CARN study materials
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CARN study plan

CARN · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

Theories, Models, and Principles of Addiction and Recovery

  • Define and contrast at least six major models of addiction (moral, disease, biopsychosocial, learning/behavioral, sociocultural, public health) in your own words

  • Map each model to the treatment approaches it logically supports and note where they conflict

  • Explain the stages-of-change model and write one clinical example of a client in each stage

  • List five core recovery principles (e.g., chronic-care framing, self-efficacy, social support) and give a practice implication for each

Your checkpoint

A one-page comparison table of six addiction models with treatment implications and a 10-item self-quiz you answer at 80% or better

Week 2

Neurobiology and Pharmacology of Substance Use

  • Diagram the mesolimbic reward pathway and label where each major drug class acts

  • Summarize how tolerance, sensitization, dependence, and withdrawal differ neurobiologically

  • Build a drug-class chart covering mechanism, onset, duration, and key risks for alcohol, opioids, stimulants, benzodiazepines, and cannabis

  • Predict withdrawal syndromes for three drug classes from their receptor mechanisms

Your checkpoint

A completed drug-class reference chart (5 classes x 5 attributes) plus a 300-word written explanation of one withdrawal syndrome

Week 3

Screening, Assessment, and Diagnosis

  • Compare at least three validated screening tools (e.g., AUDIT, DAST, CRAFFT) and state their target populations and cutoffs

  • Apply DSM-5-TR substance use disorder criteria to two written case vignettes and assign severity

  • Distinguish screening from assessment and from diagnosis in a short written statement

  • Identify three conditions that mimic or mask substance use (e.g., medical, psychiatric) that must be ruled out

Your checkpoint

Two completed case-vignette assessments with criterion-by-criterion DSM-5-TR scoring and a severity determination each

Week 4

Detoxification and Withdrawal Management

  • Outline withdrawal timelines and monitoring parameters for alcohol, opioids, and benzodiazepines

  • Identify red-flag symptoms that require escalated or inpatient care for each of the three classes

  • Explain the rationale for medically supervised withdrawal versus unsupported 'cold turkey' attempts

  • Sequence a safe withdrawal-management plan for one alcohol case including assessment, monitoring frequency, and referral triggers

Your checkpoint

A withdrawal-management protocol for one drug class with a monitoring schedule and escalation criteria, checked against a self-made rubric

Week 5

Treatment Modalities and Levels of Care & Pharmacological and Medication-Assisted Treatment

  • Match the ASAM levels of care (or equivalent continuum) to three client scenarios and justify each placement

  • Compare at least four treatment modalities (CBT, motivational interviewing, contingency management, 12-step facilitation) by evidence base and target

  • List FDA-approved medications for alcohol, opioid, and tobacco use disorders with indication, key caution, and monitoring need

  • Explain how medication-assisted treatment combines with counseling and address two common misconceptions

Your checkpoint

A level-of-care placement worksheet for three scenarios plus a medication quick-reference sheet (drug, indication, caution, monitoring)

Week 6

Co-occurring Psychiatric and Medical Conditions

  • Describe how to differentiate substance-induced from independent psychiatric disorders using timeline and course

  • Identify three medical complications of chronic use and the referral action for each

  • Draft a coordinated-care note showing how addiction, psychiatric, and primary care providers would share information

  • List trauma-informed and suicide-risk screening steps to integrate into intake

Your checkpoint

A co-occurring-disorder case formulation (one page) integrating psychiatric, medical, and substance use factors with a coordinated-care plan

Week 7

Relapse Prevention, Recovery Support, and Continuing Care & Family, Group, and Community Interventions

  • Build a relapse-prevention plan using at least three frameworks (triggers, coping skills, high-risk situations, lapse-versus-relapse distinction)

  • Design a continuing-care and recovery-support plan with specific referral resources and follow-up intervals

  • Outline a family or group intervention session structure with goals, ground rules, and boundaries

  • Explain how community and peer-recovery supports fit into a continuum of care

Your checkpoint

A written relapse-prevention and continuing-care plan for a sample client, including a family/group session outline and follow-up schedule

Week 8

Ethics, Legal Issues, Confidentiality, and Professional Practice & Health Promotion, Prevention, and Harm Reduction

  • Apply confidentiality rules (e.g., 42 CFR Part 2, HIPAA distinctions) to three release-of-information scenarios

  • Identify ethical dilemmas (dual roles, informed consent, duty to warn) and state a defensible response for each

  • Summarize harm-reduction strategies (e.g., naloxone distribution, syringe services) and their evidence base

  • Design a brief prevention or health-promotion message aimed at a defined at-risk population

  • Complete a full-length practice exam and review every missed item by domain

Your checkpoint

A full-length practice exam score report with a per-domain error log and a one-page harm-reduction/prevention briefing

Milestones

Week 2: Score 80% or higher on a self-made 20-question quiz covering Domains 1-2; if below, re-review the model-comparison table and drug chart before proceeding

Week 4: Complete both case-vignette DSM-5-TR assessments and the withdrawal protocol; confirm you can state escalation criteria for alcohol and opioid withdrawal from memory

Week 6: Finish the medication quick-reference sheet and co-occurring case formulation; verify you can name FDA-approved medications for alcohol, opioid, and tobacco use disorders without notes

Week 8: Achieve 75% or higher overall on the full-length practice exam with no domain below 60%; schedule re-review of any weak domain before test day