converted into goals and
objectives. Secondary is careful documentation, information sharing, and client
feedback.
✔✔What encourages a client to complete treatment? - ✔✔Knowledge of the benefits of
treatment
Understanding the treatment process
Fully assuming the patient role
NOT-frequent interdisciplinary consultations.
✔✔Levels of treatment placement recognized by ASAM - ✔✔Four levels of treatment
placement and five specific levels of care.
Level 0.5 early intervention
Level I basic non-residential outpatient
Level II intensive outpatient or partial hospitalization
Level III Residential or inpatient
Level IV medically managed inpatient
✔✔Assessment Dimensions Recognized by ASAM - ✔✔Six dimensions are recognized.
1. Acute intoxication or withdrawal potential
2. Biomedical conditions and complication
3. Emotional, behavioral or cognitive conditions
4. Readiness to change
5. Relapse continued use or continued problems
6. Recovery environment
✔✔Stages of Change Model - ✔✔Five Stages
precontemplation, contemplation, preparation, action, maintenance
✔✔CMRS - ✔✔Circumstances, Motivation, Readiness, and Suitability Scales are used
to determine client readiness for substance use treatment.
✔✔MATRS - ✔✔Guiding principles in treatment planning:
Measurable
QUESTIONS AND SOLUTIONS GRADED A+
✔✔What does the experienced effect of a drug depend on? - ✔✔The amount of the
drug ingested will affect the experience with higher does producing a greater effect.
✔✔Drug Tolerance - ✔✔decreased sensitivity to a drug over time develops after regular
use. Tolerance develops as the body seeks homeostasis.
✔✔Drug Cues - ✔✔Prior drug use setting, drug use paraphernalia, seeing others use
drugs.
✔✔Tolerance for barbituates - ✔✔The margin between intoxication and lethality stays
the same. While tolerance does develop tolerance for a lethal dose only marginally
increases meaning that the likelihood of an unintentional fatal does increases
substantially over time as the need for the intoxicating effect pushes towards a lethal
does.
✔✔Wernicke's encephalopathy - ✔✔Most common symptom is confusion, also includes
poor muscle coordination, oculomotor impairment. It is a short term condition resulting
from vitamin B1 thiamine deficiency and develops after years of drinking and poor
nutrition. Can lead to to Korsakoff syndrome which is long-term psychosis and memory
problems.
✔✔What conditions does alcohol induce? - ✔✔Steatosis-fatty deposits in the liver that
can be fatal, Hepatitis-inflamation of the liver due to alcohol, Cirrhosis-scarring of the
liver from alcohol use
NOT Nephrosis
✔✔Formication - ✔✔a sensation like insects crawling over the skin. Especially in
chronic cocaine, meth, and users of other stimulants.
✔✔Organ most damaged by Cocaine abuse - ✔✔The heart-it causes arterial
constriction and a cumulative effects of arterial narrowing.
✔✔Basic chemical classes of amphetamine - ✔✔Amphetamine sulphate,
Dextroamphetamine, Methamphetamine. Synthetic stimulants that are chemically
similar to the body's adrenaline.
✔✔In terms of quitting which drug ranks the highest - ✔✔Nicotine.
✔✔THC Content - ✔✔THC content in marijuana varies widely.
,✔✔Convergence Theory - ✔✔Rates of substance abuse among women are converging
with those of men.
✔✔Where does alcohol abuse rank in psychiatric disorder with the elderly? - ✔✔Third,
2-4 percent of the elderly have a substance use disorder.
✔✔First requirement at initial meeting with a client - ✔✔Establish Rapport. Explore
readiness for change, rules, expectation, confidentiality.
✔✔Motivational Interviewing (MI) - ✔✔Supportive Persuasion, the goal is to help clients
discover their desire to change.
✔✔What percent of people with dual diagnosis received treatment for their mental
illness only? - ✔✔32.9 receive treatment for mental illness only, 7.4 percent will be
treated for both disorders,
✔✔What factors affect screening instrument validity - ✔✔Screening Setting, Privacy,
Levels of rapport and trust, how instructions are given and clarified.
✔✔Functions of a CADC - ✔✔Screen clients, substance use assessment, create a
treatment plan
CANNOT-diagnose mental disorders
✔✔Assessment process and instruments should be sensitive to - ✔✔Age, gender, race,
ethnicity, disabilities
NOT-Political orientation
✔✔Mental health symptoms that resolve with abstinence in 30 days or less are due to?
- ✔✔Substance abuse-induced disorders that require continued abstinence.
✔✔CRAFFT - ✔✔6-item screen for alcohol or drugs in adolescents, 14-18 drawing on
situations that are common to this age group.
(C=car, R=relax, A=alone, F=forget, F= family or friends, T= trouble)
✔✔AUDIT - ✔✔Alcohol Use Disorders Identification Test
✔✔CAGE - ✔✔Four question screening tool for alcohol.
cut down drinking, feeling annoyed, feeling guilty at drinking, needing an eye opener
drink
✔✔MAST - ✔✔Michigan Alcohol Screening Test
25 questions
, ✔✔Suicide Evaluation most important intro statement - ✔✔I need to ask a few
questions about suicide. It is most important to introduce the topic than launch in two
questions.
✔✔Purpose of Screeing - ✔✔To determine the need for placement or referral.
✔✔Primary purpose of substance use assessment - ✔✔To determine the severity and
extent of the substance use problem.
✔✔Who creates a treatment plan? - ✔✔Collaborative team with the client
✔✔How to handle assessment info to be most effective? - ✔✔Converted into goals and
objectives. Secondary is careful documentation, information sharing, and client
feedback.
✔✔What encourages a client to complete treatment? - ✔✔Knowledge of the benefits of
treatment
Understanding the treatment process
Fully assuming the patient role
NOT-frequent interdisciplinary consultations.
✔✔Levels of treatment placement recognized by ASAM - ✔✔Four levels of treatment
placement and five specific levels of care.
Level 0.5 early intervention
Level I basic non-residential outpatient
Level II intensive outpatient or partial hospitalization
Level III Residential or inpatient
Level IV medically managed inpatient
✔✔Assessment Dimensions Recognized by ASAM - ✔✔Six dimensions are recognized.
1. Acute intoxication or withdrawal potential
2. Biomedical conditions and complication
3. Emotional, behavioral or cognitive conditions
4. Readiness to change
5. Relapse continued use or continued problems
6. Recovery environment
✔✔Stages of Change Model - ✔✔Five Stages
precontemplation, contemplation, preparation, action, maintenance
✔✔CMRS - ✔✔Circumstances, Motivation, Readiness, and Suitability Scales are used
to determine client readiness for substance use treatment.
✔✔MATRS - ✔✔Guiding principles in treatment planning:
Measurable
