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Exam Code: NCAC-II
Exam Name: NCC-AP: National Certified Addiction Counselor, Level II
Number of Questions: 150 multiple-choice questions (scored)
- 10 pre-test questions (unscored, used for future exams)
- Total: 160 questions
Time Allotted: 3 hours (180 minutes) to complete the exam.
Passing Score: The passing score is 500 on a scale of 200-800.

1. Orientation to the Treatment Process (14%)
2. Assessment (23%)
3. Ongoing Treatment Planning and Implementation (23%)
4. Addiction Counseling Practices and Skills (23%)
5. Professional Practices (17%)

- Orientation to the Treatment Process
- Introduction to addiction counseling
- Client rights and responsibilities
- Informed consent procedures
- Confidentiality and privacy regulations (e.g., HIPAA, 42 CFR Part 2)
- Roles and boundaries of the counselor
- Overview of treatment modalities and levels of care

- Informed consent
- Confidentiality
- HIPAA (Health Insurance Portability and Accountability Act)
- 42 CFR Part 2
- Treatment modalities
- Client autonomy
- Professional boundaries

- Assessment
- Screening and intake procedures
- Clinical exam tools (e.g., ASI, SASSI)
- Diagnostic criteria (DSM-5 substance use disorders)
- Risk exam (suicide, violence, withdrawal)
- Biopsychosocial exam
- Cultural and individual considerations in exam

- Assessment instruments (ASI, SASSI)
- DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th Edition)
- Biopsychosocial model
- Co-occurring disorders
- Risk factors
- Withdrawal symptoms
- Cultural competence

- Ongoing Treatment Planning and Implementation
- Individualized treatment planning
- Goal setting and measurable objectives
- Evidence-based interventions (CBT, MI, 12-step facilitation)
- Crisis intervention and relapse prevention planning
- Coordination of care and referrals
- Documentation and progress notes

- Treatment plan
- Measurable objectives
- Evidence-based practice (EBP)
- Cognitive Behavioral Therapy (CBT)
- Motivational Interviewing (MI)
- Relapse prevention
- Progress notes
- Case conceptualization

- Addiction Counseling Practices and Skills
- Individual, group, and family counseling techniques
- Client education on addiction and recovery
- Crisis management (de-escalation, safety planning)
- Pharmacology of psychoactive substances
- Stages of change (Transtheoretical Model)
- Client engagement and retention strategies

- Group therapy
- Family systems
- Client education
- Crisis intervention
- Psychoactive substances
- Pharmacology
- Stages of change (Precontemplation, Contemplation, Preparation, Action, Maintenance)
- Harm reduction

- Professional Practices
- Legal and ethical standards (NAADAC Code of Ethics)
- Professional development and self-care
- Supervision and consultation
- Cultural competence and diversity
- Documentation standards
- Advocacy and policy awareness

- NAADAC (Association for Addiction Professionals)
- Code of Ethics
- Supervision
- Cultural humility
- Professional boundaries
- Self-care
- Advocacy