IC&RC CCJP flashcards

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

Purpose of screening

A brief, standardized triage that identifies probable need for fuller assessment. It does not diagnose and a positive result alone never establishes a substance use disorder.

ASAM six dimensions

Assessment framework covering intoxication and withdrawal risk, biomedical conditions, psychiatric status, readiness to change, relapse potential, and recovery environment. Used to match clients to appropriate levels of care.

AUDIT-10 interpretation

A ten-item alcohol screen scored 0 to 40. Scores of 8 to 15 suggest hazardous drinking, 16 or higher suggest high risk, and any score above 0 warrants clinical follow-up.

DSM-5-TR SUD severity

Substance use disorder is diagnosed when two or more of eleven criteria are met in twelve months. Two to three criteria indicate mild, four to five moderate, and six or more severe.

Collateral information

Data from family, probation officers, employers, or records that supplements client self-report. Written consent is required before contacting collaterals, and the source is documented.

Underreporting in justice settings

Clients facing legal consequences may minimize substance use, so assessment should triangulate self-report with records, collateral contacts, and toxicology results.

ASAM level matching

Level 1 is outpatient, 2.1 intensive outpatient, 2.5 partial hospitalization, 3 residential, and 4 medically managed inpatient. Placement reflects the six dimensions.

SMART treatment objectives

Objectives should be specific, measurable, achievable, relevant, and time-bound. Each objective links to a problem statement, a goal, and documented interventions.

42 CFR Part 2

Federal rule protecting confidentiality of substance use disorder records. Disclosure generally requires written consent specifying the recipient, purpose, and expiration date.

Case management functions

Linkage, coordination, monitoring, advocacy, and documentation across systems. Releases of information are required before coordinating with other agencies.

Discharge planning

Planning that begins at intake and addresses housing, transportation, employment, continuing care, and recovery supports to maintain gains after treatment ends.

Court-ordered treatment integration

Court conditions are incorporated into the treatment plan while clinical judgment is preserved. Documentation addresses compliance without abandoning individualized care.

OARS skills

Core motivational interviewing skills: open questions, affirmations, reflective listening, and summaries. They support collaboration, acceptance, compassion, and evocation of client change talk.

Change talk

Client statements about desire, ability, reason, need, or commitment to change. Counselors reinforce change talk and reflect sustain talk without arguing.

Stages of change

Precontemplation, contemplation, preparation, action, maintenance, and relapse. Interventions are matched to the client's current stage rather than assuming readiness.

Lapse versus relapse

A lapse is a single return to use, while relapse is a return to a pattern of problematic use. Lapse management plans help prevent escalation.

Suicide risk documentation

Record ideation, plan, intent, means, prior attempts, and protective factors. Means restriction and follow-up arrangements are key documented interventions.

Withdrawal risk

Alcohol and benzodiazepine withdrawal can be life-threatening and require medical management. Opioid withdrawal is generally not life-threatening but is highly distressing.

Naloxone response

Administer naloxone, call emergency services, and provide rescue breathing. Good Samaritan laws may protect callers in many jurisdictions.

Teach-back method

Asking clients to explain information in their own words to confirm understanding. It is matched to health literacy, language, and culture.

Person-first language

Saying 'person with a substance use disorder' rather than 'addict.' Avoiding terms like 'clean' or 'dirty' reduces stigma and supports engagement in care.

Prevention levels

Universal prevention targets whole populations, selective prevention targets at-risk groups, and indicated prevention targets individuals showing early signs.

Family education topics

The biopsychosocial model of addiction, relapse as a process, enabling behaviors, and boundary setting. Confidentiality limits still apply to family contacts.

Mutual-help and harm reduction

AA, NA, SMART Recovery, peer recovery support, syringe exchange, and naloxone distribution are community resources that support recovery and reduce harm.

Informed consent elements

Disclosure of services, risks, benefits, alternatives, confidentiality limits, and the right to withdraw. Consent is documented before services begin.

Mandatory reporting

Legal duty to report suspected child abuse or neglect, with scope and timelines set by jurisdiction. Counselors must know the local statute.

Duty to warn

Obligation that may arise when a client poses a serious threat to an identifiable person. Follow jurisdiction-specific law and consult supervision.

Scope of practice

Providing only services within training and licensure. Outside one's competence, the counselor refers or seeks consultation rather than proceeding.

Dual relationships

Additional roles with a client, such as business or personal relationships, that risk exploitation or impaired objectivity. They are avoided or carefully evaluated.

Drug court model

Combines judicial supervision with treatment, including status hearings, drug testing, and phased incentives and sanctions. Treatment and court roles remain distinct.

Therapeutic jurisprudence

The view that legal rules and procedures affect participants' well-being. It supports collaboration between courts and treatment providers in justice programs.

Reentry continuity of care

Planning for housing, employment, transportation, documentation, and treatment continuation after release. Continuity reduces recidivism and supports recovery.