Exam Flashcards
0
Q
Effective counselor/supervisor relationships include all of the following EXCEPT:
A) The supervisor assessing the counselor’s ability to take a stand
B) Ongoing feedback
C) A climate conductive to feedback
D) A standardized, objective format
A
A
1
Q
In supervisory intervention, supervisors’ remarks which promote self-exploration, conceptualizer ion, and more inclusive integration of methods are described as:
A
Catalytic
2
Q
All of the following are models of clinical supervision EXCEPT:
A) Influential
B) Structural
C) Rational-emotive
D) Symbolic
A
C
3
Q
According to David Powell and Archie Brodsky in “Clinical Supervision in Alcohol and Drug Counseling,” the four overlapping foci of effective supervision include all of the following EXCEPT:
A) Supportive
B) Clinical
C) Evaluative
D) Didactic
A
B
4
Q
The general approach to analysis in case studies based on interview and literature data where content analysis is used may BEST be characterized as:
A
Qualitative
5
Q
To estimate the degree to which two sets of scores derived from the same sample vary together, you would calculate:
A
A correlation coefficient
6
Q
ASAM adolescent admission criteria for level IV medically managed intensive inpatient treatment lists several biomedical conditions and complications. All of the following are part of those criteria EXCEPT:
A) disulfiram-alcohol reactions
B) Biomedical evidence of a co-existing serious injury or biomedical illness, newly discovered and ongoing
C) Recurrent or multiple seizures
D) Substance use that greatly complicates or exacerbates previously diagnosed conditions
A
B
7
Q
A client suffering from alcohol hallucinations and presenting for treatment exhibiting auditory hallucinations and delusions of persecution
A
Cannot easily be evaluated to determine an accurate history of the exact amount of consumption
8
Q
Cognitive risk factors for relapse include all of the following EXCEPT:
A) Overconfidence
B) Positive moods and feelings of success
C) Difficulty overcoming negative moods
D) Belief that addiction is not a disease
A
B
9
Q
According to a study conducted by J. E. Heller on controlled drinking in modality, what percentage of alcohol users maintain at a social drinking level?
A
2%
10
Q
Harold has a dual diagnosis and has developed side effects from a drug involving the extrapyramidal motor system. What drug has Harold MOST likely been taking?
A
A major tranquilizer
11
Q
Post-acute withdrawal syndrome is a neurological consequence of alcoholism which predisposes a person to:
A
Relapse
12
Q
All of the following are descriptions of a cognitive-behavioral model of therapy EXCEPT:
A) Empathic relationship between counselor and patient, relaxation training and homework assignments
B) Daily thought record (DTR), role playing, and imagery
C) Activity monitoring and scheduling, exercise, and stimulus control
D) Education, focus on family of origin issues, and confrontation of belief system
A
D
13
Q
It is considered unethical for a counselor to:
A) Talk with a client any place other than the counseling office
B) Treat client problems that are beyond his skill level
C) Refuse treatment for certain clients
D) Discuss some personal feelings
A
B
14
Q
When participating in the screening process, a counselor must be skilled in:
A
Making referrals
15
Q
Which statement is TRUE regarding dual relationships with clients that might impair the counselor’s judgement
A
They must be avoided
16
Q
If the orientation process is neglected or incomplete a client may:
A
Have incorrect information and unanswered questions about the program
17
Q
A common error that counselor’s make when conducting an assessment is
A
Moving too quickly from data collection to treatment planning
18
Q
What is essential for successful recovery from addiction?
A
Admitting to a drinking and/or drug problem
19
Q
Interventions by a group counselor should
A
Address issues critical to the functioning of the group as a whole
20
Q
When clients ask directly for advice, it is usually helpful for counselor’s to:
A
Encourage the client to explore various alternatives
21
Q
Which of the following does NOT have to appear on a “Release of Information” form?
A) Purpose of the release
B) Name of recipient
C) Signature of counselor
D) Signature of client
A
C
22
Q
A client experiences a crisis situation. As a counselor, your MOST important function is:
A
To help convert the emergency into a solvable problem
23
Q
While progress has been made, society still disapproves much more strongly of substance abuse by women than by men. Which of the following statements is NOT true?
A) Women have customarily been expected to live up to a higher standard of moral and social behavior
B) Society perceives female substance abusers as promiscuous, immoral, and unfeminine
C) Mothers bear the additional burden of guilt over how substance abuse has interfered with their child rearing responsibilities
D) a number of roles traditionally deemed female - in particular, nurturing and maternal duties - are perceived as incompatible with drug-affected behavior
A
C
24
What is MOST appropriate in providing linkage between a treatment program and A. A.?
Counselors should visit A. A. meetings and have a list of meetings to share with clients
25
Concise and accurate reporting is necessary in order to:
Ensure continuity of client care
26
Consultations are an important component of the treatment process because:
Input and information from others will assist the treatment process
27
What bodily fluid has the highest risk of potential infection?
Vaginal secretions
28
What is an example of exploitation?
Leaking to the public the name of a celebrity who is in treatment at your facility
29
In a crisis interview with the client, you are most concerned with:
Focusing questions about the present situation and the client's means of coping with the stress
30
The style of counseling in which a counselor has made a decision to be committed to equality for all people and acts to treat all people alike, regardless of race or cultural background, is known as:
The "color-blind" counselor
31
A person wants to accept a party invitation because he/she is very social but is concerned because there will be a lot of drinking and he/she is a member of AA. He/she is experiencing a(n):
Approach-avoidance conflict
32
The first step to family change is:
Interruption of ongoing patterns with confrontation or disengagement
33
Hallucinations work on the brain by interfering with various neurotransmitters, causing an overlap of the senses to occur. The term for this overlap of the senses is:
Synesthesia
34
In alcohol and drug abuse, denial is:
A common barrier to overcome in the early stage of accepting the abuse problem
35
Burnout in counselors might be avoided by periodic:
Self assessment
36
During the screening process, a critical task a counselor has is to:
Establish rapport with the client
37
During the intake, the counselor can expect to address all of the following issues except:
A) A client's fears and denial
B) Information gathering
C) The preliminary identification of client goals
D) Treatment planning
D
38
According to Rational-Emotive Behavior Therapy, we develop emotional disturbances because of our:
Intrinsic beliefs about certain beliefs
39
Which of the following is the BEST indicator that an individual is physically dependent upon alcohol or another drug
Presence of withdrawal symptoms
40
What MUST be included in the treatment plan?
The client's problems and services to be provided
41
When a client discloses suicidal thoughts, the counselor's first step is to:
Assess the degree of risk
42
In an apologetic tone, a recovering client tells the counselor that he is still having urges to drink. The counselor can help by:
Normalizing the drinking urge and encouraging continued efforts toward relapse prevention
43
What is TRUE about case management?
It is the coordination of services in an effort to reach the goals of the treatment plan
44
Sally is a 16-year-old girl who has been admitted to the program for chemical dependency. She has a history of running away from home, erratic performance in school, and has been arrested twice for petty theft. And assessing Sally the counselor should first consider:
Sally's familial relationships and social milieu
45
It is appropriate for a counselor to teach a client about the physiological effects of the drugs he or she has been using during the admission of which of these core functions?
Client education
46
What would be MOST appropriate to assure follow through on a referral?
Notify the referral source of the referral and have client called to make an appointment
47
Client files are reviewed by the clinical supervisor for the purpose of
Providing professional feedback to enhance the counseling process
48
If the client is experiencing difficulties conforming to the rules and expectations of the program, the counselor's first course of action would be to:
Consult with supervisor and other members of the treatment team
49
All of the following counseling theories are appropriate for the direct care of recovering addicts during the first month every habilitation EXCEPT:
A) Rational emotive therapy
B) Reality therapy
C) Psychoanalysis
D) Gestalt therapy
C
50
According to the addiction counselor coated ethics, certified counselor must do all the following EXCEPT:
A) Prevent the practice of alcohol and drug abuse counseling by unqualified and unauthorized persons
B) Make provisions for the maintenance of confidentiality and the ultimate disposition of confidential reports
C) Be concerned primarily with the reputation of the profession when in the presence of professional conflict
D) Espouse objectively and integrity and maintain the highest standards in the services provided
C
51
Which of the following is a characteristic of Gestalt therapy?
A focus on unfinished business
52
Of the five basic counseling styles that define how nonminority counselor might deal with the minority client, which style will produce the most productive outcome when working with a minority client?
The "Culturally-Liberated" Counselor
53
Which of the following defense-oriented behaviors is of the damage-repair type?
Mourning
54
The primary factor in the development of young people's attitudes towards drugs is:
Parental role models
55
Marijuana is a unique compound which contains over 200 chemicals. One particular chemical, however, is a main psychoactive chemical that makes marijuana "go." The name of the psychoactive compound is:
Cannabinol
56
Which drug does NOT fall under the prescription drug classification of benzodiazepine?
Percodan
57
If a counselor knows that he or she is unable to assure the client of confidentiality, he or she should:
Inform the client of this fact
58
The intake process is usually an extension of the:
Screening
59
While gathering and alcohol and other drug history, which of the following is a good clue to alcohol dependency?
Increased tolerance and withdrawal symptoms when abstinence is attempted
60
What is TRUE about a treatment plan?
Client's own goals for treatment must be considered and discussed
61
When a group faces denial by group members, the counselor should:
Directly confront the denial
62
What is TRUE of defense mechanisms?
They are ways of coping that are used by everyone
63
The BEST way of dealing with individual needs in a group is to:
Use the group process to share mutual concerns
64
A frequent client reaction during the termination phase of counseling is:
Acting out behavior
65
In order to provide clients with updated information concerning addiction and recovery the counselor must
Stay well informed and aware of recent developments in the field
66
Client files should readily be accessible to
Only person is directly involved in providing clinical services
67
The following issue MUST be considered when consulting with out-of-agency professionals
Best practices related to confidentiality
68
Of the following aids associated illnesses, which may be less recognizable and substance abusers?
A) Dementia
B) Tuberculosis
C) Wasting syndrome
D) Chronic herpes simplex
A
69
The agency you work for does not provide post discharge services. It is a professional responsibility to:
Develop a plan for ongoing client support
70
What is defined as "the repulsion towards homosexuals and often the desire to inflict punishment as retribution, and in case of homosexuals them selves, self-loathing."
Homophobia
71
Factors often cited as responsible for unsuccessful treatment programs for Hispanic Americans include all of the following EXCEPT:
A) The inequality of services provided
B) Confusion caused by language barriers
C) Viewing the Hispanic culture as hetero genius
D) Traditional techniques of psychodynamic treatment
C
72
Phobic behaviors are reinforced by
Reduction in anxiety
73
After several months in marital and family therapy the alcoholic spouse suffers I relapsed. The MOST useful approach to the couple is to:
Frame the relapse as a sign that marital therapy was moving too quickly, and it would be good to get back to the basics of early recovery.
74
If an individual were to take two barbiturates, such as phenobarbital and secobarbital simultaneously, the drug interaction effects would most probably be described as:
Additive
75
What is true in regard to case management
The counselor should coordinate regular communication between professionals involved in the clients treatment
76
What statement made by a client in a group would most warrant documentation in the clients progress note?
"Ever since I stopped drinking, my emotional swings have been quite intense."
77
What is a speedball?
An injectable mixture of heroin and cocaine
78
The disease concept of addiction is a useful concept for treating alcoholics and addicts because:
It allows the client not to feel guilty for being addicted
79
Pink cloud is an expression used to describe alcoholics in early recovery who:
Are overly optimistic about their futures and don't production normal stresses
80
After completing an assessment interview with a difficult client, the counselor received a phone call from the client suggesting that the two have dinner together. What is the most appropriate course of action for the counselor?
Decline the invitation
81
In determining whether a chemically dependent patient should be treated in an inpatient or outpatient program, all of the following should be considered EXCEPT:
A) Whether the patient has family support for sobriety
B) Whether the patient believes he can succeed in an outpatient program
C) Whether the patient has a history of sobriety during the last several years
D) Whether the patient's family is likely to give him another chance if treatment fails
D
82
The identification and ranking of problems needing resolution is a function of:
Treatment planning
83
Define acupuncture
A traditional Chinese medical treatment that uses the insertion of find needles into certain points on energy channels in the human body in order to manipulate the flow of energy to restore or maintain health. Western medical thought hold that these manipulations somehow influence the endorphins and enkephalins in the human brain, though the mechanism for this has not been clearly explained. This technique is sometimes used to help Addicts through the detoxification process
84
Define Adlerian theory
Adler's theories are known as individual psychology. He gave us the concept of the inferiority complexand emphasize the importance of birth order on an individual psychological functioning. Encouragement is a major tool and Adlerian therapy and this approach places a strong emphasis on the client recognize their own strengths and believe in their own dignity and self-worth.
85
Define admission forms
Paperwork completed when a client enters treatment which contains personal and demographic data as well as necessary signatures to ensure that the client has understood his or her rights and that the program has necessary information to place the client appropriately and provide billing to the parties who are responsible for payment
86
Define aftercare
Typically refers to an individual or group counseling used to provide support and direction following primary treatment
87
Define agency policies
Usually the written statements of a treatment organization plans and guidelines for executing an organizational purposes
88
Define alternative solutions
A variety of choices from which a client can choose to move toward problem solution or resolution
89
Define anxiety
Worry or uneasiness about what may happen
90
Define applicable regulations
Usually refers to the state and federal program standards and guidelines for providing treatment services
91
Define appropriateness
The fit or match between the client and a form of treatment that will best address the clients particular needs
92
Define assessment
Those procedures by which a counselor/program and unifies and about your weights and individual strengths, weaknesses, problems and needs for the development of a treatment plan
93
Define assessment tools
Procedures or instruments such as inventories, questionnaires, checklist, structured interviews, etc. which are the basis for developing and forming judgment regarding the specific nature and extent of the clients problems
94
Defined behavior contracts
These are specific, written agreements between a counselor and a client that delineate just what is expected of both and outlines the consequences of either complying or failing to comply with the contract. Such contracts can be used for almost anything. Inappropriately developed treatment plan is kind of like a behavioral contract
95
Define behavior modification
Changing human behavior by the application of positive and negative reinforcement of behavior or by other learning techniques
96
Define behavioral approach
The systematic application of learning principles and techniques to the treatment of behavioral disorders. Behavioral therapist assume that disorders are learned ways of behaving that are maladaptive and consequently can be modified and more adaptive directions to relearning behaviors
97
Define behavioral terms
Statements phrased in such a way as to a vocal or specify actions are courses of action
98
Define Bibliotherapy
This involves the use of reading assignments (books, articles, etc.) in order to help client increase their knowledge on a topic or therapeutic interest or even to help them achieve greater insight into their problems.
99
Define brief therapy
Any of a number of approaches to psychotherapy that emphasize short-term, efficient therapy. Such approaches have been used since the 1940s. Currently several practitioners of brief therapy emphasize not only on the brevity, but also I need to focus on solutions to problems, not an understanding of their cause.
100
Define case management
Activities which bring services, agencies, resources, or people together within a plan framework of action toward the achievement of establish goals. It may involve liaison activities and collateral contacts.
101
Define case presentation method or CPM
I carefully standardize procedure which allows a candidate to demonstrate skill in each of the 12 core functions
102
Define certified
Relative to IC&RC/AODA standards, this describes someone who has demonstrated competence as an alcohol and drug abuse counselor by having received the required educational supervise work experience as well as passing the IC&RC/AODA written examination and in certain jurisdiction of the case presentation method oral examination
103
Define client centered therapy also known as Rogerian therapy
A system of psychotherapy based on the assumption that the client is the best position to resolve his or her own problems provided that the therapist can establish a warm, permissive atmosphere in which the client feels free to discuss his or her problems to obtain insight into them. The therapist as soon as a nondirective role, and does not advise, interpret, or intervene excepted the offer encouragement and occasional restatements of the clients remarks for the purpose of emphasis and clarification
104
Define client education
Provision of information to individuals and groups concerning alcohol and other drug abuse and the available services and resources
105
Define client goals and objectives's
Ideas formulated as end states or outcomes toward which the client and counselor work as a seek healthy resolutions to the clients problems
106
Define client history
The gathering of relevant information about a clients background and development. This includes, but is not limited to, social, developmental, substance abuse, vocational, educational, financial, legal, physical, and past treatment information
107
Define client identifying data
This is any information that would allow someone to identify a specific client. When discussing clients with individuals for whom the counselor does not have a specific release of information, care must be taken not to say anything that would identify the client. Simply using a false name or no name is not adequate. The facts of the case must be disguise so that it would be impossible to determine the clients identity.
108
Define clients rights
Privileges to which a client is justly entitled as he or she enters treatment. Client are to be informed regarding all aspects of expectations of them while they are in treatment, the nature of treatment, their obligations to the treatment, and their obligations to the treatment providers
109
Define client strengths
Those aspects of the clients characteristics are circumstances which are positive assets and potential he provides a basis for therapeutic movement and growth
110
Define client weaknesses
Those aspects of the clients characteristics or circumstances which are as assessed to be liabilities and which may impede progress for the client or set limits on the potential for change
111
Define coexisting conditions
Concurrent problems of biological, physiological, work social nature that are part of the clients life that systematically relate to the clients primary condition
112
Define cognitive approach
I counseling technique which focuses on developing understanding of an effecting change in one's thought patterns and processes in order to change feelings and behavior
113
Define collateral contacts
Individuals who may have significant information pertaining to the client that is beneficial to the therapeutic process. These individuals include, but are not limited to, family, friends, employers, probation officers point, and other significant people in the clients life.
114
Define community resources
Available services and one's community, usually not provided within your agency, used to assist in your clients recovery or needs. Example would be financial and vocational counselor's, educational institutions, social services, self-help groups, or mental health therapist.
115
Define comprehensive
The word means all inclusive. In the context of alcohol and drug counseling, it refers to services that cover the full range of means that clients present, including different types of treatment services such as inpatient or outpatient, or a complete range of options with and I getting setting, such as services for chemical dependency, psychiatric services, or vocational assistance.
116
Define confidentiality
The privileged nature of the client and counselor relationship which requires that the counselor keep secret the knowledge about the client unless properly authorized by law, professional ethics, or agency policy to double of such information after having obtain the appropriate releases
117
Define consultation
Relating with in-house staff or outside professionals to assure comprehensive, quality care for the client
118
Defined continuum of care
The various modalities used in providing treatment for individuals, including, but limited to, detoxification, inpatient, outpatient, halfway house, etc. These are range from most to least restrictive in terms of their demands on clients time, activity, and freedom.
119
Define coordinate
The ability to bring together activities or individuals in a common action or effort
120
Define core function
One of the 12 areas of services provided to clients by alcohol and other drug abuse counselors. The 12 core functions are screening, intake, orientation, assessment, treatment planning, counseling, case management, crisis intervention, client education, referral, reports and recordkeeping, and consultation
121
What are the 12 core functions of alcohol and other drug abuse counselors
```
Screening
Intake
Orientation
Assessment
Treatment planning
Counseling
Case management
Crisis intervention
Client education
Referral
Reports and record keeping
Consultation
```
122
Define corroborative information
Information gathered from secondary sources which verifies or provides a check on information gathered from a primary source. For example, the family members may be asked for corroborative information as clients are engaged in treatment to provide a more correct or complete picture of the patients problems and behaviors
123
Define counseling
The utilization of special skills to assist individuals, families or groups and achieving objectives through exploration of a problem and it's ramifications; examinations of attitudes and feelings; consideration of alternative solutions; and decision-making.
124
Define counseling techniques
Special skills for supporting, empathizing, analyzing, reflecting, challenging, and disclosing used to bring about client change
125
Define counseling theories
Philosophical and practical way of thinking that offers a framework for understanding the clients world and guidelines for problem-solving. Well-developed there is cover metaphysics ethics logic, epistemology and ontology
126
Define metaphysics
How the world works
127
Define ethics
How people should act
128
Define logic
Cause-and-effect and relationships
129
Define epistemology
How people change
130
Define ontology
The meaning of human existence
131
Defined couples counseling
I therapeutic approach that brings both members of a committed relationship together to work with the counselor
132
Define crisis intervention
Those services which respond to an alcohol and or drug abusers needs during acute emotional and or physical distress
133
Define decision-making
The process of arriving at a course of action in the context of their various possible choices to deal with a problem
134
What are the five stages when used as an approach to work with clients
Developing rapport or structuring
Defining the problem and identifying assets
Determining possible outcomes
Generating alternative solutions
Generalizing or transferring learning to the real world outside of the counseling setting
135
Define depressed
And the normal individual, a state of mind characterized by feelings of in adequacy, lowered activity, and pessimism about the future. And more pathological cases, increasing insensitivity and frequency of symptoms which include low self-esteem, tearfulness, appetite and sleep disturbance, loss of experience of pleasure, and suicidal ideation
136
Define diagnostic evaluation
A process usually implemented in the very early phases of treatment which employs the use of interviews and assessment tools for arriving at a description and usually a summary statement, usually in the form of a single word or phrase, such as alcohol dependent often in combination with the numerical code for sources such as a DSM for ICD-9. And it's purpose is to establish the basis for assigning a diagnosis
137
Define didactic format
Informant designed or intended to provide instruction and information to participants through lectures, films, groups, etc.
138
Define discharge planning
Plans made during the course of primary treatment to assist with an individual's recovery needs after treatment is completed
139
Define discharge summary
A written summary of the clients treatment, including but not limited to assessments, diagnosis, course of treatment and aftercare recommendations
140
Define disciplinary action
Steps or procedures which are necessary to censure or correct problematic behavior on the part of counselors who have violated their code of ethics
141
Define documentation
Typed or handwritten recording of key aspects of the course of treatment for the patient record which includes the bio for psychological assessment, progress notes, correspondence, releases, problem statements, goals, methods to be employed, discharge summary's and other pertinent aspects of the clients treatment
142
Define dynamic
And any system such as personality, the family, and organization, or in the counseling dyad, the interplay of elements and forces within the system
143
Defined dysfunction
The inability of an individual to develop the characteristics that make for successful survival
144
Define eligibility
The fit between the clients specific problem and or condition, the clients demographic characteristics, the clients financial resources, and the programs treatment focus and admissions guidelines
145
Define evaluate
The process of collecting information regarding the clients problem, history, and circumstances and subjecting that information to inform critical review to arrive at decisions regarding the treatment planning. This process occurs in various stages from screening the client, through assessment, treatment, and discharge planning
146
Define family therapy
Therapy in which the family as a unit, as well as individual family members, or treated
147
Define feedback
Information about a clients or organizations behavior or performance which is given back to its source and has a potential of altering, modifying, or adjusting the behavior or performance
148
Define focused interview
I meeting with a client which has a clearly defined purpose and direction
149
Define global criteria
These are the specific skills that are required for each of the 12 core functions. All of the global criteria are met to be independent. That means that the global criteria under one core function will not appear again and another core function
150
Define goal statements
Clear, concise specification of what the client intends to accomplish as a result of treatment
151
Define hypnotherapy
Involves the use of hypnosis, the state of temporarily altered attention. This may be therapeutic by bringing forgotten experiences into place where they are accessible by the conscious mind, by allowing a placement of suggestion during it gnosis which may help a client deal with a particular symptoms, or the induced sleep like state may simply be therapeutic in and of itself
152
Define impulses
Incitement to action without reflection or deliberation
153
Define in-house staff
Typically treatment team meetings held within an organization to provide staff direction regarding patient care
154
Define inpatient
Hospital or freestanding facility that provides food and lodging and engages residence in therapy for their specific problems during their stay. Often times this includes a highly structured daily schedule of individual and group counseling, education, etc.
155
Define individualized
The tailoring of counseling theory and techniques to address an individual's unique needs in order to increase the likelihood of change
156
Define infractions
Behaviors which occurs in violation of agency regulations or the professional code of ethics
157
Define insight
The ability to understand one's own being; awareness of one's major motivations, desires, feelings, and behavioral patterns
158
Define intake
The administrative and initial assessment procedures for admission to the program
159
Define integrate
The process of establishing knowledge, communication, relationship and harmony between parts of a whole which have been split apart or set in opposition to one another through polarization. This is the goal of maturation process
160
Define intermediate goals
Treatment planning consist of a continuum of goals and objectives's which are developed by the counselor and client. Intermediate goals relate to what the client wants to have accomplished by the midpoint of the treatment process
161
Define job task analysis
A detailed job description that is used as a blueprint for developing certification examinations. And conducting a job task analysis, the professional being defined is broken down into performance domains, or the major duties of a profession. Each performance domain is then broken down into tasks requiring to perform competently and the profession. Finally, each task is broken down into the skills and knowledge required to perform each task
162
Define Jungian Therapy
Carl Jung's psychoanalytic school was known as analytic psychology. He developed the concept of the collective unconscious and archetypes and defined introversion and extroversion as the two types of personality organization. The goal of Jungian therapy is to have clients become adequately adapted to reality allowing them to fulfill their creative potential. Individuation is the ultimate goal of Jungian therapy
163
Define liaison activities
A means of communication between groups. Tasks which facilitate communications among people and services in order to enhance continuity of care
164
Define long-term goals
Treatment planning consisting of continuum of goals and objectives's which are developed by the counselor and client. Long-term goals relate to what the client wants to attain by the time treatment is complete
165
Define major life areas
Significant marinas or spheres of operation in the clients life including, but not limited to, the following: physical, mental, emotional, spiritual, social, sexual, family, financial, legal, educational, recreational, nutritional, locational, etc. Each of the life areas are pertinent aspects of the whole picture of a clients life and will be influenced by chemical addiction
166
Define manipulative
The act of influencing or managing shrewdly, deviously, or indirectly to obtain ones own advantage
167
Define massage therapy
The use of touch systematically and strategically applied to various muscle groups in the body to bring about deep relaxation in order to help with the clients emotional well-being. In some instances and kind of mind-body therapy in which the manipulations of massage are believed to release repressed emotional content and bring it to consciousness
168
Defined mind body therapy
Based on the presumption of unity and linkage between the mind and body, this refers to any therapeutic technique that develops connections between the physical actions or manipulations and mental processes of emotional states. Such a purchase may include biofeedback, massage, breath work, relaxation training, yoga, meditation, etc.
169
Define multiple family group
And approach to group therapy or education and which several families are brought together at the same time
170
Define negotiation
The process by which both the client and the counselor agreed to treatment plan that will maximize the benefit of the treatment process
171
Define orientation
Just driving to the client the following: general nature and goals of the program; rules governing client contact and infractions I can lead to disciplinary action or discharged from the program; in a non-residential program, the hours during which services are available; treatment costs to be born by the client, if any; and client rights
172
Define outpatient counselor
An individual who provides treatment or therapy in a non-inpatient or non-residential setting usually through individual and or group counseling
173
Define outside professionals
These are the individuals working outside the counselor specific work environment who can provide professional services that are not available through the counselors work setting
174
Define performance domain also known as domain
One of the major areas of our profession as defined by a job task analysis. The counseling profession is divided into a performance domains: clinical a valuation; treatment planning; referral, service coordination; counseling; client, family, and community education; and professional and ethical responsibilities
175
What are the eight performance domains?
```
Clinical evaluation
Treatment planning
Referral coordination
Service coordination
Counseling
Client, family, and community education
Professional responsibilities
Ethical responsibilities
```
176
Define pharmacotherapy
The use of psychotropic or other medications to intervene in a disorder or illness in order to enhance functioning, relieve distress, and facilitate return of the individual to a more functional state
177
Define planned framework
A basic arrangement, form, or system that hat was worked out before hand for the accomplishment of a particular goal
178
Define program goals and objectives
Ideas set forth as ideal into states or outcomes toward which the treatment organization works as it implement its plans for providing treatment to client populations
179
Define program operations
Various approaches, methods, and procedures used by the organization providing treatment
180
Define progress notes
Documentation of the course of treatment in the client record. These notes may include observations by the counselor and or treatment staff as they relate to problem resolution and progress made by the client
181
Define psychoanalysis
Three possible definitions. First, I can be viewed as a set of specific techniques devised by Sigmund Freud to study mental processes. It can also be considered to be Freud's theory of psychology. Finally it can be thought as a combination of the first two. That is, an approach that utilizes techniques such as free association, dream interpretation and analysis of resistance and transference in order to help an individual understand their unconscious motivations and best change their symptoms.
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Define psychosis
Any major mental disorder in which the personality is very seriously disorganized and contact with reality is usually impaired
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Define psychotic episode
Mental illness of a limited duration in which the client shows severe change or disorganization of personality and disturbance of thought processes are content. It is often accompanied by depression, delusions, and hallucinations.
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DEngine quality care
This is therapeutic help that respects the client as a human being, does not take advantage of the power inherent in the counselor client relationship and which makes use of techniques that have the greatest likelihood of helping the client. In order to achieve quality care, a counselor must treat clients at the cleat and responsibly and stay abreast of current developments in the technology of chemical dependency treatment. Follow up to determine outcome is an important aspect of quality care.
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Define ranking problems
Listing in order of importance or priority the problems that will be given attention so that treatment will give its focus to these areas that are needed to be addressed
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Define rational emotive therapy
A cognitive behavior therapy method developed by Albert Ellis. The method looks that an individual's specific believes about a set of specific behaviors or events and how these believes the lead to specific consequences. The rationality of the owes believes is in challenged and where believes are found to be air rational, new rational believes are substituted. Theory holds that with appropriate beliefs, there will be new inappropriate behaviors and consequences.
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Define rationale
The justification or reasoning that forms the basis for decisions which are made regarding various aspects of the clients treatment
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Define reality therapy
The diabetic counseling approach developed by William Glasser in the 1960s which emphasizes the individuals need to develop an identity, problem-solving, personal responsibility, and coping with the demands of individuals reality. The focus is on the present and future, behavior not emotion, client goalsetting, contradicting and self-evaluation, and learning through natural consequences.
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Define referral processes
Identifying the needs of the client that cannot be met by the counselor or agency and assisting the client to utilize the support systems and community resources available
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Define rehabilitation
The process of restoring a person to the best possible level of functioning following a physical, mental or emotional problem
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Define record and report keeping
Charting the results of the assessment and treatment plan, writing reports, progress notes, discharge summary's and other client related data
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Define reports
Written statements that explain various aspects of assessment, treatment, and discharge to parties who needs that information to enhance the care of the client
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Define residential
May have the same definition as inpatient; however, in many settings provides less intensive treatment structure, or in other settings provide a more intensive treatment structure
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Define resistance
A conscious or unconscious opposition to the uncovering of the unconscious
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Defined screening
The process by which the client is determined appropriate and eligible for admission to a particular program
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Define secondary sources
Significant people in the clients life such as family members, employers, or coworkers who can provide information regarding the clients history, behavior, problems, etc., for the purpose of developing a more accurate and complete assessment for a more productive treatment plan
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Define self-help groups
Groups that operate not professionally without a counselor or therapist. They provide members with support and direction
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Define social adaptation
The pattern of adjustment and relationship and individual creates and assumes in relationship to various social groups within society such as a family, the workgroup, friends, neighborhoods, church etc.
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Define suicidal gestures
Any act of expression made as a sign of attention towards suicide. A nonlethal suicidal Acme significantly cry for attention and or help
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Define suicide
The act of intentionally killing oneself
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Define support systems
The organizational and social groups, agencies, or networks that can interface with a client to assist them in initiating and maintaining progressive growth. Examples may be family, friends, professional assistance, work, etc.
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Define terminate
The point at which therapy with the client comes to an end and the client is discharged from treatment
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Define transactional analysis
A theory developed by Eric Berne in the 1950s which proposes that humans are motivated by stimulus hunger, structure hunger, and position hunger. The basic units of communication are transactions that consist of exchanges of positive and negative strokes. The methods employed in this theory analyze various interactions and it tends to increase personal and autonomy and decrease the impact of self-defeating scripts and manipulative games. Berne believes people are intelligent and capable and can remake old decisions that have led to problems. There are three primary ego states within each individual that affect the nature of transactions - parent, child, and adult
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Define treatment methods
The strategies or approaches that make up the process of providing treatment for a client
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Define treatment plan
Outline or diagram showing the structure, sequences, arrangements, goals and strategies for patient care
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Define treatment planning
Process by which the counselor and the client identified and rank problems meeting resolution; established agreed-upon immediate and long-term goals; and decide upon a treatment process and the resources to be utilized.
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Define 12 core functions
These are the empirically determine tasks that a counselor uses in the process of helping clients
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Define urinalysis
The chemical analysis of your and often times used to detect the level of drugs and individual system
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Define Verbon Johnson's Theory
This is really a learning theory. It holds that an individual learns that drinking is a very powerful and successful way to deal with problems. The family or other significant individuals in the addict's life reinforce this by their behavior which enables the alcoholic's drinking. The alcoholic's relationship to alcohol deteriorates over time, but the initial learning was so powerful that the person continues to seek those early positive experiences
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What is the first step in AA
We admitted we were powerless over alcohol That our lives had become unmanageable
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What is the second step in AA
Came to believe that a power greater than ourselves could restore us to sanity
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What is the third step in AA
Made a decision to turn our will and our lives over to the care of God as we understood him
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What is the fourth step in AA
Made a searching and fearless moral inventory of ourselves
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What is the fifth step in AA
Admitted to God, to ourselves and to another human being the exact nature of our wrongs
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What is the six step in AA
Were entirely ready to have God remove all these defects of character
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What is the seventh step of AA
Humbly ask him to remove our shortcomings
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What is the eighth step of AA
Made a list of all persons we harmed, and became willing to make amends with them all
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What is the ninth step of AA
Made direct amends to such people wherever possible, except when to do so would injure them or others
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What is the 10th step of AA
Continued to take personal inventory and when we were wrong promptly admitted it
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What is the 11th step of AA
Sought through prayer and meditation to improve our conscious contact with God as we understood Him, praying only for knowledge of His will for us and the power to carry that out
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What is the 12 step in AA
Having had a spiritual awakening Houser result of the steps we try to carry this message to alcoholics and practices principal and all of our affairs
