Home » Counselor Intern » LCDC Exam 2014 » 8 Practice Domains » 8 Practice Domains of Substance Abuse Counselors

8 Practice Domains of Substance Abuse Counselors

8 Practice Domains – 137 Questions on the IC&RC ADC Exam

Domain 1: Clinical Evaluation – 24 questions

• Demonstrate effective verbal and non-verbal communication to establish rapport.
• Discuss with the client the rationale, purpose, and procedures associated with the screening and assessment process to facilitate client understanding and cooperation.
• Assess client’s current situation, including signs and symptoms of intoxication and withdrawal, by evaluating observed behavior and other available information to determine client’s immediate needs.
• Administer the appropriate screening and assessment instruments specific to the client’s age, developmental level, culture, and gender in order to obtain objective data to further assess client’s current problems and needs.
• Obtain relevant history and related information from the client and other pertinent sources in order to establish eligibility and appropriateness to facilitate the assessment process.
• Screen and assess for physical, medical, and co-occurring disorders that might require additional assessment and referral.
• Interpret results of data in order to integrate all available information, formulate diagnostic impressions, and determine an appropriate course of action.
• Develop a written summary of the results of the assessment in order to document and support the diagnostic impressions and treatment recommendations.

Domain 2: Treatment Planning – 20 questions

• Discuss diagnostic assessment and recommendations with the client and concerned others to initiate an individualized treatment plan that incorporates client’s strengths, needs, abilities, and preferences.
• Formulate and prioritize mutually agreed upon problems, immediate and long-term goals, measurable objectives, and treatment methods based upon assessment findings for the purpose of facilitating a course of treatment.
• Use ongoing assessment and collaboration with the client to review and modify the treatment plan to address treatment needs.

Domain 3: Referral – 10 questions

• Identify client needs which cannot be met in the current treatment setting.
• Match client needs with community resources considering client’s abilities, gender, sexual orientation, developmental level, culture, ethnicity, age, and health status to remove barriers and facilitate positive client outcomes.
• Identify referral needs differentiating between client self-referral and direct counselor referral.
• Explain to the client the rationale for the referral to facilitate the client’s participation with community resources.
• Continually evaluate referral sources to determine effectiveness and outcome of the referral.

Domain 4: Service Coordination – 10 questions

• Identify and maintain information about current community resources in order to meet identified client needs.
• Communicate with community resources concerning relevant client information to meet the identified needs of the client.
• Advocate for the client in areas of identified needs to facilitate continuity of care.
• Evaluate the effectiveness of case management activities through collaboration with the client, treatment team members, and community resources to ensure quality service coordination.
• Consult with the client, family, and concerned others to make appropriate changes to the treatment plan ensuring progress toward treatment goals.
• Prepare accurate and concise screening, intake, and assessment documents.

Domain 5: Counseling – 33 questions

• Develop a therapeutic relationship with clients, families, and concerned others in order to facilitate self-exploration, disclosure, and problem solving.
• Educate the client regarding the structure, expectations, and limitations of the counseling process.
• Utilize individual and group counseling strategies and modalities to match the interventions with the client’s level of readiness.
• Continually evaluate the client’s level of risk regarding personal safety and relapse potential in order to anticipate and respond to crisis situations.
• Apply selected counseling strategies in order to enhance treatment effectiveness and facilitate progress towards completion of treatment objectives.
• Adapt counseling strategies to match the client’s needs including abilities, gender, sexual orientation, developmental level, culture, ethnicity, age, and health status.
• Evaluate the effectiveness of counseling strategies based on the client’s progress in order to determine the need to modify treatment strategies and treatment objectives.
• Develop an effective continuum of recovery plan with the client in order to strengthen ongoing recovery outside of primary treatment.
• Assist families and concerned others in understanding substance use disorders and utilizing strategies that sustain recovery and maintain healthy relationships.
• Document counseling activity to record all relevant aspects of treatment

Domain 6: Client, Family, and Community Education – 15 questions

• Provide culturally relevant formal and informal education that raises awareness of substance use, prevention, and recovery.
• Provide education on issues of cultural identity, ethnic background, age, sexual orientation, and gender in prevention, treatment, and recovery.
• Provide education on health and high-risk behaviors associated with substance use, including transmission and prevention of HIV/AIDS, tuberculosis, sexually transmitted infections, hepatitis, and other infectious diseases.
• Provide education on life skills, including but not limited to, stress management, relaxation, communication, assertiveness, and refusal skills.
Provide education on the biological, medical, and physical aspects of substance use to develop an understanding of the effects of chemical substances on the body.
• Provide education on the emotional, cognitive, and behavioral aspects of substance use to develop an understanding of the psychological aspects of substance use, abuse, and addiction.
• Provide education on the sociological and environmental effect of substance use to develop an understanding of the impact of substance use on the affected family systems.
• Provide education on the continuum of care and resources available to develop an understanding of prevention, intervention, treatment, and recovery.

Domain 7: Documentation – 17 questions

• Protect client’s rights to privacy and confidentiality according to best practices in preparation and handling of records, especially regarding the communication of client information with third parties.
• Obtain written consent to release information from the client and/or legal guardian, according to best practices and administrative rules, to exchange relevant client information with other service providers.
• Document treatment and continuing care plans that are consistent with best practices and applicable administrative rules.
• Document client’s progress in relation to treatment goals and objectives.
• Prepare accurate and concise reports and records including recommendations, referrals, case consultations, legal reports, family sessions, and discharge summaries.
• Document all relevant aspects of case management activities to assure continuity of care.
• Document process, progress, and outcome measurements.

Domain 8: Professional and Ethical Responsibilities – 21 questions

• Adhere to established professional codes of ethics and standards of practice in order to promote the best interests of the client and the profession.
• Adhere to jurisdictionally-specific rules and regulations regarding best practices in substance use disorder treatment in order to protect and promote client rights.
• Recognize individual differences of the counselor and the client by gaining knowledge about personality, cultures, lifestyles, gender, sexual orientation, special needs, and other factors influencing client behavior to provide services that are sensitive to the
uniqueness of the individual.
• Continue professional development through education, self-evaluation, clinical supervision, and consultation in order to maintain competence and enhance professional effectiveness.
• Identify and evaluate client issues that are outside of the counselor’s scope of practice and refer to other professionals as indicated.
• Advocate for populations affected by substance use and addiction by initiating and maintaining effective relations with professionals, government entities, and communities to promote availability of quality services.
• Apply current counseling and psychoactive substance use research literature to improve client care and enhance professional growth.

Reference: IC&RC Candidate Guide
Re-blogged from LCDC Exam Review (WordPress)

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