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IC&RC MEGA STUDY GUIDE LATEST
UPDATE 2026
Stage 1: Experimentation - CORRECT ANSWERS ✔✔is defined as the voluntary use of drugs without experiencing any negative social or legal consequences. For many, experimenting may occur once or several times as a way to "have fun" or even to help the individual cope with a problem. For many, experimentation can occur without any desire to continue using the drug. For others, it can start to become a problem when it moves into the next stage of addiction: regular use. Stage 2: Regular Use - CORRECT ANSWERS ✔✔Some people will be able to enter the stage of ------ --- without developing a dependence or addiction. These people will be able to stop the drug use on their own. The problem with regular use is that the risk for substance abuse greatly increases during this stage. It also increases risky behaviors such as driving under the influence, unexplained violence, and symptoms of depression and anxiety. Stage 3: Risky Use/Abuse - CORRECT ANSWERS ✔✔The line between regular use and risky use/abuse is a very
thin one, but is usually defined as continued use of drugs in spite of severe social and legal consequences. What might have begun as a temporary form of escape can quickly lead to more serious problems. This is the stage where the warning signs of addiction will begin to appear: craving, preoccupation with the drug, and symptoms of depression, irritability and fatigue if the drug is not used. Stage 4: Drug Addiction and Dependency - CORRECT ANSWERS ✔✔Physical dependence on a drug is often intertwined with addiction. Characteristics of dependence and drug addiction include withdrawal symptoms and compulsive use of the drug despite severe negative consequences to his or her relationships, physical and mental health, personal finances, job security and criminal record. AUDIT - CORRECT ANSWERS ✔✔The Alcohol Use Disorders Identification Test (AUDIT) is a ten-question test developed by a World Health Organization-sponsored collaborative project to determine if a person may be at risk for alcohol abuse problems. GATE - CORRECT ANSWERS ✔✔GATE, a four-step process (Gather information, Access supervision, Take responsible action, Extend the action) for addressing suicidal thoughts and behaviors in substance abuse treatment
Please answer YES or NO to the following questions: MICHIGAN ALCOHOLISM SCREENING TEST (MAST) ASAM - CORRECT ANSWERS ✔✔AMERICAN SOCIETY OF ADDICTION MEDICINE SOAP - CORRECT ANSWERS ✔✔subjective, objective, assessment, and plan is a method of documentation employed by health care providers to write out notes in a patient's chart, along with other common formats, such as the admission note. MATRS - CORRECT ANSWERS ✔✔Measurable—Can change or progress toward meeting the objectives be documented/evaluated? Attainable—Can the client take steps toward meeting the objectives? Time-Limited—Is the time frame specified for the objectives?
Realistic—Can the client meet the objectives given their current situation? Specific—Are specific activities included? Could the client understand what is expected? SAMHSA - CORRECT ANSWERS ✔✔Substance Abuse and Mental Health Services Administration HIPAA - CORRECT ANSWERS ✔✔Health Insurance Portability and Accountability Act of 1996 ASI - CORRECT ANSWERS ✔✔Addiction Severity Index DSM - CORRECT ANSWERS ✔✔Diagnostic and Statistical Manual of Mental Disorders DAP - CORRECT ANSWERS ✔✔Data, Assessment , Plan DIG-FAST - CORRECT ANSWERS ✔✔Is a tool Prompting the full evaluation of symptoms of mania Distractibility
DOB - CORRECT ANSWERS ✔✔Date Of Birth BAC - CORRECT ANSWERS ✔✔Blood Alcohol Content Patient Screening - CORRECT ANSWERS ✔✔Counselors must take a variety of factors into account when deciding to admit a potential client for treatment. So it's crucial for counselors to use the right diagnostic criteria. They must determine whether the individual's habits constitute abuse or recreational use.Eligibility requirements differ between agencies and programs. Criteria usually examine the patient's age, gender, legal status, income, and more. If a counselor deems an individual eligible for treatment, but he/she does not fit the parameters of the program, the professional should be able to suggest an alternative location. Patient Intake - CORRECT ANSWERS ✔✔After the initial assessment, the counselor is required to fill out all the documents and examine the technical aspects of admitting the patient. Patient Intake. Although this step is simpler than the first, it can be stressful and time consuming depending on the volume of paperwork and process of the treatment facility.Counselors must sign consent forms when gathering information from or providing it to outside sources. The consent forms are a
legal step that protects the confidentiality of the patient. It is critical for the counselor to understand the process and guidelines fully for admittance. Patient Orientation - CORRECT ANSWERS ✔✔After screening and admitting, the patient will be added to the program and oriented to the goals and nature of the treatment. Everyone must be given rules regarding conduct and expectations. They should also be fully educated about the disciplinary actions they may be subject to when rules are broken. Regulations vary between program types. For example, non-residential treatment options will have service hours for each available treatment. Residential options will include rules about leaving the campus and family visiting hours. All facilities include regulations about treatment costs, insurance, and client rights. The counselor must examine each of these aspects to properly educate incoming patients and protect them, as well as the establishment itself. Patient Assessment - CORRECT ANSWERS ✔✔Once the patient is admitted to a program and orientated about the specific guidelines of the facility, he/she is assessed by the counselor. This procedure involves one-on-one meetings between the counselor and patient. Assessment is one of the most vital parts of treatment because it determines the path each patient will take. During the
achieving objectives. They explore problems, ramifications, feelings, attitudes, and more. The drug and alcohol counselor must select the proper counseling type, apply techniques to assist the patient (or family/group), continue individualized counseling, offer therapeutic advice, reach solutions, and implement the treatment plan. Case Management - CORRECT ANSWERS ✔✔This portion of treatment is a broad section. It refers to activities that bring people, services, and agencies together in a predetermined framework of action. These methods are necessary to establish the short-term and long-term goals of the patient. Global criteria for case management includes coordinating client care services and explaining the care management activities to the client. Again, it's imperative to help the patient understand the methods and goals of the program. Crisis Intervention - CORRECT ANSWERS ✔✔Even with the best treatment plans and facilities, drug and alcohol rehab isn't an easy process. Every patient will likely experience acute emotional and physical distress at some point, including recovery issues or drug relapse. Patient Education - CORRECT ANSWERS ✔✔Counselors must continue to provide information to their patients through the duration of treatment. Both formal and
informal processes are used to keep patients educated and up-to-date about treatments, discoveries, progress, and other relevant factors. Referral - CORRECT ANSWERS ✔✔In some cases, the needs cannot be met by the counselor or agency. When such a situation arises, the counselor must provide relevant information and advice for the patient. The counselor must identify which services the facility cannot meet and determine if supplemental assistance can be offered without leaving or un-enrolling from the facility. The counselor can also take advantage of community resources and support systems. One important part of the referral is to adhere to applicable laws. Local, state, and federal regulations apply when it comes to patient confidentiality. Record-Keeping and Reporting - CORRECT ANSWERS ✔✔The results of treatment and assessments must be carefully documented to track progress and develop plans for the patient's future. Reports, notes, discharge summaries, and other types of information must be kept confidential but properly tracked. Cross-Consultation - CORRECT ANSWERS ✔✔The final function of a counselor is to communicate with other professionals. Client treatment and services can benefit from in-house and outside resources. The goal of cross-
MAT - CORRECT ANSWERS ✔✔Medication Assisted Treatment DSM IV - CORRECT ANSWERS ✔✔Diagnostic and Statistical Manual of Menatl Disorders, 4th Edition ASAM - CORRECT ANSWERS ✔✔American Society of Addiction Medicine CBT - CORRECT ANSWERS ✔✔Cognitive Behavioral Therapy SBIRT - CORRECT ANSWERS ✔✔Screening, Brief Intervention, and Referral to Treatment SOAP - CORRECT ANSWERS ✔✔Subjective, Objective, Assessment, and Plan COD - CORRECT ANSWERS ✔✔Co-Occurring Disorders BDI - CORRECT ANSWERS ✔✔Beck Depression Scale CAADE - CORRECT ANSWERS ✔✔California Association for Alcohol/Drug Educators
SAMHSA - CORRECT ANSWERS ✔✔Substance Abuse and Mental Health Services Administration CSAT - CORRECT ANSWERS ✔✔Center for Substance Abuse Treatment CAADAC - CORRECT ANSWERS ✔✔California Association of Alcoholism and Drug Abuse CATC - CORRECT ANSWERS ✔✔Certified Addiction Treatment Counselor NAADAC - CORRECT ANSWERS ✔✔National Association of Alcoholism and Drug Abuse Counselors IC&RC - CORRECT ANSWERS ✔✔International Certification & Reciprocity Consortium INCASE - CORRECT ANSWERS ✔✔International Coalition of Addiction Studies Education TAP - CORRECT ANSWERS ✔✔Technical Assistance Publication
EBPs - CORRECT ANSWERS ✔✔Evidence-Based Practices N-SSATS - CORRECT ANSWERS ✔✔National Survey on Substance Abuse Treatment Services SAPT - CORRECT ANSWERS ✔✔Substance Abuse Prevention and Treatment HIPAA - CORRECT ANSWERS ✔✔Health Insurance Portability and Accountability Act CAGE - CORRECT ANSWERS ✔✔• The briefest and most widely used.
- Only four questions asked directly to the person.
- If someone answers yes to one of the questions then there is an indicator that their might be a problem that needs to be further investigated.
- If they answer yes to two or more they are sent for further testing.
- Advantages-yes or no questions
- Disadvantages-not asking about time frame, self report, not in depth about environment, not in depth MAST - CORRECT ANSWERS ✔✔• Widely used
- Good reliability and validity
- Original had 25 self administered questions the one now has only 22.
- Advantages-it could be a reality check to someone taking it, not very time consuming, simple yes and no
- Disadvantage-it doesn't ask you to explain, doesn't ask time frame AUDIT - CORRECT ANSWERS ✔✔• Ten items 1-3 frequency and quantity 4-6 alcohol dependence 7-10 how harmful alcohol use.
- Advantages-you can use it in an interview, it's not that long, it's more specific
- Disadvantage-not specific enough, doesn't add in the times when drinking is more acceptable like vacation etc., not valid
- Can be self report questionnaire or an interview DAST - CORRECT ANSWERS ✔✔Screen drugs other than alcohol POSIT - CORRECT ANSWERS ✔✔139 items on it Used for substance use problems and social, behavioral, and learning problems Disadvantages-too long, repetitious, lack of consistency
Narcotics possible effects - CORRECT ANSWERS ✔✔Euphoria, drowsiness, respiratory depression, constricted pupils, nausea Narcotics effects of OD - CORRECT ANSWERS ✔✔Slow/shallow breathing, clammy skin, convulsions, coma, and possible death Narcotics withdrawal syndrome - CORRECT ANSWERS ✔✔Water eyes, runny nose, yawning, loss of appetite, irritability, tremors, panic, cramps, nausea, chills, sweating. Narcotics - CORRECT ANSWERS ✔✔Heroin, Morphine, Hydrocodone, Hydro-morphone, Oxycodone, Codeine Depressants - CORRECT ANSWERS ✔✔Hydroxybutyric Acid, gamma, Benzodiazepines etc. Depressant effects - CORRECT ANSWERS ✔✔slurred speech, disorientation, drunken behavior without odor of alc., imparired membory of events, interacts with alc.
Depressant overdose - CORRECT ANSWERS ✔✔shallow respiration, clammy skin, dilated pupils, weak and rapid pulse, coma, and possible death. Depressant withdrawal - CORRECT ANSWERS ✔✔Anxiety, insomnia, tremors, delirium, convulsions, possible death. Stimulants - CORRECT ANSWERS ✔✔Cocaine half life=one hour, Amphetamine=6-12 hours, Methylphenidate= hours Stimulant effects - CORRECT ANSWERS ✔✔Increased alertness, excitation, euphoria, increased pulse rate, increased blood pressure, insomnia, and loss of appetite, dialated pupils. Stimulant OD - CORRECT ANSWERS ✔✔Agitation, increased body temperature, hallucinations, convulsions, and possible death Stimulant withdrawal - CORRECT ANSWERS ✔✔Apathy, long periods of sleep, irritability, depression (possible with suicidal potential), and disorientation, increased appetite, anhedonia (absence of pleasure) and craving.
