IC&RC AADC flashcards

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

ASAM Dimension 1

Intoxication and withdrawal potential: the client's current intoxication level and the risk, severity, and medical danger of withdrawal, which drive withdrawal management needs.

DSM-5 substance use disorder severity

Of the 11 criteria, meeting 2-3 indicates mild disorder, 4-5 indicates moderate disorder, and 6 or more indicates severe disorder.

CIWA-Ar

The Clinical Institute Withdrawal Assessment for Alcohol, Revised, scores ten signs and symptoms to quantify alcohol withdrawal severity and guide medication and level-of-care decisions.

COWS

The Clinical Opiate Withdrawal Scale rates eleven opioid withdrawal signs and symptoms to produce a total severity score that guides treatment and medication decisions.

Screening versus assessment

Screening is a brief, inexpensive process that flags probable problems and the need for further evaluation; assessment is a comprehensive, ongoing process that establishes diagnosis and treatment needs.

SMART objectives

Treatment plan objectives written to be specific, measurable, achievable, relevant, and time-bound, so that progress can be verified directly from progress notes.

ASAM Level 2.1

Intensive outpatient treatment, typically nine or more structured service hours per week for adults, for clients who need more than weekly outpatient care but not residential care.

Least restrictive level of care

Placement principle holding that clients receive care at the least intensive ASAM level that still safely meets their needs across all six assessment dimensions.

Problem statement in treatment plan

A concise, behaviorally described statement of the assessed problem, drawn from the ASAM dimensions, that the plan's goals and objectives are designed to address.

Discharge planning start

Continuing care and discharge planning begin at admission, not at the end of treatment, and include recovery supports, relapse prevention, and community linkages.

OARS

Core motivational interviewing skills: Open-ended questions, Affirmations, Reflections, and Summaries; reflections are used more often than questions to sustain exploration.

Stages of change

Precontemplation, contemplation, preparation, action, and maintenance, with relapse cycling clients backward; interventions are matched to the client's current stage.

Change talk DARN-CAT

Preparatory change talk is Desire, Ability, Reasons, and Need; mobilizing change talk is Commitment, Activation, and Taking steps, which counselors evoke and strengthen.

High-risk situation

In Marlatt's relapse prevention model, a circumstance that raises relapse risk by threatening the client's sense of control; clients rehearse coping responses in advance.

Righting reflex

A counselor's urge to correct or argue for change; it typically provokes sustain talk and resistance and is deliberately suppressed in motivational interviewing.

Release of information elements

A 42 CFR Part 2 consent must name the program, recipient, client, and purpose; describe the information; state revocability and an expiration date or event; and prohibit redisclosure.

Case management functions

Engagement, assessment, service planning, linkage and brokering, advocacy, monitoring, and evaluation of whether the client actually receives the services arranged.

Mandated reporting overrides confidentiality

Suspected child, elder, or dependent-adult abuse must be reported to the designated state authority regardless of the client's objection or confidentiality protections.

Warm handoff

A direct, live transfer of a client to another provider, with introduction and shared information, rather than an unmonitored referral that the client must complete alone.

Universal prevention

Prevention strategies delivered to an entire population, such as all students in a school, without screening for individual risk level.

Naloxone

An opioid antagonist that rapidly reverses opioid-related respiratory depression; it has no effect on overdose caused by alcohol, stimulants, or sedatives alone.

Person-first language

Non-stigmatizing phrasing such as 'person with a substance use disorder' rather than 'addict,' used in education and documentation to reduce shame and support engagement.

CRAFT

Community Reinforcement and Family Training teaches concerned family members to change contingencies and communication so the identified person is more likely to enter treatment.

SOAP note format

A progress note organized as Subjective (client report), Objective (observable data), Assessment (clinical interpretation and progress), and Plan (next steps and services).

DAP note format

A progress note organized as Data, Assessment, and Plan; a shorter format used when the treatment plan itself is not being changed.

Progress note required elements

Date, time, service type, duration, participants, client response, counselor interventions, progress toward a specific plan objective, and a signed credential.

Error correction in records

Draw a single line through the incorrect entry so it remains readable, write 'error,' and add initials and date; erasing, whitening out, or deleting is prohibited.

Client access to records

Under 42 CFR Part 2 and HIPAA, clients generally may review their own treatment record, subject to narrow exceptions defined in law and state regulation.

Six ethical principles NAADAC

Nonmaleficence, beneficence, autonomy, justice, fidelity, and veracity form the principle base of the NAADAC/NCC AP Code of Ethics.

Tarasoff duty to warn

When a client poses a serious threat of violence to an identifiable person, the counselor has a duty to protect, usually by warning and notifying police; state law defines specifics.

Scope of practice

The boundary of services a counselor is trained, supervised, and credentialed to deliver; clients needing more are referred or co-managed rather than treated beyond competence.

Informed consent elements

Disclosure of the nature of services, risks, benefits, alternatives, fees, confidentiality and its limits, and the client's right to refuse or withdraw at any time.