The client's parents made the decision to send Ray away to 68. Please join our mailing list to make sure you receive notice about changes as well as to stay in touch with latest news about and for education, certification and testing of addiction and mental health professionals in the State of New Jersey. Compensating issues needed to cope with addictive dysfunction. 48. 13. Which of the following is NOT a strength of twelve-step programs? What is the trend for cultural diversity in the United States? Cool, pulseless right leg. The arteriogram of femoral arteries showed smooth segmental narrowing and bilateral vasospasm suggesting large-vessel arteritis complicated by thrombosis. When behaviorally assessing for a co-occurring disorder, what is the MOST important variable to consider? While delivering oral case presentations is a core skill for trainees, and there have been attempts to standardize the format, expectations still vary among attending physicians. 4. qlJ: 6IB0gR$g=Ut7 23. What does the Twelve-Step Facilitation Approach refer to? Have you supervisor sign off that this was case of yours at the agency. 0 123. The case report should be chronological and detail the history, physical findings, and investigations followed by the patient's course. Borders, L. D. (1991). Hundreds of curated CME and MOC activities that match your interests and meet your needs for modular education, many free to members. Dr. Scarborough is a National Certified Counselor and Approved Clinical Supervisor. What thoughts/fantasies are you aware that you were having about the client during the session? What were your goals and objectives for this group session? This is the most important part of your presentation and allows you to show your team how much you really know. Alcohol or drug toxicity or withdrawal symptoms. a. 10. c. Validate his or her affect but not expression (if threatening). 233 0 obj <>/Filter/FlateDecode/ID[<30E4E71CC5B16449A84A7684AB08AF6B><70E1A00D42581449BDF4588CAF7E82F4>]/Index[214 51]/Info 213 0 R/Length 99/Prev 274588/Root 215 0 R/Size 265/Type/XRef/W[1 3 1]>>stream At a local dance club, a counselor spots a client drinking at the bar. 140. Include the vii. Which of the following is NOT a core treatment and recovery skill? i. H+-;m>4)LN^f=s~)CP[:)-iy%>Dl+"LqNMpccXdy 7'+$t;{I KU-52A_2RHL$TW3w >y5Grs@ 5xFB6O%AVlU!+ viii. The review of systems is sometimes included in the history of present illness, but it may also be separated. Enabled me to express my doubts about my counseling, 5. 64. We realize that the generic outline will not precisely fit all of the types of cases; nevertheless, think about the larger principle and ask yourself, "How can I adapt this to my situation?" What is the SDSS designed to measure? What feelings did you have when listening to the counselor? How does course of action fit with ranking of moral principles? endobj Practicum: iii. Dr. Scarborough will inform supervisees through informed consent as to the purpose of her own supervision and that their actions may be discussed with the supervisor. Adequately emphasized my strengths and capabilities, 8. The problem isthat the two girls in my office dont like each other and they want me to take sides. Encouraged me to be spontaneous and creative, 21. Complete las frases con la forma correcta del verbo. Which one of the following alcohol abuse screening tests is designed specifically for use with adolescents? More info coming soon. 22. Ethical, Legal, or Moral issue (or combination). i. Topics addressed in psychoeducational groups are typically. Given the potential breadth of the review of systems (a comprehensive list of questions that may be asked can be found here), when presenting, only report information that is relevant to your patients condition. << Supervisees are asked to call Dr. Scarborough at home if an emergency occurs after hours. 26. Consequently, how often are treatment plans typically updated? What do the guidelines deal with? 84. What were your objectives for this session? No skin findings. 34. Remember, this is an iterative process; your decisions are not final. A wife refers her husband for substance abuse counseling. How many levels of treatment placement are recognized by the American Society of Addiction Medicine (ASAM)? (Member roles, communication patterns, stage), What leadership skills did you employ? Helped me to organize relevant data for identifying goals and planning strategies with my client, 23. llama al Cine Real paro obtener informacin. Since you will have only ten minutes, you will prioritize the topics to determine what to keep and what to cut. hj9_E iJ'C^ht{,_Rg. Which form of substance abuse is naltrexone used to treat? Last Updated on June 24, 2022 by Laura Turner. Ergotamine preparations were stopped, intravenous nitroprusside was begun, and she showed clinical improvement within 2 hours. To what extent were your objectives for this session met? Viewing the session from a particular theoretical perspective, Creating a metaphor for the client, counselor, or counseling process, Drawing a picture, graph, or using sandtray to represent the counseling process/relationship. (Scanning, linking, confrontation, trust-building, etc. X is a 78-year-old female with a past medical history of chronic obstructive pulmonary disease who presents with shortness of breath in What does motivational interviewing primarily involve? 46. Consultation and Review of the Literature, Assess the potential consequences for all parties involved, Eliminate options that clearly do not give desired results, Review selected course of action to determine if it presents any new ethical considerations. 119. c. The margin between intoxication and lethality stays the same. Can direct the session in a meaningful manner. 96. Feedback/Consultation:The group members respond to all of the information obtained by stating how they would handle the supervisees issue, problem, client, etc. Can assess ones own performance in counseling. We advise testing applicants who have had one or more previous failure to take the Oral Prep Class offered by the Certification Board. Is aware of personal issues (counter- transference/parallel processes) that might impact counseling. Challenged me to accurately perceive the thoughts, feelings, and goals of my client and myself during counseling, 20. 6. Based on the stage of the group and the dynamics you observed, what are your process goals for the next session? | Find, read and cite all the research you need on ResearchGate Presentation PDF Available Counseling Case As compared with current older adults, what is the upcoming baby boomer generation (born between 1946 and 1964) expected to have? This format is chosen because your audience understands it and uses it every day. At this point, you may wish to List relevant diagnostic impressions including code and axis. As you begin to "fit" your talk into the allotted time, certain content you originally thought of as "elaboration" may be dropped to the "nice-to-know" category due to time constraints. 36. Lesson 1: Physicians should be alert to the potential of ergotamine toxicity in young women with chronic headaches that present with neurological, gastrointestinal, or ischemic symptoms. Why do therapeutic communities (TCs) often focus on habilitation instead of rehabilitation? 11. If you have already prepared a paper for publication, it can be a rich source of content for the topic outline. a. sequenced by concept for maximal effectiveness. What is the influence of family on treatment outcomes? At the minimum, this should include: Your general impressions of the patient, including whether he or she appears sick or not The results of your: Head and neck exam Eye exam Respiratory exam Cardiac exam Abdominal exam Extremity exam Neurological examAdditional relevant physical examination findings may be included, as well.Quick note: resist the urge to report an exam as being normal. Instead, report your findings. 44. Choose a real (but anonymous) case that covers all (or most) of your work with a client. Web1. If a client leaves a treatment program early or involuntarily, how is the written discharge summary affected? Therefore, she will periodically participate in supervision of her supervision. She has worked in school settings for five years and university based counseling centers for approximately two years. 76. The time to implement your organization plan is when you sit down with the client, not when you are faced with a presentation or written notes. WebWRITTEN CASE PRESENTATION 3 includes back and shoulder surgeries approximately 30 years ago. In cases involving the criminal justice system, what is the minimum recommendation for frequency of updating treatment plans? You should include: A brief summary (1-2 lines) of the patient, the reason for admission, and your likely diagnosis. 135. $XS@,W Z I0/XW[$p2012Hq7 25. REMEMBER:Tune into your feelings, Involve your client, Take your time!! I hope this helps, and good luck to you all! Describe the dynamics in the session (your own reactions to the client and the interactions between you and the client). Dr. Scarborough addresses the issue of evaluation as a fundamental component of supervision. d. The instrument assesses what it purports to assess. Billing and coding, accessing financial assistance, payer policies, and other updated guidance. 129. Did the clients input make things clearer? a. The CAGE questionnaire is a four-question screening tool. a. What were the clients concerns? Based on your treatment plan, what are your objectives for the next session? This should include: Any relevant conditions that run in the patients family, with an emphasis on first-degree relatives. Can demonstrate an appropriate use of systemic interventions. All the information published on this site comes from known sources such as textbooks, manuals, research articles, and online sources. c. HIV is the virus that causes the AIDS syndrome. With regard to co-occurring disorders, what does the term integrated treatment refer to? Regarding substance abuse, what does Convergence Theory propose? What is the difference between AIDS and HIV? Think of it as an interviewyou would not go to a professional job interview wearing shorts, a t-shirt, and flip flops, right? endstream endobj 215 0 obj <>/Metadata 14 0 R/Pages 212 0 R/StructTreeRoot 27 0 R/Type/Catalog/ViewerPreferences 234 0 R>> endobj 216 0 obj <>/MediaBox[0 0 612 792]/Parent 212 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 217 0 obj <>stream 31. On regular inpatient floors, this should include a list of the patients medical problems, ordered by acuity, followed by your proposed plan for each. 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. {ZYtQaK.[_[~` v. Habitual use of ergotamine can lead to withdrawal headaches leading to a cycle of greater levels of ingestion. Journal of Counseling & Development, 69, 248-252. Was open to my input and feedback about what was helpful, 16. Some case reports begin immediately with the description of the case, and this is perfectly acceptable. How many main levels exist in the substance abuse continuum of care, according to the American Society of Addiction Medicine (ASAM)? Audio and videotapes, live observation, and case report are all utilized in the supervision process. Heres a short summary of each of the parts of a convincing business case presentation. As such, she works with supervisees to become aware of the thoughts and feelings that occur with respect to the counseling relationship and process. endstream endobj startxref Preparing a presentation is an iterative process. What was the time course of these events? The term "drug use trajectory" refers to: a. Outpatients may be presented similarly to inpatients. d. A working relationship with a client outside the professional domain. Due to the COVID 19 Pandemic our office is currently Scheduled Test Applicants and Scheduled appointments only and not accepting any Walk Ins in person. Which of the following conditions does alcohol NOT induce? Was able to distinguish her/his own issues from mine, 11. p Substance abuse affects not only the user but the family as well. What is a subpoena signed by a judge? WebCase Presentation The case report should be chronological and detail the history, physical findings, and investigations followed by the patient's course. 79 0 obj <>stream There are five primary group models used in substance abuse treatment. What is the usual recommended minimum duration of days for the intensive outpatient treatment (IOT) phase? She is disturbed at the illicit nature of the drug and the long-standing use. Test of Publicity: Ask yourself whether you would want your behavior reported in the press. Counselor: Tracks the main issues presented by the client. 122. 14. X is a 78-year-old female with a past medical history of chronic obstructive pulmonary disease who presents to the hospital after she felt short of breath at home.. ii. Note what the client did. While evaluation and feedback is embedded in the process, periodic attention, including written feedback, addressing the supervisees progress is important. Be sure to include initial ED vital signs and any administered treatments. c. Habilitation helps clients learn new skills they never had. 101. For our fictional patient, Ms. X, for example, you could explain why you think she does not have a pulmonary embolism or acute coronary syndrome. c. Refer the client to a counselor more comfortable with the client. 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. Address program policy preventing dating among group members. 86. 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. What factors can affect screening instrument validity? Case Management Describe the purpose of case management and how it applied to this client. State the specific feedback that you particularly want from the group. 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. CO: Youre feeling some concern about fitting in with people at work. 73. How do you decide what to cut? WebCase Notes Example 1: Medical Checkup S = Strengths Client reported difficulties in keeping appointments with providers including this case manager, ADAP, and the doctor. 45. Describe the events that preceded the patients presentation in chronological order. 52. What is an appropriate response to a substantial gift from a client? Step 1. While it can be similar to your opener, it should not be identical. Counselor: Test of Universality: Assess whether you could recommend the same course of action to another counselor in the same situation. hb```a``2q\|ea(Qn10.D ja`I` D b. To get you started, we have prepared a generic outline to serve as an example. I have received many questions lately about the oral examination so I decided to post some study tips for you. 102. Of the following, what is the MOST significant mission? Get answers now. She is disturbed at the illicit nature of the drug and the long-standing use. v. Normal neurological examination. You can use a basic calculator but no other calculating tool (e.g. b. faire du ski iii. Briefly describe the clients presenting problem. CL: Ive been having a little trouble with my new job. Offering guidance on clinical use cases, technology, regulations and waivers, and billing and coding. Indicate what we should be listening for. 74. ii. Made me feel accepted and respected as a person, 10. 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. Describe the feelings you were experiencing toward the client in the session. A passing score of 76% is required to pass the exam. Janna can provide supervision in these general areas. Sancho juega al ajedrez. In working with substance-abusing clients, counselors must be aware of the applicable guidelines in CFR Title 42 Part 2. 56. 54. 38. 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. iv. For students, this should consist of 3-5 potential diagnoses. Pause or Break: There is a 5 to 10 minute break. 7. 18. Candidates need to prepare a case study and respond to each of the following questions, using the global criteria from each of the 12 Core Functions for alcohol and drugcounselors, and providing examples. iv. What is this screening instrument designed to screen for? a. 9. J8j6PR3vV;w/r`q]:eWjuSIT#/8@UFn4)QR iii. Label the subjects and verbs. You will take the exam at the Board office where you will record your presentation. This is an unofficial study guide for the IC&RC Alcohol and Drug Counselor exam, also known as LCDC, CADC, CSAC, CAC certification exam, and my own collection of personal notes and study material covering the topics in the updated 2015 exam. The Addiction Severity Index has been formally adopted by which organization? To counter the typically disordered lives of substance-abusing clients. 1. ii. It is the presenters job to share the pertinent facts of a patients case with the other members of the medical care team and establish a clear diagnosis and treatment plan. How many categories does SAMHSA's Service Coordination Framework for Co-Occurring Disorders have? h|A0[]Ah/NV#GJA51E@-7`h #mzHlV-=\u0*Ub!BJ}B|^Gju9eCRaWps[b88-V Explore our virtual course offerings and learn from anywhere. c. A shared set of beliefs, norms, and values among any given group. Overall, I found supervision to be helpful to me during Practicum or Internship. CL: Yes, there are some other people at work that I get. 75. Updated and verified by Dr. Lee Burnett on March 19, 2022. iv. 107. The general areas that receive attention in supervision include the supervisees professional behaviors, counseling skills, personal awareness, and client/case conceptualization. How many Assessment Dimensions are recognized by the American Society of Addiction Medicine (ASAM)? a. What else can it be usefully applied to? This may be extended if the case is being presented as part of an assessment compared with routine everyday working ( see Case-based discussion ). First person is used, e.g., If this were my client, I would The process is repeated until there is no additional feedback. 116. When are limited confidentiality breaches permitted? No fees are charged to any supervisee if supervision occurs within the academic setting and as part of the supervisees training. Be sure to rule out potentially life-threatening conditions (unless you think your patient has one). Counselor identifies questions about the client and/or tape segment of a session and requests specific feedback about his or her performance. What type of group is this? 111. Next to each entry in your outline, prioritize the importance of content. What is/are the organ(s) most damaged by cocaine abuse? Helped me to develop increased skill in self-supervision through the use of in supervision of counseling tapes, 24. How do you assess the progress of this group? A survivor of past abuse herself, the counselor finds this deeply disturbing. Many substance-abusing clients suffer from high impulsivity. The supervisee tells group members which of their statements were helpful, which were not helpful, and why they were beneficial or not. 1. Web(LCADC) or Certified Alcohol and Drug Counselor (CADC): Frequently Asked Questions Regarding the LCADC/CADC Process NEW JERSEY DEPARTMENT OF HUMAN SERVICES, 110. Explain changes (or expansions) of your treatment plan for this client. iii. Briefly lay out the background of the idea. Challenges the client when appropriate. Good question. d. discrimination and racism limit recreational and leisure opportunities to improve mental health. 0 a. Treatment for longer periods of time is closely associated with enhanced outcomes. For example, it would be worth mentioning that your anemic patient is a Jehovahs Witness to guide medical decisions regarding blood transfusions. In providing case management services, beyond providing seamless care and being client focused, what is the primary aim? Student will type written portion of case presentation for each class member and the instructor. The supervisor summarizes the feedback and discussion, and the counselor indicates if supervision needs were met. Clients with a history of abuse have a tendency to place themselves in situations in which further abuse is likely, particularly an unsafe relationship. ECG shows left atrial enlargement. 59. Maintains an appropriate pace during sessions. Which of the following is NOT a particularly important reason? Clients actively in a treatment program need regular chart entries. Other than through a written information release, when do exceptions to confidentiality exist? How does motivation for participating in treatment differ from motivation to change behaviors? Know what you are going after, keep the client on task, and forge ahead. The file size is 1.6 MB. 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. We describe a set of practical, proven steps that will guide your preparation of the presentation. Bernard, J. M., & Goodyear, R. K. (1998). Assistant Professor,Syracuse University. 78. d. Relationships created by marriage, friendship, and other associations. Call this the "elaboration" category. 115. 67. After referrals are made, it is important to track the associated outcomes for measures of referral success. This is an evaluation of who you are as a professional counselor. In a 2009 survey, they reported a range of 2-20 minutes for the ideal length of student inpatient presentations, with a median of 7 minutes. 120. Which of the statements below is MOST correct? 19. 88. 114. Choose a real (but anonymous) case that covers all (or most) of your work with a client. Write the case following the outline and directions below. Have you supervisor sign off that this was case of yours at the agency. Describe relevant cultural or development information as it relates to the presenting problem(s). It is not affiliated or sponsored. a. drugs of abuse can successfully treat depression. Identifies appropriate process goals. What does a dual relationship refer to? How many sequential stages must outpatient clients work through, regardless of the level of care at which they enter treatment? Needham Heights, MA: Allyn & Bacon. Assuming the role of the counselor, client, or the parent, spouse, coworker, friend, teacher, or other significant person in the clients life. pN8mp Case studies (also called case reports) are also used in clinical settings to analyze patient outcomes outside of the business realm. But this is a topic for another time. In this post, well focus on teaching you how to write and present a business case, plus share several case study PowerPoint templates and design tips! According the DSM-5 criteria, a client that has previously met the criteria for stimulant use disorder but now has not met the criteria for stimulant use in 10 months (except for craving) would be termed to be in ______ remission. The process begins with the creation of an outline of the topics that might be presented at the meeting. Janna L. Scarborough is an assistant professor in the Counseling and Human Services Department at Syracuse University. Thus, developing a familiarity with the core elements of a strong oral case presentation is essential. You should begin every oral presentation with a brief one-liner that contains the patients name, age, relevant past medical history, and chief complaint. Janna considers intentionality to be paramount in work as a counselor. 39. Appreciates cultural and/or developmental issues that may affect assessment. 1. What does it mean if an assessment instrument is valid? The process is repeated until there are no more questions. Given a client's history, referrals for co-occurring disorders as well as medical, educational, and psychological needs should be ongoing as discovered. 12. This step allows group members to obtain additional information or clarify any misperceptions concerning the summary information. 55. Typical findings of mitral stenosis, no evidence of heart failure. 10. These are guidelines. 82. 264 0 obj <>stream The supervisor may ask the supervisee what questions he/she has, and what other information she/he might desire. Racism may jeopardize the mental health of minorities in all of the following ways EXCEPT that. This will be read prior to verbal presentation as it gives a context for the case conference. 22. In providing services, an agency needs to maintain a vision of purpose and important objectives. viii. 2. Discussion:The supervisor may conduct a discussion of the process, summarize, react to feedback offered, process group dynamics, etc. Creating a topic outline will provide a list of all the topics you might possibly present at the meeting. 6. Implement the Course of Action and Follow-Up. 77. This should include the following information: The patients medical conditions, including any that were not highlighted in the opener Any past surgeries the patient has had and when they were performed The timing of and reasons for past hospitalizations Any current medications, including dosages and frequency of administration, The next section should detail the patients relevant family history. 131. The supervisor facilitates the discussion as needed, functioning as a moderator and process observer. Note what the counselor did. 144. Generally, oral case presentations are brief and should be limited to 510 minutes. He gave peanuts to the people he met. He feels that other than his wife being upset, he has no other social or occupational issues. Delivering oral case presentations is challenging at first, so remember to practice. Dr. Scarborough is aware of the responsibility she has to the supervisee and the clients in the supervisees care. How is the concept of culture BEST described? All contact must be handled through email at the email addresses below or sent through mail. Describing the clinical context and relevance. 128. After the initial presentation, subsequent presentations can be delivered via SOAP note format as follows: Before you present a patient, consider your audience. 68 0 obj <>stream Failure to diagnose can lead to significant morbidity. loM}dW\H4t[L&Bm90 Can demonstrate an appropriate use of behavioral interventions. 141. {U%^zX. a. A counselor finds herself treating a perpetrator of incest abuse. a. Assessing client readiness for treatment. What is the most likely period in life for a substance abuse problem to begin? v. Elective mitral valve commisurotomy is scheduled, but the patient is admitted to hospital early because of increased burning pain in her feet and a painful right leg. What would be the major accomplishment of the section you heard? p/MJJ5}f)))))))$+/wC@"JH2JDhC:W"iq@$$d qlXKI]) Which of these key elements does NOT bolster a client's desire to complete the program? Follow the criteria for evaluation of counselor response: Begin tape scripts with a client response and end tape script with a client response. HIV remains a profound problem in the United States. c. something to be seriously considered if the client desires it. WebSubstance Abuse and Mental Health Services Administration Prepare examples for the questions you will be asked during the oral examination. aw;y=Q, +e`@>@ 70. 146. Group members should not converse with the supervisee during this break. What could have been done a different way? However, different attendings may prefer to hear the ED course earlier, usually following the history of present illness. A wife refers her husband for substance abuse counseling. This may at times induce regression. 29. However, I have found that these differences are often stylistic, and content expectations are generally quite similar. i. 37. As the presenter, you should strive to deliver an interesting presentation that keeps your team members engaged. Powered by Constant Contact - Email you can trust. Among psychiatric disorders in the elderly, where does alcohol abuse rank? hbbd```b`` "H mXLI{0 V", DG@dH}} ho*F!Cg`2y` w Thus, the presenter should include details to support the proposed diagnosis, argue against alternative diagnoses, and exclude extraneous information. Documentary collection is also known as Cash Against Documents (CAD) by most exporters Nitroprusside was stopped after 24 hours, and the symptoms did not return. DrPCCsLfhYEB-R y[:m]l%r Semester: 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. 79. Occasionally gave me a different, useful perspective on my counseling with a particular client, 6.
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