AADC/ADC EXAM SUCCESS; AN ULTIMATE A+
BREAKDOWN OF 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
BREAKDOWN OF 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
