Special Populations

Question 1

Impact of Adolescent SUD

Answer 1

1. Family relationships
2. Interpersonal relationships
3. Sexual relationships
4. Emotional health
5. Physical health
6. Academics

Question 2

Older Adults

Answer 2

1. Brain chemistry (increased sensitivity and rapid dependence.)
2. Physical conditions
3. Greater access to medications
4. Reduced mobility

Question 3

Psychological and Social Risk Factors for Older Adults

Answer 3

1. Grief and loss
2. previous MH diagnosis
3. Financial stress
4. Avoidant coping style

Question 4

What is the main treatment barrier for older adults with SUD?

Answer 4

Underreporting

Question 5

Disease progression in women

Answer 5

Women are more likely to present with a more severe clinical profile upon admission to treatment, particularly for alcohol, cannabis, and opioid dependence.

Question 6

Neuroendocrine Adaptations

Answer 6

Dysregulation of the hypothalamic-pituitary-adrenal axis (responsible for stress and reward systems) is implicated in greater instances of SUD among women.

Question 7

AUD in Women

Answer 7

Biological differences account for increased sensitivity to to alcohol, more significant health complications, premature death, and higher mortality rates than men.

Question 8

Co-occurring mental disorders in women

Answer 8

Women with SUD are more likely to have a co-occurring mental disorder than men. 3/4 of women have experienced child abuse.

Question 9

Who is less likely to seek treatment for SUD? Women or men?

Answer 9

Women

Question 10

Sexual identity

Answer 10

The inner belief one has about one’s sexual experiences and attractions.

Question 11

Sexual behavior

Answer 11

Refers to sexual activity with oneself or others and is distinct from sexual orientation.

Question 12

Sexual orientation

Answer 12

Enduring pattern of sexual, emotional, mental, and romantic attraction toward a particular sex or gender.

Question 13

Sex

Answer 13

Refers to gender one is assigned at birth.

Question 14

Intersex

Answer 14

Refers to a person born with male and female sex characteristics.

Question 15

Gender roles

Answer 15

Develop from sociocultural expectations associated with one’s physical appearance, occupation, etc.

Question 16

Gender expression

Answer 16

A person’s outward presentation, in terms of behavior, dress, or mannerisms, in reference to gender sociocultural stereotypes.

Question 17

Gender nonconforming

Answer 17

Refers to those people whose gender identity or expression is not associated with stereotypical gender roles or norms.

Question 18

Gender Identity

Answer 18

One’s personal and deeply felt concept of what is means to be male, female, or neither gender.

Question 19

Transgender

Answer 19

Gender identity and gender role conflict with the gender assigned at birth.

Question 20

Cisgender

Answer 20

Gender identity and expression align with their natal gender.

Question 21

Natal sex

Answer 21

Sex one is assigned at birth.

Question 22

True or false, LGBT have higher rates of SUD and comorbid mental disorders than their cisgender counterparts.

Answer 22

True

Question 23

Recovery oriented principles

Answer 23

Counselors provide care that is respectful, holistic, and integrated.

Question 24

Peter Bell’s Chemical Dependency and the African American

Answer 24

Measures the integration of minority and majority populations in terms of the minority culture’s modified worldviews, social relationships, beliefs, customs, or language.

Question 25

What are the two fundamental questions in John Berry’s Model of Acculturation?

Answer 25

1. Does the person want to retain or reject their native culture as part of their identity?
2. Does the person feel it is important to reject or adopt the cultural values and norms of the majority culture?

Question 26

Assimilation

Answer 26

A person accepts the cultural values and norms of the majority culture over their culture of origin.

Question 27

Separation

Answer 27

A person completely rejects the majority culture and instead keeps the values and norms of their culture of origin.

Question 28

Integration

Answer 28

A person keeps their culture of origin while also adopting the majority culture’s values and norms.

Question 29

Marginalization

Answer 29

A person rejects their culture of origin and the majority culture.