CAADE Treatment Planning 2 — Questions and Answers
Question 1: When a client has co-occurring mental health and substance use disorders, treatment planning should:
- Address only the primary diagnosis first
- Integrate both disorders into a unified treatment plan (Correct answer)
- Refer the mental health disorder to a separate provider with no coordination
- Delay substance use treatment until mental health is stabilized
Correct answer: Integrate both disorders into a unified treatment plan
Integrated treatment planning addresses co-occurring disorders simultaneously rather than sequentially for better outcomes.
Question 2: In treatment planning, a 'measurable goal' must include:
- Vague language to allow flexibility
- A specific outcome that can be objectively observed or quantified (Correct answer)
- Only the counselor's clinical impressions
- Long-term aspirations without timelines
Correct answer: A specific outcome that can be objectively observed or quantified
Measurable goals include specific, observable criteria so progress can be tracked and evaluated objectively.
Question 3: A client's treatment plan should be reviewed and updated:
- Only at discharge
- At fixed program-mandated intervals or when significant changes occur (Correct answer)
- Annually regardless of client progress
- Solely when the client requests a change
Correct answer: At fixed program-mandated intervals or when significant changes occur
Regular scheduled reviews plus reviews triggered by significant changes ensure the plan remains clinically relevant.
Question 4: Which element is essential to ensure a treatment plan is individualized?
- Using standardized goals identical for all clients
- Incorporating the client's specific strengths, needs, and cultural context (Correct answer)
- Basing objectives solely on program requirements
- Copying goals from similar cases
Correct answer: Incorporating the client's specific strengths, needs, and cultural context
Individualized plans reflect each client's unique strengths, challenges, background, and treatment needs.
Question 5: The purpose of a baseline assessment in treatment planning is to:
- Determine the client's insurance coverage
- Establish a starting point against which progress can be measured (Correct answer)
- Satisfy legal documentation only
- Replace the need for ongoing monitoring
Correct answer: Establish a starting point against which progress can be measured
A baseline assessment documents the client's status at intake so subsequent changes can be meaningfully compared.
Question 6: When setting treatment priorities with a client, the counselor should:
- Unilaterally decide which problems are most important
- Collaborate with the client to identify and rank their most pressing concerns (Correct answer)
- Address only problems identified by the referral source
- Focus exclusively on substance use and ignore other life areas
Correct answer: Collaborate with the client to identify and rank their most pressing concerns
Collaborative priority-setting increases client ownership and motivation, improving treatment engagement and outcomes.
Question 7: In CAADE-aligned treatment planning, 'relapse prevention' objectives typically include:
- Guaranteeing the client will never relapse
- Identifying triggers, developing coping strategies, and building a support network (Correct answer)
- Restricting the client's social contacts entirely
- Focusing only on biological aspects of addiction
Correct answer: Identifying triggers, developing coping strategies, and building a support network
Relapse prevention planning identifies personal triggers, coping skills, and social supports to reduce relapse risk.
When a client has co-occurring mental health and substance use disorders, treatment planning should: