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ALCOHOL AND DRUG COUNSELOR EXAM QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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ALCOHOL AND DRUG COUNSELOR EXAM QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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ALCOHOL AND DRUG COUNSELOREXAM QUESTIONS AND ANSWERS
WITH SOLUTIONS 2024
Culture-boundYsyndromeY-
YANSWERYillnessYtrulyYboundYtoYspecificYculture;YreferYtoYotherwiseYcommonYmentalYorYphysicalYillnessesYt
hatYareYsubsequentlyYconstruedYasYunusualYbecauseYofYpathoplasticYinfluenceYofYcltureY(e.g,YhallucinatoryY
sxYofYschizophreniaYcouldYbeYdueYtoYdemonYpossession)
pharmacologicalYtherapyYandYpsychotherapyY-
YANSWERYtwoYkeyYmentalYhealthYtreatmentYparadigmsYofYWesternYmedicineY(multimodalYtherapy)
racismYandYdiscriminationY-
YANSWERYreferYtoYattitudes,Ybeliefs,YandYpracticesYthatYprejudgeYandYdenigrateYindividualsYorYgsYbasedYonY
disparateYphenotypicYcharacteristicsY(skinYcolor,YhairYtexture,YfacialYfeatures,Yetc)YorYethnicYminorityYgroup
Yaffiliation
WhatYisYtheYtrendYforYculturalYdiversityYinYtheYUS?Y-
YANSWERYincreasingYrapidlyYandYsteadily;YbyY2025,Y40%YadultsY(48%Ychildren)YwillYbeYfromYethnicYandYraci
alYminorityYgps.
HIVY-
YANSWERYtheYviralYagentYthatYcausesYAIDSY(AcquiredYImmunodeficiencyYSyndrome),YwhichYisYtheYfinalYstag
eYinYtheYHIVYdiseaseYprocess;YmostYprevalentYinYmenYhavingYsexYwithYmenYandYIVYdrugYusers;YcontributesYt
oYpoverty,Yhomelessness,YanYotherYmedicalYproblems
50%Y-
YANSWERYpercentYincreaseYinYtheYnumberYofYseniorsYneedingYsubstanceYabuseYtreatment.Y70%YrateYofYincr
easeYinYtreatment
LimitsYtoYconfidentialityY-YANSWERY1.YClientYrequestYforYreleaseYofYinformation
2.YCourtYordersYforYreleaseYofYinformation
3.YDangerYtoYself
4.YDangerYtoYothers
,5.YSuspectedYChildYabuse/neglectYcauseYbyYaYclient
6.YGraveYdisability
CAGEYquestionnaireY-YANSWERYHaveYyouYeverYfeltYyouYshouldYCUTYDOWNYonYyourYdrinking?
HaveYpeopleYANNOYEDYyouYbyYcriticizingYyourYdrinking?
HaveYyouYeverYfeltYbadYorYGUILTYYaboutYyourYdrinking?
HaveYyouYeverYhadYaYdrinkYfirstYthingYinYtheYmorningYtoYsteadyYyourYnervesY(EYE-OPENER)?
-Y4-questionYonYalcoholYabuse
MASTY-YANSWERYMichiganYAlcoholismYScreeningYTestY-
YyesYorYnoYtoY25YquestionsYtoYexploreYnumberYofYtreatmentYissues;YmostYaccurateYandYoldestYscreeningYto
olYtoYidentifyYdrinkersYwithY98%Yaccuracy
WhatYisYanotherYculturalYissuesYbeyondYtheYclient'sYculture?Y-YANSWERYcounselor'sYculture
Relapse-remittingYmodelYofYaddictionY-
YANSWERYrecognizesYthatYsomeYissuesYtendYtoYreturnYcyclicallyYovertime,YcanYhelpYcounselorYandYCLTYmak
eYadvanceYcontingencyYplansYtoYavoidYhavingYbriefYrelapseYinYnegativeYcircumstancesYorYbehaviors
AuthenticallyYconnectedYreferralYnetworkY-
YANSWERYrefersYtoYaYcarefullyYestablishedYsetYofYservicesYprovidersYpreparedYtoYmeetYclientYneeds;YgoalYisY
forYallYnetworkYagenciesYanYprovidersYtoYrecognizeYtheirYvaluedYandYessentialYrolesYinYtheYaddictionYtreatm
entYprocessYandYforYclientsYtoYrecognizeYthisYandYrespondYwithYsimilarYtrustYandYconfidence.
WhatYisYtheYprimaryYaimYofYcaseYmanagementYservices,YbeyondYprovidingYseamlessYcareYandYbeingYclient-
centered?Y-YANSWERYtoYprovideYleastYrestrictiveYlevelYofYcare
Ask-teLl-askYtechniqueY-
YANSWERYaskingYpermissionYofYtheYclientYtoYtalkYwithYthem,YtellingYthemYofYanyYconcernsYyouYhave,YandYth
enYaskingYforYtheirYthoughtsYonYwhatYyouYshared.
ReferralYformY-
YANSWERYusedYtoYtrackYtheYresultsYofYtheYreferral;YWHOY(identifiesYtheYclientYandYcounselorYinvolved/dem
, ographicYinfo;YsubstanceYuse,YlegalYissues,YfamilyYconcerns)YWHATY(issuesYthatYgeneratedYtheYneedYforYthe
Yreferral,Ysubstance/work,Yfamily,YandYgoalsYandYcommitments)YHOWY(addressYhowYCLTYwasYengagedYandY
dealtYwith)
WhenYshouldYplanningYforYaftercareYbeYengagedY-YANSWERYatYtheYpointYofYinitialYcounselor-clientYcontact
WhatYshouldYbeYtheYfocusYofYtreatmentYmostly?Y-
YANSWERYpositiveYeducationYandYskillsYinYsubstanceYabuseYtriggers,YpatternsYofYuse,YandYrelapseYpreventio
n;Y
substanceYissues,Yrecovery,YhealthYissues,Yco-
occurringYdisorders;YholisticYtreatmentYplanningYanYinterventionsYareYessentialYinYrecoveryYprocess
BookendYtermYinYsubstanceYabuseYtreatmentYmeans..Y-
YANSWERYdiscussingYaYtriggerYeventYwithYsomeoneYtrustedYbeforeYandYafterYitYoccurs
TriggerYeventsY-YANSWERYoftenYcrisisYstressorsYorYsituations
CFRY42,YpartY2Y-
YANSWERYconfidentialityYinYareasYofYalcoholYandYsubstanceYabuse.YconfidentialityYrestrictionYapply:
1)YtoYrecords,Yw/cYmayYnotYbeYdisclosedYevenYinYadmin,Ycivil,Ycriminal,YorYlegislativeYproceedingsYbyYanyYgo
vtYauthority
2)YtoYcommunications,YevenYifYtheYpersonYseekingYinformationYalreadyYhasYit,YcoldYotherwiseYobtainYit,YisYa
nYofficialYorYlawYofficer,YhasYaYsubpeonaYorYotherwiseYclaimsYtheYrightYofYinformationYreleaseYnotYpermitte
dYinYtheYCFR
3)YtoYacknowledgements,YsuchYasYregardingYtheYpresenceYofYaYclientY(unlessYhe/sheYisYinYaYfacilityYorYfacilit
yYareaYnotYdedicatedYsolelyYtoYalcoholYorYdrugYabuseYtx,YadYnoYmentionYofYdrugYorYalcoholYtreatmentYisYma
de)
HowYisYsubpoenaYwillYbeYvalidYforYreleaseYofYinformation?Y-
YANSWERYifYaYcourtYofYcompetentYjurisdictionYalsoYexplicitlyYentersYanYorderYauthorizingYinformationYrelea
seYspecificYtoYtheY42CFRYpartY2Yregulations
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