CCAPP - CADC - IC&RC Exam
Schedule III Drugs
- has potential for abuse, but to a lesser degree than schedules I + II: Tylenol with codeine, ketamine, anabolic steroids, and testosterone
Schedule V Drugs
- low potential for abuse, currently accepted medical use, limited dependence, may be dispensed without medical reason: Robitussin AC, Lomotil, Motofen, Lyrica, and Parepectolin
Case Management Functions
-Provide the client a single point of contact for multiple health and social services systems -Advocate for the client -Be flexible, community-based, and client-oriented -Assist the client with needs generally thought to be outside the realm of substance abuse treatment
Stages of alcohol withdrawal - Stage 3 (Severe withdrawal)
3 to 4 days but also in as little as 12 hours and up to 14 days Extreme confusion with hallucinations, severe agitation and may have seizures, may include life-threatening delirium tremens and circulatory collapse and death
Rational-Emotive Therapy
A Cognitive Therapy based on Albert Ellis' theory that cognitions control our emotions and behaviors; therefore, changing the way we think about things will affect the way we feel and the way we behave.
SBI - Screening to Brief Intervention Assessment
A method of identifying substances users - No risk, Low risk, High risk
Interpreting
A method used to teach a client a new way or perspective to look at things for problem solving
Norepinephrine
A neurotransmitter involved in arousal, as well as in learning and mood regulation - lack can depress mood
Acetylcholine
A neurotransmitter that enables learning and memory and also triggers muscle contraction
Stage 5 SUD Progression
Addiction: Feels physical and psychological need for substance despite problems it causes, has cravings & exhibits substance seeking behaviors (lying and stealing)
MI Strategies
Asking open-ended questions, listening reflectively, summarizing, affirming, and eliciting self-motivational statements
Counseling Skills
Attending, Concreteness, Distinguishing content from feelings, Probing, Empathy, Genuineness, Respect
Stages of Alcohol Intoxication: Death
BAC .045 or greater - respiratory failure, death
Stages of Alcohol Intoxication: Subclinical
BAC 0.01 to 0.05 - generally shows no impairment
Stages of Alcohol Intoxication: Euphoria
BAC 0.03 to 0.12 - beginning to show signs of impairment, more talkative, decreased inhibitions, may have difficulty walking
Stages of Alcohol Intoxication: Excitement
BAC 0.09 to 0.25 - obvious signs of intoxication, impaired memory or judgement, lack of balance, impaired vision and sleepiness
Stages of Alcohol Intoxication: Confusion
BAC 0.18 to 0.30 - markedly confused and unstable, may have "black outs"
Stages of Alcohol Intoxication: Stupor
BAC 0.25 to 0.4 - needs emergent care, unable to walk, may vomit, danger of aspiration
Stages of Alcohol Intoxication: Coma
BAC 0.35 to 0.45 - may be hypothermic with impaired circulation and respiration, risk of death
Stages of Alcohol Withdrawal - Stage 1 (Beginning withdrawal)
Begins 5-8 hours after cessation Tremors, agitation, headache, nausea, vomiting, cramps, sweating, hallucinations
Antagonist
Blocks the effects of the drug of abuse
Summarizing
Briefly stating the main points and key details of a session in your own words.
Nervousness or anxiety, sleep difficulty, (e.g., insomnia, disturbing dreams), decreased appetite or weight loss, depressed mood are all signs or symptoms of:
Cannabis withdrawal
Antidipsotropics
Cause adverse reactions to the consumption of the drug of abuse (antabuse)
Behavioral signs of occasional drug use
Change in routine, lying about drug use, where abouts or friends
Report and Record Keeping
Charting the results of the assessment and treatment plan, writing reports, progress notes, discharge summaries, and other client-related data. Utilize relevant information for client care.
countertransference
Circumstances in which a counselor develops personal feelings about a client because of perceived similarity of the client to significant people in the therapist's life.
Intake
Complete required documents for admission to the program. Complete required documents for program eligibility and appropriateness. Obtain appropriately signed consents when soliciting from or providing information to outside sources to protect client confidentiality and rights.
Screening
Conducted to determine the clients eligibility for treatment, if the client meets the diagnostic criteria for the program, and establish rapport. Consider patient characteristics of age, sex, income level, physical and psychological condition, and level of substance abuse.
Content versus Feelings
Content includes both information the the client discusses what they imply. Feelings are subjective body-mind reactions.
Psychotropics
Control the symptoms associated with use of, and withdrawal from the drug of abuse.
Case Managment
Coordinate services for client care. Explain the rationale of case management activities to the client.
Behaviorism: Classical Conditioning
Demonstrates that behaviors can be learned by making an association between an environmental stimulus and a naturally occurring stimulus Also called respondent conditioning
Stage 4 SUD Progression
Dependence: Continues chronic use despite problems and risks (increasing tolerance, begin withdrawals if decrease use or stop use)
Acute Intoxication or Withdrawal
Dimension 1 of ASAM explores an individual's past and current experiences of substance use and withdrawal. No longer called "detoxification," withdrawal management encompasses a range of services designed to meet a person's biopsychosocial needs.
Biomedical conditions and complications
Dimension 2 of ASAM explores an individual's health history and current physical condition. The goal is to determine whether the person needs additional physical health services, from acute stabilization to ongoing management of a chronic condition.
Emotional, Behavioral or Cognitive Conditions and Complications
Dimension 3 of ASAM explores an individual's thoughts, emotions and mental health issues. This may include cognitive, behavioral, psychiatric and trauma-related conditions.
Readiness to Change
Dimension 4 of ASAM explores an individual's readiness and interest in changing. Leaning on the transtheoretical model of behavior change, this dimension helps clinicians develop individualized care for people based on their readiness to change. The goal is to engage people in their own behavior change, providing motivational enhancement services as necessary.
Relapse, Continued Use or Continued Problem Potential
Dimension 5 of ASAM explores an individual's unique relationship with relapse, continued use or continued problems. This dimension is relevant at any stage of treatment - even if a person has not achieved a level of recovery that would seem to allow for relapse.
Recovery Environment
Dimension 6 of ASAM Assessment is used to identify dangerous psychosocial factors that pose a threat or exacerbate stressor, triggers, or likelihood of relapse?
Stage 1 SUD Progression
Experimentation: Occasional, social or stress-related (can stop, continue at this rate or progress)
Treatment Planning
Explain assessment results to client in an understandable manner. Identify and rank problems based on individual client needs in the written treatment plan. Formulate agreed upon immediate and long-term goals using behavioral terms in the written treatment plan. Identify the treatment methods and resources to be utilized as appropriate for the individual client.
Assessment
Gather relevant history from client including but not limited to alcohol and other drug abuse using appropriate interview techniques. Identify methods and procedures for obtaining corroborative information from significant secondary sources regarding client's alcohol and other drug abuse and psycho-social history. Identify appropriate assessment tools. Explain to the client the rationale for the use of assessment techniques in order to facilitate understanding. Develop a diagnostic evaluation of the client's substance abuse and any co-existing conditions based on the results of all assessments in order to provide an integrated approach to treatment planning based on the client's strengths, weaknesses, and identified problems and needs.
Self Disclosure
Genuine reveling of the counselors thoughts, feelings and experiences to build rapport with a client and foster a feeling of empathy.
Schedule 1 Drugs
Highest potential for abuse, no therapeutic use: heroin, LSD, ecstasy, and magic mushrooms
Referral
Identifying need(s) and/or problem(s) that the agency and/or counselor cannot meet. Explain the rationale for the referral to the client. Match client needs and/or problems to appropriate resources. Adhere to applicable laws, regulations and agency policies governing procedures related to the protection of the client's confidentiality. Assist the client in utilizing the support systems and community resources available.
Drug Mis-use
Inappropriate of unintended: saving pain medication for later, mixing alcohol and sedative medication
Agonist
Mimic the effects of the drug of abuse
A disproportionate and excessive response to life circumstances is a typical symptom of_________________?
Post Traumatic Stress syndrome
Stage 3 SUD Progression
Problem Use: begin to experience problems because of substance use (loss of job, DUI, physical impairments)
Orientation
Provide an overview to the client by describing program goals and objectives for client care. Provide an overview to the client by describing program rules, and client obligations and rights. Provide an overview to the client of program operations.
Client Education
Provision of information to individuals and groups concerning alcohol and other drug abuse and the available services and resources.
Consultation
Recognize issues that are beyond the counselor's base of knowledge and/or skill. Consult with appropriate resources to ensure the provision of effective treatment Adhere to applicable laws, regulations and agency policies governing the disclosure of client-identifying data. Explain the rationale for the consultation to the client, if appropriate.
Crisis Intervention
Recognize the elements of the client crisis. Implement an immediate course of action appropriate to the crisis. Enhance overall treatment by utilizing crisis events.
Stage 2 SUD Progression
Regular Use: Pattern use emerges (weekends, daily, in response to certain stressors)
Counseling
Select the counseling theory(ies) that apply(ies). Apply technique(s) to assist the client, group, and/or family in exploring problems and ramifications. Apply technique(s) to assist the client, group, and/or family in examining the client's behavior, attitudes, and/or feelings if appropriate in the treatment setting. Individualize counseling in accordance with cultural, gender, and lifestyle differences. Interact with the client in an appropriate therapeutic manner. Elicit solutions and decisions from the client. Implement the treatment plan.
Behavioral signs of drug abuse
Several: may stop attending work or school, school or work performance may decline, change in activities, dropping hobbies or activities. Mood swings, lying, stealing, legal trouble, and more.
Drug Use
Socially acceptable: prescriptions, wine/beer on occassion
Action Stage
Stage of change in which people are actively changing a negative behavior or adopting a new, healthy behavior
Pre-contemplation stage
Stage of change in which people are unwilling to change behavior
A diagnostic summary must include:
Strengths and weaknesses of the client
Record keeping requirements
Timely, Clear, Complete, Concise
SBIRT (screening, brief intervention, and referral to treatment)
Universal screening for alcohol and drug use through interview, observations and use of various tools such as AUDIT and CRAFFT
Stages of alcohol withdrawal - Stage 2 (Withdrawal)
Usually 24 hours of cessation Hallucinations (auditory, visual, and/or tactile) increased blood pressure and respiratory rate, urinary and fecal incontenance, muscle ridgety and clenching teeth
Client Centered therapy
a humanistic therapy, developed by Carl Rogers, in which the therapist uses techniques such as active listening within a genuine, accepting, empathic environment to facilitate clients' growth.
GABA
a major inhibitory neurotransmitter
Dopamine
a neurotransmitter that regulates motor behavior, motivation, pleasure, and emotional arousal
CAGE Assessment
a quick questionnaire used to determine if an alcohol assessment is needed
Relapse
a return to am unhealthy pattern of drug use following a period of sobriety
Schedule II Drugs
a type of drug with medicinal uses that is highly addictive and only available with a prescription:cocaine, meth, oxycodone, Adderall, Ritalin, and Vicodin
Schedule IV Drugs
a type of drug with medicinal uses that is moderately addictive and only available with a prescription: Xanax, Soma, Darvocet, Valium, and Ambien
Modeling Therapy
a type of therapy characterized by watching and imitating models that demonstrate desirable behaviors
Aisha has completed her treatment at an in-patient facility and is ready to be discharged. She has asked her counselor to recommend a therapist to work with her and her husband on an outpatient basis. This process is BEST viewed as an example of : a. a referral b. a consultation c. case management d. an aftercare plan
a. a referral
Of the following symptoms, which is the most typical of intoxication with alcohol, tranquilizers, and /or opioids, but not with amphetamines? a. low blood pressure b. ataxia c. disinhibition d. nystagmus
a. low blood pressure
Which of the following is the best definition of insight? a. A problem-solving strategy involving the elimination of unworkable solutions. b. A sudden understanding of self, or realization of how a problem can be solved. c. A Freudian defense mechanism that is used unconsciously but not maliciously. d. A confrontation technique used conjunction with Gestalt therapy.
b. A sudden understanding of self, or realization of how a problem can be solved.
CNS (central nervous system)
brain and spinal cord
Of the following, which is considered a key element of effective referrals? a. independence b. information c. collaboration d. competition
c. collaboration
MAT refers to: a. a common screening tool for alcoholism. b. a lengthy personality inventory used to identify gross psychopathology c. the use of medications such as suboxone in the treatment of addiction d. a nonmedical detox protocol
c. the use of medications such as suboxone in the treatment of addiction
Gestalt Therapy
form of directive insight therapy in which the therapist helps clients to accept all parts of their feelings and subjective experiences, using leading questions and planned experiences such as role-playing
Attending Skills
giving undivided attention by means of verbal and non-verbal behavior.
Glycine
inhibitory neurotransmitter in the spinal cord: motor
Immediacy
involves a counselor's and a client's understanding and communicating at the moment what is going on between them in the helping relationship, particularly feelings, impressions, and expectations
enkephalins and endorphins
morphinelike neurotransmitters found in the brain and adrenals
parasympathetic nervous system
part of autonomic system: a set of nerves that helps the body return to a normal resting state
Adlerian Therapy
psychosocial-learn about attitude toward life-main goal is confronting basic mistakes and assumption the clt holds and attempting to redirect them
Concreteness
quality of being specific and of referring to particular things - not vague or abstract
Paraphrasing
restating in your own words what the client has said, to show that you understand
Contemplation Stage
stage of change in which people are considering changing behavior in the next 6 months
Preparation Stage
stage of change in which people are getting ready to make a change within the coming month
Maintenance Stage
stage of change in which people maintain behavioral change for up to five years
Drug/Substance Use Disorder
substance dependency, physical or psychological, withdrawals
Probing
technique of asking open-ended questions
sympathetic nervous system
the division of the autonomic nervous system that arouses the body, mobilizing its energy in stressful situations (fight or flight)
somatic nervous system
the division of the peripheral nervous system that controls the body's skeletal muscles
autonomic nervous system
the part of the peripheral nervous system that controls the glands and the muscles of the internal organs (such as the heart). Its sympathetic division arouses; its parasympathetic division calms.
Transference
the patient's transfer to the counselor of emotions linked with other relationships (such as love or resentment for a parent, or spouse)
PNS (peripheral nervous system)
the sensory and motor neurons that connect the CNS to the rest of the body
Behavior Therapy
therapy that applies learning principles to the elimination of unwanted behaviors - Reward and Punishment
Confrontation
used when inconsistencies are noted between what the patient reports and observations or other data about the patient
