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Need to know2
CAC
| Term | Definition |
|---|---|
| BIRP note | Behavior (what is observed) Intervention (what will be done) Response (how pt reacted to above information) Plan (what could/should happen next) |
| At minimum, a screening should consist of: | current and historic substance abuse, health, mental health, and substance related treatment histories, mental and functional status, current social, environmental and/or economic constraints. |
| Can produce hallucinogenic effects: LSD types, phenylethylamines, and anticholinergic agents. | |
| At minimum, an individualized treatment plan addresses: | the identified substance abuse disorder...issues related to treatment progress. |
| In alcoholic dependent individuals who undergo detox, what percentage show brain dysfunction to a significant degree? | 50 to 75% |
| 8 core skill groups-theoretical base of counseling. | Treatment admission, clinical assessment, ongoing treatment planning, counseling services, documentation, case management, discharge/continuing care, legal, ethical, and professional growth |
| Tertiary Prevention | client completed a residential treatment program and is living in a halfway house with other recovering addicts. |
| Hallucinogens-physiological effects | massive increase in neural activity, activates SNS (rise in body temp, heart rate, and blood pressure; PNS activity-increase in salivation and nausea |
| Physiological effects of MDMA | sensatory awareness, loss of appetite, nausea, muscle aches, tachycardia, hypothermia, cardiological complications, liver damage. |
| "all arounders" | all types of drugs that are psychoactive and alter perceptions and produce illusions, delusions, or hallucinations. |
| Re-framing consists of offering a different perspective on a situation the client is facing | |
| Paraphrasing includes the therapeutic qualities of empathy and warmth. Paraphrasing refers to a counselor’s verbal response that rephrases the essence of the client’s message. It allows the client to hear what he or she has just said,parroted or w/clari | |
| Reflecting occurs when the counselor restates content that had generated emotion from the client—it is a reflection of feeling. Reflection of feeling captures and expresses to the client the core of what he or she is feeling. client aware of ex. emotion | |
| Interpersonal learning Learning to trust one’s self&others Develop conflict resolution skills Learn how one’s culture affects personal decisions Incr. soc. skills A greater empathetic understanding of the needs of others Learn to confront.Identify. Assist | |
| Steps in crisis intervention: | establish helping relationship, assure safety, conduct an assessment, give support, assist with action plan, arrange follow up |
| Group order | Trust, power, intimacy, building cohesion, cohesion, working, termination |
| DSM-IV psychoactive substance dependence | Substance is taken in larger amounts than the person intended, frequent intoxication when expected to fulfill major role obligations, one or more unsuccessful efforts to cut down substance abuse, marked tolerance. |
| Addition process: The disease model | It is a primary disease. It is a chronic illness. It is a progressive disease. It is a fatal disease. It is a treatable illness. It is characterized by denial. |
| CAGE | Cut down, annoyed, guilt, eye opener. Used to identify alcoholism. Validated SCREENING technique. most important question is the eye-opener. |
| Derivatives of the Cannabis plant | Hashish, Ganja, sinsemilla, bhang |
| How many Americans are current Marijuana users? | 20 million |
| Nicotine stimulus effect | release of norepinephrine |
| ASI assessment tool | Addiction Severity Index-a semi-structured interview that provides details of pt's life that may contribute to their substance abuse problems. Doesn't focus on one particular area. Provides info on frequency, duration, and intensity. |
| The best approach to the treatment of addiction is: | the multidisciplinary approach |
| Psilocybe mushroom potency | 3 to 4 hour duration |
| Side effects of Narcotics | Nausea and vomiting, respiratory depression, miosis, gastrointestinal effects, cough suppression, motor effects. |
| The 6 additional specifiers used for diagnosis of substance dependence: | early full remission, early partial remission, sustained full remission, sustained partial remission, on agonist therapy, in a controlled environment |
| Psychological effects of MDMA use | euphoria, anxiety, depression, panic attacks, depersonalization, paranoia, psychotic experiences, cognitive deficiencies. |
| Five Stages of Group Development | Forming (Orientation), Storming (Power struggle),Norming (cooperation and intergration), Performing (evolving to another level), Adjourning (closure) |
| GABA neurotransmitters __________ fear/anxiety responses. | reduce |
| Abstinence Violation Effect | refers to the tendency for some people to use substances problematically when they believe abstinence is too difficult a goal to achieve or maintain. More likely to use to cope with self-blame and guilt. |
| Family's response to substance disease: | denial, attempt to eliminate the problem, disorganization and chaos, reorganization in spite of the problem, effort to escape, family reorganization. |
| Case Management | activities that bring services, agencies, resources, or people together within a planned framework of action toward the achievement of established goals. |
| 5 main functions of case management: | assessment, planning, linking, advocacy, and monitoring. |
| 3 approaches family members use in living with a substance abuse person: | keeping out of the way, caregiving, resigning to the idea that the user will always use-and they maintain facade. |
| 12 steps: | 1.Powerless2.power greater than ourserlves 3.turn lives over to GOD 4.moral inventory 5.admitted wrongs 6.let go 7.ask God to remove shortcomings 8.list of people harmed 9.make amends 10.cont. personal inventory 11.prayer and meditation 12.carry message |
| Threshold dose: | smallest amount of drug that can produce a detectable response. |
| Buccal administration of drug: | absorbed through mucous membranes of the mouth |
| Fat soluable drugs store in fatty areas of the body and: | can have longer lasting traces in the body |
| If state law differs from federal law: | the more stringent of the 2 should be followed. |
| In 1898, what refined drug was marketed by Bayer as a remedy for coughs | Heroin |
| The DSM IV, Polysubstance abuse is: | the use of at least 3 groups of substances in one year. |
| Dilaudid can be detected in a UA for: | 2-4 days |
| A client divulges a family secret in group. You ask the group how they feel about what the client has said. This is: | surveying |
| When an elderly client reports feelings of depression and admits to abusing alcohol since her husband and friends have died, you should: | be aware of your own views regarding death. |
| Axises used to diagnose specific disorders: | I and II |
| Usually the procedure of termination should be brought up: | during the first session of treatment |
| Competing interests concerning the privacy rule: | public and personal health, and well being |
| When would you, as an addictions professional, use summerizations? | At the beginning, the middle, and the end of a treatment session. |
| Likely to suffer from cirrohsis and die from it? | 57 year old female |
| Steps in Detoxification | evaluation, stabilization, guiding the pt. |
| The counseling technique of "reflection" is used to: | build trust |
| Maladaptive behavior, according to the humanistic perspective, derives from: | stunted or distorted personal development. |
| During the transition stage of the group, a key issue is: | anxiety and defensiveness |
| Depressant Tolerance level | low to moderate |
| Depressant Physical Dependence level | moderate to high |
| The process of recaptulating the emotional conflicts that originated during the 1st 6 years of life is called: | Transference neurosis |
| A client on 'agonist therapy' is receiving: | an agonist medication and no criteria for dependence or abuse has been met for at least one month. |
| Effects of LSD types agents last | 2-12 hours |
| When is inpatient treatment the right choice? | medical needs, lack of social support system |
| Elements of the Disease Model of Addiction | addiction is a biopsychosocial disease, genetic predisposition to addiction, tolerance to drugs is built up, addicts and alcoholics who have family histories show more antisocial behavior, psychological addiction occurs after physical &present after detox |
| MAST | Michigan Alcohol Screening Test-one of the oldest and most accurate tests, questions relate to pts self appraisal of social, vocational and family problems frequently associated with heavy drinking, covers pts lifetime. 22 questions-6 or more=further eval |
| 8 practice dimensions of addiction counseling | clinical evaluation, treatment planning, referral, service coordination, counseling, client family and community education, documentation, professional and ethical responsibilities. |
| general format for a case review: | presenting issue, history, diagnostic impression, theory and treatment, termination, and follow up. |
| how long can cocaine be detected in a UA? | 12 to 72 hours |
| 4 stages of therapy for AIDS therapy | help the client accept the diagnosis, increase the quality of pt's life, empower client, help the client deal with fear, pain, loss, and death. |
| Phenomenology | learning to see the world through the perspective of the pt |
| hepatitis is: | an infection of the liver caused by a virus |
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