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BREINING INSTITUTE On-line Continuing Education Course Material and Exam Questions Packet Course No: CV-1407 Course Title: Twelve Core Functions and TAP 21 Course Objective: Presentation includes an examination of the Twelve Core Functions and eight TAP 21 competencies of an effective substance abuse counselor, how they relate to each other, practical applications of these core functions and competencies, and how they are utilized in determining competency through the certification / licensing process for substance abuse counselors. CE Credit Hours: 3.0 hours Course Material: - Video CV-1407 (QuickTime format) or CV-1407 Parts 1-11 (YouTube) - Twelve Core Functions and Corresponding, courtesy Professor Daniels Exam Questions: Twelve (12) multiple-choice questions. Answer Sheet: We recommend that you use the on-line Answer Sheet for automatic grading of your exam, and to automatically receive your Certificate of Completion by e-mail. If you mail or fax us the attached Answer Sheet, please allow ten days for us to receive and grade your answers, and to send you the Completion Certificate by postal mail. Recommendation: Review the exam questions before you view the course videos. The Exam Questions are based upon the information presented in the course videos. You should choose the best answer based upon the information contained within the course videos. GOOD LUCK! CV-1407 www.breining.edu 2010 Breining Institute (1011290739)

Twelve Core Functions and Corresponding 1 I. SCREENING The process by which the client is determined appropriate and eligible for admission to a particular program. 1. Evaluate psychological, social, and physiological signs and symptoms of alcohol and drug abuse. 2. Determine the client s appropriateness for admission. 3. Determine the client s eligibility for admission or referral. 4. Identify any coexisting conditions (medical, psychiatric, physical, etc.) that indicate need for additional professional assessment and/or services. 5. Adhere to applicable laws, regulations and agency policies governing alcohol and other drug abuse services. II. INTAKE The administrative and initial assessment procedures for admission to a program. 6. Complete required documents for admission to the program. 7. Complete required documents for program eligibility and appropriateness. 8. Obtain appropriately signed consents when soliciting from or providing information to outside sources to protect client confidentiality and rights. III. ORIENTATION Describing to the client the following: general nature and goals of the program; rules governing client conduct and infractions that can lead to disciplinary action or discharge form the program; in a non-residential program the hours during which services are available; treatment costs to be borne by the client, in any; and rights. 9. Provide an overview to the client by describing program goals and objectives for client care. 10. Provide an overview to the client by describing program rules, and client obligations and rights. 11. Provide an overview to the client of program operations. 1 Courtesy Professor Warren Daniels, included within his live-lecture handout.

IV. ASSESSMENT The procedures by which a counselor/program identifies and evaluates an individual s strengths, weaknesses, problems, and needs for the development of a treatment plan. 12. Gather relevant history from client including, but not limited to, alcohol and other drug abuse using appropriate interview techniques. 13. Identify methods and procedures for obtaining corroborative information form significant secondary sources regarding clients alcohol and other drug abuse and psycho-social history. 14. Identify appropriate assessment tools. 15. Explain to the client the rationale for the use of assessment techniques in order to facilitate understanding. 16. Develop a diagnostic evaluation of the client s substance abuse and any coexisting conditions based on the results of all assessments in order to provide an integrated approach to treatment planning based on the client s strengths, weaknesses, and identified problems and needs. V. TREATMENT PLANNING Process by which the counselor and the client identify and rank problems needing resolution; establish agreed upon immediate and long term goals; and decide upon a treatment process and the resources to be utilized. 17. Explain assessment results to client in an understandable manner. 18. Identify and rank problems based on individual client needs in the written treatment plan. 19. Formulate agreed upon immediate and long term goals using behavioral terms in the written treatment plan. 20. Identify the treatment methods and resources to be utilized as appropriate for the individual client. VI. COUNSELING Individual, Group and Significant Others: The utilization of special skills to assist individuals, families or groups in achieving objectives through exploration or a problem and its ramifications; examination of attitudes and feelings; consideration of alternative solutions; and decision making. 21. Select the counseling theory (theories) that apply (applies). 22. Apply technique(s) to assist the client, group, and/or family in exploring problems and ramifications. 23. Apply technique(s) to assist the client, group, and/or family in examining the client s behavior, attitudes, and/or feelings if appropriate in the

treatment setting. 24. Individualize counseling in accordance with cultural, gender and lifestyle differences. 25. Interact with the client in an appropriate therapeutic manner. 26. Elicit solutions and decisions from the client. 27. Implement the treatment plan. VII. CASE MANAGEMENT Activities which bring services, agencies, resources, or people together within a planned framework of action toward the achievement of established goals. It may involve liaison activities and collateral contacts. 28. Coordinate services for client care. 29. Explain the rational of case management activities to the client. VIII. CRISIS INTERVENTION Those services which respond to an alcohol and/or other drug abuser s needs during acute emotional and/or physical distress. 30. Recognize the elements of the client crisis. 31. Implement an immediate course of action appropriate to the crisis. 32. Enhance overall treatment by utilizing crisis events. IX. CLIENT EDUCATION Provision of information to individuals and groups concerning alcohol and other drug abuse and the available services and resources. 33. Present relevant alcohol and other drug use/abuse information to the client through formal and/or informal processes. 34. Present information about available alcohol and other drug services and resources. X. REFERRAL Identifying the needs of a client that cannot be met by the counselor or agency and assisting the client to utilize the support systems and community resources available. 35. Identify need(s) and/or problems(s) that the agency and/or counselor cannot meet.

36. Explain the rationale for the referral to the client. 37. Match client needs and/or programs to appropriate resources. 38. Adhere to applicable laws, regulations and agency policies governing procedures related to the protection of the client s confidentiality. 39. Assist the client in utilizing the support systems and community resources available. XI. REPORTS AND RECORDKEEPING Charting the results of the assessment and treatment plan, writing reports, progress notes, discharge summaries and other client-related data. 40. Prepare reports and relevant records integrating available information to facilitate the continuum of care. 41. Chart pertinent ongoing information pertaining to the client. 42. Utilize relevant information from written documents for client care. XII. CONSULTATION WITH OTHER PROFESSIONALS IN REGARDS TO CLIENT TREATMENT SERVICES Relating with in-house staff or outside professionals to assure comprehensive, quality care for the client. 43. Recognize issues that are beyond the counselor s base of knowledge and/or skill. 44. Consult with appropriate resources to ensure the provision of effective treatment services. 45. Adhere to applicable laws, regulations and agency policies governing the disclosure of client-identifying data. 46. Explain the rationale for the consultation to the client, if appropriate.

CV-1407: Course VIDEO Exam Questions These Exam Questions are based upon the information presented in the course videos. You should choose the best answer based upon the information contained within the course videos. A score of at least 70% correct answers is required to receive Course credit. GOOD LUCK! 1. Professor Daniels started out his presentation with a pre-test that included the question, How many practice dimensions are there in TAP 21? What was the answer? a. Two. b. Eight. c. Twelve. d. Twenty. 2. Professor Daniels started out his presentation with a pre-test that included the question, When was the latest revision to TAP 21? What was the answer? a. 2001 b. 2005 c. 2008 d. 2010 3. Professor Daniels started out his presentation with a pre-test that included the question, Why were both the TAP 21 and Twelve Core Functions created? What was the answer? a. Public protection. b. Workplace diversity. c. Revenue generator. d. Competing agencies wanted to create their own respective standards. 4. What is the reason for or correlation between the need of having both the Twelve Core Functions and the Eight Practice Dimensions (of TAP 21), according to Professor Daniels? a. The Twelve Core Functions is an older standard that many agencies follow, to the exclusion of more recent approaches, so the TAP 21 standards were developed to help counselors understand the newer treatment approaches. b. The TAP 21 counselor competencies were developed because the US Department of Health and Human Services determined that the Twelve Core Functions were not sufficient to direct an alcohol and other drug counselor in the performance of day-to-day duties. c. TAP 21 is the recommended curriculum for training a drug and alcohol counselor, while the Twelve Core Functions focuses on the day-to-day duties of a drug and alcohol counselor. d. None of the above.

5. In discussing the Screening function, Professor Daniels suggested important first questions that should be asked in order to assist in determining whether the client is oriented to time / place / person at a level appropriate to the care offered by the agency. These questions included which of the following: a. Can you tell me what day it is? b. Can you tell me what time it is? c. Can you tell me who the President of the United States is? d. All of the above. 6. In discussing the Assessment function, which is where the counselor or program identifies the client s current situation, Professor Daniels suggested that the counselor start with which of the following? a. Client s problems. b. Client s weaknesses. c. Client s strengths. d. Client s need for the development of the treatment plan. 7. In discussing the Treatment Planning function, Professor Daniels emphasized that the treatment plan development include participation of the counselor and: a. The treatment agency. b. The referring agency (such as the courts, etc.). c. The counselor s direct supervisor. d. The client. 8. In discussing the Case Management function, Professor Daniels suggested that the practical implication of activities not charted means: a. The treatment agency is subject to a lawsuit. b. The activity didn t happen. c. The activity is subject to multiple interpretations. d. None of the above. 9. In discussing the Referral function, Professor Daniels suggested that a cold hand-off is which of the following? a. When the counselor remains objective in his / her role, even when referring the client to another treatment professional. b. When the counselor sends a client down the street with little more than an address. c. When the counselor calls up the professional to which the client is referred, whenever the weather is cold. d. None of the above.

10. Following the recommendations in the Twelve Core Functions and Corresponding within this packet, in which Core Function is it necessary to obtain appropriately signed consents? a. Screening. b. Intake. c. Orientation. d. Assessment. 11. Following the recommendations in the Twelve Core Functions and Corresponding within this packet, in which Core Function should the counselor explain the results of the assessment to the client in an understandable manner? a. Orientation. b. Assessment. c. Treatment Planning. d. Counseling. 12. Following the recommendations in the Twelve Core Functions and Corresponding within this packet, in which Core Function would the counselor describe to the client the program rules and the client s obligations and rights? a. Screening. b. Intake. c. Orientation. d. Assessment. This is a twelve-question examination. Answer Questions 1 through 12 for full CE credit in this course. Questions 13 through 21 have been omitted.

Course No. CV-1407: Answer Sheet SECTION 1. Please use this sheet only if you have not already submitted your answers on-line. First Name Middle Name Last Name Address (Number, Street, Apt or Suite No.) City State (or Province) USA Zip Code Country (other than USA) Country Code Primary Telephone Number (including Area Code) Facsimile Number (including Area Code) E-mail Address SECTION 2. Credit Card Payment information if paying by credit card: Circle which card used - VISA or MasterCard Credit card number Expiration date Full name on credit card. Breining Institute is authorized to charge Twenty-nine dollars ($29.00) to this card. Authorized signature Date SECTION 3. Course Title: CV-1407 / Twelve Core Functions and TAP 21 Circle correct answer Signature: Date: Return Answer Sheet, with $29 Course examination fee, by mail or facsimile to: BREINING INSTITUTE 8894 Greenback Lane, Orangevale, California USA 95662-4019 Facsimile (916) 987-8823