CAADC Professional Ethics and Confidentiality 2

Question 1

How does 42 CFR Part 2 compare to standard HIPAA protections for SUD records?

Accepted Answer

Heightened protections that generally prohibit disclosure without specific written consent, even where HIPAA would allow it

Answer

42 CFR Part 2 provides stricter confidentiality reflecting the understanding that disclosure fears deter treatment-seeking.

Question 2

A counselor discovers a colleague is practicing while impaired by alcohol. What is the ethical obligation?

Accepted Answer

Address through appropriate channels such as speaking with the colleague, supervisor, or certification board, prioritizing client safety

Answer

Ethics codes require action when impairment may harm clients.

Question 3

What constitutes a 'dual relationship' and why is it ethically problematic?

Accepted Answer

Having both a therapeutic and another relationship (social, business, romantic) with a client, creating exploitation potential

Answer

Dual relationships create conflicts of interest and exploitation risk due to the therapeutic power differential.

Question 4

A court orders release of a client's SUD treatment records. What should the counselor do?

Accepted Answer

Verify the order meets 42 CFR Part 2 requirements and consult legal counsel before disclosure

Answer

42 CFR Part 2 requires court orders for SUD records to meet specific criteria beyond standard subpoenas.

Question 5

What is 'nonmaleficence' in advanced addiction counseling?

Accepted Answer

The obligation to avoid causing harm, including practicing beyond competence, using harmful techniques, or maintaining dangerous relationships

Answer

'Do no harm' requires avoiding actions that carry risk of harming clients.

CAADC - Certified Advanced Addiction & Drug Counselor Practice Test