IC&RC ADC (IC&RC Addiction Professional Exams) flashcards

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

Screening versus assessment

Screening is brief and flags probable problems to decide whether fuller evaluation is needed; assessment is comprehensive, diagnostic, and treatment-planning oriented.

AUDIT-C scoring

Three consumption items scored 0-4 each, total 0-12; higher scores indicate more hazardous drinking, and the cutoff is lower for women than men.

CAGE questionnaire

Four yes/no items on cutting down, annoyance at criticism, guilt about drinking, and morning eye-opener use; two or more positives warrant further evaluation.

DSM-5-TR SUD severity

Two or three criteria in twelve months is mild, four or five is moderate, and six or more is severe; one criterion alone does not meet disorder threshold.

42 CFR Part 2 consent

Written consent for disclosure of substance use disorder records must name the recipient, purpose, information, expiration, and revocation rights, and is narrower than HIPAA authorization.

Motivational interviewing four processes

Engaging, focusing, evoking, and planning, in that order; planning is used only when the client is ready and is not required in every encounter.

Change talk categories

Client statements favoring change: desire, ability, reasons, need, commitment, activation, and taking steps; sustain talk favors the status quo.

ASAM six dimensions

Withdrawal and intoxication risk, biomedical conditions, psychiatric and cognitive conditions, readiness to change, relapse potential, and recovery environment determine level of care.

Level of care rule

Placement is driven by the most severe dimension, not by an average across dimensions or by the client's primary substance alone.

Measurable treatment objective

A time-bound, observable step toward a broader goal, such as attending three scheduled groups per week for four weeks, verified by attendance records.

Goal versus objective

A goal is the client's broad desired outcome, while an objective is a discrete, measurable action that demonstrates progress toward that goal.

Release of information elements

Recipient, purpose, specific information covered, expiration date, and a statement of the client's right to revoke in writing.

Integrated co-occurring treatment

Substance use and mental health treatment delivered by one team in one setting, preferred over sequential or parallel care for co-occurring disorders.

Warm handoff

A direct, personal connection between the client and the receiving provider, such as a joint call or in-person introduction, which reduces referral attrition.

Decisional balance

A structured comparison of perceived benefits and costs of using versus changing, used to build discrepancy rather than to argue the client into treatment.

Cognitive restructuring

Identifying an automatic thought, testing evidence for and against it, and generating a balanced alternative that changes the emotional response.

Refusal skills rehearsal

Practicing specific assertive responses to offers of substances through role-play, including plans for high-risk social situations and persistent pressure.

Lapse versus relapse

A lapse is a single return to use; a relapse is a return to the previous pattern. Distinguishing them reduces the abstinence violation effect.

Contingency management

Provision of tangible, verifiable reinforcers for objectively confirmed abstinence or attendance, such as prize draws for negative drug screens.

Group counseling screening

Prospective members are assessed for fit; acute withdrawal, active psychosis, or recent aggression may indicate individual care before group entry.

Trauma-informed counseling assumptions

Assume high trauma prevalence, prioritize safety and client choice, and avoid coercive or confrontational techniques that can retraumatize.

Informed consent elements

Client capacity, disclosure of risks and alternatives, freedom from coercion, and demonstrated comprehension of what is being consented to.

Duty to warn

A jurisdiction-specific obligation, arising from Tarasoff, to protect an identifiable person from a client's credible threat of serious harm.

Mandatory reporting limits

Statutory duties to report suspected child abuse or neglect, and often elder or dependent adult abuse, override a client's request for confidentiality.

Boundary crossing versus violation

A crossing is minor and may be clinically useful; a violation exploits the client's vulnerability or harms the client and is always prohibited.

Scope of practice

The set of activities a counselor may legally perform under state licensure law and training; exceeding it is a violation even with adequate knowledge.

Clinical documentation standard

Notes should be objective, behavioral, contemporaneous, and clearly separate observed facts from counselor opinions and interpretations.

Ethical dilemma response

Consult a supervisor or ethics committee, document the consultation and reasoning, and act in the client's interest within legal requirements.

Case management functions

Outreach, screening, assessment, service planning, linkage, monitoring, advocacy, and discharge planning, delivered in coordination with the treatment team.

Abstinence violation effect

Guilt and self-blame after a lapse that can escalate into full relapse; cognitive reframing of the lapse as a learning event interrupts the cycle.

Relapse prevention plan contents

Triggers, early warning signs, coping strategies, support contacts, and a concrete emergency step for imminent risk of use.

Discharge planning timing

Discharge planning begins at intake and specifies continuing care, medications, housing, and follow-up appointment dates before the client leaves.