Treatment Models

Question 1

What are the stages of substance abuse treatment?

Answer 1

The stages of treatment; stabilization, rehabilitation, and maintenance. Abstinence, though a goal of substance abuse treatment, is not a stage per se.

Question 2

What model of substance abuse suggests that shared values among peers, such as the acceptability of substance abuse, contributes to creating the problem in an individual?

Answer 2

The SOCIAL model of substance abuse suggests that shared values among peers, such as the acceptability of substance abuse, contributes to creating the problem in an individual.

The biopsychosocial model posits a wider variety of reasons for substance abuse behavior, including heredity, social influences, environment, and others.

The family and environmental model implicates the childhood environment of the individual.

The medical model relies on explanations that suggest brain chemistry and genetics as causes for substance abuse.

Question 3

What are the seven steps of (Albert R. Roberts) Roberts’ Seven-Stage Crisis Intervention Model?

Answer 3

Albert R. Roberts developed Roberts’ Seven-Stage Crisis Intervention Model, which includes the following seven steps:
1. Assess the lethality of the crisis
2. Establish a rapport with the client
3. Identify problems by defining the crisis
4. Deal with the client’s feelings
5. Explore coping alternatives
6. Develop an action plan to restore function
7. Follow up with the client

Question 4

In working with substance users, when is it common for social workers to become involved with clients who are using: before, during or after acknowledgement of misuse/problem?

Answer 4

It is common for social workers to become involved with substance users before they realize they have a problem or have acknowledged it. Social workers must be careful to be nonjudgmental when the user denies substance use and tries to conceal the abuse.
The remaining answer options are incorrect, as it is most common for social workers to first become involved in substance users’ lives before they admit that they have a problem.

Question 5

Is an assessment of family history of mental illness part of a mental status exam? What is the purpose and tools of assessment that are used in the MSE?

Answer 5

While information pertaining to family history is an important part of assessment, it is not a part of a mental status examination. The purpose of a mental status examination is to assess the client’s state of mind, which includes assessment of:
* Appearance
* Attitude
* Behavior
* Mood/affect
* Speech
* Thought processes
* Thought content
* Perception
* Cognition
* Insight
* Judgment
The other items mentioned are part of a mental status examination.