CAADE Treatment Planning 3 — Questions and Answers
Question 1: A short-term objective in a treatment plan differs from a long-term goal in that it:
- Requires no measurable outcome
- Is an incremental step that contributes to achieving the broader goal (Correct answer)
- Is written only by the supervisor
- Focuses on lifetime recovery rather than near-term milestones
Correct answer: Is an incremental step that contributes to achieving the broader goal
Short-term objectives are specific, time-limited steps that build toward the larger long-term goal.
Question 2: Which approach best supports client motivation during treatment planning?
- Prescribing the plan without client input
- Using motivational interviewing techniques to elicit the client's own reasons for change (Correct answer)
- Emphasizing consequences of failure
- Limiting discussion to abstinence-only goals
Correct answer: Using motivational interviewing techniques to elicit the client's own reasons for change
Motivational interviewing techniques help clients articulate their intrinsic motivation, strengthening commitment to the plan.
Question 3: A treatment plan that addresses a client's housing instability alongside substance use demonstrates:
- Scope creep beyond the counselor's role
- A holistic approach recognizing social determinants of recovery (Correct answer)
- Unnecessary expansion of services
- Overreach into case management only
Correct answer: A holistic approach recognizing social determinants of recovery
Addressing social determinants like housing as part of treatment reflects a holistic, whole-person recovery model.
Question 4: When documenting treatment plan goals, SMART criteria require that goals be:
- Simple, Manageable, Achievable, Realistic, and Timely
- Specific, Measurable, Achievable, Relevant, and Time-bound (Correct answer)
- Sequential, Monitored, Assessed, Reviewed, and Terminated
- Subjective, Meaningful, Attainable, Reflective, and Tested
Correct answer: Specific, Measurable, Achievable, Relevant, and Time-bound
SMART goals are Specific, Measurable, Achievable, Relevant, and Time-bound — the standard framework for effective treatment objectives.
Question 5: A counselor discovers a client's treatment plan goal conflicts with the client's cultural values. The best response is to:
- Insist the goal is clinically necessary and proceed
- Discuss the conflict with the client and collaboratively modify the goal to be culturally responsive (Correct answer)
- Discharge the client for non-compliance
- Document the conflict and ignore it
Correct answer: Discuss the conflict with the client and collaboratively modify the goal to be culturally responsive
Culturally responsive treatment planning requires dialogue and modification when goals conflict with a client's cultural values.
Question 6: In treatment planning for adolescents with substance use disorders, family involvement is typically:
- Discouraged to protect the adolescent's confidentiality entirely
- Integrated into the plan as a key support and treatment component (Correct answer)
- Limited to providing insurance information only
- Optional and rarely recommended
Correct answer: Integrated into the plan as a key support and treatment component
Family involvement is a core evidence-based component of adolescent substance use treatment planning.
Question 7: Which statement best describes the role of the client's signature on a treatment plan?
- It is a legal liability waiver for the program
- It signifies informed consent and client agreement to participate in the identified goals (Correct answer)
- It is optional and has no clinical significance
- It transfers responsibility for outcomes to the client
Correct answer: It signifies informed consent and client agreement to participate in the identified goals
The client's signature reflects informed consent, collaborative agreement, and commitment to the treatment plan.
CAADE Treatment Planning 3
A short-term objective in a treatment plan differs from a long-term goal in that it: