CASAC study materials
CASAC study resources

CASAC case studies

CASAC · Put your knowledge to work in context.

The Credentialed Alcoholism and Substance Abuse Counselor (CASAC) is a state-level credential for professionals who provide direct counseling, assessment, and case management to people with substance use disorders. It is typically pursued by counselors working in outpatient clinics, inpatient rehabilitation, methadone maintenance programs, and community-based agencies. The CASAC case studies are 5 cases and about 4,176 words.

1

Nightly Drinking, a Withdrawal Seizure, and a Request for a Court Letter

Marcus, 38, is a self-referred forklift operator arrested for DWI three weeks ago with a BAC of 0.19. He drinks six to eight beers every night and has for about eight years.

890 words, about 4 min
2

Buprenorphine, a Drug Court Order, and a Caregiving Load

Raymond, 54, has used opioids for 12 years and currently injects fentanyl. He has been on buprenorphine 16 mg daily for four months at your outpatient program and also drinks about a pint of vodka most days.

782 words, about 4 min
3

Friday Afternoon Call: Alcohol, a Firearm, and a Refused Hospital

Tanya, 33, is six weeks into your intensive outpatient program. She says her ex-partner’s handgun is in her bedroom closet, that her two children are at her sister’s for the weekend, and that she is “not going to any hospital.” She has two prior psychiatric hospitalizations and one suicide attempt by overdose three years ago.

873 words, about 4 min
4

The Late Group Note, the Record Request, and the Subpoena

You are a counselor at a small nonprofit that is a federally assisted program under 42 CFR Part 2. Three weeks ago you ran a 90-minute relapse-prevention group with six members.

821 words, about 4 min
5

A Deacon Who Won’t Go to AA and Drinks Kratom Daily

Robert, 58, was referred by the court after his second DWI in three years and has been abstinent from alcohol for 30 days. He attends your 12-step facilitation group but has not gone to a single AA meeting.

810 words, about 4 min