Counseling
Exploring ambivalence and reflective listening is part of what counseling model
Motivational Interviewing
This step determines if the patient may have a SUD and is appropriate for the program
screening
What 2 Medication withdrawals are potentially life threatening and require medical detox?
Alcohol and benzo
Seizures + High BP, arrythmias, Hyperthermia is what makes alcohol and benzo withdrawals potentially fatal if untreated
What is the best ethical response to receiving a gift from a patient/client
Politely decline and explain ethical boundaries
Accepting gifts can create conflict of interest and affect the therapeutic relationship.
What is the main purpose of 12-step programs
To provide fellowship and peer support to maintain sobriety
Listening without judgement, respects autonomy and goal setting is a part of what counseling model
Person centered / client centered
Intake
Intake is about gathering essential information while establishing rapport
What 3 main medications are used to treat Alcohol use disorder
Acamprosate (Campral)
Disulfiram (Antabuse)
Naltrexone (oral or injection)
Extended-release injectable form of Naltrexone -- Vivitrol
A patient needs Therapy in an area you are not trained/certified/licensed in. What is the best response to this?
Refer to a qualified professional.
Counselors must stay within their scop of practice and competence. Referrals ensure patient safety and ethical practices
What is the first step on 12-step programs
Admitting Powerlessness over the substance
What type of counseling should be conducted if a person reports Suicidal thoughts during session
Crisis intervention /crisis counseling
Helping the client understand the program rules, expectations and confidentiality laws is an example of what
Orientation.
Orientation helps the client understand what to expect during treatment
What medication partially activates and binds to opiate receptors even as dose increases.
Buprenorphine
A minor reports abuse. What should the counselor do?
What if someone does not like 12-step programs because they do not believe in a higher power - What is the best counselor response?
The term "higher power" is flexible and can be personalized to fit the beliefs of the individual. 12-step programs are based on spirituality not necessarily religion
What are the two "simple reflections"
Repeat - Adds little or no meaning or emphasis to what the patient said
Rephrase - Slightly alter what the patient says
Evaluation of mental, social, physical, etc is what part of the 12 core functions
Assessment
What medication is known as an Antagonist which blocks opiate receptors completely
Naloxone/Naltrexone
Before treatment begins, patients must ...
Give informed consent
Informed consent ensures patients understand and agrees to treatment goals, methods and risks
Making amends to those harmed during active addiction relates which step of the 12-step program
8 and 9
8 - Make a list of persons harmed
9 - take action to repair harm identified in step 8
Reflect the client’s autonomy, control and ability to make his/her own decisions is an example of what reflection
Emphasize personal choice
What are all the 12 core functions
Screening, Intake, Orientation, assessment, treatment planning, counseling, case management, crisis intervention, client education, referral, reports and record keeping, consultation with other professionals
What medication fully activates and binds to the Opiate receptors in the brain as other opioids like heroin or morphine. It is known as a Full Agonist
Methadone
Protect Patients from discrimination based on disabilities including SUD
Making the decision to let all things go and trust in your higher power. Relinquish control
Step 3
"Made a decision to turn our will and our lives over tot eh care of God as we understand him"