CAADE Co-Occurring Disorders 5

Question 1

A counselor documents that a client's depressive disorder is 'substance-induced.' This classification means the depression:

Accepted Answer

Developed during or shortly after substance use or withdrawal and is expected to remit with abstinence

Answer

A substance-induced depressive disorder is directly caused by substance use or withdrawal and is expected to resolve with sustained abstinence, though monitoring continues.

Question 2

Which factor MOST complicates the treatment of COD in individuals experiencing homelessness?

Accepted Answer

Survival needs taking priority over treatment engagement and medication adherence

Answer

When basic survival needs such as food, safety, and shelter are unmet, engagement in COD treatment is severely compromised as these needs take immediate priority.

Question 3

Under California law, which document governs confidentiality protections for substance use disorder treatment records?

Accepted Answer

42 CFR Part 2 and California Health and Safety Code Section 11845.5

Answer

Substance use disorder treatment records are protected by both federal 42 CFR Part 2 regulations and California Health and Safety Code Section 11845.5, which impose stricter confidentiality than HIPAA alone.

Question 4

A CAADE-certified educator working with a COD client should PRIMARILY function as:

Accepted Answer

A collaborative member of an integrated care team providing education and counseling support

Answer

CAADE-certified educators function as collaborative treatment team members who provide psychoeducation and counseling support, not as prescribers or sole providers.

Question 5

When a client with schizophrenia and cannabis use disorder claims cannabis helps reduce their auditory hallucinations, the counselor should respond by:

Accepted Answer

Acknowledging the client's experience while providing accurate psychoeducation about cannabis worsening psychosis

Answer

The counselor should use MI-consistent empathy while providing accurate information that cannabis is associated with worsening psychotic symptoms, even if clients perceive short-term relief.

(CAADE) California Association for Alcohol/Drug Educators Certification Practice Test

(CAADE) California Association for Alcohol/Drug Educators Certification Practice Test

CAADE Co-Occurring Disorders 5