Question 1

What are some key aspects and assumptions of Positive Peer Culture PPC)? In what setting is PPC used?

Accepted Answer

Positive Peer Culture (PPC) is a therapeutic approach that focuses on creating a positive and supportive peer environment to promote personal growth and behavior change. Some key aspects of PPC include the belief that individuals can change and grow, the importance of peer influence in shaping behavior, and the use of structured group activities and discussions to promote positive values and attitudes.

One key assumption of PPC is that individuals are influenced by their peers, and that by creating a positive peer culture, individuals can support and encourage each other to make positive changes. Another assumption is that individuals have the capacity for personal growth and change, and that with the right support and environment, they can develop new skills and behaviors.

PPC is used in a variety of settings, including residential treatment centers, juvenile detention facilities, and schools. It is often used with adolescents and young adults who are struggling with behavioral issues, substance abuse, or other challenges. The structured and supportive peer environment created by PPC can help individuals develop a sense of belonging and connection, and can provide a framework for addressing and changing negative behaviors. Overall, PPC is a valuable approach for promoting positive change and personal growth in a group setting.

Question 2

What are the seven interventions for dually-diagnosed adolescents identified by Bender, Springer, and Kim? Describe as many of the ten preliminary treatment guidelines for dually-diagnosed adolescents as you can.

Accepted Answer

The seven interventions for dually-diagnosed adolescents identified by Bender, Springer, and Kim are:

1. Integrated treatment approach: This involves addressing both the mental health and substance abuse issues simultaneously.

2. Family involvement: Involving the family in the treatment process can provide crucial support and help address underlying family dynamics that may contribute to the dual diagnosis.

3. Individualized treatment plans: Each adolescent's treatment plan should be tailored to their specific needs and challenges.

4. Coordinated care: Collaboration between mental health and substance abuse treatment providers is essential for comprehensive care.

5. Skill-building: Teaching adolescents coping skills, emotion regulation, and relapse prevention strategies can help them manage their dual diagnosis.

6. Medication management: For those with co-occurring mental health disorders, appropriate medication management is important.

7. Aftercare planning: Planning for ongoing support and resources after the initial treatment phase is crucial for long-term success.

As for the ten preliminary treatment guidelines for dually-diagnosed adolescents, some of the key guidelines include:

1. Comprehensive assessment: Conducting a thorough assessment to identify both mental health and substance abuse issues.

2. Trauma-informed care: Recognizing and addressing any trauma history that may contribute to the dual diagnosis.

3. Motivational interviewing: Using a client-centered approach to help adolescents explore their ambivalence towards change.

4. Cognitive-behavioral therapy: Utilizing evidence-based therapy to address both mental health and substance abuse issues.

5. Harm reduction approach: Focusing on reducing the negative consequences of substance use while working towards abstinence.

6. Peer support: Involving peers who have similar experiences can provide valuable support and encouragement.

7. Education and skill-building: Providing psychoeducation and teaching coping skills to help adolescents manage their dual diagnosis.

8. Dual-focus mutual aid groups: Encouraging participation in support groups specifically designed for individuals with co-occurring disorders.

9. Continuity of care: Ensuring a seamless transition between different levels of care and ongoing support after treatment.

10. Cultural competence: Recognizing and respecting the cultural backgrounds and beliefs of dually-diagnosed adolescents in treatment planning and delivery.

Question 3

An adolescent client of yours has attended several AA meetings. He understands its principles. However, he is having trouble surrendering to a higher power because he was raised in an atheistic, humanist tradition. How do you respond?

Accepted Answer

A)  You tell him he needs to accept that surrender to a higher power is synonymous with surrendering to God. 
B)  You indicate that many atheists have been helped by AA and so surrendering to a higher power should not be a problem for him. 
C)  You say he does not need to surrender to God but needs to place an emphasis on creating a spiritual defense against his alcohol use. 
D)  You reply that the surrender steps are not as important as the integrity and serenity steps. 
A)  You tell him he needs to accept that surrender to a higher power is synonymous with surrendering to God. 
B)  You indicate that many atheists have been helped by AA and so surrendering to a higher power should not be a problem for him. 
C)  You say he does not need to surrender to God but needs to place an emphasis on creating a spiritual defense against his alcohol use. 
D)  You reply that the surrender steps are not as important as the integrity and serenity steps. C

Question 4

What is the definition of protective factors? Name at least two protective factors for each of the following domains: individual, peer, school, community, and family

Accepted Answer

Protective factors are conditions or att

Question 5

What is resilience? How does resilience relate to a youth's risk for and/or protection from drug abuse?

Accepted Answer

Resilience is the ability to bounce back

Question 6

Delinquency, rebelliousness, and sensation-seeking are factors.

Accepted Answer

A)  individual risk 
B)  individual protective 
C)  community risk 
D)  community protective 
A)  individual risk 
B)  individual protective 
C)  community risk 
D)  community protective

Question 7

Elements in an individual's life that increase vulnerability to negative developmental outcomes are factors.

Accepted Answer

A)  individual 
B)  protective 
C)  community 
D)  risk 
A)  individual 
B)  protective 
C)  community 
D)  risk

Question 8

A student who was doing well academically last year is doing poorly this year. He has new friends who use drugs. His single father recently started smoking marijuana in front of him occasionally. His mother died of a drug overdose two years ago. What factors put this student at risk for substance abuse?

Accepted Answer

A)  Academic failure school), friends' attitudes toward and use of substances peer), family history of substance abuse family) 
B)  Perception of risk of substance abuse individual), sensation- seeking individual), friends' attitudes toward and use of substances peer) 
C)  Academic failure school), friends' attitudes toward and use of substances peer), parental attitude toward and use/abuse of substances family) 
D)  Drug availability community), lack of parental supervision family), coping strategy to survive family system family) 
A)  Academic failure school), friends' attitudes toward and use of substances peer), family history of substance abuse family) 
B)  Perception of risk of substance abuse individual), sensation- seeking individual), friends' attitudes toward and use of substances peer) 
C)  Academic failure school), friends' attitudes toward and use of substances peer), parental attitude toward and use/abuse of substances family) 
D)  Drug availability community), lack of parental supervision family), coping strategy to survive family system family)

Question 9

Your youthful, Mexican-American client is using alcohol and marijuana. Her mother says she knows that her husband's heavy drinking has been a negative influence on her daughter, but she wants help for her daughter. The youth wants help, too. The father is indifferent. Which type of family therapy do you think would be best?

Accepted Answer

A)  FBT 
B)  BSFT 
C)  MST 
D)  Structural-strategic family therapy 
A)  FBT 
B)  BSFT 
C)  MST 
D)  Structural-strategic family therapy

Question 10

A youthful client completes a POSIT test. Her guardian does not want you to conduct any other interviews with the youth because the test made her feel anxious. What is the first thing you would do in response?

Accepted Answer

A)  Due to liability issues, you must get the guardian's consent to gather more information. 
B)  Explain to the guardian that the test alone is insufficient to diagnose the youth and to plan appropriate treatment. 
C)  Supplement the test with a thorough biospychosocial history, a mental exam, and direct observation of the youth. 
D)  End the assessment. 
A)  Due to liability issues, you must get the guardian's consent to gather more information. 
B)  Explain to the guardian that the test alone is insufficient to diagnose the youth and to plan appropriate treatment. 
C)  Supplement the test with a thorough biospychosocial history, a mental exam, and direct observation of the youth. 
D)  End the assessment.

Question 11

A youth was reported as using drugs. She has a poor attitude toward school but is doing well academically, recently received an award for academic achievement, and has not been caught in any other trouble at school. Based on what you know about risk and protective factors in the school domain, what might you conclude?

Accepted Answer

A)  You need to find out the context of the poor attitude toward school. 
B)  The youth is not on drugs because otherwise her brain would not be capable of high academic achievement. 
C)  The youth must be taking drugs if she was suspected. 
D)  You need to give her a POSIT screening. 
A)  You need to find out the context of the poor attitude toward school. 
B)  The youth is not on drugs because otherwise her brain would not be capable of high academic achievement. 
C)  The youth must be taking drugs if she was suspected. 
D)  You need to give her a POSIT screening.

Question 12

A peer-led drug and alcohol prevention program is offered at the school in your community. At a school board meeting you are attending, a parent confronts the board and demands that the program be shut down because she does not want her child being counseled by another student. How would you respond?

Accepted Answer

A)  Agree with the parent. 
B)  Explain your professional background. Share that peer-led programs may possess greater potential for primary prevention than teacher-led ones. 
C)  Share that peer-led programs yield twice as much student self- disclosure among participants as teacher-led ones, which can only help the participants. 
D)  Share that studies comparing teacher-led and peer-led prevention interventions have resulted in mixed findings, so the parent might be right. 
A)  Agree with the parent. 
B)  Explain your professional background. Share that peer-led programs may possess greater potential for primary prevention than teacher-led ones. 
C)  Share that peer-led programs yield twice as much student self- disclosure among participants as teacher-led ones, which can only help the participants. 
D)  Share that studies comparing teacher-led and peer-led prevention interventions have resulted in mixed findings, so the parent might be right.

Question 13

Your youthful client is dually diagnosed as having clinical depression and abusing alcohol two to three times a week. The hangovers the youth is suffering have become obvious to family members. Both parents and the youth's older sibling are very concerned. Which type of family therapy do you think would be best?

Accepted Answer

A)  FBT 
B)  BSFT 
C)  MST 
D)  Structural-strategic family therapy 
A)  FBT 
B)  BSFT 
C)  MST 
D)  Structural-strategic family therapy

Question 14

Internalizing and externalizing factors that assist youth in guarding against substance abuse are factors.

Accepted Answer

A)  individual 
B)  protective 
C)  community 
D)  risk 
A)  individual 
B)  protective 
C)  community 
D)  risk

Question 15

Opportunities and recognition for prosocial involvement are factors.

Accepted Answer

A)  individual risk 
B)  individual protective 
C)  community risk 
D)  community protective 
A)  individual risk 
B)  individual protective 
C)  community risk 
D)  community protective

Question 16

Ideally, assessments of youths should include information-gathering from the .

Accepted Answer

A)  parents)/guardians) only, as youths may lie to the social worker 
B)  youth only, as parents)/guardians) might not know about their child's drug use and the child might be hesitant to discuss it in front of them 
C)  parents)/guardians) and from the youth, separately, to provide a broad, clear perspective 
D)  parents)/guardians) and from the youth, together, to provide a broad, clear perspective 
A)  parents)/guardians) only, as youths may lie to the social worker 
B)  youth only, as parents)/guardians) might not know about their child's drug use and the child might be hesitant to discuss it in front of them 
C)  parents)/guardians) and from the youth, separately, to provide a broad, clear perspective 
D)  parents)/guardians) and from the youth, together, to provide a broad, clear perspective

Question 17

You have a youthful, Mexican-American client who chronically behaves in a disruptive manner. He is an alcoholic. Both of his parents support your idea of outpatient treatment. Which option would you say is most appropriate?

Accepted Answer

A)  A-CRA 
B)  PSST 
C)  BSFT 
D)  MST 
A)  A-CRA 
B)  PSST 
C)  BSFT 
D)  MST

Question 18

You find out during an assessment that a youth who has no close friends considers the drug he uses to be his best friend. Which item would be most beneficial for you to include as part of his treatment?

Accepted Answer

A)  Social skills, so he can make friends more easily 
B)  Grief resolution counseling, since the youth is likely to experience a loss when the drug is no longer being used 
C)  Drug education, so the youth learns that drugs cannot be friends 
D)  Psychiatric counseling, since the youth is likely experiencing a psychiatric disorder that gives him a distorted perception of the drug 
A)  Social skills, so he can make friends more easily 
B)  Grief resolution counseling, since the youth is likely to experience a loss when the drug is no longer being used 
C)  Drug education, so the youth learns that drugs cannot be friends 
D)  Psychiatric counseling, since the youth is likely experiencing a psychiatric disorder that gives him a distorted perception of the drug

Question 19

You have a youthful, Mexican-American client with anger issues. She is an alcoholic. Both of her parents support your idea of outpatient treatment. Which option would you say is most appropriate?

Accepted Answer

A)  A-CRA 
B)  PSST 
C)  BSFT 
D)  MST 
A)  A-CRA 
B)  PSST 
C)  BSFT 
D)  MST

Question 20

What is the definition of risk factors? Name at least two risk factors for each of the following domains: individual, peer, school, community, and family.

Accepted Answer

Risk factors are characteristics or cond

What are some key aspects and assumptions of Positive Peer Culture PPC)? In what setting is PPC used?

What are the seven interventions for dually-diagnosed adolescents identified by Bender, Springer, and Kim? Describe as many of the ten preliminary treatment guidelines for dually-diagnosed adolescents as you can.

An adolescent client of yours has attended several AA meetings. He understands its principles. However, he is having trouble surrendering to a higher power because he was raised in an atheistic, humanist tradition. How do you respond?

What is the definition of protective factors? Name at least two protective factors for each of the following domains: individual, peer, school, community, and family

What is resilience? How does resilience relate to a youth's risk for and/or protection from drug abuse?

Delinquency, rebelliousness, and sensation-seeking are factors.

Elements in an individual's life that increase vulnerability to negative developmental outcomes are factors.

A youthful client completes a POSIT test. Her guardian does not want you to conduct any other interviews with the youth because the test made her feel anxious. What is the first thing you would do in response?

Internalizing and externalizing factors that assist youth in guarding against substance abuse are factors.

Opportunities and recognition for prosocial involvement are factors.

Ideally, assessments of youths should include information-gathering from the .

You have a youthful, Mexican-American client who chronically behaves in a disruptive manner. He is an alcoholic. Both of his parents support your idea of outpatient treatment. Which option would you say is most appropriate?

You find out during an assessment that a youth who has no close friends considers the drug he uses to be his best friend. Which item would be most beneficial for you to include as part of his treatment?

You have a youthful, Mexican-American client with anger issues. She is an alcoholic. Both of her parents support your idea of outpatient treatment. Which option would you say is most appropriate?

What is the definition of risk factors? Name at least two risk factors for each of the following domains: individual, peer, school, community, and family.

Definitions and Epidemiology of Substance Use, Abuse, and Disorders

The Etiology of Addiction

The Brain Biology of Drug Abuse and Addiction

The Physiological and Behavioral Consequences of Alcohol and Drug Abuse

Screening, Diagnosis, Assessment, and Referral

Treatment the System of Care

Preventing Alcohol and Drug Problems

Regulating Drugs and Their Consequences

Family Systems and Chemical Dependency

Ethnicity, Culture, and Substance Use Disorders

Substance Abuse Treatment With Sexual Minorities

Substance Use Disorders and Co-Occurring Disabilities

Alcohol and Drug Misuse and Abuse in Late Life

Gender, Substance Use, and Substance Use Disorders

Chemical Dependency Current Issues and Future Prospects

Filters

Exam 9: Treating Substance-Abusing Youth

What are some key aspects and assumptions of Positive Peer Culture PPC)? In what setting is PPC used?

What are the seven interventions for dually-diagnosed adolescents identified by Bender, Springer, and Kim? Describe as many of the ten preliminary treatment guidelines for dually-diagnosed adolescents as you can.

An adolescent client of yours has attended several AA meetings. He understands its principles. However, he is having trouble surrendering to a higher power because he was raised in an atheistic, humanist tradition. How do you respond?

What is the definition of protective factors? Name at least two protective factors for each of the following domains: individual, peer, school, community, and family

What is resilience? How does resilience relate to a youth's risk for and/or protection from drug abuse?

Delinquency, rebelliousness, and sensation-seeking are factors.

Elements in an individual's life that increase vulnerability to negative developmental outcomes are factors.

A youthful client completes a POSIT test. Her guardian does not want you to conduct any other interviews with the youth because the test made her feel anxious. What is the first thing you would do in response?

Internalizing and externalizing factors that assist youth in guarding against substance abuse are factors.

Opportunities and recognition for prosocial involvement are factors.

Ideally, assessments of youths should include information-gathering from the .

You have a youthful, Mexican-American client who chronically behaves in a disruptive manner. He is an alcoholic. Both of his parents support your idea of outpatient treatment. Which option would you say is most appropriate?

You find out during an assessment that a youth who has no close friends considers the drug he uses to be his best friend. Which item would be most beneficial for you to include as part of his treatment?

You have a youthful, Mexican-American client with anger issues. She is an alcoholic. Both of her parents support your idea of outpatient treatment. Which option would you say is most appropriate?

What is the definition of risk factors? Name at least two risk factors for each of the following domains: individual, peer, school, community, and family.

Definitions and Epidemiology of Substance Use, Abuse, and Disorders

The Etiology of Addiction

The Brain Biology of Drug Abuse and Addiction

The Physiological and Behavioral Consequences of Alcohol and Drug Abuse

Screening, Diagnosis, Assessment, and Referral

Treatment the System of Care

Preventing Alcohol and Drug Problems

Regulating Drugs and Their Consequences

Family Systems and Chemical Dependency

Ethnicity, Culture, and Substance Use Disorders

Substance Abuse Treatment With Sexual Minorities

Substance Use Disorders and Co-Occurring Disabilities

Alcohol and Drug Misuse and Abuse in Late Life

Gender, Substance Use, and Substance Use Disorders

Chemical Dependency Current Issues and Future Prospects

Filters