MAC study materials
MAC study resources

MAC study plan

MAC · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

Clinical Evaluation

  • Recite the DSM-5-TR criteria for substance use disorder and classify severity (mild 2-3, moderate 4-5, severe 6+) from written vignettes.

  • Differentiate screening from assessment and select the appropriate instrument (e.g., AUDIT, DAST-10, CAGE, ASI) for a described setting.

  • Apply the six ASAM dimensions to determine an appropriate level of care for three sample clients.

  • Identify withdrawal assessment tools and the clinical signs that require immediate medical referral.

  • Distinguish substance-induced conditions from independent co-occurring mental disorders in case descriptions.

Your checkpoint

Completed 40-question Domain 1 practice set scored at 80% or higher, with a written error log naming the missed concept and its correct definition for every incorrect item.

Week 2

Counseling

  • Describe motivational interviewing components (OARS, change talk, sustain talk) and stage-matched counselor responses.

  • Compare CBT, solution-focused, and relapse prevention approaches by target, technique, and typical use.

  • Sequence the stages of change and specify two counselor interventions appropriate to each stage.

  • Outline group counseling dynamics, screening criteria for group placement, and confidentiality limits in group settings.

  • Identify crisis intervention steps and warning signs requiring escalation for suicidal or medically unstable clients.

Your checkpoint

A two-page comparison matrix of MI, CBT, and relapse prevention (indications, core techniques, stage-of-change fit) plus 30 completed Domain 5 practice questions with rationales written in your own words.

Week 3

Counseling & Treatment Planning

  • Apply stage-matched counseling strategies to four written vignettes and justify each choice.

  • Construct measurable treatment-plan goals and objectives using client-centered, behavioral language with target dates.

  • Match client presentation to the correct ASAM level of care and defend the placement in writing.

  • Revise vague or non-measurable treatment objectives into compliant, measurable statements.

  • Explain how treatment plans are updated when a client relapses or fails to progress.

Your checkpoint

A complete written treatment plan for one vignette containing at least three prioritized problems, measurable goals and objectives, stage-matched interventions, and an ASAM level-of-care justification of at least 150 words.

Week 4

Treatment Planning & Referral

  • Determine when a client requires referral to medical, psychiatric, legal, housing, or vocational resources and state the triggering indicators.

  • Describe the referral process end to end, including client consent, release of information, and follow-up verification.

  • Apply 42 CFR Part 2 and general confidentiality rules to referral scenarios involving third parties.

  • Document referrals and their outcomes in a manner that meets record-keeping standards.

  • Build a local referral resource list by service category, including eligibility and contact pathway.

Your checkpoint

A one-page referral resource map covering at least eight service categories, plus a 30-question mixed Domain 2 and Domain 3 quiz scored at 80% or higher.

Week 5

Service Coordination and Treatment Plan Implementation & Documentation and Record Keeping

  • Coordinate care across a multidisciplinary team by defining roles, communication channels, and handoff content.

  • Write progress notes in DAP and SOAP formats that link each intervention to a treatment-plan objective.

  • Apply documentation standards for timeliness, legibility, corrections, and retention to sample records.

  • Identify what must and must not be included in a client record under privacy and consent requirements.

  • Describe case management activities that support treatment plan implementation and continuity of care.

Your checkpoint

Five complete DAP-format progress notes written from vignettes, each tied to a treatment-plan objective, plus a 20-item self-audit checklist for record compliance.

Week 6

Client, Family, and Community Education & Professional and Ethical Responsibilities

  • Design an education session outline for clients or families that matches health literacy level and cultural context.

  • Explain prevention, early intervention, and community education strategies and their target audiences.

  • Apply the ethical decision-making steps to vignettes involving dual relationships, boundaries, and impaired colleagues.

  • Identify mandated reporting duties, limits of competence, and supervision obligations in counselor practice.

  • Differentiate ethical requirements from legal requirements in three scenarios and state the action each demands.

Your checkpoint

A one-page client or family education session outline (objectives, content, materials, evaluation method) plus five ethics vignettes resolved using a written step-by-step decision model.

Week 7

Clinical Evaluation & Treatment Planning & Counseling

  • Integrate assessment findings into diagnosis, level-of-care, and counseling decisions within single vignettes.

  • Retest the highest-miss concepts from the Weeks 1 through 6 error logs to confirm correction.

  • Complete timed items to build pacing and flag patterns in distractor selection.

  • Reconcile conflicting treatment-plan and assessment information the way the exam expects.

  • Rank remaining weak areas by frequency of error to direct final-week study time.

Your checkpoint

A full-length 100-question timed practice exam scored at 75% or higher, with every incorrect item rewritten as a corrected flashcard and sorted into a frequency-ranked weak-area list.

Week 8

Clinical Evaluation & Treatment Planning & Referral & Service Coordination and Treatment Plan Implementation & Counseling & Client, Family, and Community Education & Documentation and Record Keeping & Professional and Ethical Responsibilities

  • Re-drill the top 20 most-missed concepts until each is answered correctly without notes.

  • Review condensed one-page summaries of all eight domains in two passes.

  • Verify exam-day logistics: testing requirements, identification, timing, and break strategy.

  • Rehearse the pacing plan on a 40-question timed set to confirm stamina and time per item.

  • Confirm the final weak-area list is empty or reduced to items flagged for a last read.

Your checkpoint

A one-page 'top 20 missed concepts' sheet self-tested to 100% accuracy, plus a final 40-question timed set completed within the target time per item.

Milestones

Week 2: Domain 1 practice set at 80% or higher and the MI/CBT/relapse prevention matrix completed without consulting notes.

Week 4: Score 80% or higher on a 60-question cumulative set covering Domains 1, 2, 3, and 5, with a written error log for every miss.

Week 6: All eight domains have at least one completed practice set, and the treatment plan, referral map, progress notes, and education outline deliverables are all finished.

Week 8: Full-length practice exam at 75% or higher, final 40-question timed set finished within the pacing target, and the top-20 missed concepts sheet self-tested to 100%.