Clinical Documentation
What clinically relevant documentation is required each time you meet with a patient individually AFTER the initial session? (2 answers)
Family session, mental status exam, discharge planning note, and progress note in residential
Mental status exam and progress note in outpatient
The American Society of Addiction Medicine (ASAM) views addiction as __________.
A treatable medical disease
What edition of ASAM dimensions are we currently on?
Edition 4
Eye Movement Desensitization Reprocessing is a psychotherapy that is used to help treat people who experienced what?
Trauma (PTSD)
When identifying SMART treatment plan goals, "SMART" stands for what?
Specific
Measurable
Attainable
Realistic
Timebound
Which section of the progress note includes a subjective clinical interpretation of the session?
Assessment section
Which area of the brain is primarily responsible for high order decision-making and impulse control, leading adolescents to be more vulnerable to substance use and addiction?
The prefrontal cortex
How many dimensions are there in ASAM 4?
6
Focusing on increasing skills such as emotional regulation, distress tolerance, healthy interpersonal relationships, and mindfulness are aligned with what clinical approach?
Dialectical Behavior Therapy (DBT)
Who is credited with developing Cognitive Behavioral Therapy (CBT)?
Aaron Beck
How often must treatment plan reviews be completed? (2 answers)
Weekly in residential, bi-weekly in outpatient
Symptoms of cannabis withdrawal include the follow except: irritability, insomnia, increased appetite, and depressed mood
Increased appetite
Intoxication, withdrawal, and addiction medications make up what dimension?
Dimension 1
Approximately what percent of people experiencing addiction also experience a mood disorder?
Approximately 50%
What is the principle behind step 7?
Humility
Quantitative: rating/scaling severity (1-10)
Qualitative: describing/identifying symptoms
"Patient rated their current withdrawal severity as 9/10 and reported symptoms to be nausea, joint and body aches, increased irritability, hot/cold flashes, runny nose, and ongoing cravings."
When discussing MOUD, each medication can be classified as a full agonist, a partial agonist, or an antagonist. Methadone, Buprenorphine, and Naltrexone are each what?
Methadone = full agonist
Buprenorphine = partial agonist
Naltrexone = antagonist
The following are examples of what from dimension 4?
IV drug use/sharing needle, driving under the influence, selling/dealing substances and related dangerous situations, formation of dangerous social relationships and spending time in dangerous situations, hx of overdoses/using substance with a high lethality potential, abusive or violent intimate relationships, risky sexual behavior
Substance Use Related Risks
While Dialectical Behavior Therapy (DBT) is effective with substance use disorder, Marsha Linehan originally developed it to treat what co-occurring disorder?
Borderline Personality Disorder (BPD)
Which note provides a detailed description of the patient’s thoughts, feelings and behaviors AT A SINGLE POINT IN TIME?
Mental Status Exam
How many problems, goals, objectives, and interventions go into a standard treatment plan?
3 problems, minimum of 1 goal per problem, minimum of 2 objectives per goal, and minimum of 1 intervention per objective
Which part of the brain is responsible for regulating emotion, motivation, and stress responses during substance withdrawal?
The amygdala
What is an example of an analysis/recommendation for MAT/MOUD that incorporates patient's use history and current withdrawal potential?
“The patient currently reports experiencing opioid withdrawals (describe symptoms) and will likely need consistent detox monitoring and stabilization with MOUD to control cravings and withdrawal symptoms.”
“Based on hx of alcohol use and hx of associated withdrawals, patient will likely need consistent detox monitoring and medications to control alcohol withdrawals.”
Or something similar.
When using motivational interviewing techniques, the acronym "OARS" stands for what?
Open-ended questions: promote dialogue
Affirmation: acknowledge strengths/motivations
Reflective Listening: empathetic listening to keep patient engaged
Summarization: reflect statements back to patient
What are the branches of the nervous system?
Central Nervous System (CNS) and Peripheral Nervous System (PNS)