Week 9

Question 1

From the Barlow chapter, during assessment what message is conveyed to clients initiating treatment?

Answer 1

Emphasis was placed on initiating and maintaining engagement in therapy with strategies such as brief initial visits for those reluctant to egnage; identifying lifestyle change as the key therapy target so as not to engender reistance in those with low motivation to reduce substance use in the initial stages of the intervention.

Question 2

What domains of info are collected at intake

Answer 2

MAST
Beck's Depression inventory
SCL - 90
Drug history interview
Addiction survey index

Question 3

MAST

Answer 3

Michigan Alcohol Screening Test (MAST)
Relates to the patient’s self-appraisal of social, vocational, and family problems frequently associated with heavy drinking. Screens for alcohol problems in the general population

Question 4

Beck’s depresion inventory

Answer 4

Measures characteristic attitudes and symptoms of depression

Question 5

SCL - 90

Answer 5

Assesses nine symptoms of psychopathology and provides three global distress indicators

Question 6

Addiction survey index

Answer 6

A semi-structured interview for substance abuse assessment and treatment planning. The ASI is designed to gather valuable information about areas of a client’s life that may contribute to their substance-abuse problems

Question 7

Describe the behavioral conceptualization of substance abuse.

Answer 7

• Substance abuse is learned behavior that is reinforced by the physiological effects of the substance iteslf as well as social reinforcers
• Individuals may or may not have a genetic/biological predisposition underlying substance abuse problems
• Treatment must be based on empirically supported approaches, along with comprehensive, individually tailored strategies to address wide range of functional impairments

Question 8

Explain what a functional analysis of substance abuse would include (using A-B-C, as we did in class)

Answer 8

• A= antecendent or the event or activity that immediately precedes a problem behavior
• B = observed behavior
• C= consequence the event that immediately follows a response

Question 9

Comprehensive treatment of substance abuse “reorganizes the physical and social environments of the user” by using a number of treatment strategies. Be familiar with these strategies, be able to briefly describe them and differentiate them from one another. They include:

Answer 9

• Cognitive- Behavioral Treatment
• Relapse Prevention
• Contingency Management
• Motivational interviewing/ stages of change
• Behavioral couples therapy
• Refusal skills
• CRA + vouchers

Question 10

Cognitive- Behavioral Treatment

Answer 10

CBT

• Decrease reinforcement from drug use
• Increase reinforcement from healthier activities
• Functional analysis: A-B-C
• Modify unrealistic expectations about drug use
• Cope with craving
• Change thoughts that increase likelihood of drug use
• Relapse prevention

Question 11

Contingency management

Answer 11

• Arrange rewards- punishers for substance-related behaviors such as
• – abstinence
• – attendance at therapy session

Question 12

Motivational interviewing/ stages of change

Answer 12

• Identify personal values/goals

- Identify how drug use is consistent/inconsistent with those goals

Question 13

Behavioral couples therapy

Answer 13

• Communication skills

- Contract for behavioral changes that make relationship more reinforcing

Question 14

CRA + Vouchers

Answer 14

Treatment package provided within the context of flexibility, empathy, compassion and activate problem solving