Counseling Models & Nonpharmacological Tx

Question 1

ABC SOUP
1) inDUC
2) rate
3) scq
4) cri
5) urica

Answer 1

1) inventory of drug use consequences
2) recovery attitude & treatment evaluator (level of resistance)
3) situational confidence questionnaire for etoh
4) coping response inventory
5) motivation for change

Question 2

ASAM Criteria Goals

Answer 2

most commonly used tool in FACE to FACE encounter to assist wat level of care is needed and to justify admission, assess during tx, and for courts to have record of intervention success/failure

Question 3

ASAM 6 Dimensions

Answer 3

1) Intoxication & Withdrawal Potential

2) Biomedical (conditions and consequences)

3) Emotional / Behavioral Cognitive (conditions and consequences)

4) Readiness to Change

5) Relapse, Continued Use, or Continued Problem Potential

6) Recovery & Living Environment

Question 4

ASAM Dimensions Scores

Answer 4

0 - very low
1 - minor
2 - moderate
3 - serious
4 - imminent danger

Question 5

Refer to ASAM LOC Levels

Answer 5

0.5 = early intervention
1 = outpt
OTP1= outpt + RX (OTP or OBOT)
2.1 = outpt intense (9-19h/wk)
2.5 = part inpt (20h/wk)
3.1 = inpt residential low
3.3 = inpt residential high
3.5 = inpt residential high level
3.7 = inpt medical monitoring
4 = inpt psych + hospital

Question 6

Which ASAM LOC are NOT AVAILABLE for adolescents?

Answer 6

OTP1= outpt + RX
AND
3.3 = inpt residential high

Question 7

ASAM WITHDRAWAL LEVELS

Answer 7

1WM = ambulatory / low
2WM = ambulatory / high
3.2WM = inpt with 24h support
3.7WM = inpt with 24h medical care
4WM = likely unstable even with 3.7WM

Question 8

ASAM transfer/discharge criteria

Answer 8

A = success, ok to decrease LOC

B = no success, recommend higher LOC

C = no success d/t unable to engage and may need other services

D = worse now, recommend higher LOC

Question 9

def = eliciting change talk from patient
purpose = involve patient in process
words: compassion, evocation, acceptance, partnership

Answer 9

Motivational Interviewing

Question 10

earning vouchers for negative urine drug screens

Answer 10

classic contingency management

Question 11

conducting a moral inventory

Answer 11

in 12 steps

Question 12

targeting cognitive, affective, and psychological triggers for SU

Answer 12

Gordon and Mar 1985 model

Question 13

Dr Benjamin Rush

Answer 13

addiction is disease

Question 14

AUD is an involuntary, primary, chronic, progressive, biopsychosocial spiritual disease

Answer 14

Minnesota Model philosophy