NC Laws & Ethics
This North Carolina statute governs confidentiality of substance use treatment records.
What is 42 CFR Part 2
This ASAM dimension addresses intoxication and withdrawal potential.
What is Dimension 1?
Continued substance use despite negative consequences is a hallmark of this condition.
What is Substance Use Disorder?
Screening determines this, while assessment determines severity and treatment needs.
What is need for further evaluation?
An LCAS-A must practice under this until fully licensed.
What is clinical supervision?
In NC, this is the legal standard that allows disclosure to prevent serious and imminent harm.
What is duty to warn/protect
This dimension evaluates readiness and resistance to change.
What is Dimension 4?
This evidence-based approach emphasizes empathy, rolling with resistance, and supporting autonomy.
What is Motivational Interviewing?
This tool is commonly used to screen for alcohol use.
What is AUDIT?
This type of supervision focuses on policies, scheduling, and performance.
What is administrative supervision?
LCAS professionals must report this when there is reasonable suspicion, even without proof.
What is abuse, neglect or exploitation of a child or disabled adult?
An individual with unstable housing would raise concerns primarily in this ASAM dimension.
What is Dimension 6: Recovery Environment?
A treatment plan goal should always be this type of goal.
What is measurable (or SMART)?
Documentation must be sufficient for this purpose to meet ethical and legal standards.
What is continuity of care?
Ultimately, this person is responsible for services provided by an LCAS-A.
Who is the clinical supervisor?
This ethical principle requires counselors to avoid dual relationships that could impair judgment.
What is professional boundaries (or avoidance of conflicts of interest)?
ASAM placement decisions are based on this, not diagnosis alone.
What is overall risk and severity across dimensions?
This relapse prevention concept identifies internal and external triggers.
What are high-risk situations?
This documentation error includes opinions without behavioral examples.
What is subjective or judgmental language?
Failure to practice within scope can result in this action by the board.
What is disciplinary action?
Under 42 CFR Part 2, this is the only occasion that SUD treatment information can be released if there is not a release of information.
What is a court order?
This ASAM principle emphasizes matching services to individual needs rather than program availability.
What is individualized, person-centered care?
This stage of change is characterized by ambivalence.
What is Contemplation?
This principle requires that documentation reflect the client’s own words when possible.
What is person-centered documentation?
This is required to maintain CADC and LCAS licensure in North Carolina, and must be submitted with each renewal.
What is continuing education (CEs)?