CASAC study plan
CASAC · Give each week a clear focus.
8 weeks · About 7 hours per week
Assessment and Diagnosis
Map the full assessment workflow from intake through diagnosis, listing each decision point a counselor must document
Differentiate screening, assessment, and diagnosis in writing, with one concrete example of each from a substance use setting
Apply the DSM-5-TR criteria for substance use disorder severity levels to three written client vignettes and defend each severity call
List at least eight standardized screening and assessment instruments and state what each one measures and its limits
Your checkpoint
A one-page assessment decision map plus three scored vignettes with written severity justifications
Assessment and Diagnosis & Pharmacology and Co-occurring Disorders
Explain how withdrawal syndromes and intoxication states for alcohol, opioids, benzodiazepines, and stimulants change assessment priorities
Identify the common co-occurring mental health conditions that mimic or mask substance use and describe how to screen for each
Practice writing a diagnostic impression that integrates substance use, medical, and psychiatric findings without overstating certainty
Distinguish tolerance and withdrawal from other causes of presenting symptoms in two written cases
Your checkpoint
Two integrated diagnostic impressions of 250 words each, cross-checked against DSM-5-TR criteria
Treatment Planning & Referral and Service Coordination
Translate assessment findings into measurable, time-bound treatment plan goals and objectives for three different client profiles
Match each identified need to at least one appropriate level of care using ASAM criteria dimensions
Build a referral packet checklist that verifies eligibility, consent, and warm handoff steps for three referral types
Draft a coordination note that documents interagency communication and follow-up commitments
Your checkpoint
Three complete treatment plans with linked referrals and a referral packet checklist
Counseling and Therapeutic Communication
Demonstrate at least five core counseling microskills in written transcripts and label each one
Apply motivational interviewing techniques to a written resistance scenario and explain why each response reduces or increases discord
Sequence stage-appropriate interventions for precontemplation, contemplation, and action stages
Identify and correct at least three common counseling errors in sample dialogue excerpts
Your checkpoint
A 10-minute simulated session transcript with margin annotations labeling skills and stage-matched rationales
Counseling and Therapeutic Communication & Client, Family, and Community Education
Design a family education session outline that explains substance use disorder as a chronic condition without blame language
Adapt the same education content for an adolescent audience and for a community group, changing vocabulary and examples
Describe how to involve family and support persons in treatment planning while respecting confidentiality boundaries
List community resources and prevention messaging channels relevant to a chosen local population
Your checkpoint
Two education session outlines for different audiences plus a resource list of at least ten community contacts
Documentation and Record Keeping & Professional and Ethical Responsibilities
Write progress notes, treatment plan reviews, and discharge summaries that meet common audit standards for accuracy and timeliness
Apply the major ethical principles to four written dilemmas involving dual relationships, self-disclosure, and impaired colleagues
Explain confidentiality limits, including 42 CFR Part 2 protections and mandatory reporting duties, in plain language for a client handout
Correct at least five documentation or ethics errors embedded in sample records
Your checkpoint
A complete mock client record from intake note through discharge summary, plus a corrected error log
Pharmacology and Co-occurring Disorders
Describe the mechanism, main effects, and risks of the major medication-assisted treatment options for opioid and alcohol use disorders
Explain how medication side effects and interactions can be mistaken for relapse or psychiatric symptoms
Outline how to coordinate with prescribers and monitor adherence and response without practicing outside scope
Compare integrated and sequential treatment models for co-occurring disorders and state when each is preferred
Your checkpoint
A medication and co-occurring disorders reference sheet with a one-page prescriber communication template
Crisis Intervention and Safety & Assessment and Diagnosis & Professional and Ethical Responsibilities
Apply a risk assessment framework to written scenarios involving suicide risk, overdose, and withdrawal emergencies, stating immediate actions
Sequence de-escalation and safety planning steps for an aggressive or acutely intoxicated client
Identify the ethical and reporting obligations triggered in each crisis scenario
Rehearse weak-area content from Domains 1 and 7 using timed practice and review every missed item
Your checkpoint
Three written crisis response plans with safety plans and a timed 40-question review scored against a 75 percent target
Milestones
Week 2: Score at least 75 percent on a 30-question Domain 1 practice set and explain every missed item in writing
Week 4: Complete three treatment plans and a referral checklist that a supervisor reviewer marks as ready for use with only minor edits
Week 6: Produce a full mock record with no missing required elements on a self-audit checklist and correctly resolve all five embedded ethics errors
Week 8: Score at least 75 percent on a full-length mixed-domain practice exam and show a written remediation list for any domain below 70 percent