CAADC Work Settings 5 — Questions and Answers
Question 1: A CAADC working in a rural telehealth setting must be most attentive to which unique barrier facing clients?
- Excess of available treatment resources
- Limited broadband access and digital literacy challenges (Correct answer)
- Oversaturation of licensed counselors in the area
- Strict local zoning laws for treatment facilities
Correct answer: Limited broadband access and digital literacy challenges
Rural telehealth clients frequently face inadequate internet infrastructure and lower digital literacy, which can disrupt service delivery.
Question 2: In a Veterans Affairs (VA) addiction treatment program, a CAADC should be prepared to address which co-occurring condition at particularly high rates?
- Autism spectrum disorder
- Post-traumatic stress disorder (PTSD) (Correct answer)
- Attention deficit hyperactivity disorder (ADHD)
- Obsessive-compulsive disorder (OCD)
Correct answer: Post-traumatic stress disorder (PTSD)
PTSD and substance use disorders are highly comorbid in the veteran population, making trauma-informed care essential in VA settings.
Question 3: When a CAADC accepts a position in a faith-based residential recovery program, which professional boundary issue must be navigated carefully?
- Maintaining the organization's 501(c)(3) tax status
- Ensuring clinical practices remain evidence-based separate from religious programming (Correct answer)
- Recruiting clients from local congregations
- Administering sacraments as part of treatment
Correct answer: Ensuring clinical practices remain evidence-based separate from religious programming
In faith-based settings, counselors must uphold evidence-based clinical standards while respecting the organization's religious framework without imposing beliefs on clients.
Question 4: A CAADC employed in an Employee Assistance Program (EAP) encounters a client who is the supervisor of another EAP client. The counselor should first:
- Inform the supervisor client about the subordinate's participation
- Assess for conflict of interest and consider referring one or both clients elsewhere (Correct answer)
- Schedule a joint session to resolve any workplace tension
- Document the relationship in both clients' charts without further action
Correct answer: Assess for conflict of interest and consider referring one or both clients elsewhere
Serving clients in a supervisory relationship creates a conflict of interest that may require referral to protect both clients' confidentiality and therapeutic integrity.
Question 5: Which setting would most likely require a CAADC to have specific knowledge of ASAM Level 3.5 criteria?
- Outpatient prevention program
- Clinically managed high-intensity residential treatment (Correct answer)
- Hospital emergency department
- Drug testing laboratory
Correct answer: Clinically managed high-intensity residential treatment
ASAM Level 3.5 designates clinically managed high-intensity residential services, and counselors in these settings must understand placement criteria to provide appropriate care.
Question 6: A CAADC working in a harm reduction program distributes naloxone to active users. This practice is ethically grounded in which principle?
- Beneficence and non-maleficence by prioritizing life preservation (Correct answer)
- Autonomy by requiring clients to stop using substances first
- Justice by limiting services to those in formal treatment
- Fidelity by adhering only to abstinence-based models
Correct answer: Beneficence and non-maleficence by prioritizing life preservation
Naloxone distribution reflects beneficence (doing good) and non-maleficence (preventing harm/death) even when clients are not yet ready for abstinence.
Question 7: In a Partial Hospitalization Program (PHP), how many hours of structured programming per week typically distinguishes PHP from Intensive Outpatient (IOP)?
- PHP offers fewer than 9 hours; IOP offers more than 20
- PHP offers 20 or more hours; IOP typically offers 9-19 hours (Correct answer)
- Both offer identical hours but differ only in medication access
- PHP offers weekend-only programming; IOP is weekday-only
Correct answer: PHP offers 20 or more hours; IOP typically offers 9-19 hours
PHP typically involves 20 or more hours of structured weekly programming, while IOP generally ranges from 9 to 19 hours, reflecting a stepped-care continuum.
CAADC Work Settings 5
A CAADC working in a rural telehealth setting must be most attentive to which unique barrier facing clients?