UCSB ADCSM (Civil Service Management) flashcards

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

AUDIT screening purpose

A 10-item World Health Organization tool that detects hazardous and harmful alcohol use and possible dependence; a positive score prompts fuller assessment rather than a diagnosis.

DSM-5-TR SUD severity

Requires at least 2 of 11 criteria in 12 months; 2-3 criteria is mild, 4-5 is moderate, and 6 or more is severe.

ASAM dimension one

Assesses intoxication and withdrawal potential; high risk such as prior delirium tremens or seizures indicates need for medically managed withdrawal.

Withdrawal timeline alcohol

Symptoms typically begin 6 to 24 hours after the last drink; withdrawal seizures may occur at 12 to 48 hours and delirium tremens at 48 to 96 hours.

Measurable treatment objective

A behavioral, time-bound statement specifying what the client will do, how often, and by when, so progress can be objectively evaluated.

SOAP note components

Subjective client report, Objective observable findings, Assessment clinical interpretation, and Plan for next steps; each note should link to a treatment plan objective.

Least restrictive placement

The ASAM principle that clients receive care at the lowest intensity level that safely meets their needs across all six assessment dimensions.

Discharge summary contents

Documents presenting problems, services delivered, progress toward goals, final status, and continuing-care referrals to support continuity after treatment ends.

Warm handoff

A direct, live connection between the referring and receiving providers, often with the client present, that reduces dropout compared with passive referral.

Medication for opioid use disorder

Buprenorphine, methadone, and naltrexone are evidence-based treatments that reduce craving and overdose death and should be coordinated, not discouraged.

Release of information elements

Must name the recipient, purpose, records covered, expiration date, and the client's right to revoke; it is time-limited and revocable in writing.

Integrated co-occurring treatment

One team in one setting treats substance use and mental disorders together rather than sequentially or in separate parallel programs.

Motivational interviewing OARS

Open questions, Affirmations, Reflections, and Summaries; these skills express the spirit of partnership, acceptance, compassion, and evocation.

Change talk categories

Desire, ability, reasons, need, commitment, activation, and taking steps; counselor reinforces these statements to strengthen motivation for change.

Lapse versus relapse

A lapse is a single return to use; a relapse is a full return to the prior pattern. A lapse is managed with the relapse-prevention plan.

Harm reduction examples

Naloxone distribution, syringe services, and safer-use education reduce harm without requiring abstinence as a precondition for services.

Informed consent elements

Covers nature of services, risks, benefits, alternatives, confidentiality limits, fees, and the right to withdraw consent at any time.

Boundary crossing versus violation

A crossing is a minor, potentially harmless deviation that is documented and discussed; a violation such as sexual contact is always prohibited.

Confidentiality exceptions

Imminent danger to self or others, suspected child or elder abuse, valid court order, and written authorization permit disclosure of otherwise protected information.

Scope of practice limit

Unlicensed SUD counselors do not independently diagnose or treat mental disorders; they refer or work under licensed supervision.

42 CFR Part 2

Federal rule protecting SUD treatment records; stricter than HIPAA, it generally requires specific written consent naming recipient, purpose, records, and expiration.

Part 2 medical emergency

Permits disclosure without consent to medical personnel for a bona fide emergency; the disclosure must be documented and limited to what is needed.

Record correction method

Errors are corrected by a dated, signed addendum; original entries are never erased or altered retroactively to preserve record integrity.

Minimum necessary standard

Only the protected information needed to accomplish the stated purpose is disclosed, even when a valid consent is on file.

Recovery capital types

Social relationships, physical health and housing, human skills and education, and cultural values and identity resources that support sustained recovery.

Disease model of addiction

Frames addiction as a chronic, relapsing brain condition involving reward and impulse-control circuits; supports treatment rather than moral blame.

Stages of change model

Precontemplation, contemplation, preparation, action, and maintenance; relapse is an expected cyclical event, not a restart of the process.

SBIRT approach

Screening, Brief Intervention, and Referral to Treatment; a public-health model delivered in general medical settings to identify and address risky use.

Co-occurring disorder definition

The presence of at least one substance use disorder plus at least one mental disorder; both require treatment, and either may be primary.

Gambling disorder classification

A DSM-5-TR behavioral addiction in the disruptive, impulse-control, and conduct disorders chapter, sharing craving, tolerance, and loss-of-control features with SUD.

Quadrant model

Classifies clients by severity of mental illness (low or high) against severity of substance use (low or high) to guide service intensity and integration.

Trauma-informed care principles

Assumes high trauma prevalence and emphasizes safety, trustworthiness, choice, collaboration, and empowerment to avoid re-traumatizing clients.

Utilization review purpose

Monitors authorization, length of stay, and medical necessity to ensure appropriate care and continued payer reimbursement for services.