Alcohol and Drug Counselor Screening and Assessment Techniques Flashcards
7 cards from real CADC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Alcohol and Drug Counselor Screening and Assessment Techniques flashcards as text
Which screening tool uses a single question — 'How many times in the past year have you used an illegal drug or used a prescription medication for nonmedical reasons?' — to identify substance use risk?
Answer: Single-Item Drug Screen
The Single-Item Drug Screen (SIDS) uses one question and has shown good sensitivity and specificity in primary care settings.
A counselor administering the AUDIT notices a client scores 8 or higher. What is the recommended clinical response according to WHO guidelines?
Answer: Provide a brief intervention and consider further assessment
An AUDIT score of 8–15 indicates hazardous or harmful drinking and warrants a brief intervention, while scores above 15 suggest dependence requiring referral.
During a biopsychosocial assessment, a counselor explores a client's family history of addiction. This primarily informs which domain?
Answer: Biological domain
Family history of addiction reflects genetic predisposition and falls within the biological domain of a biopsychosocial assessment.
The Stages of Change model is most useful during assessment for identifying:
Answer: Client's readiness to change substance use behavior
Assessing readiness to change (precontemplation through maintenance) guides the counselor in selecting appropriately matched interventions.
Which instrument is specifically designed to screen for alcohol use disorder in pregnant women and uses only two questions about frequency and quantity?
Answer: T-ACE
The T-ACE (Tolerance, Annoyed, Cut down, Eye-opener) was developed and validated specifically for use with pregnant women.
When using the CAGE questionnaire, a score of 2 or more is considered clinically significant because:
Answer: It suggests a high likelihood of alcohol use disorder
Research validates that a CAGE score ≥2 has strong sensitivity and specificity for identifying alcohol use disorder.
A counselor uses a timeline follow-back (TLFB) method during assessment. This technique primarily measures:
Answer: Retrospective alcohol and drug use patterns over a specified period
The TLFB is a calendar-based interview method that helps clients reconstruct day-by-day substance use patterns over a defined retrospective period.