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Screening, Assessment, and Diagnosis Flashcards

7 cards from real CASAC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Screening, Assessment, and Diagnosis flashcards as text

  1. A counselor administering the Addiction Severity Index (ASI) scores a client high in the Legal domain. What does this finding indicate in terms of treatment planning?

    Answer: Legal issues should be addressed as a problem area that may affect treatment engagement and outcomes

    High ASI scores in any domain, including Legal, identify problem areas that warrant attention in the treatment plan to support recovery.

  2. Which instrument is specifically designed to screen for alcohol use disorder in pregnant women and uses only three questions related to tolerance?

    Answer: TWEAK

    The TWEAK (Tolerance, Worried, Eye-opener, Amnesia, K/Cut down) was developed to identify at-risk drinking in pregnant women and is sensitive to tolerance.

  3. During an intake assessment, a client discloses recent use of benzodiazepines without a prescription. The counselor should FIRST:

    Answer: Assess the amount, frequency, duration, and last use to evaluate withdrawal risk

    Benzodiazepine withdrawal can be life-threatening, so the counselor must first gather detailed use history to determine the level of risk before deciding on next steps.

  4. Which of the following is a key difference between a screening and a comprehensive assessment in substance abuse counseling?

    Answer: Screenings identify the possible presence of a problem, while assessments gather detailed information to guide diagnosis and treatment planning

    Screening is a brief process to identify individuals who may have a problem, whereas a comprehensive assessment provides detailed data for diagnosis and individualized treatment planning.

  5. A 16-year-old client presents for assessment after a school referral for marijuana use. Which screening tool is MOST appropriate for this population?

    Answer: CRAFFT

    The CRAFFT (Car, Relax, Alone, Forget, Friends, Trouble) is a validated screening tool specifically designed for adolescents aged 12–21.

  6. A client meets DSM-5 criteria for both alcohol use disorder and major depressive disorder. The counselor should document this as:

    Answer: A co-occurring disorder (dual diagnosis)

    When a client meets full diagnostic criteria for both a substance use disorder and an independent mental health disorder, it is accurately documented as a co-occurring or dual diagnosis.

  7. The DAST-10 (Drug Abuse Screening Test) is best suited for which purpose?

    Answer: Quantifying the degree of problems related to drug misuse over the past 12 months

    The DAST-10 is a 10-item self-report tool that quantifies the severity of drug-related problems over the previous 12 months to guide clinical decision-making.