ASAM
The first dimension of the Six Dimensions of the ASAM multidimensional assessment explores an individual’s past and current experiences of substance use and withdrawal.
Acute Intoxication &/or Withdrawal Potential
Generally characterized by drastic disturbances in an individual's mood and are among the most prevalent mental health disorders encountered by addiction professionals.
Mood Disorders (no points for Mental Health Disorders)
This is known as the ability to match external behavior and expression with internal feelings and thoughts which is one of the three (3) attitudes an addiction counselor can exhibit in order to be effective in their practice.
Congruence (Person-Centered or Client-Centered, +50 points)
Known as the fastest route of administration for drugs to reach the brain, usually taking 7-10 seconds.
Inhalation
These are known as the four (4) processes in motivational interviewing.
Engaging, Focusing, Evoking, Planning
The three (3) components that must be met in order to determine the presence of THIS, are:
Imminent Danger (the 3 Components of Imminent Danger)
An approach to treating co-occurring disorders that utilizes one competent treatment team at the same facility to recognize and address all mental health and substance use disorders at the same time.
Integrated Model of Treatment
These are considered to be the Big Five Denial Patters.
Avoidance, Absolute Denial (Denial), Minimizing, Rationalizing, Blaming (Denial Management Counseling, +50 Points)
The resulting effect is exaggerated out of proportion to what would have occurred when two substances that are similar in action are taken together, such as alcohol and valium.
Synergistic effect (synergism)
Known as the five (5) skills of motivational interviewing.
Open Questions (Open-ended Questions), Affirmations, Reflective Listening, Summarizing, Informing, and Advising
Described as 24-hour nursing care with physician availability for significant problems in Dimensions 1, 2, or 3 with 16 hours per day counselor availability.
Medically Monitored High-Intensity Inpatient Services, Level of Care 3.7
Developed in order to aid in conceptualizing the treatment needs of clients with co-occurring disorders this framework classifies clients into four (4) basic groups based on relative symptom severity, not diagnosis.
The Quadrants of Care
This is most important to the client’s treatment file and consists of the addiction professional’s personal account of each interaction between the client and the addiction professional that is recorder within the client’s file.
Progress Notes
The gradual adjustments or continuous regulation of the amount of a drug being administered or received.
Titration
This collects all of one’s change talk and allows them to hear it at once to a powerful effect when strategically and consciously directed towards change.
Summary or summarizing or (Recapitulation, +50 points)
This umbrella term encompasses a variety of pharmacological and non-pharmacological treatment modalities, including the therapeutic use of specialized opioid agonist medications such as level 1 OTP Outpatient Opioid Treatment Programs.
Opioid Treatment Services (OTS), (half points for Opioid Treatment Program)
Co-occurring mental health disorders can be thought of as being on a continuum of severity which are based on the severity of the disability and duration of the disorder.
This category includes schizophrenia, bipolar disorder, major depressive disorder, and schizoaffective disorder.
Severe Mental Health Disorders (SMHD)
A component of therapy where a counselor helps the client utilize previous successes to motivate change.
Utilization (Solution-Focused Therapy, +50 points)
A form of mucosal membrane absorption where powdered or ground drugs are snorted into the nose and absorbed by the capillaries enmeshed in the mucosal membranes lining the nasal passages.
Insufflation
Used to address ambivalence in preparatory change talk & mobilizing change talk; these are the subjects known by the acronym DARN CATs.
Desire, Ability, Reason, Need, Commitment, Activation, Taking, Steps
Methadone and buprenorphine are examples of opioid ____, while naltrexone is an example of an opioid ____.
Agonists & Antagonists (must be in the correct order)
Defined by Osher and Kofoed as one’s level of interaction in the process of changing, which is ideally identified after the stage of change and consists of these four (4) Stages of Treatment.
Engagement
Persuasion
Active Treatment
Relapse Prevention
Known as the four (4) components of “Total Behavior” that comprise our total functioning.
Doing, Thinking, Feeling, & Physiology (Reality-Therapy or Choice Theory, + 50 points)
The four (4) neurotransmitters that alcohol works on causing the associated psychological and physiological effects associated with alcohol.
Alcohol facilitates ___ receptors, decreases ____ & ___ activity, & most importantly increases ____ activity. (You must answer in the correct order)
GABA, Serotonin & Glutamate (Glutamate & Serotonin), & Dopamine
The dynamics of these four (4) different varieties of conflict make the dilemma understandable; known as the Four Flavors of Ambivalence.
Approach/Approach,
Avoidance/Avoidance,
Approach/Avoidance,
Double Approach/Avoidance