CARN study plan
CARN · Give each week a clear focus.
8 weeks · About 6 hours per week
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
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
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
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
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)
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
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
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