Week 1

Question 1

What are the 5 levels on the continuum of substance use?

Answer 1

1) non use
2) experimental use
3) irregular (occasional) use
4) regular use
5) dependent use

Question 2

What is non use

Answer 2

Never used a particular drug

Question 3

What is experimental use?

Answer 3

Has tried a particular drug once or several times. Use is motivated by curiosity about the drug effect

Question 4

What is irregular (occasional) use?

Answer 4

Use is infrequent, usually confined to special occasions or when opportunities present themselves directly

Question 5

What is regular use?

Answer 5

Use has a particular pattern, which may entail frequent or infrequent use. The user actively seeks to experience the drug effect, or to participate in drug taking peer group. Can usually take it or leave it.

Question 6

What is dependent use?

Answer 6

Use is regular, predictable, and usually frequent. One experiences a physiological and/or psychological need for the drug. Drug use continuous despite negative consequences. Users may feel drug use has become a compulsion, may feel loss of control, obsessive, life narrowly focused on drugs, with a great deal of loss in other areas

Question 7

What is the strengths perspective?

Answer 7

• instead of looking at problems, looking at possibilities
• focus on well being and resilience
• an inductive approach where insights emerge through relationships with clients and the stories they tell
• hope, guidance, and relationships are key
• belief that every person, family, community, and culture has unique strengths, skills, and competencies
• increase self efficacy and hopefulness, balance power, reduce stigma, normalize, positive reframing

Question 8

What are the 6 key themes that are related to the strengths perspective?

Answer 8

Competence
Choice
Hope
Purpose
Achievement
Support person

Question 9

What is the traditional focus of the biological aspects of substance use? (2)

Answer 9

1) looks to individual for specific causes of disease

2) dichotomizations reality (example: alcoholic vs. Non alcoholic)

Question 10

What are the biological focus with a strengths based approach to substance use?

Answer 10

1) looks at multiple, interactive levels of influence

2) addiction-like behaviours seen as existing along a continuum

Question 11

What are traditional approaches to the psychological aspects of substance use? (9)

Answer 11

1) problem focused
2) uses labels
3) assesses problems and losses
4) client seen as resistant, in denial
5) client motivation unimportant
6) focus to prevent slips or relapse
7) expulsion from treatment for relapse
8) use of confrontation to elicit change
9) one size fits all

Question 12

What are the strengths approaches for the psychological aspect of substance use? (9)

Answer 12

1) strengths focused, possibilities
2) avoids labels
3) assesses and builds on strengths
4) client seen as active participant in collaborative health seeking effort
5) intervention geared to level of client motivation
6) focus to maintain moderation/abstinence as client wishes
7) self-determination stressed-meet the client where they are at
8) roll with resistance, redefine as challenge
9) individualized treatment-stresses client choice

Question 13

What are the traditional approaches to the social aspect of substance use? (3)

Answer 13

1) encourages identity as member of self-help group
2) identifies pathology from upbringing in chemically dependent home
3) looks for codependency in family members

Question 14

What are the strength based focus of the social aspects of substance use?

Answer 14

1) holistic approach
2) seeks strength in upbringing
3) perceives family as potential resource