Concurrent Disorders

Question 1

The term concurrent disorders is used to describe the situation where a person has both a ___________ ____________ and ______________ ___________ ______________.

Answer 1

mental health, substance use problem

Question 2

While these _____________ or process addictions also frequently co-occur with mental health problems, current definitions of concurrent disorders are limited to substance use disorders.

Answer 2

behavioural

Question 3

Difficulties with impulse control, such as the tendency to act without planning, forethought or restraint, represent the single foremost predictor of developing a substance use problem. T/F

Answer 3

true

Question 4

Difficulties with ___________________ ________________, such as the tendency to act without planning, forethought or restraint, represent the single foremost predictor of developing a substance use problem.

Answer 4

impulse control

Question 5

Substance use can lead to new traumatic experiences, which can subsequently lead to further substance use, thus perpetuating the ‘____________ ____________ ____________’ cycle.

Answer 5

stress substance use

Question 6

About __________ of the people with either a mental health or substance use disorder have had problems in the other domain at some point in their lives.

Answer 6

half, 1/2

Question 7

Concurrent disorders should be _______________, rather than considered the exception.

Answer 7

expected

Question 8

How people are affected by concurrent disorders depends on various factors, including the _____________ of the problems and their __________________.

Answer 8

combination, severity

Question 9

Many specialty treatment settings have ______________ treatment-entry requirements that are difficult to navigate.

Answer 9

restrictive

Question 10

Some individuals with a serious mental illness say that the ___________ is worse than the disease itself.

Answer 10

stigma

Question 11

Clients who have multiple, ______________ _______________, are often lost in a system that is not well integrated, and fall through the cracks.

Answer 11

complex problems

Question 12

Health Canada recommends that all people seeking help from mental health or substance use services be systematically screened for concurrent disorders. T/F

Answer 12

True

Question 13

Clinicians should be aware of the many health and ___________ ____________ often related to substance use and mental health problems that can indicate the need for further assessment

Answer 13

social factors

Question 14

As part of a comprehensive screening process, consider who might serve as _____________ _____________ of information.

Answer 14

collateral sources (family members, friends, other healthcare and service providers)

Question 15

With screening, a small investment of time can make a major difference. T/F

Answer 15

True

Question 16

Lvl 1 clinicians proceed with the index of suspicion and ask non-threatening, straightforward ______________.

Answer 16

questions

Question 17

Lvl 2 clinicians use validated instruments that are ________ and _______ to administer.

Answer 17

quick, easy

Question 18

Concurrent disorders can be ______________, and it often takes ______________ for a clear picture to emerge.

Answer 18

complex, time

Question 19

Every client has a unique situation that requires different levels of intervention. T/F

Answer 19

True

Question 20

A comprehensive assessment includes assessing substance use and mental health problems and their relationship, as well as, motivation to change and psychosocial functioning. T/F

Answer 20

True

Question 21

It is important to attend to all the possible ways the substance use symptoms can interrelate with mental health symptoms, and to determine the type of structural relationship that exists between the two. T/F

Answer 21

False; functional relationship

Question 22

The assessment process can be particularly challenging because the symptoms of substance use and withdrawal issues, and the symptoms of mental health disorders can _____________, mask, trigger, or exacerbate one another.

Answer 22

mimic