IC&RC ADC study materials
IC&RC ADC study resources

IC&RC ADC (IC&RC Addiction Professional Exams) case studies

IC&RC ADC · Put your knowledge to work in context.

The IC&RC Alcohol and Drug Counselor (ADC) credential is a professional certification for substance use disorder counselors, offered through the International Certification and Reciprocity Consortium (IC&RC). It is intended for counselors who provide direct services to individuals with alcohol and other drug problems, and it is often used for state licensure or certification and for reciprocity across jurisdictions. The ADC examination is a multiple-choice test that assesses knowledge and skills across five domains: screening, assessment, and engagement; treatment planning, collaboration, and referral; counseling; professional and ethical responsibilities; and case management and relapse prevention. The exam is practice-based, emphasizing application of knowledge to realistic clinical scenarios rather than rote recall. The IC&RC ADC case studies are 5 cases and about 3,024 words.

1

Mandated DUI Referral With Denial and Collateral Discrepancy

Marcus, 34, was referred by his probation officer after a second DUI arrest three weeks ago (BAC 0.14). He attends intake because probation requires it.

638 words, about 3 min
2

Buprenorphine, Benzodiazepines, Pain, and Transportation Barriers

Lena, 52, has opioid use disorder and chronic low back pain. She has taken buprenorphine 16 mg daily for 14 months at a clinic 40 miles away.

603 words, about 3 min
3

Group Conflict, Kratom Disclosure, and a No-Substance Contract

Andre, 41, is 21 days abstinent from alcohol and cocaine and attends an intensive outpatient group. During group, a peer gently notes that Andre has been quiet.

584 words, about 3 min
4

Employer Request, Subpoena, and a Custody Case

You are a counselor at a licensed outpatient program that receives federal funds. Tanya, 29, was referred by her employer after a positive cocaine test under a workplace policy.

585 words, about 3 min
5

Discharge to a Using Household With Coverage and ID Gaps

Jayden, 19, is being discharged tomorrow from a 28-day residential program for cannabis and alcohol use disorder. He will return to his mother's apartment in a neighborhood with high drug availability.

614 words, about 3 min