Deck 9: Successful Service Programs

Question 1

In the United States, although a mandate for electronic health records has been in place since 2004, most treatment settings have not moved to electronic health records.

Answer 1

False

Question 2

The increased access to health care helps to move substance abuse and mental health treatment toward integration with general health care, especially because .

A) the Mental Health Parity and Addiction Equity Act is still active in combination with the Affordable Care Act
B) the Mental Health Parity and Addiction Equity Act is still active independent of the Affordable Care Act
C) the Mental Health Parity and Addiction Equity Act has been superseded by the Affordable Care Act
D) the Affordable Care Act has superseded the Mental Health Parity and Addiction Equity Act

Answer 2

A

Question 3

Which of the following is true of Managed Behavioral Health Care Organizations (MBHOs)?

A) At MBHOs, substance abuse services, if they are provided at all, are integrated with other medical treatments.
B) MBHOs charge a set amount per person and provide a variety of health services to members of the group being covered.
C) MBHOs specialize in the provision of addiction and mental health care.
D) All MBHOs guarantee more or less the same degree to which the positive or negative potential for managed care is met.

Answer 3

C

Question 4

Managed care is a system designed to .

A) control the quality and cost of health care through such methods as placing limits on access to services, selecting service providers, and enforcing cost containment
B) offer higher quality at higher cost through such methods as unregulated access to services, selecting service providers, and demand-based cost
C) control the quality and cost of health care through such methods as unregulated access to services, selecting service providers, and enforcing cost containment
D) control cost of health care through such methods as placing limits on access to services, selecting service providers, and lifting all cost containment

Question 5

Among the barriers faced by diverse racial and ethnic communities/populations needing addiction or mental health services is a lack of .

A) diverse racial and ethnic representation within the behavioral health workforce
B) resolve to move away from the practice of matching substance abusers and counselors by race and ethnicity
C) knowledge among some counselors of their own racial and ethnic culture and belief systems
D) understanding of diversity in the Addiction Technology Transfer Centers National Curriculum Committee

Question 6

According to Carnevale Associates, the Affordable Care Act "does not require care integration but it includes numerous provisions to encourage it."

Question 7

Traditionally, outcome evaluation in the drug and alcohol field has been based on simplistic, either/or measures, thus failing to capture client change in all its permutations.

Question 8

Which of the following is true of key informants as a means to measuring substance-abuse-related needs?

A) Their subjective opinions can never replace objective data.
B) Their widely generalized accounts often lead to a lack of focus in the assessment.
C) Their objective views often make surveys and open forums redundant.
D) Their accounts are too specific and thus often miss the larger picture of the problem.

Question 9

Write a short note on the Affordable Care Act of 2010.

Question 10

In a managed care system, inpatient clients have the greatest likelihood of maintaining effective social ties; of having individualized, multidimensional treatment; and of retaining a sense of responsibility for themselves and their own recovery.

Question 11

In the context of outcome evaluation in the drug and alcohol field, which of the following is true?

A) Drinking and drug-taking behaviors are considered nominal rather than continuous variables.
B) Careful use of outcome evaluation based on either/or measures can capture client change in all its permutations.
C) Many psychosocial criteria can be considered more appropriately as continuous rather than nominal variables.
D) A move closer to a dichotomous view of treatment outcome leads to recognizing that multiple outcome variables should be assessed.

Question 12

As far as individual clients are concerned, the focus on outcome follow-up should begin at the first intake interview.

Question 13

Is it a good idea for clients to leave treatment with an understanding that follow-up will ensue?

A) Yes, they are likely to maintain their intent to cooperate if regular and positive contacts are made.
B) Yes, the relationship itself serves as a form of treatment but the client develops a dependence on the provider.
C) No, frequent contacts impede the evaluation process with several reevaluations producing inconsistent data.
D) No, as an ongoing relationship between treatment providers and the former client weakens with familiarity

Question 14

Identify which of the following statements is true of managed care systems:

A) If clients' physical, personal, and social resources are adequate, they should be referred for professional treatment rather than self-help.
B) Managed care systems increase the likelihood that an individual will be offered the least intrusive treatment available.
C) If treatment is needed, inpatient is preferable to outpatient, nonmedical to medical, and long term to short term.
D) Clients' self-efficacy is diminished every time they recognize situations that pose risks for problematic behaviors.

Question 15

In identifying desired outcomes, substance abuse professional must bear in mind that .

A) objectives are defined as broad statements regarding the outcomes while goals are more specific, limited, and measurable
B) attainment of all of a program's objectives is a clear indication that its general goals have been reached
C) it is very important to distinguish between goals and objectives to ensure a judicious selection of program activities
D) one must work toward reducing the frequency or quantity of substance used as it is a more feasible outcome than abstinence

Question 16

As applied in the context of the Mental Health Parity and Addiction Equity Act of 2008, what is the extent of equity in the comparison between physical health benefits and mental health (and substance use) benefits?

A) Equal benefits coverage and equal financial requirements and treatment limitations, but unequal cost-sharing
B) Equal benefits coverage, equal financial requirements and treatment limitations, and equal cost-sharing
C) Equal benefits coverage and equal cost-sharing, but unequal financial requirements and treatment limitations
D) Equal financial requirements and treatment limitations and equal cost-sharing, but unequal benefits coverage

Question 17

In recent years, the context within which human service organizations exist has been so radically altered that it often feels completely unfamiliar to experienced practitioners. Highlight some of the current trends.