CATC flashcards

33 cards. Read the term and the definition here. The deck at the top of this page is optional.

Transdisciplinary foundations

TAP 21 organizes addiction counselor competencies into four foundations: understanding addiction, treatment knowledge, application to practice, and professionalism, forming the basis for credentialing exams.

Precontemplation stage

A stage of change in which a person does not yet recognize a problem or intend to change, typically presenting with denial, resistance, or pressure from others.

Contemplation stage

A stage of change in which a person acknowledges a problem and is considering change but has not committed to action, often weighing pros and cons ambivalently.

Preparation stage

A stage of change in which a person intends to take action soon and may begin small steps, such as setting a quit date or seeking treatment information.

Action stage

A stage of change in which a person actively modifies behavior, such as reducing use or entering treatment, typically within the past several months.

Maintenance stage

A stage of change in which a person sustains gains from action and works to prevent relapse over an extended period, often six months or longer.

Motivational interviewing

A collaborative, goal-oriented counseling style that elicits and strengthens a person's own motivation and commitment to change by exploring and resolving ambivalence.

OARS skills

Core motivational interviewing microskills: open-ended questions, affirmations, reflective listening, and summaries, used to guide conversation toward change talk.

Change talk

Client statements favoring change, such as desires, abilities, reasons, needs, and commitments; counselors evoke and reinforce it to increase commitment.

Sustain talk

Client statements favoring the status quo or continued use; it is treated as normal ambivalence rather than resistance to be argued against.

ASAM dimension 1

The ASAM Criteria dimension assessing intoxication and withdrawal potential, including severity of current use and risk of dangerous withdrawal.

ASAM dimension 6

The ASAM Criteria dimension assessing recovery and living environment, including housing stability, support systems, and exposure to substance-using peers.

Level 1 outpatient

An ASAM level of care providing regularly scheduled outpatient services, generally less than nine hours per week for adults, for lower-severity needs.

Level 3 residential

An ASAM level of care providing 24-hour structured residential treatment with clinical services for persons needing safe, contained environments.

Contingency management

An evidence-based intervention that provides tangible, verifiable rewards for objective evidence of abstinence or treatment engagement, using operant conditioning principles.

Twelve-step facilitation

A structured, manualized therapy that encourages active involvement in twelve-step mutual-help groups and addresses spirituality and step work as treatment goals.

Relapse prevention model

Marlatt's cognitive-behavioral approach identifying high-risk situations and teaching coping skills to prevent lapses from escalating into full relapse.

Abstinence violation effect

A reaction after a lapse in which guilt and self-blame lead a person to abandon abstinence entirely, converting a single slip into a relapse.

Screening versus assessment

Screening briefly identifies likely problems and need for further evaluation; assessment is a comprehensive process that establishes diagnosis, severity, and treatment planning.

Medical detoxification

Medically supervised management of withdrawal that stabilizes a patient but is not by itself sufficient treatment for a substance use disorder.

Co-occurring disorders

The presence of both a substance use disorder and one or more mental health disorders; integrated treatment addresses both conditions simultaneously rather than sequentially.

42 CFR Part 2

Federal regulations protecting confidentiality of substance use disorder patient records maintained by federally assisted programs, generally requiring written patient consent for disclosure.

Part 2 consent elements

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

Part 2 re-disclosure rule

Recipients of Part 2 records generally may not redisclose them without the patient's fresh consent or a specific legal exception, making Part 2 stricter than HIPAA.

Part 2 court order

A special court order authorizing disclosure of Part 2 records requires a showing beyond the fact of treatment; a subpoena alone is insufficient.

HIPAA treatment exception

HIPAA permits disclosure of protected health information for treatment, payment, and operations; Part 2 programs lack a comparable general exception.

Mandatory child abuse reporting

State statutes requiring counselors to report suspected child abuse or neglect to designated authorities, overriding ordinary confidentiality duties when criteria are met.

Duty to warn/protect

A state-based legal duty, arising from Tarasoff, to take protective steps such as warning an identifiable intended victim or notifying authorities.

Informed consent elements

Disclosure of services, risks, benefits, alternatives, fees, and confidentiality limits, including mandated reporting, obtained before treatment begins.

Dual relationship

A situation in which a counselor holds another significant role with a client; it should be avoided when it risks exploitation or impaired professional judgment.

Scope of practice

The legally authorized boundaries of a counselor's role defined by license, certification, and law; acting outside them can constitute unprofessional or unlawful conduct.

Confidentiality limits

Recognized exceptions to counselor confidentiality include imminent danger, suspected child or elder abuse, court order, and client consent to release information.

Client records access

Clients generally have rights to access and amend their records, but Part 2 programs may withhold information when disclosure could harm the client.