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Addictions and Substance Use Counseling Flashcards

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

Read the first 7 Addictions and Substance Use Counseling flashcards as text

  1. Which federal regulation specifically protects the confidentiality of records from federally assisted substance use disorder treatment programs?

    Answer: 42 CFR Part 2

    42 CFR Part 2 adds confidentiality protections for SUD treatment records beyond those in HIPAA.

  2. Under 42 CFR Part 2, when may SUD treatment information be disclosed without the client's written consent?

    Answer: To medical personnel during a bona fide medical emergency

    Part 2 allows disclosure without consent to medical personnel when needed to treat a bona fide medical emergency.

  3. Which screening tool was designed specifically for substance use risk in adolescents?

    Answer: CRAFFT

    The CRAFFT is a brief, validated screen for adolescents aged 12 to 21, and its name is an acronym for its items (Car, Relax, Alone, Forget, Friends, Trouble).

  4. For a pregnant client with opioid use disorder, what is the recommended standard of care?

    Answer: Medication for OUD such as methadone or buprenorphine

    ACOG and SAMHSA recommend methadone or buprenorphine during pregnancy because withdrawal raises relapse and overdose risk.

  5. What is the recommended treatment approach for a client with co-occurring PTSD and alcohol use disorder?

    Answer: Integrated treatment that addresses both disorders at the same time

    SAMHSA recommends integrated, concurrent treatment for co-occurring disorders rather than sequential or parallel care.

  6. A spouse calls in sick for a partner who is hungover and pays off their DUI fines. What does this behavior best show?

    Answer: Enabling

    Enabling shields the person from the natural consequences of use and can unintentionally keep the addiction going.

  7. A counselor in long-term recovery finds that a current client attends the same small 12-step home group. What is the most appropriate ethical response?

    Answer: Address the potential dual relationship and consider attending a different meeting

    NAADAC and ACA ethics codes require counselors to manage dual relationships and protect boundaries, which often means discussing the overlap and picking another meeting.