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What are the client's rights they should be made aware of? - ✔✔-individual dignity -confidentiality -non-discriminatory services
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What are the client's rights they should be made aware of? - ✔✔-individual dignity
-confidentiality
-non-discriminatory services
-communication
-personal effects
-minors to be educated
-counsel
-habeas corpus
When are the clients rights explained to them client? - ✔✔orientation
When should a counselor and client start to work on the tx plan? - ✔✔-once a diagnosis is confirmed
-placement recommendation has been made
-admitted to appropriate LOC
What basic functions does the intake process perform? - ✔✔-establish eligibility
-complete basic data collection
-identify barriers and assets
-est. a tx or service plan
What is the case conceptualization? - ✔✔organizing the information and observations made during assessment phase and interpret or make clinical judgement about what client is experiencing.
True or False
Alcohol can cause delirium tremors, which are fatal? - ✔✔true
What is the definition of recovery? - ✔✔Change whereby individuals improve their health and wellness, live a self-directed life and strive to reach their full potential
What is a stimulant used for? and what are some common ones? - ✔✔-treat narcolepsy, ADHD, obesity
-dexedrine, ritalin, adderall
What stance does recovery management take on recovery? - ✔✔"relapse is a not inevitable if the ongoing process is actively managed"
What neurotransmitter is strongly related to the experiences of pleasure? - ✔✔dopamine
What should a clinician do if they feel someone they are screening or assessing is at risk? - ✔✔discontinue services and they the client to a medical, psychiatric care of take another safe intervention
What is the rate of suicide among alcoholics who are depressed? - ✔✔over 75%
What is one important role and addiction counselor plays in recovery? - ✔✔help the client to identify and utilize their recovery capital
What are two major types of personality disorders? - ✔✔-boarderline
-antisocial
What are two common mood disorders? - ✔✔-depression
-bipolar
True or False-- OCD is not an anxiety disorder - ✔✔false
What are common symptoms of a panic disorder? - ✔✔-hyperventilation
-palpitations
-trembling
-sweating
-dizzy
-hot flashea
-chills
True or False-- PTSD is an anxiety disorder - ✔✔true
What doe a counselor do after the screening and assessment? - ✔✔interpert all available info and formulate a diagnostic impression and determine appropriate cause of action
What are the 6-dimensions of ASAM criteria? - ✔✔1. Acute Intoxication/ withdrawal potential
how many level of care are there and what are they? - ✔✔ 5
.5-- early intervention
1--outpatient
2--IOP/PHP
3-- Residential/Inpatient
4--medically-managed intensive inpatient
What percentage of users become addicted to weed? - ✔✔9%
True or False
Assessment should be ongoing? - ✔✔True
What is empathy? - ✔✔shared feelings and hope that something can be done to help the situation
What is recovery management? - ✔✔time sustained collaboration between consumers and traditional and non traditional service providers toward goal of stabilizing and managing substance use and other disorders until full remissions and recovery achieved and can be self-managed
What is CNS depressant use for? And what are the most common? - ✔✔-treat anxiety and sleep disorder
-Benzodiazepines (Valium and Xanax)
What is the goal of recovery? - ✔✔abstinence
Reinforces within the cycle of addiction are... - ✔✔Psychological
Social Aspect
*becomes part of them, lower inhibitions, helps with social discomfort and tension
Biological
*Effect reward/pleasure, alter pathways, release and make less overtime
What are the (10) principles of recovery? - ✔✔hope, person centered, many pathways, holistic, support, relationships, cultural based, trauma work, involvement and support system and respect
What are the theories of causation? - ✔✔moral--no willpower
disease-- E.M. Jelling 1960
genetic-- genetic predisposition
cultual-- American Indians vs. Saudi Arabians
blended-- all elements
What are the (3) components of ROSC? - ✔✔-collaborative decision-making
-continuity of services and support
-service quality and responsiveness
What is the goal of recovery management? - ✔✔enhancement of quality of life for individuals and families
What are (3) ways prescriptions pills can be abused? - ✔✔-taking someone else's medication
-higher quantity than prescribed
-taking for another purpose other than prescribed
What are the (8) stages of alcohol? - ✔✔1. sub-clinical
4/5. excitement
What are some factors that can affect climate and relationships in a therapeutic sense? - ✔✔-stigma
-posture
-gestures
-facial expressions
-affect
What is Motivational Interviewing? - ✔✔A client-centered approach that seeks to enhance an individual's motivation to change by exploring and resolving ambivalence
What is screening? - ✔✔review current situation and symptoms to determine most appropriate initial course of action given client's needs, characteristics and available resources
In the screening process, when should a person be referred for a comprehensive assessment? - ✔✔when it is indicated that substance misuse, abuse or dependency is probable
What are some effects on the body from CNS depressant? - ✔✔-slow brain activity, sleepiness and loss of coordination
What are positive things to for in community capital? - ✔✔-reduced stigma
-continuum of care
-accessible resources
What is the goal of screening? - ✔✔identify everyone who might have a SUD and /or COD and related services needed
What happens when there is an insensitivity in the brain's pleasure center? - ✔✔sobriety becomes associated w/ dysphoria and discomfort and drug induces is perceived as normal and/or balanced
In general population, What does a screening look for? - ✔✔presence or absence of the disorder
What does screening look for in a person who has already identified they are as risk? - ✔✔severity of the problem and determining need for comprehensive assessment
The CAGE test questions as what.... - ✔✔cutting down, feeling annoyed and guilty, and hangover
What are some effects dextrometmophan have on the body? - ✔✔impaired motor function, numbness, nausea/ vomiting and increased heart and blood pleasure
What can happen if you mix alcohol and benzos? - ✔✔seizures
What are things a counselor should focus on to build a strong helping relationship? - ✔✔-rapport
-support
-reassurance
-empathy
-acceptance
What factors influence addiction? - ✔✔-genetic
-peer and school
True or False
Women have a higher risk of developing problems
if true, why? - ✔✔true, their bodies contain less water
-women develop damage at lower levels of consumption over a short period of time
What is harm reduction? - ✔✔consequences of drug use are lowered
What are the (4) dimensions of recovery-oriented systems of care (ROSC)? - ✔✔health--recovery
home--permanent housing
purpose--employment/education
community-- peer/family, social networks
What do cannabinoid receptors influence? - ✔✔pleasure, memory, thinking, concentration, sensory/time perceptions and movement
How many symptoms are needed to meet each level of severity? - ✔✔2-3--mild
4-5-- moderate
6+-- severe
What are the co-occuring disorder screening instruments? - ✔✔-modified mini-screen (MMS)
-mental status exam (MSE)
-Brief Symptoms Inventory (BSI)
-Brief Psychiatric Rating Scale (BPRS)
-Mini-Mental status Exam (MMSE)
-Symptom Checklist 90-R
What are the (12) steps in the Assessment of COD? - ✔✔1.engagment of client
6.diagnosis
How is substance-induces disorders different from an independent co-occuring mental disorder? - ✔✔all or most of the psychiatric symptoms are the direct result of substance use
What is the main idea of family/social capital? - ✔✔relationships that support recovery
K2, Spice, moon rocks are examples of what? - ✔✔synthetic marijuana
What method of administration is used with marijuana? - ✔✔smoking
-joints
-pipes
-bongs
What is successful recovery dependent on? - ✔✔internal and external assets
I-- qualities, characteristics
E-- resources outside
True or False
Transparency is important in the screening process - ✔✔True
Who usually comes in contact with the client first? - ✔✔person performing the screening
Why is it important to get a client into tx in a timely manner? - ✔✔to assure their motivation is at their peak
What is engagement? - ✔✔making the connection between the client and clinician or program
What are the (3) important skills to have in a clinical evaluation? - ✔✔1. rapport/effective working alliance
How many goals are there in an initial interview? and what are they? - ✔✔(4)
Screening is designed to answer what single question? - ✔✔is there a need for additional assessment or evaluation because it is likely that this person has a substance abuse problems
True or False
Substance use and co-occurring disorders should be treated separately - ✔✔false
What core function leads to tx planning? - ✔✔assessment
What are the (3) key elements in the drug recognition process? - ✔✔-physical deviate from the norm
-not a non-drug related cause for deviation
-determine category of drug
What are some ways a counselor can ensure the client's input and participation in the development of
the tx plan? - ✔✔-review the list of problems and strengths with the client that were identified in the assessment. Ask them what problems are of greatest priority to them
-solicit client input and feedback when selecting objective and goals ( use I-statments; attend AA meetings vs. I will attend AA)
-both parties sign the treatment plan
What is another way to look at a tx plan? - ✔✔a roadmap for services
What is the ASAM Criteria for tx planning? - ✔✔-identifies problems or priorities
-includes strengths, skills and resources
-states goals that guide realistic, measurable achievable and short-term resolutions of symptoms or problems
-list methods or strategies that identify the personal actions of the patient and the staff
What does an initial tx plan include? - ✔✔a. presenting problems
b. preliminary goals and objective
c. type, frequency and duration of service
d. signature and date of the client and counselor and counselor credentials
What is an initial tx plan based on? - ✔✔information obtained from screening, referred sources, the client and other present in intake or admission.
What are the core elements of the individualized tx plan? - ✔✔A. problem and problem description; client's own words, include evidence of the problem (EX: engaging in dangerous behavior while under the influences of alcohol, as evidenced by arrest for driving while intoxicated, engaging in sex with a condom and engaging in physical altercations with family members)
B. Strengths: what the client bring in to the mix
C. Goals; broad statement that describe achievable goals, stated in terms of the presence of something (EX: the client will maintain sobriety rather than the client will not drink)
D. Objective; specific measurable steps to be taken to accomplish goals with target dates
E. Strategies; services provided by counselor and treatment team (EX: therapeutic model to be use and specific techniques to be employed-- CBT and assertiveness training and refusal skills training)
F. Diagnosis
G. Signature of the client and date
H. Signature of the counselor, date , credentials
I. Signature, date and credentials of clinical supervisors (if required)
What are the stages of change? - ✔✔Precontemplation
Contemplation
Preparation
Action
Maintenance
What would a client look like in the precontemplation stage? - ✔✔not considering change and do not intend to change behaviors in the foreseeable future