MAC Treatment Planning 3 — Questions and Answers
Question 1: Which treatment modality is most appropriate as the initial level of care for a client with severe alcohol use disorder and a history of complicated withdrawal seizures?
- Standard outpatient counseling three times per week
- Medically managed intensive inpatient treatment (Correct answer)
- Self-help groups only
- Intensive outpatient program without medical supervision
Correct answer: Medically managed intensive inpatient treatment
A history of complicated withdrawal seizures indicates high medical risk requiring medically managed inpatient detoxification before other levels of care.
Question 2: The ASAM criteria are primarily used in treatment planning to:
- Diagnose substance use disorders according to the DSM-5
- Determine the appropriate level of care based on multidimensional assessment (Correct answer)
- Bill insurance companies for addiction services rendered
- Establish evidence-based psychotherapy protocols for counselors
Correct answer: Determine the appropriate level of care based on multidimensional assessment
ASAM criteria use six dimensions to match clients to the most appropriate and least restrictive level of care.
Question 3: A client's treatment plan includes a goal to 'improve family communication.' To make this goal measurable, the counselor should modify it to:
- Client will try harder to communicate with family members
- Client will attend weekly family therapy sessions and practice two communication skills per week as documented in session notes (Correct answer)
- Client will feel more connected to family by end of treatment
- Client will understand the importance of family communication
Correct answer: Client will attend weekly family therapy sessions and practice two communication skills per week as documented in session notes
Measurable goals include specific, observable behaviors and a tracking mechanism, such as attending sessions and practicing documented skills.
Question 4: Cultural humility in treatment planning for addiction counseling BEST means:
- Assuming all clients from the same culture share identical treatment needs
- Adapting treatment goals and interventions to reflect the client's cultural values and identity (Correct answer)
- Referring all minority clients to counselors of the same background
- Avoiding discussion of cultural issues to prevent discomfort
Correct answer: Adapting treatment goals and interventions to reflect the client's cultural values and identity
Cultural humility requires ongoing self-reflection and adapting individualized treatment to honor the client's cultural context and values.
Question 5: Which of the following is an example of a long-term treatment goal for addiction counseling?
- Client will complete a biopsychosocial assessment by end of week one
- Client will identify three personal triggers for substance use within the first session
- Client will maintain sustained remission and improved quality of life within 12 months (Correct answer)
- Client will sign a release of information within 48 hours of intake
Correct answer: Client will maintain sustained remission and improved quality of life within 12 months
Long-term goals address the overarching outcomes of treatment, such as sustained remission and improved quality of life, over an extended timeframe.
Question 6: A client discloses in session that they plan to harm a specific person. Regarding the treatment plan, the counselor must:
- Document this only in the treatment plan and continue therapy as planned
- Suspend treatment planning activities and fulfill the duty to protect, which may supersede confidentiality (Correct answer)
- Update the treatment plan to add anger management and say nothing further
- Ask the client to keep this information confidential until next session
Correct answer: Suspend treatment planning activities and fulfill the duty to protect, which may supersede confidentiality
Duty to protect (Tarasoff) requires immediate safety action that takes precedence over treatment planning and may require breaching confidentiality.
Question 7: When a client has limited English proficiency, culturally responsive treatment planning requires the counselor to:
- Use the client's bilingual family member as the primary interpreter to save time
- Arrange for a qualified professional interpreter and provide translated written materials when possible (Correct answer)
- Conduct treatment only in English to encourage language assimilation
- Defer all treatment planning until the client learns English
Correct answer: Arrange for a qualified professional interpreter and provide translated written materials when possible
Using qualified professional interpreters and translated materials ensures informed consent, accurate assessment, and equitable access to treatment.
MAC Treatment Planning 3
Which treatment modality is most appropriate as the initial level of care for a client with severe alcohol use disorder and a history of complicated withdrawal seizures?