CAADC Exam with complete solutions
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5 stages of change - CORRECT ANSWER-Pre-Contemplation, Contemplation,
Preparation, Action, Maintenance
6 Dimensions of ASAM - CORRECT ANSWER-1. Acute Intoxication/Withdrawal
2.Biomedical
3.Emotional/Behavioral
4.Readiness to Change
5.Relapse or Continued Use Potential
6.Recovery/Living Environment
12 Core Functions - CORRECT ANSWER-screening, intake, orientation, assessment,
treatment planning, counseling, case management, crisis intervention, client education,
referral, report/record keeping, consultation
ASAM - CORRECT ANSWER-American Society of Addiction Medicine
ASAM Continuum of Care: 5 Levels of Care - CORRECT ANSWER-0.5 Early
Intervention
1.0 Outpatient services
2.0 Intensive Outpatient/partial hospitalization (2.1=intensive outpatient; 2.5=partial
hospitalization)
3.0 Residential/Inpatient (3.1=clinically managed low intensity residential; 3.3=clinically
managed population specific high intensity residential; 3.5=clinically managed high
intensity residential; 3.7=medically monitored intensive inpatient services
4.0 Medically Monitored Intensive Inpatient Services
CBT - CORRECT ANSWER-A short term focused approach to helping people become
abstinent. Assumption that learning processes play an important role. Based on the idea
that feelings and behaviors are cause by a persons thoughts. People may not be able to
change their circumstances but they can change how they think about them. The goal is
to teach the person to recognize situations in which they may drink, avoid these
situations and cope with other problems that may lead to substance abuse.
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Counseling Groups - CORRECT ANSWER-Counseling groups are a process group,
and generally less educations. All counseling groups shall be facilitated by professional
staff.
Cultural Blindness - CORRECT ANSWER-Ignores differences and proceeds as if they
did not exist
Cultural Destructiveness - CORRECT ANSWER-Counselors filter interactions through a
biased lens without engaging in self reflection
Didactic Group - CORRECT ANSWER-Didactic groups primary purpose is to educate
patients and their significant others on a specific treatment related topic in a group
setting. Should not exceed 24 people
Dimensions included in an effective ROSC - CORRECT ANSWER-Health, Home,
Purpose, Community
Disease Model - CORRECT ANSWER-Addiction is a disease. Comes as result of the
impairment of healthy neurochemical or behavioral processes. Jellinek is the pioneer of
this model.
Informed Consent - CORRECT ANSWER-The client has a right and power to consent
to treatment. Elements include the clients rational capacity to provide consent, clients
comprehension, and clients sense of self determination
Intake - CORRECT ANSWER-The process of enrolling a client in a specific course of
treatment. Primarily an administrative function. It is the extension of the screening
process. 1) Establish Eligibility 2) Complete basic data collection 3) Identify barriers 4)
Establish a treatment approach
Moral Model - CORRECT ANSWER-the belief that people abuse alcohol because they
choose to do so. This model has no sympathy for people with serious addictions
believing that the addict demonstrated a great moral failure.
Motivational Enhancement Therapy (MET) - CORRECT ANSWER-*method of
counseling where the client's internal motivation is the driving force for changing
problem bx
*FRAMES (feedback, emphasis on personal responsibility, clear advice to change, a
menu of alternative, therapist empathy, facilitation of client self efficacy)
*Goes hand in hand with the stages of change
Used in arenas where sessions are infrequent
Motivational Interviewing - CORRECT ANSWER-a collaborative, person-centered form
of guiding to elicit and strengthen motivation for change. 1) Ask open ended questions
2) Listen Reflectively 3) Summarize 4) Affirm 5) Elicit self-motivational statements
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Orientation - CORRECT ANSWER-Involves describing the nature and goals of the
program to the client and the family.
Prefrontal Cortex - CORRECT ANSWER-The part of the brain that enables us to assess
situations. This part of the brain is still maturing during adolescence.
Psychological Model - CORRECT ANSWER-Substance use results from deficits in
learning, emotional dysfunction, or psychopathology that can be treated behaviorally or
psychoanalytically oriented therapies.
Recovery Management - CORRECT ANSWER-Model of care
Wraps traditional interventions in a continuum of recovery support services
ROSC's - CORRECT ANSWER-Recovery Oriented Systems of Care- distinctive
emphasis on post treatment monitoring and support.
Sociocultural Model - CORRECT ANSWER-The cultural milieu in developing substance
use disorders.
Spiritual Model - CORRECT ANSWER-Substances are used in an attempt to fill spiritual
emptiness. 12 step programs
Standardized interview - CORRECT ANSWER-Also known as a structured interview. An
interview employed by quantitative researchers in which the same questions, worded
identically and presented in the same order, are asked of participants in a uniform
manner.
Therapeutic Alliance - CORRECT ANSWER-the relationship between therapist and
client that develops as a warm, caring, accepting relationship characterized by empathy,
mutual respect, and understanding.
Types of Learning Styles - CORRECT ANSWER-Auditory, Visual, Kinesthetic
Addiciton Severity Index (ASI) - CORRECT ANSWER-Developed in 1980, most used
assessment instrument.
Agonist - CORRECT ANSWER-a molecule that, by binding to a receptor site, stimulates
a response
Antagonist - CORRECT ANSWER-Blocks the action of the agonist, and an inverse
agonist causes an action opposite to that of the agonist
Akathisia - CORRECT ANSWER-motor restlessness
Alcohol Use Disorders Identification Test (AUDIT) - CORRECT ANSWER-10 items on
instrument, developed by WHO; asks about frequency of drinking, alcohol dependence
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