CAADC Work Settings 2 — Questions and Answers
Question 1: How does a CAADC's role in hospital consultation-liaison differ from outpatient counseling?
- No difference
- Provides brief interventions, screens hospitalized patients for SUDs, and bridges them to ongoing care at discharge (Correct answer)
- Only involves detoxification
- CAADCs can't work in hospitals
Correct answer: Provides brief interventions, screens hospitalized patients for SUDs, and bridges them to ongoing care at discharge
The C-L role focuses on identifying and engaging hospitalized patients with SUDs during medical encounters.
Activities include bedside SBIRT screening, MI during a teachable moment, withdrawal and overdose management, MAT initiation facilitation, discharge planning with warm handoffs, and staff education.
Question 2: What unique challenges does working in a drug court present?
- Identical to traditional settings
- Managing dual therapeutic/legal objectives, mandated clients, confidentiality constraints, and leveraging legal supervision (Correct answer)
- No CAADC role exists
- Drug courts only require urine testing
Correct answer: Managing dual therapeutic/legal objectives, mandated clients, confidentiality constraints, and leveraging legal supervision
Drug court settings balance treatment and accountability with mandated populations.
Challenges include dual accountability, mandated engagement requiring MI, confidentiality complexity with court reporting, multidisciplinary team work, graduated sanctions/incentives, and cultural sensitivity to disproportionate justice involvement.
Question 3: What is the CAADC's role in an Employee Assistance Program?
- EAPs only provide financial counseling
- Confidential assessment, brief counseling, referrals, and helping employees navigate workplace implications (Correct answer)
- CAADCs are never in EAPs
- EAPs provide long-term treatment
Correct answer: Confidential assessment, brief counseling, referrals, and helping employees navigate workplace implications
EAP settings require confidential brief interventions, referrals, and workplace navigation.
Key elements include strict confidentiality, brief intervention (3-8 sessions), referral expertise, supervisor consultation, DOT compliance, workplace policy navigation, and prevention programming.
Question 4: How does integrated primary care change the CAADC's practice?
- No difference
- Shorter sessions, close medical collaboration, broader screening, brief interventions, and integrating addiction into overall healthcare (Correct answer)
- Primary care never addresses substance use
- Only drug testing in primary care
Correct answer: Shorter sessions, close medical collaboration, broader screening, brief interventions, and integrating addiction into overall healthcare
Primary care integration requires adapted skills for a medical practice model.
Adaptations include 15-30 minute consultations, universal SBIRT, interdisciplinary teamwork, MAT behavioral support, whole-person care, warm handoffs, shared EHR use while maintaining Part 2 protections.
Question 5: What role does a CAADC play in a collegiate recovery program?
- No role in colleges
- Clinical support, peer recovery facilitation, and addressing unique developmental and social challenges of college students in recovery (Correct answer)
- Only enforcing alcohol policies
- College-age individuals don't need specialized services
Correct answer: Clinical support, peer recovery facilitation, and addressing unique developmental and social challenges of college students in recovery
CRPs require addressing recovery within the unique developmental stage and social context of college.
Activities include clinical counseling in emerging adulthood context, recovery groups addressing college-specific challenges, peer support training, academic support, substance-free programming, and campus education.
Question 6: What considerations apply to telehealth CAADC practice?
- No special considerations
- Technology access, client-side confidentiality, adapted clinical techniques, crisis management without physical presence, and regulatory compliance (Correct answer)
- Not appropriate for addiction counseling
- Identical to in-person
Correct answer: Technology access, client-side confidentiality, adapted clinical techniques, crisis management without physical presence, and regulatory compliance
Virtual practice requires specific adaptations in technology, privacy, engagement, and safety.
Adaptations include HIPAA-compliant technology, assessing client privacy, enhanced nonverbal awareness, remote crisis protocols, assessment adaptations for limited observation, engagement strategies, and cross-state licensing compliance.
CAADC Work Settings 2
How does a CAADC's role in hospital consultation-liaison differ from outpatient counseling?