CAADC Roles and Responsibilities 2 — Questions and Answers
Question 1: What is the CAADC's scope of practice regarding psychiatric diagnosis?
- Can independently diagnose all conditions
- Can conduct SUD screening/assessment and formulate clinical impressions, but should collaborate with licensed professionals for formal psychiatric diagnosis (Correct answer)
- Cannot use any diagnostic tools
- Can only use ICD-10
Correct answer: Can conduct SUD screening/assessment and formulate clinical impressions, but should collaborate with licensed professionals for formal psychiatric diagnosis
CAADCs conduct thorough assessment and collaborate for complex diagnostic formulations.
CAADCs can apply DSM-5 criteria for SUDs, recognize co-occurring disorders, and develop clinical impressions, but formal psychiatric diagnosis typically falls within the scope of licensed professionals.
Question 2: What responsibilities does a CAADC's supervisory role entail?
- Only reviewing paperwork
- Clinical oversight including case review, skill development, ethical guidance, direct observation, and quality care assurance (Correct answer)
- Only occasional check-ins
- Only administrative compliance
Correct answer: Clinical oversight including case review, skill development, ethical guidance, direct observation, and quality care assurance
Clinical supervision encompasses skill development, case oversight, ethical monitoring, and care quality.
Responsibilities include regular sessions, case review, direct observation, skill development, ethical oversight, documentation review, gatekeeping for competency, cultural responsiveness development, and administrative coordination.
Question 3: How does the CAADC role differ between inpatient residential and outpatient settings?
- No difference
- Residential involves more milieu management and crisis response; outpatient emphasizes session-based treatment and community resource linkage (Correct answer)
- CAADCs only work outpatient
- Only group therapy in residential
Correct answer: Residential involves more milieu management and crisis response; outpatient emphasizes session-based treatment and community resource linkage
The role adapts to the setting, with different emphases and daily activities.
Residential involves therapeutic milieu, more frequent crises, interdisciplinary coordination, and observing behavior across contexts. Outpatient focuses on session-based intervention, unstructured time planning, community resources, and self-report.
Question 4: What is the CAADC's role in advocacy?
- Not part of the role
- Advocate for individual clients' access and engage in systemic advocacy for better policies, funding, and stigma reduction (Correct answer)
- Only for private practice
- Only advocate for professional interests
Correct answer: Advocate for individual clients' access and engage in systemic advocacy for better policies, funding, and stigma reduction
Advocacy operates at individual, team, organizational, community, and policy levels.
Individual advocacy ensures service access. Team advocacy represents client perspectives. Organizational advocacy promotes evidence-based practices. Community advocacy educates about addiction. Policy advocacy supports treatment access legislation.
Question 5: A client asks their counselor to write a letter supporting a disability claim. What should the counselor consider?
- Write whatever requested
- Consider scope of therapeutic role, provide objective clinical information, avoid determinations outside scope, and discuss impacts on the relationship (Correct answer)
- Refuse all letter requests
- Exaggerate symptoms to help
Correct answer: Consider scope of therapeutic role, provide objective clinical information, avoid determinations outside scope, and discuss impacts on the relationship
The counselor must balance supporting the client with professional integrity and scope boundaries.
Provide objective documentation of treatment involvement and diagnoses within scope. Distinguish from forensic evaluation. The letter must be honest and accurate. Discuss what can and cannot be included.
Question 6: What role does the CAADC play in care coordination?
- Operates independently
- Key coordinator communicating with medical providers, psychiatrists, probation officers, and other providers for integrated care (Correct answer)
- Only case managers coordinate
- Only communicates with insurance
Correct answer: Key coordinator communicating with medical providers, psychiatrists, probation officers, and other providers for integrated care
Care coordination is fundamental, involving communication with all members of the client's service team.
Coordinate with medical providers, psychiatrists, criminal justice, child welfare, housing services, employment services, and family systems, all requiring appropriate releases and attention to 42 CFR Part 2.
CAADC Roles and Responsibilities 2
What is the CAADC's scope of practice regarding psychiatric diagnosis?