NAADAC NCAC I flashcards

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

Biopsychosocial assessment

Comprehensive evaluation of substance use, medical, psychiatric, family, social, legal, vocational, and spiritual domains to identify needs, strengths, and diagnosis.

DSM-5-TR SUD severity

Eleven criteria in twelve months; two to three indicate mild, four to five moderate, and six or more severe substance use disorder.

CIWA-Ar

Clinical Institute Withdrawal Assessment for Alcohol, revised; a ten-item scale scoring alcohol withdrawal severity and guiding medication and monitoring decisions.

ASAM six dimensions

Assessment framework covering intoxication and withdrawal, biomedical conditions, cognitive and emotional issues, readiness to change, relapse potential, and recovery environment.

SMART goals

Specific, measurable, achievable, relevant, and time-bound objectives in the treatment plan that make progress observable and reviewable.

Treatment plan review

Many payers require review at least every ninety days; plans are updated sooner when client status, needs, or services change.

Problem-goal-objective-intervention chain

Treatment plan sequence linking each assessed problem to a broad goal, measurable objectives, specific interventions, responsible staff, and target dates.

Discharge planning start

Transition and discharge planning begins at intake and is updated throughout treatment to ensure continuity and linkage.

Warm handoff

Direct, personal transfer of a client to another provider with confirmed contact, appointment, and shared information under consent.

Release of information

Signed authorization specifying what information may be shared, with whom, for what purpose, and expiration date; required before most disclosures.

Referral follow-up

Contacting the client or receiving provider after referral to confirm engagement, identify barriers, and document the outcome.

Scope-based referral

Referring when assessed needs exceed the counselor's or program's competence, licensure, or available services to meet them safely.

Case management functions

Assessment, planning, linking, advocacy, monitoring, and evaluation activities that coordinate services and reduce barriers for clients.

Interdisciplinary team

Coordinated group of medical, behavioral, social, and legal providers sharing a care plan with client consent and defined roles.

Care transition

Planned movement between levels or providers with confirmed receiving contact, appointment, medication continuity, and documented handoff.

Minimum necessary

Privacy standard limiting shared protected health information to the amount needed for the specific coordination purpose.

OARS

Motivational interviewing skills: open-ended questions, affirmations, reflective listening, and summaries used to build engagement and explore change.

MI four processes

Engagement, focusing, evoking, and planning are the four sequential processes that structure motivational interviewing conversations.

Contingency management

Behavioral intervention giving tangible, verifiable rewards such as vouchers for objective evidence of abstinence or treatment attendance.

Lapse versus relapse

A lapse is an isolated return to substance use; relapse is a sustained return to the previous pattern requiring plan revision.

Family psychoeducation

Structured education and support for family members about substance use, treatment, communication, boundaries, and recovery to improve outcomes.

Harm reduction education

Teaching practical strategies such as naloxone use, overdose response, safer use, and testing to reduce injury and death.

Health literacy

The degree to which clients can obtain, process, and understand health information needed to make treatment decisions.

Confidentiality with family

Family members may receive information only with the client's written consent or when a legal exception applies.

SOAP note

Progress note format using subjective, objective, assessment, and plan sections to document a clinical encounter.

Late entry correction

Correction method using a single line, date, time, initials, and reason; erasures and backdating are prohibited.

Contemporaneous documentation

Recording services as soon as possible after the encounter, within agency and payer timeframes, while details are accurate.

Progress note linkage

Notes should connect client status, interventions, response, and plan to treatment plan goals and medical necessity.

Informed consent

Client's voluntary agreement after receiving information about services, risks, benefits, alternatives, confidentiality limits, and fees.

Duty to warn

Legal obligation in some jurisdictions to protect identifiable third parties when a client poses serious threat of violence.

Dual relationship

When a counselor has another significant personal, financial, or professional relationship with a client that risks impaired judgment or exploitation.

Scope of practice

The boundaries of services a counselor may legally and competently provide based on licensure, training, supervision, and experience.