CASAC Group Counseling Facilitation

Question 1

According to Yalom's model of group therapy, which therapeutic factor is MOST unique to group treatment and cannot be replicated in individual therapy?

Accepted Answer

Interpersonal learning through peer feedback and interaction

Answer

Instillation of hope

Answer

Catharsis

Answer

Imparting information

Question 2

A group member consistently monopolizes discussion, preventing others from speaking. The most effective facilitation response is to:

Accepted Answer

Gently redirect by inviting other members to respond and structuring turns

Answer

Ask the member to leave the session until they are ready to share equitably

Answer

Allow the behavior to continue to avoid rupturing the therapeutic relationship

Answer

Address the behavior only in individual sessions, never in front of the group

Question 3

In early-stage addiction recovery groups, the primary therapeutic goal of the group is typically:

Accepted Answer

Providing a safe, structured environment for building abstinence skills and peer support

Answer

Deep exploration of childhood trauma and its relationship to substance use

Answer

Confronting denial aggressively using peer pressure

Answer

Resolving transference issues between members and the facilitator

Question 4

A client discloses another group member's personal information to a mutual friend outside the group. The CASAC facilitator's FIRST obligation is to:

Accepted Answer

Address the breach in the next group session, reinforce confidentiality agreements, and assess impact on group cohesion

Answer

Terminate both clients from the group immediately

Answer

File a formal complaint with the licensing board on behalf of the injured member

Answer

Ignore the issue to avoid drawing more attention to the disclosure

Question 5

Which of the following group types is MOST appropriate for clients in the contemplation stage of change who are not yet committed to abstinence?

Accepted Answer

A motivational enhancement or pre-treatment group focused on ambivalence and decisional balance

Answer

A 12-step facilitation group requiring a commitment to sobriety

Answer

A relapse prevention skills group designed for clients with at least 90 days of sobriety

Answer

A process group focused on interpersonal dynamics and long-term character change

Question 6

During a group session, two members begin a heated argument that escalates to personal insults. The facilitator's IMMEDIATE priority is to:

Accepted Answer

De-escalate the conflict, ensure physical and emotional safety, and refocus the group

Answer

Allow the conflict to resolve naturally, as confrontation is therapeutic

Answer

End the session early and reschedule for the following week

Answer

Remove the more aggressive member and continue the session with the remaining members