CADC Screening and Assessment 3 — Questions and Answers
Question 1: Which concept describes the process of identifying problems beyond substance use — such as mental health, medical, or social issues — during a comprehensive intake?
- Detoxification planning
- Co-occurring disorder screening (Correct answer)
- Aftercare referral
- Pharmacotherapy review
Correct answer: Co-occurring disorder screening
Co-occurring disorder screening systematically identifies mental health and other conditions that co-exist with a substance use disorder.
Question 2: The PHQ-9 is commonly used alongside substance use screens. What does it primarily assess?
- Post-traumatic stress severity
- Severity of depressive symptoms (Correct answer)
- Anxiety disorder screening
- Cognitive impairment
Correct answer: Severity of depressive symptoms
The PHQ-9 (Patient Health Questionnaire-9) measures depression severity based on DSM criteria and is validated across clinical populations.
Question 3: A culturally competent screening process requires counselors to:
- Use only standardized tools regardless of cultural context
- Adapt communication and interpret results within the client's cultural framework (Correct answer)
- Avoid discussing cultural factors to prevent bias
- Administer screening tools in English only
Correct answer: Adapt communication and interpret results within the client's cultural framework
Cultural competence means understanding that norms, language, and stigma vary across groups, requiring adaptation of tools and interpretation.
Question 4: Which of the following best describes the difference between screening and comprehensive assessment?
- Screening diagnoses a disorder; assessment only identifies risk
- Screening is a brief initial process to identify risk; assessment is in-depth evaluation to guide treatment (Correct answer)
- Assessment is done before screening
- Screening requires a licensed physician; assessment does not
Correct answer: Screening is a brief initial process to identify risk; assessment is in-depth evaluation to guide treatment
Screening quickly identifies individuals who may have a problem, while assessment comprehensively examines that problem to inform treatment planning.
Question 5: The RAFFT questionnaire is specifically designed for which population?
- Older adults over 65
- Pregnant women
- Adolescents (Correct answer)
- Justice-involved adults
Correct answer: Adolescents
RAFFT (Relax, Alone, Friends, Family, Trouble) is a brief adolescent screening tool validated for use with teens to identify substance use problems.
Question 6: In ASAM criteria, the dimension 'Readiness to Change' primarily influences decisions about:
- Medical detoxification level
- Engagement and motivational enhancement strategies in treatment (Correct answer)
- Housing placement
- Pharmacotherapy selection
Correct answer: Engagement and motivational enhancement strategies in treatment
ASAM Dimension 4 assesses a client's readiness and stage of change, directing treatment intensity and the use of motivational strategies.
Question 7: A client reports using opioids daily and scores high on the ORT (Opioid Risk Tool). This result most directly informs:
- A referral to inpatient psychiatric care
- Risk stratification for opioid prescribing and need for close monitoring (Correct answer)
- Immediate court notification
- Termination of the therapeutic relationship
Correct answer: Risk stratification for opioid prescribing and need for close monitoring
The ORT predicts risk of opioid misuse and guides prescribers and counselors in structuring monitoring and support intensity.
CADC Screening and Assessment 3
Which concept describes the process of identifying problems beyond substance use — such as mental health, medical, or social issues — during a comprehensive intake?