ADC Exam Questions And Answers.
genetic risk -
\up to 50%; higher in heroin (40-60% overall)
cocaine neurotransmitters -
\primary buildup of dopamine (also serotonin and norepinephrine); people deficient in
serotonin are at risk
nootropics -
\drugs designed to boost cognitive performance
ex: Adderall, Provigil (sleep disorders), amphetamine
cocaine abuse -
\1. experimental use
2. compulsive use
3. dysfunctional use
-arterial constriction & hardening leads to cardiac arrest/stroke
anabolic steroids -
\-engage both opioid and dopamine neurotransmission systems
-just as addictive as caffeine, nicotine, and benzos
-withdrawal appears like cocaine (insomnia, headaches, restlessness, poor libido,
dysphoria)
screening & assessment -
\screening: looking to determine if a problem exists
assessment: more thorough for targeted matters of concern
suicide rates -
\IV users: 14x higher
general population: 10x higher
lowest for African American women & highest for American Indian and Alaskan Native
males
Substance Abuse Subtle Screening Inventory (SASSI) -
\67 clinical obvious & subtle items to detect truth when individuals are unwilling or
unable to acknowledge problem; <15 mins to complete
Michigan Alcohol Screening Test (MAST) -
\alcohol screening tests available but no tools for truth
Screening, Brief Intervention, and Referral to Treatment (SBIRT) -
, \quick & simple tool to ID substances for at-risk levels for those already experiencing
substance use issues; no tools for truth
Addiction Severity Index (ASI) -
\tool for assessment & tx planning (NOT screening)
readiness to change -
\-clients who perceive the need for help w/ the process of change & when other options
are perceived as comparatively less attractive
-NOT always rock bottom; can also be motivated by external pressures
-client and family's level of emotional pain
Chemical Use, Abuse And Dependence (CUAD) Scale -
\used in ax; derives a DSM dx of substance disorder; brief 5-30 min interview and
requires little training. known for mentally ill pop'ns
Symptom Checklist-90-R (SCL-90-R) -
\ax broad range of psychological problems and pathology as well as client
progress/treatment outcomes. 90 items on a 5-point scale to be completed in 12-15
minutes and produces an overview of symptoms
Community Oriented Programs Environment Scale (COPES) -
\measure actual, preferred, and expected treatment environment or social climate of
community treatment programs by drawing on opinions of clients & staff
Treatment Services Review (TSR) -
\used in conjunction with ASI; ten-minute structured interview to ax nature and
frequency of tx services
CHEAP progress notes -
\Chief complaint
History
Exam
Assessment
Plan
SIGECAPS -
\full eval of depression symptoms: Sleep, Interests, Guilt, Energy, Concentration,
Appetite, Psychomotor Agitation, and Suicidal ideation
CART -
\progress note format: Client condition, Actions, Response, and Treatment plan
CHART -
\progress note format: Client condition, Historical significance, Actions, Response, and
Treatment plan
genetic risk -
\up to 50%; higher in heroin (40-60% overall)
cocaine neurotransmitters -
\primary buildup of dopamine (also serotonin and norepinephrine); people deficient in
serotonin are at risk
nootropics -
\drugs designed to boost cognitive performance
ex: Adderall, Provigil (sleep disorders), amphetamine
cocaine abuse -
\1. experimental use
2. compulsive use
3. dysfunctional use
-arterial constriction & hardening leads to cardiac arrest/stroke
anabolic steroids -
\-engage both opioid and dopamine neurotransmission systems
-just as addictive as caffeine, nicotine, and benzos
-withdrawal appears like cocaine (insomnia, headaches, restlessness, poor libido,
dysphoria)
screening & assessment -
\screening: looking to determine if a problem exists
assessment: more thorough for targeted matters of concern
suicide rates -
\IV users: 14x higher
general population: 10x higher
lowest for African American women & highest for American Indian and Alaskan Native
males
Substance Abuse Subtle Screening Inventory (SASSI) -
\67 clinical obvious & subtle items to detect truth when individuals are unwilling or
unable to acknowledge problem; <15 mins to complete
Michigan Alcohol Screening Test (MAST) -
\alcohol screening tests available but no tools for truth
Screening, Brief Intervention, and Referral to Treatment (SBIRT) -
, \quick & simple tool to ID substances for at-risk levels for those already experiencing
substance use issues; no tools for truth
Addiction Severity Index (ASI) -
\tool for assessment & tx planning (NOT screening)
readiness to change -
\-clients who perceive the need for help w/ the process of change & when other options
are perceived as comparatively less attractive
-NOT always rock bottom; can also be motivated by external pressures
-client and family's level of emotional pain
Chemical Use, Abuse And Dependence (CUAD) Scale -
\used in ax; derives a DSM dx of substance disorder; brief 5-30 min interview and
requires little training. known for mentally ill pop'ns
Symptom Checklist-90-R (SCL-90-R) -
\ax broad range of psychological problems and pathology as well as client
progress/treatment outcomes. 90 items on a 5-point scale to be completed in 12-15
minutes and produces an overview of symptoms
Community Oriented Programs Environment Scale (COPES) -
\measure actual, preferred, and expected treatment environment or social climate of
community treatment programs by drawing on opinions of clients & staff
Treatment Services Review (TSR) -
\used in conjunction with ASI; ten-minute structured interview to ax nature and
frequency of tx services
CHEAP progress notes -
\Chief complaint
History
Exam
Assessment
Plan
SIGECAPS -
\full eval of depression symptoms: Sleep, Interests, Guilt, Energy, Concentration,
Appetite, Psychomotor Agitation, and Suicidal ideation
CART -
\progress note format: Client condition, Actions, Response, and Treatment plan
CHART -
\progress note format: Client condition, Historical significance, Actions, Response, and
Treatment plan
