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NCAC-II exam Format | NCAC-II Course Contents | NCAC-II Course Outline | NCAC-II exam Syllabus | NCAC-II exam Objectives

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

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