Chemical Dependency Counselor Flashcards

Which TWO of the following are suggested by social control theorists as causes of deviation?

Answer: Weak societal ties with the individual

Social control theory, particularly Hirschi's version, posits that individuals are less likely to engage in deviant behavior when they have strong bonds to society. These bonds include attachment to family and friends, commitment to conventional goals, and involvement in conventional activities. Therefore, weak societal ties, including weak familial ties, reduce an individual's stake in conformity and increase the likelihood of deviation.

What does the acronym CHEAP progress note mean?

Answer: Chief complaint, History, Exam, Assessment, and Plan

The acronym CHEAP in progress notes stands for Chief complaint, History, Exam, Assessment, and Plan. This structured format is commonly used in medical and counseling settings to ensure comprehensive and organized documentation of client encounters. It guides practitioners to systematically record the client's primary concern, relevant background, objective findings, professional interpretation, and the proposed course of action.

Which of the following stages of cocaine addiction development is NOT typical?

Answer: Isolated use

The typical stages of cocaine addiction development often include experimental use, social/recreational use, dysfunctional use (where problems begin to arise), and compulsive use (addiction). 'Isolated use' is not a recognized or typical stage in the progression of cocaine addiction, as the progression usually involves increasing frequency and integration into one's life, rather than remaining isolated.

Which of the following tools is used to test people who frequently embellish or falsify the truth for drug abuse?

Answer: SASSI

The Substance Abuse Subtle Screening Inventory (SASSI) is specifically designed to identify individuals with substance use disorders, even those who may be resistant or attempting to minimize or deny their substance use. It incorporates validity scales to detect defensiveness, embellishment, or falsification of responses. This makes it particularly useful for clients who frequently embellish or falsify the truth, helping counselors get a more accurate picture of their substance use.

Which of the following levels did Abraham Maslow NOT include in his Hierarchy of Needs?

Answer: Recreational needs

Abraham Maslow's Hierarchy of Needs includes physiological (basic), safety, love/belonging, esteem, and self-actualization needs. While recreation can contribute to well-being, 'recreational needs' are not one of the distinct, fundamental levels within Maslow's original five-tier model. Recreational activities might fall under broader categories like self-actualization or social needs, but they are not a separate, primary tier.

What is the purpose of the Symptom Checklist-90-R (SCL-90-R)?

Answer: Tracking client progress or treatment outcomes

The Symptom Checklist-90-R (SCL-90-R) is a widely used self-report psychometric instrument designed to assess a broad range of psychological problems and symptoms of psychopathology. It provides a snapshot of a client's psychological health across various symptom dimensions. Therefore, it is valuable for both conducting an in-depth assessment of psychological health and for tracking changes in symptom severity over time, thereby monitoring client progress and treatment outcomes.

What is the main objective of screening a client who has a history of substance abuse?

Answer: Determine a best initial treatment course

The main objective of screening a client with a history of substance abuse is to quickly identify the presence and severity of a potential substance use disorder and determine if further assessment or immediate intervention is needed. This initial screening helps counselors make an informed decision about the most appropriate initial treatment course. It acts as a triage step to guide whether to refer for a full assessment, brief intervention, or direct entry into a specific treatment program.