This counseling approach focuses on collaboration, evoking change, and respecting client autonomy.
What is Motivational Interviewing?
This federal regulation specifically protects substance use treatment records.
What is 42 CFR Part 2?
This is the process of collecting initial client information at the start of services
What is intake?
This core function involves gathering initial client information at the start of services.
What is screening?
This process occurs when a client completes treatment or leaves services.
What is discharge?
This skill involves restating what the client says in your own words.
What is reflection?
This type of consent must be obtained before releasing client information.
What is written consent?
This tool is used in New York to determine level of care placement.
What is LOCADTR?
This core function determines the appropriate level of care for the client.
What is intake? (some may say assessment—accept both if explained)
This type of discharge occurs when a client successfully meets treatment goals.
What is successful completion?
This stage of change involves awareness of a problem but no commitment to action yet.
What is contemplation?
This rule requires that only necessary information be shared.
What is the minimum necessary rule?
This type of assessment evaluates biological, psychological, and social factors.
What is a biopsychosocial assessment?
This core function focuses on developing goals and objectives for treatment.
What is treatment planning?
This happens when a client leaves treatment against clinical advice.
What is leaving against medical advice (AMA)?
This is the ability to understand a client’s feelings and perspective without judgment.
What is empathy?
This is when confidentiality may legally be broken due to risk.
What is danger to self or others?
This tool is used to diagnose substance use disorders.
What is the DSM-5?
This core function involves helping the client recognize problems and motivate change.
What is counseling?
This document summarizes progress, services provided, and recommendations after treatment.
What is a discharge summary?
This counseling tool helps clients weigh the pros and cons of their behavior.
What is decisional balance?
This process removes identifying information from client data.
What is de-identification?
This refers to information gathered from outside sources like family or providers.
What is collateral information?
This core function includes connecting clients with additional services and resources.
What is referral?
This process ensures continuity of care by connecting the client to ongoing support after discharge.
What is aftercare planning?