CAADC EXAM QUESTIONS AND ANSWERS

CAADC EXAM QUESTIONS AND ANSWER 5 stages of change - ANS-Pre-Contemplation, Contemplation, Preparation, Action, Maintenance 6 Dimensions of ASAM - ANS-1. Acute Intoxication/Withdrawal 2.Biomedical 3.Emotional/Behavioral 4.Readiness to Change 5.Relapse or Continued Use Potential 6.Recovery/Living Environment 12 Core Functions - ANS-screening, intake, orientation, assessment, treatment planning, counseling, case management, crisis intervention, client education, referral, report/record keeping, consultation ASAM - ANS-American Society of Addiction Medicine ASAM Continuum of Care: 5 Levels of Care - ANS-0.5 Early Intervention 1.0 Outpatient services 2.0 Intensive Outpatient/partial hospitalization (2.1=intensive outpatient; 2.5=partial hospitalization) 3.0 Residential/Inpatient (3.1=clinically managed low intensity residential; 3.3=clinically managed population specific high intensity residential; 3.5=clinically managed high intensity residential; 3.7=medically monitored intensive inpatient services 4.0 Medically Monitored Intensive Inpatient Services CBT - ANS-A short term focused approach to helping people become abstinent. Assumption that learning processes play an important role. Based on the idea that feelings and behaviors are cause by a persons thoughts. People may not be able to change their circumstances but they can change how they think about them. The goal is to teach the person to recognize situations in which they may drink, avoid these situations and cope with other problems that may lead to substance abuse. Counseling Groups - ANS-Counseling groups are a process group, and generally less educations. All counseling groups shall be facilitated by professional staff. Cultural Blindness - ANS-Ignores differences and proceeds as if they did not exist Cultural Destructiveness - ANS-Counselors filter interactions through a biased lens without engaging in self reflection Didactic Group - ANS-Didactic groups primary purpose is to educate patients and their significant others on a specific treatment related topic in a group setting. Should not exceed 24 people Dimensions included in an effective ROSC - ANS-Health, Home, Purpose, Community Disease Model - ANS-Addiction is a disease. Comes as result of the impairment of healthy neurochemical or behavioral processes. Jellinek is the pioneer of this model. Informed Consent - ANS-The client has a right and power to consent to treatment. Elements include the clients rational capacity to provide consent, clients comprehension, and clients sense of self determination Intake - ANS-The process of enrolling a client in a specific course of treatment. Primarily an administrative function. It is the extension of the screening process. 1) Establish Eligibility 2) Complete basic data collection 3) Identify barriers 4) Establish a treatment approach Moral Model - ANS-the belief that people abuse alcohol because they choose to do so. This model has no sympathy for people with serious addictions believing that the addict demonstrated a great moral failure. Motivational Enhancement Therapy (MET) - ANS-*method of counseling where the client's internal motivation is the driving force for changing problem bx *FRAMES (feedback, emphasis on personal responsibility, clear advice to change, a menu of alternative, therapist empathy, facilitation of client self efficacy) *Goes hand in hand with the stages of change Used in arenas where sessions are infrequent Motivational Interviewing - ANS-a collaborative, person-centered form of guiding to elicit and strengthen motivation for change. 1) Ask open ended questions 2) Listen Reflectively 3) Summarize 4) Affirm 5) Elicit self-motivational statements Orientation - ANS-Involves describing the nature and goals of the program to the client and the family. Prefrontal Cortex - ANS-The part of the brain that enables us to assess situations. This part of the brain is still maturing during adolescence. Psychological Model - ANS-Substance use results from deficits in learning, emotional dysfunction, or psychopathology that can be treated behaviorally or psychoanalytically oriented therapies. Recovery Management - ANS-Model of care Wraps traditional interventions in a continuum of recovery support services ROSC's - ANS-Recovery Oriented Systems of Care- distinctive emphasis on post treatment monitoring and support. Sociocultural Model - ANS-The cultural milieu in developing substance use disorders. Spiritual Model - ANS-Substances are used in an attempt to fill spiritual emptiness. 12 step programs Standardized interview - ANS-Also known as a structured interview. An interview employed by quantitative researchers in which the same questions, worded identically and presented in the same order, are asked of participants in a uniform manner. Therapeutic Alliance - ANS-the relationship between therapist and client that develops as a warm, caring, accepting relationship characterized by empathy, mutual respect, and understanding. Types of Learning Styles - ANS-Auditory, Visual, Kinesthetic Addiciton Severity Index (ASI) - ANS-Developed in 1980, most used assessment instrument. Agonist - ANS-a molecule that, by binding to a receptor site, stimulates a response Antagonist - ANS-Blocks the action of the agonist, and an inverse agonist causes an action opposite to that of the agonist Akathisia - ANS-motor restlessness Alcohol Use Disorders Identification Test (AUDIT) - ANS-10 items on instrument, developed by WHO; asks about frequency of drinking, alcohol dependence & problems caused by alcohol in the past 12 months; scores range from 0-40; a score of 8+ indicates likelihood of harmful alcohol consumption Alcohol Withdrawal Timeframe - ANS-Peeks 2-3 days and subsides in 4-5 days. Carvings may continue for years. Amphetamines/Meth - ANS-Cause increased release of dopamine and norephinephrine. Stimulant. Street Names, speed, dexies, co-pilot. Meth street names, Amp, Bikers coffee, black beuties, Crank, Chicken feed