What thoughts/fantasies are you aware that you were having about the client during the session? WebCADC specializes in direct voter contact on behalf of progressive candidates and causes. iii. 76. Learn more about the global criteria for each of the 12 Core Functions here. Why did management follow the lines that it did? 58. What would be the MOST typical co-occurring disorder client? c. faire du camping. Outpatients may be presented similarly to inpatients. Share any personal reflections on the session. Describe el pasatiempo favorito de estas personas. Confidentiality is particularly stringent in situations of alcohol abuse, drug abuse, and HIV infection. Additional history revealed that the patient abused ergotamine preparations for years (headaches). 23. 5. How is it BEST defined? What does the DAP progress note acronym stand for? Tailor your presentations accordingly. These tasks may include: Observing counselor or a particular counseling skill. On the fifth postoperative day, the patient experienced a return of burning pain in the right leg. This format is chosen because your audience understands it and uses it every day. 96. A wife refers her husband for substance abuse counseling. p We advise testing applicants who have had one or more previous failure to take the Oral Prep Class offered by the Certification Board. )(V2 PCqVK!-jw NtWC{G*O_ Bi#8m5@H)=" tk|}5.Zh[!UUHMd Documentary collection (D/C) is a payment method in international trade. Create a website or blog at WordPress.com, How to Prepare and What to Study for the Oral Exam for Alcohol and DrugCounselors, 12 Core Functions for alcohol and drugcounselors, how to prepare oral exam addiction counselors, how to prepare oral exam substance abuse counselors, Alcohol Drug Counselor Exam 2016 | StudyGuide. Indicate what we should be listening for. You should conclude your presentation with the assessment and plan. Sponsor a Fellow She used 12 tables daily for the past year and continued to receive ergotamine in hospital on days 2, 6, and 7. /Filter /FlateDecode This should include the following information: The patients medical conditions, including any that were not highlighted in the opener Any past surgeries the patient has had and when they were performed The timing of and reasons for past hospitalizations Any current medications, including dosages and frequency of administration, The next section should detail the patients relevant family history. p 1Xr E=[@BM@DAbd]@E/2BAak.4&)4f'02t" v/,zAfg Q%# 62. 137. His drug of choice is cocaine, which he has been using episodically with friends at a poker gamebiweekly to weeklyfor 2. hj9_E iJ'C^ht{,_Rg. 101. 86. Step 1. C%fOVd%5|z(5$6`j2sB] CQQLR#-O]KcPH%pbpUz2(O"$ u)re+m6>i)9,bNg00kVv`\4)YB+Es0:4{0vh{vQ{}BC`Nh%uLHp7e=tBj}~O ! g2DpH'G~r0\bKP;I[3@IdBV=)a";D(!&M&hvdN/3 Use the following organizational scheme to efficiently prioritize your outline. Call this the "elaboration" category. c. The National Institute on Drug Abuse (NIDA). Given what you know of the client, were appropriate process or outcome goals accomplished? Of the following, what is the MOST significant mission? 8 0 obj 42. 113. ECG shows left atrial enlargement. What would be her BEST response? TqI5l-Q#heGQR3rw>NWBt*y,]-dd).ZP r%r,YR'v!.-j2brU=%UN3$Ccd@Rz 5(vq Powered by Constant Contact - Email you can trust. Compensating issues needed to cope with addictive dysfunction. 91. /Type /Stream Enter the password that accompanies your username. 9. However, how many stages does the most common stage classification provide for? (Member roles, communication patterns, stage), What leadership skills did you employ? Underline each object of a preposition. In time, you will become proficient in this essential medical skill. She has worked in school settings for five years and university based counseling centers for approximately two years. 20. Send one signed case study. 122. In working with substance abuse clients, counselors must be aware specific guidelines found in the HIPAA statutes. What is the primary purpose of substance abuse assessment? Date: To the extent possible, describe initial treatment plan for this client. Physician Well-being & Professional Fulfillment, Racial Health Disparities, Prejudice and Violence, ACP's Vision for the U.S. Health Care System, Guide to Preparing for the Abstract Competition, Physician Well-being and Professional Fulfillment, Presenting a Clinical Vignette: Deciding What to Present. The term "homeostasis" in family therapy is best defined as: 125. What group dynamics did you observe? 1. (Identity) H+-;m>4)LN^f=s~)CP[:)-iy%>Dl+"LqNMpccXdy 7'+$t;{I KU-52A_2RHL$TW3w >y5Grs@ 5xFB6O%AVlU!+ c. something to be seriously considered if the client desires it. M?"K|M/A|}TIqi]om^2>6sdxhGp~_Ynu}Kskjk*+W,+-Y(';+3-%9vQj*B0vK"S_Et$(],XK$L;'-J2+SH=4U. Given the potential breadth of the review of systems (a comprehensive list of questions that may be asked can be found here), when presenting, only report information that is relevant to your patients condition. What themes were evident? According the DSM-5 criteria, a client that has previously met the criteria for stimulant use disorder but now has not met the criteria for stimulant use in 10 months (except for craving) would be termed to be in ______ remission. 47. %PDF-1.5 % 800-ACP-1915 (800-227-1915) or 215-351-2600. Faculty Supervisor: This will help you: Also, I recommend that you dress professionally for your oral exam. %PDF-1.7 % aw;y=Q, +e`@>@ 9. The supervisor may ask the supervisee what questions he/she has, and what other information she/he might desire. Appreciates cultural and/or developmental issues that may affect assessment. pNb%m^O'@@imPx7J9r||ig^Gn+Z)4,a ;)NRNNNNNNN~p 68 0 obj <>stream 6. You may be the only person who will listen. Get answers now. | Find, read and cite all the research you need on ResearchGate Presentation PDF Available Counseling Case What does the experienced effect of a drug depend upon? Clients first name (or pseudonym): 93. Viewing the session from a particular theoretical perspective, Creating a metaphor for the client, counselor, or counseling process, Drawing a picture, graph, or using sandtray to represent the counseling process/relationship. Billing and coding, accessing financial assistance, payer policies, and other updated guidance. Pay online and submit your case study, DCA Approval Challenges the client when appropriate. The remainder of hospitalization was uneventful. HIV remains a profound problem in the United States. Good luck! ). d. Decreased sensitivity to a drug over time. 20. Hundreds of curated CME and MOC activities that match your interests and meet your needs for modular education, many free to members. For students, this should consist of 3-5 potential diagnoses. There are numerous classification systems describing various stages of recovery. As a group, when receiving appropriate treatment for substance abuse, how are older adults likely to act? Establish Context about the Current Situation. v. The patient continued to deteriorate with both legs becoming cool and pulseless. Demonstrates openness to and use of supervision. Lesson 1: Physicians should be alert to the potential of ergotamine toxicity in young women with chronic headaches that present with neurological, gastrointestinal, or ischemic symptoms. v. Normal neurological examination. Use the following code system to track your prioritization decisions: A = Must-Say Consultation and Review of the Literature, Assess the potential consequences for all parties involved, Eliminate options that clearly do not give desired results, Review selected course of action to determine if it presents any new ethical considerations. Describe the relationship you have developed with the client. What would be the major accomplishment of the section you heard? T is a 32 year old man with Crohn's disease who presents with bloody diarrhea of 3 days duration. History of Present Illness (HPI) Purpose: Provides a complete account What did you like? At the minimum, this should include: Your general impressions of the patient, including whether he or she appears sick or not The results of your: Head and neck exam Eye exam Respiratory exam Cardiac exam Abdominal exam Extremity exam Neurological examAdditional relevant physical examination findings may be included, as well.Quick note: resist the urge to report an exam as being normal. Instead, report your findings. Enter your email address to follow this blog and receive notifications of new posts by email. iv. Facilitating this awareness, including attention to the motivation behind interventions, is an important aspect of her work. The likelihood of developing a substance abuse disorder fluctuates throughout the life course. How would you accomplish these goals? $XS@,W Z I0/XW[$p2012Hq7 p p Dr. Scarborough will inform supervisees through informed consent as to the purpose of her own supervision and that their actions may be discussed with the supervisor. 15. Which of the following functions is NOT what a Certified Alcohol and Drug Abuse Counselor can usually perform? The supervisor summarizes the feedback and discussion, and the counselor indicates if supervision needs were met. By the age of 7, the client was completely blind. Treating a patient? 21. 52. How does course of action fit with ranking of moral principles? Can direct the session in a meaningful manner. What are intergenerational affects MOST commonly caused by? And why? Your outline should follow the typical format and sequence for this type of communication: history, physical examination, investigations, patient course, and discussion. p What was the original CIWA-Ar scale designed for? 145. 214 0 obj <> endobj Dr. Jennifer E. Heasley Mylan School of Pharmacy Duquesne University Ambulatory Care Resident August 25, 2009 Janna can provide supervision in these general areas. At this point, you may wish to For more advanced trainees, the differential can be more limited in scope. Your plan. i. 3B`m/+\~~C59w]G0+B]PO'3+Wk!yj}"NgLz'GjK/&= }. Implement the Course of Action and Follow-Up. 41. 108. Janna L. Scarborough is an assistant professor in the Counseling and Human Services Department at Syracuse University. 68. 105. What is physiological dependence on a drug determined by? At this point, you may wish to include more details than you might have time to present, prioritizing the content later. Every specialty presents patients differently. 149. 89. You will take the exam at the Board office where you will record your presentation. Treatment was initiated with corticosteroids, anticoagulants, antiplatelet drugs, and oral vasodilators. What feelings did you have when listening to the counselor? The mnemonic DIG-FAST evaluates which psychological state? Treatment for longer periods of time is closely associated with enhanced outcomes. Preparing a presentation is an iterative process. Individual drug use patterns over the lifespan. llama al Cine Real paro obtener informacin. stream 21. iv. iii. Health privacy and confidentiality standards. ii. i. How do these feelings compare with your feelings toward the client in general? 24. You should begin by reporting the patients vital signs, which includes the patients: Temperature Heart rate Blood pressure Respiratory rate Oxygen saturation (if the patient is using supplemental oxygen, this should also be reported)Next, you should discuss the findings of your physical exam. Continue the tradition of Fellowship by sharing your own experience and offering to support other members' candidacies. It is not affiliated or sponsored. d. The theoretical approach to be operationalized via treatment. If something is entered in a client record in error, what is the proper response? The process begins with the creation of an outline of the topics that might be presented at the meeting. What of the following is NOT a key component in a treatment plan? Clients actively in a treatment program need regular chart entries. That said, if you are unsure if a particular detail is important to your patients case, it is probably best to be safe and include it. The leg was pale, cool, mottled, and pulseless. 18. Which of the following is NOT a core feature or service that the Center for Substance Abuse Treatment (CSAT) consensus panel agreed upon? 57. 92. 78. How many main levels exist in the substance abuse continuum of care, according to the American Society of Addiction Medicine (ASAM)? Dr. Scarborough is a National Certified Counselor and Approved Clinical Supervisor. Which of the following is NOT a category of youth prevention substance abuse programs? Which of the statements below is MOST correct? A useful mnemonic to use when deciding what to report is OPQRST, which includes: The Onset of the patients symptoms Any Palliative or Provoking factors that make the symptoms better or worse, respectively The Quality of his or her symptoms (how he or she describes them) The Region of the body where the patient is experiencing his or her symptoms and (if the symptom is pain) whether the patients pain Radiates to another location or is well-localized The Severity of the symptoms and any other associated Symptoms The Time course of the symptoms (how they have changed over time and whether the patient has experienced them before)Additionally, include any other details here that may support your final diagnosis or rule out alternative diagnoses. If this occurs, what is the counselor's BEST response? c. Every thirty to ninety days or as changes or progress indicate a need. Choose a real (but anonymous) case that covers all (or most) of your work with a client. Write the case following the outline and directions below. Have you supervisor sign off that this was case of yours at the agency. KRm(To?|F7pIg Supervisees are asked to provide their own self-evaluation as well. Oral Exam Prep Workshop Review each of the 46 global criteria within the 12 Core Functions. He states that though he recreationally uses, he doesn't crave cocaine, doesn't seek it out but rather uses with friends at the game who bring it. In addition, she has experience in individual and group supervision of counselors-in-training working with legitimate clients in school and higher education settings. X is a 78-year-old female with a past medical history of chronic obstructive pulmonary disease who presents with shortness of breath in We apologize for the inconvenience. You do not have to report the results of every test that was ordered. 22. 10. This may be extended if the case is being presented as part of an assessment compared with routine everyday working ( see Case-based discussion ). d. The instrument assesses what it purports to assess. 12. WebA well-written Service Request Form will maximize the likelihood of timely service authorization approvals to facilitate the delivery of effective and appropriate substance use disorder (SUD) services. W8r#A9t96?$.-Ml=.bkvNJkP#Uew Xb]nbe,j;}L+)m==R/I;X/qB@+!CI';$w,-qJM:zi The emergency department (ED) course is classically reported towards the end of the presentation. To reflect positively about clients ability to have relationship with co-workers. Was open to my input and feedback about what was helpful, 16. c. A shared set of beliefs, norms, and values among any given group. Clients with a history of abuse have a tendency to place themselves in situations in which further abuse is likely, particularly an unsafe relationship. 102. Given the information provided, how is his use of cocaine BEST described? Web1. Describe other important information that was learned during the session, including contextual information. She grew up and still resides in Haskell, NJ with her parents. Be sure to include initial ED vital signs and any administered treatments. What are the three MOST important evaluative aspects? The client's parents made the decision to send Ray away to How do you assess the progress of this group? 22. Encouraged me to be spontaneous and creative, 21. What is the Matrix Model designed to treat? Describe the dynamics in the session (your own reactions to the client and the interactions between you and the client). Prepare examples for the questions you will be asked during the oral examination. Asking permission of the client to talk with them, telling them of any concerns you have, and then asking for their thoughts on what you shared. Based on the stage of the group and the dynamics you observed, what are your process goals for the next session? a. p What would have added to the session? Remember, this is an iterative process; your decisions are not final. For sectional tape script: Transcribe verbatim dialogue covering 5 consecutive minutes. Consequently, how often are treatment plans typically updated? This step allows group members to obtain additional information or clarify any misperceptions concerning the summary information. 71. Such was the case the case until the couple terminated therapy 3 months later, allegedly due to the cost of counseling. However, I have found that these differences are often stylistic, and content expectations are generally quite similar. The main purpose of the introduction is to place the case in a clinical context and explain the importance or relevance of the case. Your presentations focus, however, should align with your outpatient clinics specialty. What happens as tolerance for barbiturates develops? What to Expect and How to Prepare for the Certification Exam for Alcohol and Drug Counselor, Home LCDC Exam 2015 How to Prepare and What to Study for the Oral Exam for Alcohol and DrugCounselors. 37. Much higher attendance and much lower relapse rates. List relevant diagnostic impressions including code and axis. Beyond the five basic therapeutic group models (psychoeducational, cognitive-behavioral, interpersonal, and support), other unique group models include: culture specific, expressive, and relapse prevention. Case Management Describe the purpose of case management and how it applied to this client. Other than through a written information release, when do exceptions to confidentiality exist? Which of the following is NOT a basic chemical class of amphetamines? I was hoping to makesome friends, but the two girls in my office dont get along and Im caught in the middle.CO: Are there people at work that you do things with? Choose a real (but anonymous) case that covers all (or most) of your work with a client. Helped me to prepare for subsequent counseling sessions, 19. Which of the following is NOT a strength of twelve-step programs? Note what the counselor did. National Business PowerPoint template is a free case study template for PPT with a world image and a zoom design focusing on Europe. Among psychiatric disorders in the elderly, where does alcohol abuse rank? Webto be individualized for every participant. Not all audience members will immediately know what the current situation is leading up to your initiative. Dealt appropriately with the content in my counseling sessions, 13. An example could be: Ms. d. A and B are roughly equal in effectiveness. Note what the client did. When behaviorally assessing for a co-occurring disorder, what is the MOST important variable to consider? Assuming the role of the counselor, client, or the parent, spouse, coworker, friend, teacher, or other significant person in the clients life. OPv^ ~ fO1nYc C`l+~np` ~P=#A}i/6|dC= ByY:OGF#0`,h "{|zN) %B3?;M[Z"$:G9RSLHTdki7+xAi`V What does motivational interviewing primarily involve? 14. This training and experience includes clients in age ranges from kindergarten to adulthood primarily with normal situational and developmental issues. c. Habilitation helps clients learn new skills they never had. Summarize the key issues discussed during the session. To clarify, it should take 5-10 minutes to present (just one) new internal medicine inpatient? To identify those with versus those without issues of drug dependency. Socially, the patient denies consuming alcohol or illicit drug use. Label the subjects and verbs. Fundamentals of clinical supervision (2nd ed.). Circle each direct object. Dealing with smoking cessation during a substance abuse treatment program is. What factors can affect screening instrument validity? 80. Describe relevant cultural or development information as it relates to the presenting problem(s). 2. c. The margin between intoxication and lethality stays the same. Follow the order of the written case report. Dr. Scarborough approaches supervision from a collaborative framework. The supervisee remains silent during this exchange, but may take notes regarding comments. National Business PowerPoint Templates. a. CR and CM are most effective if used together. 1. When older adults enter treatment, how do their rates of attendance and incidence of relapse, compare to their younger cohorts? The arteriogram of femoral arteries showed smooth segmental narrowing and bilateral vasospasm suggesting large-vessel arteritis complicated by thrombosis. Members of the lesbian, gay, bisexual, and transgender (LGBT) community face many challenges, including issues of discrimination. :\#ZPl/mSs.kP]u$ u>(@KRJ Gather information; Access supervision; Take responsible action; Extend the action. c. Twelve-step programs offer easy monitoring of assigned step tasks. She believes that evaluation is an ongoing process that is linked to care for the client, as well as the goals of the supervisee. a. d. A working relationship with a client outside the professional domain. At a local dance club, a counselor spots a client drinking at the bar. The oral case presentation differs from the written presentation. The written presentation contains all the facts; the oral presentation contains only those few facts essential to understanding the current issue(s) and your assessment. Explore our virtual course offerings and learn from anywhere. When unsure, report the ED course after the results of diagnostic testing. What is the baseline duration for improved outcomes? 5. Review the outline with your mentor or interested colleagues, and listen to their decisions. c. Refer the client to a counselor more comfortable with the client. Can demonstrate an appropriate use of behavioral interventions. a. clients feel more pressure to attend twelve-step programs by these staff. It should describe how a similar case should be approached in the future. 70. Challenged me to accurately perceive the thoughts, feelings, and goals of my client and myself during counseling, 20. Enabled me to brainstorm alternative approaches that I might use with my clients, 9. c. Pharmacological therapy and psychotherapy, 103. What feelings or thoughts do you think the client was having about you? Now, lets go over how to present a case. d. To determine the need for placement or referral. Thus, developing a familiarity with the core elements of a strong oral case presentation is essential. Supervisees are provided with Dr. Scarboroughs office address, email address, and office and home phone numbers. a. 2. Confidentiality requirements exist to protect client's and their personal lives and information. Ergotism is rare and therefore difficult to diagnose. What is the most likely period in life for a substance abuse problem to begin? Helped me see my influence on the client, 7. Researching a topic? 64. CADC CADC Sample Exam Questions Verified With 100% Correct Answers Preview 4 out of 61 pages Getting your document ready Report Copyright Violation Exam (elaborations) $10.99 Add to cart Add to wishlist 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached 0 0 Seller Follow 16. 130. 17. WebWritten informed consent for publication must be obtained from the patient (or their parent or legal guardian in the case of children under 18, or from the next of kin if the patient has died). Identifies appropriate process goals. Overall, I found supervision to be helpful to me during Practicum or Internship. a. Assessing client readiness for treatment. The process of putting together a stellar presentation takes time and effort, and we assume that you will be willing to put forth the effort to make your presentation successful. I have found that new internal medicine inpatients generally take 5-10 minutes to present. d. At the point of the initial counselor-client contact. a. vii. (Adobe) Please explain. The following is an example based on the resources in the community of Sonoma County and illustrate how a case plan involving active 17. Occasionally gave me a different, useful perspective on my counseling with a particular client, 6. This can be a frustrating experience for trainees, and I would recommend that you clarify your attendings expectations at the beginning of each new rotation. Regarding substance abuse as compared with the general population, how is the LGBT community likely to act? 83. 129. 97. Dr. Scarborough has training and experience in individual, group, and school counseling. The Addiction Severity Index has been formally adopted by which organization? WebSubstance Abuse and Mental Health Services Administration a. Group work is utilized extensively in substance abuse treatment. Feedback/Consultation:The group members respond to all of the information obtained by stating how they would handle the supervisees issue, problem, client, etc. If a client leaves a treatment program early or involuntarily, how is the written discharge summary affected? What would a proper response be? Good question. Expect your listeners to ask questions. 53. Substance abuse affects not only the user but the family as well. x @\7~{3 `X&@%l2 c&@Xh1*VkVk:!.juKjhkw.1]s_sof ruW5ek=QSYyfk*NJ]"u5U "r4MQF$.TQN3!ro~l}_C;|#BzwKVU"|d`oBGCSoy 45. Helped me to organize relevant data for identifying goals and planning strategies with my client, 23. Helped me feel at ease with the supervision process, 3. Describe your explanation/interpretation for the content, events, or processes. 11. What is the MOST important reason that ordered and routine activities are built into the therapeutic community (TC) treatment process? B = Elaboration 60. Janna follows a developmental approach to supervision primarily using the teacher role with novice supervisees and consultation with more experienced supervisees. Is able to recognize normative from problematic behavior during assessment. After your case is approved, you will be emailed to reserve a specific date to take the exam. Dr. Scarborough also provides each supervisee with the names and phone numbers of agencies that respond to crisis situations. Describe the feelings you were experiencing toward the client in the session. What is the SDSS designed to measure? In such instances, other faculty members are informed and the procedures established by the program are initiated. a. 59. Bernard, J. M., & Goodyear, R. K. (1998). {U%^zX. Supervisees are asked to call Dr. Scarborough at home if an emergency occurs after hours. Join a distinguished group of over 31,000 internists and leaders who already share this honor. How many levels of treatment placement are recognized by the American Society of Addiction Medicine (ASAM)? b. Last Updated on June 24, 2022 by Laura Turner. :w&|59<>? Is respectful of, and validates, the client. Heres a short summary of each of the parts of a convincing business case presentation. What is this screening instrument designed to screen for? Dr. Scarborough understands the value and importance of maintaining and enhancing professional skills. The time to implement your organization plan is when you sit down with the client, not when you are faced with a presentation or written notes. 10. Which of the following is the MOST important introductory statement or question to ask in a suicidality evaluation? << I hope this helps, and good luck to you all! Oral case presentations are generally made to a medical care team, which can be composed of medical and pharmacy students, residents, pharmacists, medical attendings, and others. 11. 134. Avoiding client challenges of records and documentation. WebThis booklet contains an example to help you prepar e for the written case. 40. Address program policy preventing dating among group members. Very different from treatment programs for adults. endstream endobj 215 0 obj <>/Metadata 14 0 R/Pages 212 0 R/StructTreeRoot 27 0 R/Type/Catalog/ViewerPreferences 234 0 R>> endobj 216 0 obj <>/MediaBox[0 0 612 792]/Parent 212 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 217 0 obj <>stream State the specific feedback that you particularly want from the group. You can use a basic calculator but no other calculating tool (e.g. All evaluation criteria are introduced at the beginning of the supervisory relationship, serve as training objectives, and are used throughout the process as a basis for ongoing feedback. b. This represents the "must-say" category.