Question 1

Domain I: Screening,  Assessment, and Engagement  (23%)"

Accepted Answer

 Task 1: Demonstrate verbal and non‐verbal communication to establish rapport 
and promote engagement.

 Task 2: Discuss with the client the rationale, purpose, and procedures 
associated with the screening and assessment process to facilitate client 
understanding and cooperation.

 Task 3: Assess client’s immediate needs by evaluating observed behavior and 
other relevant information including signs and symptoms of intoxication and 
withdrawal.

 Task 4: Administer appropriate evidence‐based screening and assessment 
instruments specific to clients to determine their strengths and needs.

 Task 5: Obtain relevant history and related information from the client and 
other pertinent sources to establish eligibility and appropriateness of services.

 Task 6: Screen for physical needs, medical conditions, and co‐occurring mental 
health disorders that might require additional assessment and referral.

 Task 7: Interpret results of screening and assessment and integrate all available 
information to formulate diagnostic impression and determine an appropriate 
course of action.

 Task 8: Develop a written summary of the results of the screening and 
assessment to document and support the diagnostic impressions and treatment 
recommendations.

Question 2

Domain II: Treatment Planning, Collaboration, and Referral  (27%)"

Accepted Answer

 Task 1: Formulate and discuss diagnostic assessment and recommendations 
with the client

 Task 2: Use ongoing assessment and collaboration with the client and 
concerned others to review and modify the treatment plan to address 
treatment needs.

 Task 3: Match client needs with community resources to facilitate positive 
client outcomes.

 Task 4: Discuss rationale for a referral with the client.

 Task 5: Communicate with community resources regarding needs of the client.

 Task 6: Advocate for the client in areas of identified needs to facilitate 
continuity of care.

 Task 7: Evaluate the effectiveness of case management activities to ensure 
quality service coordination.

 Task 8: Develop a plan with the client to strengthen ongoing recovery outside of 
primary treatment.

 Task 9: Document treatment progress, outcomes, and continuing care plans.

 Task 10: Utilize multiple pathways of recovery in treatment planning and 
referral.

Question 3

Domain III: Counseling  (28%)

Accepted Answer

 Task 1: Develop a therapeutic relationship with clients, families, and concerned 
others to facilitate transition into the recovery process.

 Task 2: Provide information to the client regarding the structure, expectations, 
and purpose of the counseling process.

 Task 3: Continually evaluate the client’s safety, relapse potential, and the need 
for crisis intervention.

 Task 4: Apply evidence‐based, culturally competent counseling strategies and 
modalities to facilitate progress towards completion of treatment objectives.

 Task 5: Assist families and concerned others in understanding substance use 
disorders and engage them in the recovery process.

 Task 6: Document counseling activity and progress towards treatment goals and 
objectives.

 Task 7: Provide information on issues of identity, ethnic background, age, 
sexual orientation, and gender as it relates to substance use, prevention and 
recovery.

 Task 8: Provide information about the disease of addiction and the related 
health and psychosocial consequences.

Question 4

Domain IV: Professional and Ethical Responsibilities  (22%)

Accepted Answer

 Task 1: Adhere to established professional codes of ethics and standards of 
practice to uphold client rights while promoting best interests of the client and 
profession.

 Task 2: Recognize diversity and client demographics, culture and other factors 
influencing behavior to provide services that are sensitive to the uniqueness of 
the individual.

 Task 3: Continue professional development through education, self‐evaluation, 
clinical supervision, and consultation to maintain competence and enhance 
professional effectiveness.

 Task 4: Identify and evaluate client needs that are outside of the counselor's 
ethical scope of practice and refer to other professionals as appropriate.

 Task 5: Uphold client's rights to privacy and confidentiality according to best 
practices in preparation and handling of records.

 Task 6: Obtain written consent to release information from the client and/or 
legal guardian, according to best practices.

IC&RC ADC Exam Domains