CASAC Screening and Assessment Techniques 2

Question 1

The ASAM (American Society of Addiction Medicine) Criteria is primarily used to:

Accepted Answer

Determine the most appropriate level of care for a patient by assessing six dimensions of functioning

Answer

Diagnose specific substance use disorders

Answer

Screen for alcohol use in primary care settings

Answer

Evaluate the effectiveness of treatment after completion

Question 2

When administering the CAGE questionnaire, a positive response to how many questions suggests the need for further assessment of alcohol use?

Accepted Answer

Two or more positive responses

Answer

All four questions must be positive

Answer

Only one positive response to the 'Eye-opener' question

Answer

Three or more positive responses

Question 3

What is the primary difference between screening and assessment in substance abuse treatment?

Accepted Answer

Screening is a brief process to identify potential problems and determine if further evaluation is needed, while assessment is a comprehensive process to diagnose, determine severity, and develop treatment plans

Answer

There is no difference; the terms are interchangeable

Answer

Screening is more comprehensive than assessment

Answer

Assessment is only done at discharge, while screening occurs at intake

Question 4

The Addiction Severity Index (ASI) evaluates functioning across how many problem areas, and which areas does it cover?

Accepted Answer

Seven areas: medical, employment, drug use, alcohol use, legal, family/social, and psychiatric

Answer

Three areas: substance use, mental health, and physical health

Answer

Five areas: substance use, housing, education, nutrition, and recreation

Answer

Two areas: substance use and criminal behavior

Question 5

When assessing a client for substance use disorders using the DSM-5, how many criteria must be met within a 12-month period for a diagnosis of a mild substance use disorder?

Accepted Answer

Two to three criteria

Answer

One criterion

Answer

Four to five criteria

Answer

Six or more criteria

Question 6

A substance abuse counselor is conducting an assessment with a client who speaks limited English. What is the most appropriate approach to ensure accurate assessment?

Accepted Answer

Utilize a qualified medical/behavioral health interpreter and culturally adapted assessment tools when available

Answer

Use the client's minor child as an interpreter

Answer

Proceed with the standard English assessment and note the language barrier in the record

Answer

Skip the formal assessment and rely on observation alone