ADC EXAM 2023 LATEST UPDATE

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genetic risk up to 50%; higher in heroin (40-60% overall) cocaine neurotransmitters primary buildup of dopamine (also serotonin and norepinephrine); people deficient in serotonin are at risk ... nootropics drugs designed to boost cognitive performance ex: Adderall, Provigil (sleep disorders), amphetamine cocaine abuse 1. experimental use 2. compulsive use 3. dysfunctional use -arterial constriction & hardening leads to cardiac arrest/stroke anabolic steroids -engage both opioid and dopamine neurotransmission systems -just as addictive as caffeine, nicotine, and benzos -withdrawal appears like cocaine (insomnia, headaches, restlessness, poor libido, dysphoria) screening & assessment screening: looking to determine if a problem exists assessment: more thorough for targeted matters of concern suicide rates IV users: 14x higher general population: 10x higher lowest for African American women & highest for American Indian and Alaskan Native males Substance Abuse Subtle Screening Inventory (SASSI) 67 clinical obvious & subtle items to detect truth when individuals are unwilling or unable to acknowledge problem; <15 mins to complete Michigan Alcohol Screening Test (MAST) alcohol screening tests available but no tools for truth Screening, Brief Intervention, and Referral to Treatment (SBIRT) quick & simple tool to ID substances for at-risk levels for those already experiencing substance use issues; no tools for truth Addiction Severity Index (ASI) tool for assessment & tx planning (NOT screening) readiness to change -clients who perceive the need for help w/ the process of change & when other options are perceived as comparatively less attractive -NOT always rock bottom; can also be motivated by external pressures -client and family's level of emotional pain Chemical Use, Abuse And Dependence (CUAD) Scale used in ax; derives a DSM dx of substance disorder; brief 5-30 min interview and requires little training. known for mentally ill pop'ns Symptom Checklist-90-R (SCL-90-R) ax broad range of psychological problems and pathology as well as client progress/treatment outcomes. 90 items on a 5-point scale to be completed in 12-15 minutes and produces an overview of symptoms Community Oriented Programs Environment Scale (COPES) measure actual, preferred, and expected treatment environment or social climate of community treatment programs by drawing on opinions of clients & staff Treatment Services Review (TSR) used in conjunction with ASI; ten-minute structured interview to ax nature and frequency of tx services CHEAP progress notes Chief complaint History Exam Assessment Plan SIGECAPS full eval of depression symptoms: Sleep, Interests, Guilt, Energy, Concentration, Appetite, Psychomotor Agitation, and Suicidal ideation CART progress note format: Client condition, Actions, Response, and Treatment plan CHART progress note format: Client condition, Historical significance, Actions, Response, and Treatment plan episode of treatment length of stay is not always critical; completion is more important; avoid high drop-out rate in first few weeks ideal group size process groups most effective w/ 6-8 members; psychoeducational ones can be larger co-occurring treatment severity none- moderate/severity: IOP (i.e. anxiety/mood dx) severe: dual-diagnosis (psychotic/personality disorders) Composite International Diagnostic Interview (CIDI) covers both DSM and ICD criteria for SA disorders; addresses consequences and onset of symptoms; primarily used for epidemiology MINI scale screens for major psych disorders based on DSM and ICD criteria; reliable dx in brief time frame PRISM instrument Psychiatric Research Interview for Substance Abuse and Mental Disorders; differentiates antisocial and borderline personality dx from SA; 1-3 hours/training required AASE Scale Alcohol Abstinence Self-Efficacy Scale; to ax level of client's confidence in being able to abstain from alcohol in 20 situations that include common drinking cues; no training req'd ASRPT Alcohol-Specific Role Play Test (ASRPT) uses role-playing scripts to evaluate client situations in taped responses by acting out; 20 mins/requires training SCQ Situational Confidence Questionnaire: 29 self-report items that explores self-efficacy in alcohol-related scenarios CBT not effective in group counseling Motivational interviewing (MI) counselor is coach/consultant, asking key questions for learning. nonjudgmental, collaborative style Motivational enhancement therapy (MET) incorporates structured assessments and follow-up sessions as adaptation to MI [Show More]

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