NCAC I Exam 1. All Questions and answers. 100% accurate, rated A Screening - ✔✔Determine if client

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NCAC I Exam 1. All Questions and answers. 100% accurate, rated A Screening - ✔✔Determine if client is appropriate for the treatment program at a given facility; rapport critical in this stage.... Group Development Stage 1 - ✔✔Formation. Group members often ask one another for advice at this stage. Individual members are assessed by the others, and tested. Group Development Stage 2 - ✔✔Transition Group Development Stage 3 - ✔✔Working Group Development Stage 4 - ✔✔Termination 3 Processes of Groups - ✔✔1.) Compliance 2.) Identification 3.) Internalization 2 Stages of Group Growth - ✔✔1. Developing 2. Potency Substages of Developing (stages of group growth) - ✔✔1. Acquaintance period 2. Groundwork Substages of Potency (stages of group growth) - ✔✔1. Working 2. Closing Therapy Groups - ✔✔Limited size; screened membership; focused on process Support Groups - ✔✔Open membership; unlimited size; focused on content Dynamic Family Therapy - ✔✔therapy based on gaining insight to be able to understand conflicts which are present in the family setting Experiential/Humanistic Family Therapy - ✔✔therapy is based on the present circumstance and the most important factor of recovery is self-determination and self-awareness Bowenian Family Therapy - ✔✔based on the concept that the emotions and intellect of a family may become entangled or fused. This causes an automatic emotional arousal within the family. Structural Family Therapy - ✔✔the counselor tries to change the dysfunctional structure of the family Family Disease Model - ✔✔based on the idea that alcoholism is a family disease and the disease itself is codependence 7 Core Functions of Case Management - ✔✔1. engagement 2. assessment 3. planning 4. linkage 5. monitoring 6. advocacy 7. disengagement 4 Models of Case Management - ✔✔1. Broker/Generalist 2. Strengths Based 3. CLinical/rehabilitation 4. Assertive Community Treatment Crisis: 3 conditions - ✔✔1. a hazardous or stressful situation 2. awareness of the potential for significant life disruption or emotional upset 3. inadequate existing coping skills Critical incident - ✔✔Event that overwhelms an individual's coping skills because of the emotional intensity involved. Typically fear-inducing, grotesque, threatening, or dangerous. Once individual experiences acute emotional response, it's called a "Crisis" SAFER-R Crisis Intervention Model - ✔✔S: stabilize the situation A: acknowledge the reality of the crisis event and the understandable distress it has produced. F: facilitate situational understanding and develop options E: encourage the development of an action plan R: refer when significant impairment persists (Crisis) Physical Distress Symptoms - ✔✔exacerbated startle reflex, tension, shock, gastrointestinal distress, marked fatigue, and hyperventilation (Crisis) Cognitive Distress Symptoms - ✔✔impaired decision making, poor concentration, memory problems, flashbacks (Crisis) Emotional Distress Symptoms - ✔✔grief, fear, depression, guilt, anger, resentment, self-doubt (Crisis) Behavioral Distress Symptoms - ✔✔emotional withdrawal, agitation, inappropriate affect "A Drink" - ✔✔12oz beer, 5oz wine, or 1.5oz liquor 4 Components of Suicide Assessment - ✔✔1. Behavioral indications 2. Historical patterns 3. Present situation 4. Degree of lethality Step 1 - ✔✔We admitted that we were powerless over alcohol- that our lives had become unmanageable Step 2 - ✔✔Came to believe that a Power greater than ourself could restore us to sanity Step 3 - ✔✔Made a decision to turn our will and our lives over to the care of God as we understood Him Step 4 - ✔✔Made a searching and fearless moral inventory of ourselves Step 5 - ✔✔Admitted to God, to ourselves, and to another human being the exact nature of our wrongs Step 6 - ✔✔Were entirely ready to have God remove all these defects of character Step 7 - ✔✔Humbly asked him to remove our shortcomings Step 8 - ✔✔Made a list of all persons we had harmed and became willing to make amends to them all Step 9 - ✔✔Made direct amends to such people wherever possible, except when to do so would injure them or others Step 10 - ✔✔Continued to take personal inventory and when we were wrong we promptly admitted it Step 11 - ✔✔Sought through prayer and meditation to improve our conscious contact with God as we understood him, praying only for knowledge of his will for us and the power to carry that out Step 12 - ✔✔Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics and to practice these principles in all our affairs 9 Steps to Develop Relapse Prevention Plan - ✔✔1. Stabilization 2. Assessment 3. Relapse Education 4. Warning Sign Identification 5. Strategy and Options Development 6. Recovery Planning 7. Inventory Training 8. Support Systems 9. Follow-up ASAM Criteria: 6 Dimensions - ✔✔1. Acute Intoxication/WD 2. Biomedical 3. Emotional/Behavioral 4. Readiness to Change 5. Relapse Potential 6. Family/Living environment ASAM Continuum of Care: 5 Levels of Care - ✔✔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 SCAADAC Code of Ethics - ✔✔I. The Counseling Relationship II. Evaluation, Assessment and Interpretation of Client Data III. Confidentiality/Privileged Communication and Privacy IV. Professional Responsibility V. Working in a Culturally Diverse World VI. Workplace Standards VII. Supervision and Consultation VIII. Resolving Ethical Issues IX. Communication and Published Works X. Policy and Political Involvement Autonomy - ✔✔To allow others the freedom to choose their own destiny Obedience - ✔✔The responsibility to observe and obey legal and ethical directives Conscientious Refusal - ✔✔The responsibility to refuse to carry out directives that are illegal and/or unethical Disulfiram - ✔✔Antabuse. Beneficence - ✔✔To help others Gratitude - ✔✔To pass along the good that we receive to others Competence - ✔✔To possess the necessary skills and knowledge to treat the clientele in a chosen discipline and to remain current with treatment modalities, theories and techniques Justice - ✔✔Fair and equal treatment, to treat others in a just manner Stewardship - ✔✔To use available resources in a judicious and conscientious manner, to give back Honesty and Candor - ✔✔Tell the truth in all dealing with clients, colleagues, business associates and the community Fidelity - ✔✔To be true to your word, keeping promises and commitments Loyalty - ✔✔The responsibility to not abandon those with whom you work Diligence - ✔✔To work hard in the chosen profession, to be mindful, careful and thorough in the services delivered Discretion - ✔✔Use of good judgment, honoring confidentiality and the privacy of others Self-Improvement - ✔✔To work on professional and personal growth to be the best you can be Non-maleficence - ✔✔Do no harm to the interests of the client Restitution - ✔✔When necessary, make amends to those who have been harmed or injured Self-Interest - ✔✔To protect yourself and your personal interests Standard I: Counseling Relationship - ✔✔1.1 Client Welfare 1.2 Client Self Determination 1.3 Dual Relationships 1.4 Group Standards 1.5 Preventing Harm Standard II: Evaluation, Assessment and Interpretation of Client Data - ✔✔2.1 Scope of Competency 2.2 Informed Consent 2.3 Screening 2.4 Basis for Assessment 2.5 Release of Assessment Results 2.6 Release of Data to Qualified Professionals 2.7 Diagnosis of Mental Health Disorders 2.8 Unsupervised Assessments 2.9 Assessment Security 2.10 Outdated Assessment Results 2.11 Cultural Sensitivity Diagnosis 2.12 Social Prejudice Standard III: Confidentiality/Privileged Communication and Privacy - ✔✔... Standard IV: Professional Responsibility - ✔✔4.1 Counselor Attributes 4.2 Legal and Ethical Standards 4.3 Records and Data 4.4 Interprofessional Relationships Core Functions of Addictions Counselors - ✔✔1. Screening and Intake 2. Orientation 3. Assessment 4. Treatment Planning 5. Counseling 6. Case Management 7. Crisis Intervention 8. Client Education 9. Reports and Record Keeping 10. Case Consultation 11. Termination and Continuing Care 12. Clinical Supervision 13. Training Neurotransmitters: Biogenic Amines - ✔✔Epinephrine Serotonin Norepinephrine Dopamine Histamine Acetylcholine Neurotransmitters: Neuropeptides - ✔✔Endorphins and Enkephalins (both naturally occurring opioid peptides CRF/Substance P Neurotransmitters: Amino Acid NTs - ✔✔Glutamate Aspartate GABA Glycine Excitatory Neurotransmitters - ✔✔Glutamate and Aspartate "Activates" Inhibitory Neurotransmitters - ✔✔GABA and Glycine "Brakes" Hypothalamus - ✔✔Regulates biologic functions: circadian rhythm, sleep cycle, appetite, sex, ANS regulation, regulation of endocrine glands *connected to limbic system and pituitary gland Receptors - ✔✔Involved in the immediate effects of drugs and tolerance and withdrawal Acetylcholine - ✔✔-derived from the diet -learning, memory, arousal, attention, mood -cholinergic neurons=neurons that synthesize and release acetylcholine -two subtypes: nicotinic and muscarin [Show More]

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