Purpose of client advocate - Answer Formal relationship with the employer, Involve the
employer in the patient's treatment, Promote information to employer about the patient's
disease, Educate employer on the treatment process, Help provide support for the
patient in recovery
Community educatio...
Purpose of client advocate - Answer Formal relationship with the employer, Involve the
employer in the patient's treatment, Promote information to employer about the patient's
disease, Educate employer on the treatment process, Help provide support for the
patient in recovery
Community education purpose - Answer Identify the major drug problems in the
community
Role for local churches and religious groups - Answer Start a self-help group that meets
in the facility
Counselor responsibilities - Answer Educating other agencies on effective ways to work
with specific cases relating to drugs/alcohol
Two- Stepping - Answer Defense that is destructive to the newly sober client in which
they help others with their alcoholism but do not concentrate on their sobriety
Signs/symptoms of Alcoholism - Answer Solitary drinking, Over permissive norms of
drinking, Lack of specific drinking norms, Tolerance of drunkenness, Adverse social
behaviors, Utilitarian use of alcohol to reduce tension/anxiety, Lack of ritual/ceremonial
use of alcohol, Alcohol use separated from eating patterns
Signs/symptoms of Alcoholism - Answer Alcohol use separated from family, social
functions, Drinking with strangers, Alcohol not introduced in small amounts when a
child, Drinking pursued as recreation, Drinking concentrated in young males, Culture
that stresses individualism, self-reliance and high achievement
Referring to AA/NA - Answer Have a AA/NA person meet w/them and explain how the
group and recovery can work together, Not proper to refer an atheist since it is built on a
belief in God, do not refer if it would seem to be disrespectful of clients rights and views,
Make sure the referral meets the clients personality and background
Dual Diagnosis - Answer Sometimes appear as patients sober up
Referral processes - Answer Identifying the needs of the client that cannot be met by
the counselor/agency and Assisting the client to utilize the support system and
community resources available
,Discharge summary is needed - Answer Inpatient, aftercare, detox, half way houses,
etc, Communications from one agency to another and increases accountability, Reports
and record keeping tells the story of the client from beginning to end, No universally
accepted format for maintaining records
Reports - Answer Explains various aspects of the assessment, treatment plans, and
discharge to parties who need such information to enhance the care of the client
Documents patient can sign - Answer Consent for treatment, Public aid, DASA,
statistics, Treatment plans, Release of information, To acquire medical attention,
Education/prevention, Client education, Crisis intervention
Patient has a right to - Answer Treatment costs they are liable for, When treatment
services are available, Types of counseling approaches used, Opportunity to complain
to appropriate staff
Client files - Answer Only the clinical supervisor has unrestricted access to client's files
Physiological dependence for alcohol- Alpha - Answer Psychological dependence, no
loss of control, reliance on alcohol to weather problems
Physiological dependence for alcohol- Beta - Answer Psychological dependence,
physical problems (cirrhosis) but no physical dependence
Physiological dependence for alcohol - Gamma - Answer Change in tolerance, physical
withdrawal, loss of control. Use for Jellinek Chart with 4 stages
Physiological dependence for alcohol - Delta - Answer Same as Gamma but no loss of
control but drinks
Aversive therapy - Answer Disulfiram/Antibuse - Most effect for binge drinkers and No
alcohol for 2 weeks or severe allergy reactions occur
Direct Reinforcement - Answer Providing positive feedback and rewarding in a direct
way and Introducing new and competing behaviors to replace negative behaviors
Analytic therapy - Answer Oriented toward achieving insight, identifying and
experiencing feelings, memories developing, in-depth self-understanding, re-
experiencing, reconstructing childhood experience, Not appropriate for first month of
counseling
,Erickson's Psychological Theory - Answer Trust vs Mistrust; Autonomy vs Doubt;
Initiative vs Guilt; Industry vs Inferiority; Identity vs Role Diffusion - Adolescent; Intimacy
vs Isolation - Adult; Generativity vs Stagnation - Adult; Integrity vs Despair - Old age
Social Learning - Answer Behavior learned through interaction with other people, peer
group, AA group, group therapy
Cognitive Restructuring - Answer Positive affirmations spoken to self to modify negative
thoughts
Reality Therapy/Transactional Therapy (Glasser 1960s) - Answer What is going on
"here and now", How a client can change old patterns, Client makes decisions based on
awareness
Maslow - Self-actualization - Answer Teaches person to challenge old ideas and
replace/internalize logic or science
Gestalt Therapy - Answer Increase awareness of feelings, Persons are born innately
good, Focuses on unfinished business, Focus on "what and how" and not "why".
Client's are to be aware of what they are doing, how they are doing it and the gaining of
self-esteem. No diagnosis or interpretation
Carl Rogers - Answer Persons need self-fulfillment rather than being occupied with
others
Relaxation Therapy - Answer If body and breathing are relaxed it is impossible to feel
anxious, Tensing and then relaxing muscles
Systematic Desensitization - Answer Used w/relaxation for treating phobias
Adlerian Therapy - Answer Concept of inferiority complex, Encouragement to recognize
strengths and weaknesses, Believes in dignity and self-worth, Mainly used in family
counseling
Client Centered "Rogerian Therapy" - Answer Based on assumption that the client is in
the best position to resolve their own problems, Safe atmosphere to feel/discuss and
obtain insight is provided
Jungian Therapy - Answer Developed the concept of collective unconscious and
archetypes, Goal is to have clients become adequately adopted to reality allowing them
to fulfill their creative potential, Individuation is the ultimate goal
Vernon Johnson's Therapy - Answer Learning theory; Individual learns that drinking is a
successful way to deal w/problems, Family, etc in the addict's life reinforces this by their
behaviors which enables the alcoholic's drinking, Relationship w/alcohol deteriorates
, over time, but the learning was so powerful the person continues to seek those early
positive experiences that are not there now
It is essential to have an atmosphere of high ethical standards - Answer Establishes a
mutual respect during treatment, Using therapy techniques and interventions that lack
data are unethical.
Transference - Answer Counter-transference becomes unethical when the counselor's
unresolved conflicts get in the way of effective therapy.
Unethical - Answer Impose values on the client that are not already theirs, Counselors
are to refer clients when they can't refrain from imposing views other than the client's
Family and Friends - Answer Counselors are not to treat family or friends due to biased
opinions they would have.
Counselor presentations - Answer Counselors are not to reveal client's identity during
teaching or speaking engagements.
MMSE - Answer Mini Mental Status Exam that measures: Appearance, affect, thought,
content and mood
Counselor relapse - Answer When a counselor in recovery has relapsed they are
suspended from their duties and are told to see the EAP - Employee Assistance
Program.
Burn Out - Answer Over involvement with the clients (sign of codependency), Working
extra hours, Lack of therapeutic success, Tedious work, Tendency of therapeutic work
to being out own conflicts
Ellis - Answer Stress of mental health professionals is primarily related to irrational
beliefs
Burn Out - Answer Burn out can be avoided by moving from direct care to an
administrative position.
4 Stages of Alcoholism - Answer 1) Pre-Alcoholic
2) Prodromal Phase
Black outs occur during promodal
3) Crucial Phase
4) Chronic Phase
BECK - Answer Used for Depression
MAST - Answer Tests Alcoholism
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