Deck 9: Co-Occurring Disorders and Other Special Populations

Question 1

In providing AOD treatment for women, what are important considerations?

A) since so many women abuse prescription drugs, this must be a focus of treatment
B) the disease model was developed by men and is not as useful for women
C) treatment programs must have separate programming for men and women
D) sexual abuse history, lack of self-esteem, and perceived powerlessness are often important treatment issues

Answer 1

D

Question 2

In providing AOD treatment for disabled individuals, what are important considerations?

A) grief, communication, and learning strategies must all be addressed
B) the rate of addiction among disabled persons is so low that it is inefficient to design treatment for disabled individuals
C) accessibility for physically disabled individuals
D) disabled individuals have difficulty with abstract concepts so AA is not usually helpful

Answer 2

A

Question 3

Co-occurring mental disorders (COMDs) refer to:

A) patients who develop a substance use disorder due to their mental disorder
B) patients who develop a mental disorder due to their substance use disorder
C) patients with a substance use disorder and one or more other mental disorders
D) patients who are in treatment for a substance use disorder and receive psychotropic medication

Answer 3

C

Question 4

In providing AOD treatment for the elderly, what is one important consideration?

A) treatment centers need to employ older counselors for empathic understanding
B) bereavement, loneliness, and physical pain may be treatment issues
C) Twelve Step groups may not be appropriate because most AA members are middle aged
D) alcoholism is not common in the elderly since this condition is usually identified earlier in life

Question 5

What is important for a potential mental health professional to know about patients who have a substance use disorder and post-traumatic stress disorder (PTSD)?

A) if the PTSD is due to combat, there is usually opioid addiction
B) if the PTSD is due to molestation, there is usually cocaine or methamphetamine addiction
C) AOD use is common when there are symptoms of PTSD to manage the negative emotions
D) it is risky to use psychotropic medications with PTSD

Question 6

It is difficult to find a qualified workforce to treat patients with COMD because:

A) no one really wants to work with this difficult population
B) there are not a lot of professionals qualified to treat COMDs
C) too few psychologists
D) poor compensation

Question 7

Which of the following is not true with regard to the prevalence of COMDs:

A) the prevalence is rising due to the increase in PTSD
B) nearly ¼ of those with a serious mental disorder have a co-occurring substance use disorder
C) substance use disorder treatment providers estimate that nearly half of their patients have a diagnosable mental disorder
D) patients with a substance use disorder are much more likely to have a COMD than adults who do not have a substance use disorder

Question 8

In providing AOD treatment for adolescents, what is the most important consideration among these alternatives?

A) due to their age, adolescents do not fit the disease model
B) the adolescent's developmental stage needs to be considered in designing treatment strategies
C) adolescents can't change social groups easily because they see the same kids at school each day
D) most adolescent drug use involves marijuana and this necessitates different treatment strategies

Question 9

What does integrated treatment mean in the context of treating COMDs?

A) diversity in terms of patient population and treatment staff
B) attention to both substance use disorders and other mental disorders in all phases of the treatment process
C) combining evidence-based treatment practices across different theoretical models
D) transdisciplinary services

Question 10

What is important for a potential mental health professional to know about patients who may have a substance use disorder and schizophrenia syndrome or another psychotic disorder?

A) these patients may be very agitated and potentially violent
B) these patients generally prefer central nervous system stimulants
C) paranoia is usually the result of the detoxification process
D) these patients are often in emergency rooms, homeless shelters, jails, and prisons

Question 11

Why is it so difficult to determine if a client with a substance use disorder has anti-social personality disorder (ASPD)?

A) many symptoms are similar
B) clients with ASPD are known to be skilled liars
C) clients with substance use disorders are known to be skilled liars
D) the conditions are very similar

Question 12

In providing AOD treatment for criminal justice populations, what are important considerations?

A) security in the prison setting
B) implementation of comprehensive services, including community linkages and continuing care
C) the need for psychotropic medication
D) the fact that most incarcerated people abuse illicit drugs

Question 13

Which of the following is not a recommended method to determine if client symptoms are due to their substance use disorder or a possible COMD

A) conducting a thorough psychosocial history
B) observing a client after detoxification
C) gathering information from a parent or someone who has known the client for many years
D) reviewing all relevant medical, psychological, educational, criminal, and vocational records available

Question 14

In providing AOD treatment for persons with co-occurring disorders, what are important considerations?

A) the most common disorders are anxiety disorders
B) these individuals need treatment by individuals qualified to diagnose and treatment AOD problems and other mental disorders
C) since psychotropic medication will be a component of treatment, medical professionals must be involved
D) since many addicts have personality disorders, long-term treatment is necessary

Question 15

What is important for a potential mental health professional to know about patients who have a substance use disorder and a depressive disorder?

A) depression can result from the consequences of addiction
B) clients with a depressive disorder prefer central nervous system stimulants
C) clients with a depressive disorder will usually avoid alcohol due to its depressive effects
D) anti-depressant medication should only be prescribed if other interventions don't work