Treating a patient? Why do therapeutic communities (TCs) often focus on habilitation instead of rehabilitation? 126. 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. Dr. Scarboroughs training in supervision includes coursework and supervised supervision in her doctoral program as well as supervision presentations at the national, regional, and local levels. 10. You should explain why you think each diagnosis is or is not the final diagnosis. Proper program and progress documentation is necessary for a great variety of reasons. {ZYtQaK.[_[~` p Describe other important information that was learned during the session, including contextual information. How does motivation for participating in treatment differ from motivation to change behaviors? This training and experience includes clients in age ranges from kindergarten to adulthood primarily with normal situational and developmental issues. p 42. Sancho - (dibujo: tablero de ajedrez) The CAGE questionnaire is a four-question screening tool. Other than through a written information release, when do exceptions to confidentiality exist? Is respectful of, and validates, the client. d. THC content in marijuana varies widely. 148. Your outline should follow the typical format and sequence for this type of communication: history, physical examination, investigations, patient course, and discussion. It is natural for a client to start talking. Circle each direct object. 51. p a. State the specific feedback that you particularly want from the group. How are substance abuse treatment programs for adolescents described? )(V2 PCqVK!-jw NtWC{G*O_ Bi#8m5@H)=" tk|}5.Zh[!UUHMd As the presenter, you should strive to deliver an interesting presentation that keeps your team members engaged. 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. c. A shared set of beliefs, norms, and values among any given group. How do group therapy and 12-step groups compare? 45. a. Facilitating this awareness, including attention to the motivation behind interventions, is an important aspect of her work. In consequence, as related to substance abuse and the general population, how is this population likely to act? hbbd```b`` "H mXLI{0 V", DG@dH}} ho*F!Cg`2y` w Guiding principles in treatment planning are identified by which acronym? 0_.Mt0z:nAdWo"G eT U$k5s5l&`D4/9O@CJYSh)%_( H2Lh]ki>1z#]]^WDE?~i?] What is the primary purpose of the Texas Christian University Drug Screen (TCUDS)? Provided me with useful feedback regarding my counseling behavior, 2. WebWRITTEN CASE PRESENTATION 3 includes back and shoulder surgeries approximately 30 years ago. Much higher attendance and much lower relapse rates. Additional history revealed that the patient abused ergotamine preparations for years (headaches). Pattern (maladaptive) In time, you will become proficient in this essential medical skill. 90. Documentation regarding referrals and referral outcomes. Ergotamine preparations were stopped, intravenous nitroprusside was begun, and she showed clinical improvement within 2 hours. Accurate documentation and reports are necessary if effective treatment and recovery plans are to be developed and implemented. Very different types of groups with very different purposes. 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. We describe a set of practical, proven steps that will guide your preparation of the presentation. Occasionally gave me a different, useful perspective on my counseling with a particular client, 6. Indicate what we should be listening for. Good question. ). Have you supervisor sign off that this was case of yours at the agency. What is the MOST common symptom of Wernicke's encephalopathy? Assuming the role of the counselor, client, or the parent, spouse, coworker, friend, teacher, or other significant person in the clients life. Which of the following is the MOST important introductory statement or question to ask in a suicidality evaluation? Dr. Scarborough is aware of the responsibility she has to the supervisee and the clients in the supervisees care. b. 1. 105. Use multiple counseling approaches to meet clients' needs. Audio and videotapes, live observation, and case report are all utilized in the supervision process. Traditionally, what has the term therapeutic community (TC) referred to? TqI5l-Q#heGQR3rw>NWBt*y,]-dd).ZP r%r,YR'v!.-j2brU=%UN3$Ccd@Rz 5(vq 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. 95. 2. At an initial meeting with a new client, what is the FIRST requirement? Dr. Scarborough approaches supervision from a collaborative framework. 68. After referrals are made, it is important to track the associated outcomes for measures of referral success. If a client begins to act out inappropriately, what is an IDEAL grounding technique? 34. WebWitnessing his brother's death, Ray stated he began to lose his sight slowly. 79. 94. What does an expressive group therapy model involve? For example, it would be worth mentioning that your anemic patient is a Jehovahs Witness to guide medical decisions regarding blood transfusions. More info coming soon. 7. What could have been done a different way? 9. 31. #kpO Q+&. This represents the "must-say" category. The review of systems is sometimes included in the history of present illness, but it may also be separated. All the information published on this site comes from known sources such as textbooks, manuals, research articles, and online sources. Is able to identify affective components of client issues. What is the BEST response to this? When giving feedback, group members again proceed one at a time stating how they would handle the supervisees dilemma. iii. There are numerous classification systems describing various stages of recovery. d. Decline, recognizing the potential conflicts in multiple roles. a. CR and CM are most effective if used together. Is appropriate regarding the developmental context of the client. :w&|59<>? << a. 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. Webto be individualized for every participant. Following the opener, elaborate on why the patient sought medical care. The purpose of this site is to share information with others. For more information, please see our editorial policies. A productive group therapeutic engages deep issues in many individuals with remedial or neglected issues. 47. The following is an example based on the resources in the community of Sonoma County and illustrate how a case plan involving active Which of the following is NOT a basic chemical class of amphetamines? b. Subjective, Objective, Assessment, and Plan. Test of Publicity: Ask yourself whether you would want your behavior reported in the press. (Member roles, communication patterns, stage), What leadership skills did you employ? For example, if you are concerned about a pulmonary embolism and your patient recently completed a long-distance flight, that would be worth mentioning. 1. Patient ethnicity must be included in the Abstract under the Case Presentation section. W8r#A9t96?$.-Ml=.bkvNJkP#Uew Xb]nbe,j;}L+)m==R/I;X/qB@+!CI';$w,-qJM:zi The supervisee remains silent during this exchange, but may take notes regarding comments. Which of the following is NOT a strength of twelve-step programs? How do you assess the progress of this group? Health privacy and confidentiality standards. An example could be: Ms. You do not have to report the results of every test that was ordered. 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. Examples of strengths include mindfulness, self-control, resilience and self-confidence. What does the Twelve-Step Facilitation Approach refer to? He feels that other than his wife being upset, he has no other social or occupational issues. Establish Context about the Current Situation. For other supervisees, fees charged reflect the community standard and the supervisees ability to pay. OPv^ ~ fO1nYc C`l+~np` ~P=#A}i/6|dC= ByY:OGF#0`,h "{|zN) %B3?;M[Z"$:G9RSLHTdki7+xAi`V p The 3 Month (100 Day) MCAT Study Schedule Guide: 2022 Edition, The Secondary Application: Bragging vs. Confidence. These are guidelines. Dr. Scarborough addresses the issue of evaluation as a fundamental component of supervision. On regular inpatient floors, this should include a list of the patients medical problems, ordered by acuity, followed by your proposed plan for each. Sancho juega al ajedrez. Describe the events that preceded the patients presentation in chronological order. In terms of difficulty quitting (dependence), which of the following four drugs ranks the highest? Dr. Scarborough carries liability insurance and encourages her supervisees to carry insurance as well. 27. Beware of jumping back and forth between descriptions of separate problems. Prepare examples for the questions you will be asked during the oral examination. 8. Members of the lesbian, gay, bisexual, and transgender (LGBT) community face many challenges, including issues of discrimination. Less likely to continue to use alcohol or drugs. The main purpose of the discussion section is to articulate the lessons learned from the case. Is comfortable with a variety of feelings and/or issues shared by the client. J8j6PR3vV;w/r`q]:eWjuSIT#/8@UFn4)QR Date: Group Description: When are limited confidentiality breaches permitted? 5. Review the outline with your mentor or interested colleagues, and listen to their decisions. Which of the following is NOT a core treatment and recovery skill? 64. Typical findings of mitral stenosis, no evidence of heart failure. 19. The Oral Exam is a measure of the counselors alcohol and drug counseling experience using Birch and Daviss Core Functions and the IC&RCs 46 Global Criteria. Please explain. Finally, identify the content that you think the audience would like to know, provided there is enough time, and identify this as the "nice-to-know" category. 12. Is able to work effectively with multiple clients. 107. 264 0 obj <>stream First person is used, e.g., If this were my client, I would The process is repeated until there is no additional feedback. iv. 128. Given a client's history, referrals for co-occurring disorders as well as medical, educational, and psychological needs should be ongoing as discovered. Describe the sessions you have had thus far with the client (general topic, interventions, tone, etc.). Arteriogram of right femoral artery shows subtotal stenosis, collateral filling of the popliteal artery, and pseudoaneurysm formation. Did the clients input make things clearer? Actual implementation of group supervision will be facilitated by the instructor/supervisor. The term authentically connected referral network is used in conjunction with case management. p Delivering oral case presentations is challenging at first, so remember to practice. In addition, she has experience in individual and group supervision of counselors-in-training working with legitimate clients in school and higher education settings. And why? Preparing a presentation is an iterative process. 60. 35. Dr. Scarborough also provides each supervisee with the names and phone numbers of agencies that respond to crisis situations. What would be the major accomplishment of the section you heard? If something is entered in a client record in error, what is the proper response? c. Habilitation helps clients learn new skills they never had. She holds the M.A.Ed. WebDirections for the Case Presentation Method and Oral Test December 26th, 2019 - Directions for the Case Presentation Method and Oral Test Registration 1 You must have an application approval letter from the Division of Consumer Affairs Alcohol and Drug Counseling Committee before you can be registered for the Oral hbbd``b`Z$ Tracks the main issues presented by the client. Therefore, she will periodically participate in supervision of her supervision. 29. Every specialty presents patients differently. Dealing with smoking cessation during a substance abuse treatment program is. 49. /Type /Stream How does course of action fit with ranking of moral principles? spreadsheets). Substance-induced disorders refer specifically to: c. Psychiatric symptoms brought on by substance abuse. Nitroprusside was stopped after 24 hours, and the symptoms did not return. In order to help you visualize the type of content you might include in the outline, an example of a topic outline for a clinical vignette is presented. Individual Supervisor: 1 = needs improvement;2 = adequate;3 = good;4 = a strength of the student5 = excels in this area. If you are scheduled to make a presentation of a clinical vignette, reading this article will improve your performance. Sensitive interviewing and engagement techniques are important to optimize client responsiveness and investment. Was able to distinguish her/his own issues from mine, 11. She is disturbed at the illicit nature of the drug and the long-standing use. What percentage of individuals with a dual diagnosis (co-occurring disorders [COD]i.e., substance abuse disorder and an existing mental illness) received treatment for only their mental illness? By the age of 7, the client was completely blind. Is able to identify cognitive components of client issues. In general, surgical and OB/GYN presentations tend to be much quicker (2-3 minutes), while pediatric and family medicine presentations tend to be similar in length to internal medicine presentations. What feelings did you have when listening to the client? What was learned? While it can be similar to your opener, it should not be identical. 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. 115. What are the three MOST important evaluative aspects? 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