BREAKDOWN OF QUESTIONS AND ANSWERS.
Active listening
a counseling skill that enhances rapport and demonstrates interest and
understanding through the use of verbal and nonverbal acknowledgment of client statements.
Addiction
a chronic, relapsing disease of the brain with social and behavioral manifestations
marked by continued alcohol or drug use despite negative consequences.
Addiction counseling
professional and ethical application of specific competencies that
constitute eight practice dimensions, including clinical evaluation; treatment planning; referral;
service coordination; individual, group, and family counseling; client, family, and community
education; and documentation.
Advocacy
(1) a social or political movement working for changes in legislation, policy,
and funding to reflect clients' concerns and protect their rights (i.e., advocacy for clients);
(2) a philosophy of substance abuse treatment practice maintaining that clients should be
involved actively in their own treatment and have rights in its planning and implementation
(i.e., advocacy by clients). Much of advocacy is about shifting the system from the directive
model to one in which the client is an empowered, involved participant in treatment decisions.
Biomedical
pertaining to the biological and physiological aspects of clinical medicine.
Biopsychosocial
the biological, psychosocial, and social influences in human development
and behavior.
Client
individual, significant other, or community agent who presents for alcohol and drug
abuse education, prevention, intervention, treatment, and consultation services.
Collateral sources
persons or organizations providing pertinent information about a client
(can include family members and legal, educational, and medical personnel).
Competency
specific counselor functions comprising requisite knowledge, skills, and
attitudes.
, Confidentiality
a client's right to privacy as defined by applicable Federal and State statutes.
Confidentiality rules and regulations
rules established by Federal and State agencies to
limit disclosure of information about a client's substance use disorder and treatment (described
in 42 CFR, Part 2B 16). Programs must notify clients of their rights to confidentiality, provide a
written summary of these rights, and establish written procedures regulating access to and use
of client records.
Confrontation
a form of interpersonal exchange in which individuals present to one another
their observations of, and reactions to, behaviors and attitudes that are matters of concern.
Feedback is provided on behavior, and an appeal is made to the client for personal honesty,
truthfulness in dealing with others, and responsible behavior.
Content
the subjects discussed in the context of counseling.
Continuing care
care that supports a client's progress, monitors his or her condition,
and responds to a return to substance use or a return of mental disorder symptoms. It is both
a process of posttreatment monitoring and a form of treatment itself; sometimes referred to
as aftercare.
Continuum of care
the array of services that differ in terms of unique needs of clients
throughout the course of treatment and recovery.
Contracting
the process by which the client and the counselor enter into an agreement to
address specific problems, issues, or behaviors.
Co-occurring disorder/coexisting disorder
the presence of concurrent psychiatric or
medical disorders in combination with a substance use disorder.
Counseling
a therapeutic process aimed at meeting specific identified needs of the client.
Countertransference
a counselor's unresolved feelings for significant others that may be
transferred to the client.