NAADAC NCAC II study materials
NAADAC NCAC II study resources

NAADAC NCAC II case studies

NAADAC NCAC II · Put your knowledge to work in context.

The NCAC II (National Certified Addiction Counselor, Level II) is a professional credential offered through NAADAC, the Association for Addiction Professionals. It is aimed at counselors who already hold a foundational addiction credential or equivalent supervised experience and want a national mark of advanced competency that travels across states and employers. The NAADAC NCAC II case studies are 5 cases and about 3,950 words.

1

Fentanyl, PTSD Symptoms, and a Five-Day Authorization

Marcus is a 34-year-old man referred by the emergency department after his second naloxone reversal in 12 months. He has used smoked fentanyl daily for six years, completed residential treatment twice (both relapses within 60 days), and has been abstinent 8 days, mostly because he is staying with his sister, who also uses and has asked him to leave by Friday.

764 words, about 4 min
2

Court-Mandated, Late, and Not Buying It

Denise is a 41-year-old marketing manager attending a 12-week court-mandated outpatient program after her second DUI in five years. Her BAC at arrest was 0.19, and she reports two blackouts in the past year.

808 words, about 4 min
3

The Subpoena for a Part 2 Record

You are a counselor at a licensed outpatient SUD program that holds itself out as a 42 CFR Part 2 program, and you provide a client's individual counseling. The client, Jordan, age 29, has been in treatment for eight weeks following a DUI.

753 words, about 4 min
4

The Supervisor Who Signs the Hours and the Paycheck

You are clinical director of a six-counselor outpatient program and, because of a staffing gap, also the designated clinical supervisor for Renee, a licensed associate counselor with eight months of post-master's experience and a caseload of 32 clients. You sign her supervision hours and also complete her annual performance evaluation.

839 words, about 4 min
5

The Post-Payment Audit

You own a four-clinician group practice; roughly 60% of revenue comes from Medicaid managed care and Medicare. A payer sends a post-payment audit notice requesting records for 25 claims from the last 18 months.

786 words, about 4 min