Chapter 8 & 9 Flashcards by Burton Dwight

Which of the following is not a principle of recovery-oriented systems of care?

a. participation in support groups
b. services across the lifespan
c. inclusion of recovering individuals and their families
d. continuity of care

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The primary difference between the Minnesota Model and behavioral models of AOD treatment is:

a. the length of treatment
b. the type of treatment setting
c. the use of the principles of AA in treatment
d. the use of recovering counselors

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Which of the following is not one of components of the Minnesota Model of treatment?

a. clients can change attitudes, beliefs, and behaviors
b. adherence to the disease model of addiction
c. the process of recovery can only occur through abstinence
d. inpatient treatment is necessary to begin the process of recovery

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Which of the following statements best describes the elements and structure of Minnesota Model programs?

a. there is one type of service offered in an inpatient setting, usually with mandatory attendance at AA/NA
b. there are a variety of services offered in numerous settings, usually with mandatory attendance at AA/NA
c. there are a variety of services offered in numerous settings, usually with encouragement to attend AA/NA and Alanon
d. there is one type of service offered in an inpatient setting, with encouragement to attend AA/NA and Alanon

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Which of the following is not a behavioral approach to treatment:

a. motivational enhancement therapy
b. contingency management

c. aversive conditioning
d. community reinforcement approach

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Pharmacological approaches to substance abuse treatment include all of the following except :

a. methadone for narcotic maintenance
b. Antabuse for abstinence management
c. Naltrexone for craving management
d. neuroleptics for withdrawal management

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Buprenorphine is:

a. used to manage detoxification
b. a cocaine-craving block
c. a drug used in the Matrix Model to treatment methamphetamine dependence
d. an opioid agonist that can be administered by physicians

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Why are treatment planning and treatment plans important in substance abuse treatment?

a. these are methods to determine what the problems are and what to do about them
b. these processes are required by hospital accreditation organizations
c. treatment programs must have treatment plans for insurance reimbursement
d. health care reform models will require treatment planning and treatment plans

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At a minimum, treatment plans should contain:

a. long term goals, short term goals, treatment strategies, review date, target date
b. problem statements, long term goals, short term objectives, treatment strategies, review date, target date
c. problem statements, long term goals, short term goals, treatment strategies, resources required, review date, target date
d. problem statements, long term goals, short term objectives, theoretical orientation, treatment strategies, review date, target date

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Usually, group counseling is a component of AOD treatment. However, group counseling has been criticized because of:
a. the use of harsh confrontation and/or the educational purpose of many groups
b. the use of therapists with little knowledge of AOD issues
c. the intensity of emotions elicited with the group techniques used
d. the overemphasis on this type of therapy compared to individual or family therapy

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Which of the following is not a reason to include family therapy in substance abuse treatment?

a. AOD problems often cause marital and parental relationship problems
b. the “family” disease concept necessitates the involvement of family members
c. it is extremely likely that if there is one addict in the family, there will be others
d. dysfunctional family dynamics are characteristic in families with an alcoholic/addict member

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Which of the following is not usually a component of AOD treatment?

a. attendance at support groups
b. life-style changes
c. education
d. vocational training

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Why is it important to focus on social relationships, vocational and financial planning, and coping strategies in AOD treatment?

a. all of these areas are adversely impacted by addiction
b. problems in any of these areas can lead to relapse
c. addicts are prone to deep depression during treatment
d. most alcoholic/addicts have poor job skills

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The primary distinguishing characteristic(s) between therapeutic communities and residential treatment is (are):

a. the adherence to the disease concept in therapeutic communities
b. duration and restrictiveness of treatment
c. the use of confrontation as a therapeutic technique
d. the fact that residential treatment occurs in a hospital

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Which of the following is an advantage of outpatient treatment over inpatient treatment?

a. shorter duration of treatment
b. fewer drop outs
c. greater treatment effectiveness
d. less expense

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Which of the following is not one of NIDA’s principles of effective treatment?

a. no single treatment is appropriate for all individuals
b. support group attendance is a necessary but not sufficient component for effective treatment
c. effective treatment attends to multiple needs of the individual
d. treatment plans must be assessed continually and modified as necessary

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Which of the following is not one of NIDA’s principles of effective treatment?

a. remaining in treatment for an adequate period of time is critical
b. medications are an important element of treatment for many individuals
c. clients with coexisting mental disorders should have both disorders treated in an integrated way
d. medical detoxification is the first stage of treatment and does result in long-term drug use change

Which of the following is not one of NIDA’s principles of effective treatment?

a. effective treatment must be voluntary
b. drug use during treatment must be monitored continuously
c. treatment programs should provide assessment and counseling regarding infectious diseases
d. recovery is a long-term process and may require multiple treatment episodes

Evidence-based treatment refers to:

a. long-standing approaches that have been used successfully over many years
b. strategies that research has shown to be effective and that have demonstrated consistent results in multiple studies
c. treatment approaches recommended by the Center for Substance Abuse Treatment
d. randomized clinical studies using control groups

Roberta is a 35 year old female with an alcohol problem. She is employed in a middle management position, is married with two children, has had one previous treatment episode seven years ago, and is taking Prozac for depression. Which of the following best describes the choice and rationale for a treatment setting for Roberta?

a. She needs inpatient treatment because she has been in treatment before
b. She needs inpatient treatment because she has a coexisting mental disorder (depression)
c. She needs outpatient treatment because she has a job and a family
d. Either treatment setting may be appropriate and depends on her motivation and support at home, at work, and with friends

Which of the following is not true with regard to AOD treatment effectiveness

a. treatment has a beneficial impact on a variety of behaviors
b. 12-Step Facilitation is less effective than Cognitive-Behavioral Therapy
c. methadone is an extremely effective treatment for opioid addiction
d. matching typical demographic information on clients to treatment approach does not significantly impact treatment outcomes

According to the text, a person who is in recovery from addiction would be an effective AOD counselor when he or she:

a. has been in recovery for at least two years
b. uses their own recovery experience to help other addicts
c. possesses good interpersonal skills combined with formal counselor training
d. does not confuse AA sponsorship with counseling

Which of the following is not true with regard to confrontation as a therapeutic technique?

a. research has found that harsh confrontation is associated with positive therapeutic change
b. many AOD counselors believe confrontation is the only necessary therapeutic technique
c. pointing out discrepancies in what a client says and does can be beneficial
d. the inappropriate use of confrontation may be related to poor counselor training

Alcoholics Anonymous’ (AA) position on the use of medications to treat medical conditions can be summarized as follows:

a. AA takes no position on any issue other than alcoholism
b. AA’s philosophy is that the alcoholic is best able to maintain abstinence from alcohol if he or she is also abstinent from other drugs
c. AA does support the use of medication in the case of life-threatening conditions
d. AA does not allow members to give advice regarding taking medically useful drugs

25. Is it ever appropriate for alcoholics/addicts to have as a treatment goal to learn to use in a controlled manner a. yes, if the client is resistant to abstinence b. no, controlled use is dangerous and usually leads to significant problems c. yes, in certain specific situations with certain types of clients d. no, controlled use is inconsistent with the disease model of addiction

26. Which of the following is not true about natural recovery? a. AOD counselors would rarely see individuals who recover without treatment b. most people who try to abstain on their own end up with "dry drunk" syndrome c. natural recovery has been well documented by researchers d. natural recovery may be more frequent than most professionals realize

1. Co-occurring mental disorders (COMDs) refer to: a. patients who develop a substance use disorder due to their mental disorder b. patients who develop a mental disorder due to their substance use disorder c. patients with a substance use disorder and one or more other mental disorders d. patients who are in treatment for a substance use disorder and receive psychotropic medication

2. Which of the following is not true with regard to the prevalence of COMDs: a. the prevalence is rising due to the increase in PTSD b. nearly ¼ of those with a serious mental disorder have a co-occurring substance use disorder c. substance use disorder treatment providers estimate that nearly half of their patients have a diagnosable mental disorder d. patients with a substance use disorder are much more likely to have a COMD than adults who do not have a substance use disorder

3. Which of the following is not a recommended method to determine if client symptoms are due to their substance use disorder or a possible COMD a. conducting a thorough psychosocial history b. observing a client after detoxification c. gathering information from a parent or someone who has known the client for many years d. reviewing all relevant medical, psychological, educational, criminal, and vocational records available

4. In providing AOD treatment for persons with co-occurring disorders, what are important considerations? a. the most common disorders are anxiety disorders b. these individuals need treatment by individuals qualified to diagnose and treatment AOD problems and other mental disorders c. since psychotropic medication will be a component of treatment, medical professionals must be involved d. since many addicts have personality disorders, long-term treatment is necessary

5. Why is it so difficult to determine if a client with a substance use disorder has anti-social personality disorder (ASPD)? a. many symptoms are similar b. clients with ASPD are known to be skilled liars c. clients with substance use disorders are known to be skilled liars d. the conditions are very similar

6. What is important for a potential mental health professional to know about patients who may have a substance use disorder and schizophrenia syndrome or another psychotic disorder? a. these patients may be very agitated and potentially violent b. these patients generally prefer central nervous system stimulants c. paranoia is usually the result of the detoxification process d. these patients are often in emergency rooms, homeless shelters, jails, and prisons

7. What is important for a potential mental health professional to know about patients who have a substance use disorder and a depressive disorder? a. depression can result from the consequences of addiction b. clients with a depressive disorder prefer central nervous system stimulants c. clients with a depressive disorder will usually avoid alcohol due to its depressive effects d. anti-depressant medication should only be prescribed if other interventions don’t work

8. What is important for a potential mental health professional to know about patients who have a substance use disorder and post-traumatic stress disorder (PTSD)? a. if the PTSD is due to combat, there is usually opioid addiction b. if the PTSD is due to molestation, there is usually cocaine or methamphetamine addiction c. AOD use is common when there are symptoms of PTSD to manage the negative emotions d. it is risky to use psychotropic medications with PTSD

9. It is difficult to find a qualified workforce to treat patients with COMD because: a. no one really wants to work with this difficult population b. there are not a lot of professionals qualified to treat COMDs c. too few psychologists d. poor compensation

10. What does integrated treatment mean in the context of treating COMDs? a. diversity in terms of patient population and treatment staff b. attention to both substance use disorders and other mental disorders in all phases of the treatment process c. combining evidence-based treatment practices across different theoretical models d. transdisciplinary services

11. In providing AOD treatment for the elderly, what is one important consideration? a. treatment centers need to employ older counselors for empathic understanding b. bereavement, loneliness, and physical pain may be treatment issues c. Twelve Step groups may not be appropriate because most AA members are middle aged d. alcoholism is not common in the elderly since this condition is usually identified earlier in life

12. In providing AOD treatment for adolescents, what is the most important consideration among these alternatives? a. due to their age, adolescents do not fit the disease model b. the adolescent's developmental stage needs to be considered in designing treatment strategies c. adolescents can't change social groups easily because they see the same kids at school each day d. most adolescent drug use involves marijuana and this necessitates different treatment strategies

13. In providing AOD treatment for disabled individuals, what are important considerations? a. grief, communication, and learning strategies must all be addressed b. the rate of addiction among disabled persons is so low that it is inefficient to design treatment for disabled individuals c. accessibility for physically disabled individuals d. disabled individuals have difficulty with abstract concepts so AA is not usually helpful

14. In providing AOD treatment for women, what are important considerations? a. since so many women abuse prescription drugs, this must be a focus of treatment b. the disease model was developed by men and is not as useful for women c. treatment programs must have separate programming for men and women d. sexual abuse history, lack of self-esteem, and perceived powerlessness are often important treatment issues

15. In providing AOD treatment for criminal justice populations, what are important considerations? a. security in the prison setting b. implementation of comprehensive services, including community linkages and continuing care c. the need for psychotropic medication d. the fact that most incarcerated people abuse illicit drugs