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Alcohol and Drug Counselor Exam Questions
With Verified Answers.
1 of 6 List five common substance abuse treatment program modalities - answer✔The modalities
are: 1) detoxification (inpatient or outpatient), focused
on managing withdrawal symptoms prior to entering a longer-term
treatment program;
2 of 6 List five common substance abuse treatment program modalities - answer✔2) residential
treatment long-vs short-term),
highly structured intensive settings, including "Therapeutic Community" (TC) programs using
hierarchical models to enhance
3 of 6 List five common substance abuse treatment program modalities - answer✔personal and
social responsibility, restructure personality and socialization, increase skills, and integrate social
norms, with stays from 12 to 24 months depending on funding; 3) outpatient drug-free (non-
methadone), 6 to 12 months of drug education and counseling;
4 of 6 List five common substance abuse treatment program modalities - answer✔4) day
treatment, 6 or fewer months of intensive day activities and home at night; 5) methadone
maintenance, displacing heroin use with monitored methadone, often indefinitely.
5 of 6 List five common substance abuse treatment program modalities - answer✔Program
phases often include: 1) engagement and stabilization; 2) early recovery; 3) maintenance of
recovery; and 4) transition to aftercare.
6 of 6 List five common substance abuse treatment program modalities - answer✔Aftercare
involves transitional therapy and participation in 12-step self help groups (AA, CA, or NA) to
offer social support and new lifestyle choices.
1 of 6 Summarize Simpson's 1997 four-part model of a drug treatment delivery system -
answer✔The model specifies: 1) referral; 2) induction; 3) intervention; and 4)
transition. Referrals may be received from individuals, families,
2 of 6 Summarize Simpson's 1997 four-part model of a drug treatment delivery system -
answer✔employee assistance programs, social services and public
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health/community agencies, HIV/AIDS outreach programs, centralized
intake units,
3 of 6 Summarize Simpson's 1997 four-part model of a drug treatment delivery system -
answer✔and the criminal justice system. Induction refers to
entrance into a treatment program. Intervention and treatment
strategies typically involve detoxification and stabilization, motivation
and commitment and rehabilitation.
4 of 6 Summarize Simpson's 1997 four-part model of a drug treatment delivery system -
answer✔Finally, clients are transitioned out
to "aftercare" programs (eg, AA, CA, NA). Comprehensive care requires many programs and
services to meet diverse needs and widely ranging recovery stages. Optimal programs include:
5 of 6 Summarize Simpson's 1997 four-part model of a drug treatment delivery system -
answer✔1) pharmacotherapy to reduce distressing withdrawal symptoms and minimize relapse;
2) cognitive and/or behavioral therapy to address the underlying psychosocial roots of the
problem;
6 of 6 Summarize Simpson's 1997 four-part model of a drug treatment delivery system -
answer✔3) supportive services for collateral concerns [eg, medical care, employment,
transportation, child care). Further, aftercare is needed to aid individuals in resisting urges to
relapse, of which drug testing is a crucial part.
1 of 6 The Circumstances, Motivations, Readiness, and Suitability, CMRS, questionnaire, De
Leon et al, 1994, is a tool for assessing readiness and motivations for substance abuse treatment.
Cite the four primary scales in the CMRS - answer✔The four primary scales in the CMRS are: 1)
Circumstances; 2)
Motivation; 3l Readiness; and
2 of 6 The Circumstances, Motivations, Readiness, and Suitability, CMRS, questionnaire, De
Leon et al, 1994, is a tool for assessing readiness and motivations for substance abuse treatment.
Cite the four primary scales in the CMRS - answer✔4) Suitability. "Circumstances" refers to
external motivation; "Motivation" refers to internal motivation;
3 of 6 The Circumstances, Motivations, Readiness, and Suitability, CMRS, questionnaire, De
Leon et al, 1994, is a tool for assessing readiness and motivations for substance abuse treatment.
Cite the four primary scales in the CMRS - answer✔"Readiness" refers to openness to treatment;
and "Suitability" refers to a perception of the client's appropriateness for the proposed treatment
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modality.
4 of 6 The Circumstances, Motivations, Readiness, and Suitability, CMRS, questionnaire, De
Leon et al, 1994, is a tool for assessing readiness and motivations for substance abuse treatment.
Cite the four primary scales in the CMRS - answer✔Rating the client's level of motivation and
readiness is
important both for the client's ability to benefit from a given program,
and in terms of the impact the client will have upon others in the
program. Currently, up to 70 o/o of clients referred for treatment don't
5 of 6 The Circumstances, Motivations, Readiness, and Suitability, CMRS, questionnaire, De
Leon et al, 1994, is a tool for assessing readiness and motivations for substance abuse treatment.
Cite the four primary scales in the CMRS - answer✔even show up for evaluation, and 40 o/o to
60 o/o will drop out during the course of treatment [usually during the beginning phases of
treatment).To maximize the potential for success,
6 of 6 The Circumstances, Motivations, Readiness, and Suitability, CMRS, questionnaire, De
Leon et al, 1994, is a tool for assessing readiness and motivations for substance abuse treatment.
Cite the four primary scales in the CMRS - answer✔all barriers
[child care needs, transportation, accessibility, etc), should be minimized or eliminated, and a
trusting and positive therapeutic relationship with involved counselors should be carefully
established.
1 of 5 Define the term "harm reduction" in relation to substance abuse - answer✔The term refers
to reducing harm via clean drug paraphernalia. Syringe exchange programs first began in Europe
in response to a hepatitis B epidemic and the HIV epidemic, and since that time i
2 of 5 Define the term "harm reduction" in relation to substance abuse - answer✔nfection rates
plummeted, drug use didn't increase, and medical costs remained stable. Cities in England that
employed syringe-exchange programs saw HIV rates of less than 1%,
3 of 5 Define the term "harm reduction" in relation to substance abuse - answer✔compared with
nearly 60% among IV drug users in non-exchange cities. The North American Syringe Exchange
Network (NASEN) and the Harm Reduction Coalition (HRC)
4 of 5 Define the term "harm reduction" in relation to substance abuse - answer✔advocate for
such programs in the United States, along with instructions on health, bad drug warnings,
referrals for treatment, etc.
5 of 5Define the term "harm reduction" in relation to substance abuse - answer✔Harm reduction
can also be achieved via "moderation techniques" such as the "Drinkers Check-Up" program and
education efforts that reduce the amount and frequency of substances abused.
