ADC or TX LCDC Exam Study Materials Questions And Answers

A method of reinforcing therapeutic alliance & spirit of collaboration between the PT & counselor: - setting mutually-established goals A mental status exam includes: - Appearance Speech Thought Process The provision of info concerning alcohol/drug abuse & the available srvcs & resources: - client education When should significant others should be involved in the treatment process? - From the clients first contact with the treatment center The NIDA-financed Drug Abuse reporting Program found that: (having to do with therapeutic communities) - Therapeutic communities do reduce drug use relative to untreated clients or those who are simply detoxified and released. A dually-diagnosed PT, stablized on meds for his psychatric D/O, wants to quit smoking. You should: - Consult with his physician regarding nicotine/medication interaction. A cognitive-based therapy, developed by Ellis, designed to confront a PT's irrational thinking - Rational-Emotive Therapy A "release of information" must include: name, address, DOB & _____? - The purpose of the release of information When a client discloses suicidal thougths, the counselor's first step is to: - Assess the degree of risk When conducting an assessment what is the counselor's primary focus? - Identifying the clients problems and needs, strengths and weaknessess. The BEST indicator if an individual is physically dependent upon alcohol or another drug is: - The presence of withdrawal symptoms. Guilt and ___ are painful emotions that are part of grieving. - Anger Despite vast personality differences, virtually all substance abusers experience: - remorse, self-hatred and shame You are having difficultiy with a client early on in the case. The BEST thing for you to do is: - Seek out supervision with a colleage or supervisor Self report screening instrument consists of 4 Y/N questions. Requires aprox 1 min to complete - CAGE questionnaire Drug Offender Profile Evaluation/Refferal Strategies - D.O.P.E.R.S. Michigan Alcoholism Screening Test - MAST Self Administered Alcoholism Screening Test - SAAST Short Michigan Alcoholism Screening Test - SMAST Substance Abuse Subtle Screening Inventory - Adult or Adolescent Version - SASSI Addiction Severity Index - ASI Diagnostic and Statistical Manual of Mental Disorders - DSM Adapted Short Michigan Alcoholism Screening Test for Fathers - F-SMAST Global Appraisal of Individual Needs - GAIN Minnesota Multiphasic Personality Inventory - MMPI Minnosota Substance Abuse Problems Scale - MSAPS Readiness To Change Questionnair - TRCQ Substance Abuse Subtle Screening Invnetory for Adolescents - SASSI-A Human Immunodeficiency Virus - HIV The Stages of Change : - 1) pre-contemplation 2) contemplation 3) preparation 4) action 5) maintenance 6) relapse (SCM) Not yeat acknowledging that there is a problem behavoir that needs to be changed - Pre-Contemplation (SCM) Acknowledging that there is a problem but not yet ready or sure of wanting to make a change - Contemplation (SCM) Getting ready to change - Preparation (SCM) Changing behavior - Action SCM) Maintaining the behavior change - Maintenance (SCM) Returning to older behaviors and abandoning the new changes - relapse The Stages of Change Model was originally developed in the late 1970's and early 1980's by... - James Prochaska, Carlo DiClemente Bio-psychosocial perspective - This recognizes that there are biological, psychological and social causes of substance abuse and dependence. Biological factors - These include brain chemistry problems, which may be genetic, making some people particularly vulnerable to addiction to certain drugs once they try them. Psychological factors - These include cognitive styles, personality traits, and early developmental experiences that may contribute to a client's causes of substance abuse and dependence. Social factors - These include poverty, oppression, poorly developed social skills, and family dysfunction that may contribute to a client's causes of substance abuse and dependence. Motivational interviewing - This is a style of interacting with clents, used not only for assessment, but for all phases of treatment, that is particularly helpful for reducing defensiveness and encouraging therapeutic collaboration between the counselor and client. Uses the interpersonal process to enhance clients' motivation to change, and encourages clients to move on to the next stage of readiness for change. Assessment Instruments - These aid in the identification of, and treatment planning for substance related disorders. Reliability - This refers to the consistency with which an assessment instrument measures. Validity - This refers to what an assessment instrument measures and how it is used. Screening Instrument - This distinguishes individuals who do not have a disorder from those who might have one. ` - ` CAGE - 4 questions - Yes to 1 indicates possibility of alcohol dependence. Cut down? Annoyed by criticism of drinking behavior? Guilty about drinking? Eye-opener? DAST - Drug Abuse Screening Test (adapted from MAST) used to detect abuse or dependence on drugs other than alcohol. MAST - Michigan Alcoholism Screening Test - yes or no to 25 questions.