MAC study plan
MAC · Give each week a clear focus.
8 weeks · About 7 hours per week
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.
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.
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.
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.
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.
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.
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.
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%.