NAADAC NCAAC flashcards
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32 cards. Read the term and the definition here. The deck at the top of this page is optional.
- Prefrontal cortex development
- The prefrontal cortex, responsible for impulse control and decision-making, matures last in adolescence (mid-20s), increasing risk-taking and substance experimentation.
- CRAFFT screening tool
- A validated adolescent substance use screening tool: Car, Relax, Alone, Forget, Family/Friends, Trouble. A score of 2+ indicates high risk and need for further assessment.
- DSM-5 SUD severity
- Substance use disorder severity is based on number of criteria met: mild (2-3), moderate (4-5), severe (6 or more) out of 11 total criteria.
- Motivational Interviewing (MI)
- A client-centered, directive counseling approach to enhance intrinsic motivation for behavior change by exploring and resolving ambivalence, using OARS skills.
- Contingency management
- An evidence-based treatment that provides tangible rewards (e.g., vouchers) for verified abstinence, effective for adolescents with substance use disorders.
- Multidimensional Family Therapy
- An family-based treatment for adolescent substance use that addresses individual, family, peer, and community factors, with strong evidence of effectiveness.
- Trauma-informed care
- An approach that recognizes the prevalence of trauma, integrates knowledge into policies and practices, and avoids re-traumatization while promoting safety and empowerment.
- 42 CFR Part 2
- Federal regulations governing confidentiality of substance use disorder treatment records, requiring written consent for most disclosures and imposing stricter rules than HIPAA.
- Tarasoff duty to warn
- A legal principle that mental health professionals may have a duty to warn or protect identifiable third parties when a client poses a serious threat of violence.
- Adolescent brain development
- During adolescence, the limbic system matures earlier than the prefrontal cortex, leading to increased reward-seeking and reduced impulse control, heightening vulnerability to substance use.
- Protective factors
- Conditions that reduce the likelihood of adolescent substance use, including strong family bonds, parental monitoring, academic engagement, and prosocial peer groups.
- ASAM criteria
- A comprehensive set of guidelines for determining appropriate level of care for substance use treatment, assessing six dimensions including withdrawal, medical, and recovery environment.
- Informed consent for minors
- Obtaining permission from a parent/guardian and assent from the adolescent for treatment, after explaining confidentiality limits and treatment nature.
- Mandated reporting
- Legal obligation of counselors to report suspected child abuse or neglect to authorities, overriding confidentiality; adolescents should be informed of this limit.
- Family psychoeducation
- Educating family members about substance use disorders, communication skills, and boundary setting to reduce blame and improve support for the adolescent.
- Integrated treatment
- Treating co-occurring substance use and mental health disorders simultaneously in the same program, rather than sequentially, to improve outcomes.
- CBT for adolescents
- Cognitive Behavioral Therapy adapted for adolescents, focusing on identifying triggers, developing coping skills, and challenging maladaptive thoughts related to substance use.
- Relapse prevention plan
- A written strategy identifying high-risk situations, coping skills, and support networks to maintain abstinence and manage lapses.
- Contingency management rewards
- Tangible incentives (e.g., gift cards) provided for verified abstinence, effective in adolescent substance use treatment, especially for cannabis and stimulants.
- Multisystemic Therapy (MST)
- An intensive family- and community-based treatment for adolescents with serious behavioral problems, including substance use, addressing multiple systems.
- Parental monitoring
- Parental supervision and awareness of adolescent activities, which is a protective factor against substance use; low monitoring increases risk.
- Co-occurring disorders prevalence
- Up to 60% of adolescents with substance use disorders have a co-occurring mental health disorder, such as depression, anxiety, ADHD, or PTSD.
- Trauma screening tools
- Validated instruments like the Childhood Trauma Questionnaire or UCLA PTSD Reaction Index used to identify trauma history in adolescents.
- Buprenorphine for adolescents
- FDA-approved medication for opioid use disorder in adolescents aged 16 and older, reducing cravings and withdrawal symptoms.
- Suicide risk assessment
- Systematic evaluation of suicidal ideation and behavior, often using the Columbia Suicide Severity Rating Scale (C-SSRS), essential for adolescents with SUD.
- Confidentiality for minors
- Legal right of minors to confidential substance use treatment in many jurisdictions, with parental consent requirements varying by state and service type.
- Ethical principle: autonomy
- Respecting the adolescent's developing capacity for self-determination, balancing parental involvement with the adolescent's right to assent.
- Dual relationships
- Situations where a counselor has another significant relationship with a client (e.g., social, financial), which should be avoided due to potential harm.
- Screening vs. assessment
- Screening uses brief tools to identify risk; assessment is a comprehensive evaluation to diagnose and plan treatment.
- Functional Family Therapy (FFT)
- A short-term, family-based treatment for adolescents with behavioral and substance use problems, focusing on improving family communication and functioning.
- OARS skills
- Core motivational interviewing skills: Open-ended questions, Affirmations, Reflections, and Summaries, used to build rapport and explore ambivalence.
- Level of care assessment
- Determining the appropriate intensity of treatment (e.g., outpatient, intensive outpatient, residential) using ASAM criteria and clinical judgment.