CCIS Substance Use & Co-Occurring Disorders Flashcards

The Stages of Change model (Prochaska & DiClemente) most relevant to substance use crisis work includes which stage where a client has NO intention to change?

Answer: Precontemplation

Precontemplation is the stage in which the individual does not yet recognize a problem or intend to change their behavior within the next six months.

A client in a substance-use-related crisis who also reports hearing voices should be assessed for:

Answer: Substance-induced psychosis vs. primary psychotic disorder

Crisis specialists must consider whether psychotic symptoms are substance-induced (typically resolving with sobriety) or indicative of a primary psychotic disorder requiring different intervention.

'Enabling' in the context of a client's support network refers to:

Answer: Behaviors by others that inadvertently support continued substance use

Enabling refers to actions by family, friends, or others that shield the substance user from consequences of their use, unintentionally perpetuating the addiction.

Which screening tool is used to assess alcohol and substance use across multiple domains?

Answer: AUDIT-C

The AUDIT-C (Alcohol Use Disorders Identification Test — Consumption) is a brief, validated screening tool focused on alcohol consumption patterns and potential hazardous drinking.

Crisis specialists should understand that relapse in substance use recovery is:

Answer: Common and can be a normal part of the recovery process requiring renewed support

Relapse is recognized as a common occurrence in the non-linear process of recovery, and its occurrence signals a need for reassessment and renewed therapeutic support rather than treatment abandonment.

When assessing a client for co-occurring disorders, the crisis specialist should:

Answer: Gather a brief history of both mental health symptoms and substance use patterns

A brief integrated assessment of both mental health symptoms and substance use patterns helps the crisis specialist understand how the two may be interacting and informs appropriate referral.