CATC cheat sheet

TAP 21 defines addiction counseling competencies across four transdisciplinary foundations: understanding addiction, treatment knowledge, application to practice, and professionalism.

The stages-of-change model (Prochaska & DiClemente) names precontemplation, contemplation, preparation, action, maintenance, and relapse as a cyclical, not linear, process.

Motivational interviewing rests on four processes (engaging, focusing, evoking, planning) and the relational spirit of partnership, acceptance, compassion, and evocation.

The ASAM Criteria dimension 1 is intoxication/withdrawal potential; dimension 2 is biomedical conditions; dimension 3 is emotional/behavioral/cognitive conditions.

ASAM dimension 4 covers readiness to change; dimension 5 covers relapse/continued use potential; dimension 6 covers recovery/living environment.

The five ASAM levels of care are early intervention (0.5), outpatient (1), intensive outpatient/partial hospitalization (2), residential (3), and medically managed intensive inpatient (4).

Twelve-step facilitation is a distinct evidence-based practice focused on active participation in mutual-help groups, not simply referral to them.

Contingency management reinforces verified abstinence or treatment attendance with tangible, defined rewards; it is an operant-conditioning application.

Relapse prevention (Marlatt) distinguishes a lapse from a relapse and targets high-risk situations, coping skills, and the abstinence violation effect.

42 CFR Part 2 protects records of substance use disorder programs that are federally assisted; disclosure generally requires written patient consent meeting Part 2 elements.

Part 2 consent must specify the program, the recipient, the purpose, the records covered, the patient's revocation right, and an expiration date or event.

Part 2 generally prohibits re-disclosure of Part 2 records by the recipient unless the patient consents again or a specific exception applies; it is stricter than HIPAA.

A court order under 42 CFR Part 2 requires a special showing and cannot be based solely on the fact that the patient is in treatment; subpoenas alone are insufficient.

HIPAA permits disclosure for treatment, payment, and operations; Part 2 does not have a comparable general treatment-payment-operations exception.

Mandatory reporting of suspected child abuse or neglect is a state-law duty that can override confidentiality; counselors must know their state's statute and reporting channel.

Duty to warn/protect (Tarasoff-type) obligations vary by state and may require warning an identifiable intended victim or notifying law enforcement.

Informed consent for treatment must disclose the nature of services, risks, benefits, alternatives, fees, and limits of confidentiality including mandated reporting.

Dual relationships should be avoided when they risk exploitation or impaired objectivity; sexual or romantic relationships with current clients are prohibited ethically and often by law.