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Substance Abuse Counselor Competencies (TAP 21 Updated)

Transdisciplinary Foundation I - Understanding Addiction

1. All of the following are attitudes needed for understanding a variety of models and theories of addiction and other problems related to substance use, except for:

A. Openness to information that may differ from personally held views.

B. Appreciation of the complexity inherent in understanding addiction.

C. Appreciation for differences between and within cultures.

D. Valuing of diverse concepts, models, and theories.


2. Knowledge of which of the following is required in order to describe the behavioral, psychological, physical health, and social effects of psychoactive substances on the person using and significant others?

A. Fundamental concepts of pharmacological properties and effects of all psychoactive substances.

B. The continuum of drug use, such as initiation, intoxication, harmful use, abuse, dependence, withdrawal, craving, relapse, and recovery.

C. Behavioral, psychological, social, and health effects of psychoactive substances.

D. All of the above.


Transdisciplinary Foundation II - Treatment Knowledge

3. Which of the following is an attitude necessary for recognizing the importance of family, social networks, and community systems in the treatment and recovery process?

A. The role of family, social networks, and community systems as assets or obstacles in treatment and recovery processes.

B. Appreciation for the significance and complementary nature of various systems in facilitating treatment and recovery.

C. Methods for incorporating family and social dynamics in treatment and recovery processes.

D. All of the above.


Transdisciplinary Foundation III - Application To Practice

4. Which of the following is a helping strategy for reducing the negative effects of substance use, abuse, and dependence?

A. Motivational interviewing

B. Involvement of family and significant others

C. Coerced and voluntary care models

D. All of the above


5. Family disruption, social and legal consequences, and panic states are all possible features of crisis that may indicate an underlying substance use disorder and may be a window of opportunity for change.

A. True

B. False


Transdisciplinary Foundation IV - Professional Readiness

6. All of the following is knowledge needed to understand the obligation of the addiction professional to participate in prevention and treatment activities, except for:

A. Appreciation of the inherent value of prevention.

B. Research-based prevention models and strategies.

C. The relationship between prevention and treatment.

D. Environmental strategies and prevention campaigns.


Practice Dimension I - Clinical Evaluation

7. Assessment is the process by which the counselor, the client, and available significant others review the current situation, symptoms, and other available information to determine the most appropriate initial course of action, given the client’s needs and characteristics and the available resources within the community.

A. True

B. False


8. When gathering data systematically from the client and other available collateral sources, which of the following, at a minimum, should be included?

A. Current and historic substance use.

B. Health, mental health, and substance-related treatment histories.

C. Current social, environmental, and/or economic constraints.

D. All of the above.


9. Which of the following is a skill needed to assist the client in identifying the effect of substance use on his or her current life problems and the effects of continued harmful use or abuse?

A. The progression and characteristics of substance use disorder.

B. Respect for the client’s perception of his or her experiences.

C. Establish a therapeutic relationship.

D. All of the above.


10. An initial action plan should be constructed with the client and appropriate others based on client needs, client preferences, and resources available.

A. True

B. False


11. Which of the following is an ongoing process through which the counselor collaborates with the client and others to gather and interpret information necessary for planning treatment and evaluating client progress?

A. Screening

B. Assessment

C. Knowledge

D. Collaboration


12. Which of the following is an attitude needed in order to analyze and interpret the data to determine treatment recommendations?

A. Respect for the value of assessment in determining appropriate treatment plans.

B. Using results to identify client needs and appropriate treatment options.

C. Communicating recommendations to the client and appropriate service providers.

D. How to analyze and interpret assessment results.


Practice Dimension II - Treatment Planning

13. Treatment planning is a collaborative process in which professionals and the client develop a written document that:

A. Identifies important treatment goals.

B. Describes measurable, time-sensitive action steps toward achieving those goals with expected outcomes.

C. Reflects a verbal agreement between a counselor and client.

D. All of the above.


14. All of the following are skills needed for explaining assessment findings to the client and significant others, except for:

A. How to apply confidentiality rules and regulations.

B. Summarizing and synthesizing assessment results.

C. Translating assessment information into treatment goals and objectives.

D. Evaluating the client’s comprehension of assessment feedback.


15. The client’s needs should be prioritized in the order they will be addressed in treatment.

A. True

B. False


Practice Dimension III - Referral

16. Which of the following is the process of facilitating the client’s use of available support systems and community resources to meet needs identified in clinical evaluation or treatment planning?

A. Networking

B. Advocating

C. Referring

D. Collaborating


17. Counselors should be knowledgeable about the mission, function, resources, and quality of services offered by which of the following entities?

A. Civic groups, community groups, and neighborhood organizations.

B. Employment and vocational rehabilitation services.

C. Faith-based organizations.

D. All of the above.


18. The counselor should explain in clear and specific language the necessity for the process of referral to increase the likelihood of client understanding and followthrough.

A. True

B. False


19. Which of the following is a skill needed when evaluating the outcome of the referral?

A. Methods of assessing the client’s progress toward treatment goals.

B. Using appropriate measurement processes and instruments.

C. Appreciation for the value of the evaluation process.

D. Appreciation for the value of interagency collaboration.


Practice Dimension IV - Service Coordination

20. All of the following is knowledge necessary for obtaining, reviewing, and interpreting relevant screening, assessment, and initial treatment planning information, except for:

A. Using accurate, clear, and concise oral and written communication.

B. Methods for obtaining relevant screening, assessment, and initial treatment planning information.

C. How to interpret information for service coordination.

D. Theories, concepts, and philosophies of screening and assessment tools.


21. The counselor should establish accurate treatment and recovery expectations with the client and involve significant others, including which of the following?

A. Program goals

B. Rules regarding client conduct

C. Costs of treatment

D. All of the above


22. The counselor should not solicit feedback from the client regarding the treatment plan or client satisfaction.

A. True

B. False


23. In order to apply confidentiality rules and regulations appropriately, counselors should be knowledgeable about Federal, State, and local confidentiality rules and regulations, especially as they apply to:

A. Health care

B. Child welfare

C. Criminal justice

D. All of the above


24. All of the following are attitudes necessary to maintain ongoing contact with the client and involved significant others to ensure adherence to the treatment plan, except for:

A. Recognition of the importance of continued support, encouragement, and optimism.

B. Recognition of relapse as an opportunity for positive change.

C. Recognizing and addressing ambivalence and resistance.

D. All of the above are attitudes necessary to maintain ongoing contact with the client and involved significant others to ensure adherence to the treatment plan.


Practice Dimension V - Counseling

25. Which of the following is the definition for counseling?

A. The administrative, clinical, and evaluative activities that bring the client, treatment services, community agencies, and other resources together to focus on issues and needs identified in the treatment plan.

B. A collaborative process that facilitates the client’s progress toward mutually determined treatment goals and objectives.

C. The process of facilitating the client’s use of available support systems and community resources to meet needs identified in clinical evaluation or treatment planning.

D. A collaborative process in which professionals and the client develop a written document that identifies important treatment goals.


26. Competence in counseling is built on an understanding of, appreciation of, and ability to appropriately use the contributions of various addiction counseling models as they apply to modalities of care for individuals, groups, families, couples, and significant others.

A. True

B. False


27. Which of the following is an attitude needed in order to facilitate the client’s engagement in the treatment and recovery process?

A. Using culturally appropriate counseling strategies.

B. Assessing the client’s responses to therapeutic interventions.

C. Respect for the client’s frame of reference and context.

D. Assessing the client’s readiness for change.


28. All of the following are skills required for working appropriately with the client to recognize and discourage all behaviors inconsistent with progress toward treatment goals, except for:

A. Monitoring the client’s behavior for consistency with established treatment outcomes.

B. Acceptance of relapse as an opportunity for positive change.

C. Presenting inconsistencies between the client’s behaviors and goals.

D. Reframing and redirecting negative behaviors.


29. Counseling strategies should be adapted to the individual characteristics of the client, including:

A. Disability

B. Sexual orientation

C. Age

D. All of the above


30. The counselor should make constructive therapeutic responses when the client’s behavior is inconsistent with stated recovery goals.

A. True

B. False


31. In order to understand the characteristics and dynamics of families, couples, and significant others affected by substance use, the counselor should be knowledgeable about which of the following?

A. The effect of interaction patters on substance use behaviors.

B. Signs and patterns of domestic violence.

C. Effects of substance use behaviors on interaction patterns.

D. All of the above.


Practice Dimension VI - Client, Family, and Community Education

32. All of the following is are skills necessary for describing the continuum of care and resources available to the family and concerned others, except for:

A. Motivating both family members and the client to seek out resources and services from the full continuum of care.

B. Describing different treatment modalities and the continuum of care.

C. Organizing and delivering presentations that reflect basic information on prevention, treatment, and recovery.

D. Identifying and making referrals to local health, allied health, and behavioral health resources.


33. The counselor should teach life skills, including:

A. Stress management

B. Assertiveness

C. Refusal skills

D. All of the above


Practice Dimension VII - Documentation

34. Which of the following is an attitude needed for demonstrating knowledge of accepted principles of client record management?

A. Appreciation of the importance of accurate documentation.

B. Composing timely, clear, complete, and concise records that comply with regulations.

C. Documenting information in an objective manner.

D. Using new technologies in the production of client records.


35. Social information, spiritual information, nutritional information, and sexual information are all essential elements of screening, intake, and assessment reports.

A. True

B. False


36. Which of the following is an important component of a discharge summary?

A. Client profile and demographics

B. Progress toward treatment goals

C. Continuing care plan

D. All of the above


Practice Dimension VIII - Professional and Ethical Responsibilities

37. All of the following are skills required for use of a range of supervisory options to process personal feelings and concerns about clients, except for:

A. Resolving conflicts.

B. Willingness to accept feedback.

C. Communicating feelings and concerns openly and respectfully.

D. Identifying overt and covert feelings and their effect on the counseling relationship.


38. In order to be successful in ongoing supervision and consultation, counselors need to have all of the following attitudes, except for:

A. Using prevention measures to guard against burnout.

B. Willingness to accept constructive criticism.

C. Willingness to accept positive feedback.

D. Respect for the value of clinical and administrative supervision.


Cultural Competency

39. Regarding mental health services, clients who are not White express, at much higher rates than do White clients, the belief that they would have received better treatment if they were of another race.

A. True

B. False


Glossary

40. Which of the following is a counseling skill that enhances rapport and demonstrates interest and understanding through the use of verbal and nonverbal acknowledgment of client statements?

A. Advocacy

B. Active listening

C. Life skills training

D. Helping strategy


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