16

Question 1

any mental illness is a:

Answer 1

mental, behavioral, or emotional disorder with no impairment that’s mild or moderate, or severe impairment

Question 2

severe mental illness is:

Answer 2

a mental, behavioral, or emotional disorder that creates a serious functional impairment that interfered with or limits one major life activities and can create disability

Question 3

why is there a co occurrence between MDD and SUD according to brain mechanisms?

Answer 3

abnormal functioning in prefrontal cortex, decreased dorsal, decreased activity in dorsolateral prefrontal cortex

Question 4

the brain volume is ____ in depression

Answer 4

reduced

Question 5

what is a common neurobiological link between the disease processes in mental illness as SUD’s?

Answer 5

stress

Question 6

stress is also a primary risk factor for:

Answer 6

relapse while in SUD recovery

Question 7

increased stress does what in the brain?

Answer 7

weakens activity in the prefrontal cortex and increase responsivity in the striatum, decreased behavioral control and increased impulsivity

Question 8

either disorder can _____ vulnerability to the other disorder

Answer 8

increase

Question 9

true or false: SUD can bring about severe mental illness is biologically vulnerable

Answer 9

true

Question 10

SUD patients with comorbid disorder have poor:

Answer 10

treatment adherence and high attribution and higher rates of treatment dropout

Question 11

treatment of comorbidity often includes collaboration between clinicians that provide support to address which issues?

Answer 11

being unhoused, physical problems, unemployment

Question 12

communication between services include:

Answer 12

shared treatment plans, patient notes, case reviews

Question 13

integrated mental health and SUD treatment:

Answer 13

best course of action which includes concurrent treatment for both SUD and mental health symptoms

Question 14

components of treatment for dual diagnoses (6)

Answer 14

1. detoxification
2. psychosocial interventions
3. in-patient rehab
4. supportive care
5. psychotherapy
6. medication

Question 15

which patients need residential care?

Answer 15

patients with greater substance use severity, patients with limited social resources, patients with significant psychiatric or medical comorbity

Question 16

housing first approach:

Answer 16

people should be eligible for housing regardless of sobriety, but many treatment facilities still require detox and sobriety

Question 17

stages of SUD treatment for people who are unstably housed:

Answer 17

outreach and engagement, case management, transition to intensive care, treatment for SUD and mental health issues, job and skills training, housing access, transition to ongoing rehab

Question 18

evidence based treatment for dual diagnosis at the program level involve these major stakeholders:

Answer 18

consumers, family members, clinicians, program leaders, and state/county mental health authorities

Question 19

evidence based treatment for dual diagnosis at the program level involve these 3 phases of change:

Answer 19

1. motivating
2. enacting
3. sustaining

Question 20

the first ___ months following treatment are critical for prevention of relapse

Answer 20

3 months

Question 21

dual diagnosis capability assessment toolkit:

Answer 21

helps service organizations assess their capability to provide treatment and develop a plan to do so with increasing capacity

Question 22

dual diagnosis capability assessment toolkit explores:

Answer 22

organization’s policies, clinical practices, workforce capacities

Question 23

strategies of motivational interviewing are:

Answer 23

more persuasive than coercive, more supportive than argumentative