MAC flashcards
MAC · Build recall with a focused review session.
32 cards. Read the term and the definition here. The deck at the top of this page is optional.
- AUDIT
- A 10-item World Health Organization screening questionnaire for hazardous and harmful alcohol use; a total score of 8 or more suggests hazardous drinking and warrants further assessment.
- CIWA-Ar
- The Clinical Institute Withdrawal Assessment for Alcohol, revised: a 10-item scale scoring alcohol withdrawal severity from 0 to 67 to guide medication and level-of-care decisions.
- DSM-5-TR SUD severity
- Two or three criteria met within 12 months indicates mild substance use disorder, four to five indicates moderate, and six or more indicates severe; severity informs placement and planning.
- Addiction Severity Index
- A structured interview rating seven areas-medical, employment, alcohol, drug, legal, family/social, and psychiatric-to profile problem severity and support treatment planning decisions.
- SMART objectives
- Objectives that are Specific, Measurable, Achievable, Relevant, and Time-bound; they translate a broad treatment goal into observable behavior the counselor can evaluate.
- ASAM Level 2.1
- Intensive outpatient treatment, which provides at least 9 hours of structured programming per week for adults, typically delivered as three sessions of three hours each.
- Least restrictive level rule
- Placement rule stating that the counselor should choose the least intensive ASAM level of care that can safely and effectively meet the client's assessed needs.
- Treatment plan problem statement
- A concise description of a specific, observable client problem tied to an ASAM dimension, which the goal and measurable objectives are then written to address.
- Warm handoff
- A direct, personal transfer of the client to the receiving provider by phone, in person, or joint session, which markedly improves the odds the referral is completed.
- Part 2 consent elements
- A valid 42 CFR Part 2 consent names the recipient, describes the purpose, states how much and how long information may be disclosed, and includes revocation and expiration terms.
- Referral outside scope
- A referral is required when a client's needs exceed the counselor's competence, the program's level of care, or legal authority, such as medically supervised detoxification or psychiatric evaluation.
- Referral documentation
- Record the referral date, reason, receiving provider, information disclosed, consent obtained, and follow-up outcome, including client refusal or inability to reach the provider.
- Case management functions
- Core case management activities include assessing needs, planning services, linking clients to resources, monitoring progress, and advocating for the client across systems.
- Continuing care plan
- A written plan developed with the client before discharge specifying ongoing services, appointments, recovery supports, and warning signs, intended to sustain gains after treatment ends.
- Peer recovery support specialist
- A trained person with lived experience of recovery who offers non-clinical support, engagement, and mentoring; peers do not diagnose, treat, or provide clinical supervision.
- Discharge summary
- A document stating the reason for discharge, progress toward goals, services provided, medications, functioning at exit, and the continuing care plan given to the client.
- OARS
- Core motivational interviewing microskills: Open-ended questions, Affirmations, Reflections, and Summaries; reflections should be used more often than questions during a session.
- DARN-CAT
- Categories of change talk in motivational interviewing: Desire, Ability, Reasons, Need as preparatory talk, and Commitment, Activation, Taking steps as mobilizing talk the counselor evokes.
- Stages of change
- Prochaska and DiClemente's sequence of precontemplation, contemplation, preparation, action, and maintenance, with relapse treated as an expected part of the cycle.
- Contingency management
- A behavioral intervention giving verified, tangible reinforcement such as vouchers or prize draws for biologically confirmed abstinence or other clearly defined target behaviors.
- CRAFT
- Community Reinforcement and Family Training teaches concerned family members to reward non-using behavior, allow natural consequences, and invite the person into treatment.
- Naloxone education
- Teaching clients, families, and communities to recognize opioid overdose, administer the antagonist, give rescue breathing, and call emergency services; take-home kits reduce overdose deaths.
- Harm reduction
- A public health approach that accepts any positive change, meets people where they are, and provides services without requiring abstinence as a precondition for care.
- Al-Anon
- A 12-step fellowship for family members and friends affected by another person's drinking, offering peer support, detachment concepts, and a parallel recovery process.
- SOAP note
- A progress note format: Subjective (client report), Objective (observable data), Assessment (clinical interpretation and progress), and Plan (next steps and services).
- DAP note
- A progress note format: Data (what happened and was observed), Assessment (clinical interpretation), and Plan (interventions and follow-up).
- Correcting record errors
- Draw a single line through the error so it remains legible, write the correction or 'error,' then add initials and date; never erase, white out, or rewrite the record.
- Contemporaneous documentation
- Best practice is to complete progress notes within 24 hours of the service; late entries are labeled as such and dated with the actual date of writing.
- Tarasoff duty
- A duty to protect identifiable third parties from a client's serious threat of violence, met by warning the person, notifying police, or taking other protective steps.
- Dual relationship
- A situation in which a counselor holds a second, significant role with a client, such as business partner or friend; avoided because it risks exploitation and impaired judgment.
- Informed consent elements
- Disclosure of the nature of treatment, risks, benefits, alternatives, fees, confidentiality limits, and the right to refuse or withdraw, documented in writing before services begin.
- Mandated reporting
- A legal obligation of counselors to report suspected child abuse or neglect to designated authorities; it overrides confidentiality and does not require the client's permission.