Deck 6: Treatment the System of Care

Question 1

What type of outpatient service is the community reinforcement approach, and what does it emphasize? What are the seven components of this approach?

Answer 1

Not Answer

Question 2

Based on studies, which phrase best describes the effectiveness of intensive treatment services?

A) Minnesota model intensive treatment programs do not have a good track record
B) Inpatient care for alcoholics produces more successful outcomes than outpatient care after one year
C) Inpatient care and outpatient care produce similar outcomes for those addicted to drugs other than alcohol
D) Inpatient care and outpatient care produce similar outcomes for those addicted to alcohol rather than drugs

Answer 2

Inpatient care and outpatient care produce similar outcomes for those addicted to alcohol rather than drugs

Question 3

A homeless, uninsured woman has successfully detoxified from cocaine and needs to enter a treatment program. She has a co-occurring mental health condition. Of the options shown, which is the best treatment option?

A) Treatment at a private intensive inpatient center
B) Treatment at a public intensive inpatient center
C) Day treatment
D) Intensive outpatient treatment

Answer 3

Treatment at a public intensive inpatient center

Question 4

A client who successfully detoxified from alcohol is ready to begin outpatient services. You suggest educational/psychoeducational resources, individual counseling, and group therapy in AA. She insists that therapy in a spiritually-oriented support group is not for her because she is an atheist. What do you tell her first?

A) She does not need to attend any form of therapy that makes her uncomfortable.
B) Some atheists and agnostics have successfully recovered through AA, and she might, too, or she might try SMART instead.
C) You would not have suggested group therapy in AA if you did not think it would help her. She needs to try it.
D) As an atheist, she should not attend a spiritually oriented mutual-help support group.

Question 5

A physician tending a recovering addict has prescribed medication- assisted treatment. Which phrase most likely describes the prescription if the patient also has a serious mental illness and liver disease?

A) Disulfiram for alcoholism
B) Methadone for cocaine
C) Acamprosate for alcoholism
D) Nalmefene for heroin addiction

Question 6

A severely depressed man binges every few months. He has severe tremors when he withdraws from alcohol. He lives alone and drinks at home, making it to work the next day. His employer is now dissatisfied with his behavior and wants him to get help. Which location would be the most appropriate for detoxification from a binge?

A) Hospital emergency room
B) Community detox center as an inpatient
C) Hospital as an inpatient
D) Hospital as an outpatient

Question 7

A young adult who says her mother is an alcoholic demands help with some type of outpatient service. The mother does not meet the diagnostic criteria for alcohol abuse or dependence, but she admits that she drinks heavily, engages in risky drinking behavior, and wants help. Which outpatient service do you recommend?

A) Halfway house and family therapy
B) Family therapy and CRAFT
C) CRA and FRAME
D) Brief intervention and FRAME

Question 8

A chronic alcoholic receives acupuncture treatments as adjunctive therapy to individual and group counseling. In two years, he remains alcohol-free. What statement could you make about this situation?

A) The rates of relapse are so great with alcohol addiction. Two years of sobriety cannot be considered a success.
B) Individual and group counseling in combination yield more effective results than one type of counseling alone.
C) The patient must have been highly motivated, because acupuncture and counseling would not produce such results without medication.
D) Acupuncture may produce naturally-occurring substances in the body, such as beta-endorphins, that may help the alcoholic feel good enough not to drink.

Question 9

The goal of detoxification is .

A)to prevent a person from having to enter prolonged treatment
B)to sit with a person while he or she withdraws from an addictive substance
C)rapid treatment
D)medically safe withdrawal

Question 10

A man choosing outpatient treatment says that group therapy is a problem for him because he does want to talk about his alcoholism and sexual trauma with anyone, not even his wife. He was abused by a family member and it is affecting his sexual relationship with his wife. Which form of counseling do you recommend?

A) Group therapy, as he needs to confront his fears about sharing personal concerns with others
B) Family therapy, because it was a family member who sexually abused him and they need to go therapy together
C) Individual therapy, because he can safely discuss his personal and relational issues with a trained professional
D) Couples therapy, because he needs to focus first on how his alcoholism and sexual trauma are causing marital problems

Question 11

What are some benefits to using acupuncture in treatment for alcoholism, cocaine, and opiates? What are some drawbacks? Consider theory and/or practical research.

Question 12

A residential facility in which residents are recovering from an illegal drug in a highly structured program designed to change conduct, values, attitudes, and emotions is known as a .

A) domiciliary
B) therapeutic community
C) halfway house
D) mission/shelter

Question 13

List the Twelve Steps. Describe an AA meeting. What components) on the continuum of care encompasses AA?

Question 14

After an argument with his spouse, a man runs out of the house. He is tempted to go to the corner bar. He recognizes the argument as a trigger for his alcohol craving. He takes several deep breaths and slowly begins walking with mindfulness. He returns home and calmly works things out with his spouse. He obviously has .

A) taken a medication-assisted treatment
B) learned from aftercare
C) learned from couples therapy
D) experienced a brief intervention

Question 15

What are the various types of residential facilities available? Describe each.

Question 16

A client who was highly motivated to overcome her addiction to heroin went through a methadone treatment program and residential treatment for six months. After a year of living on her own and attending Narcotics Anonymous, she has remained drug-free. What probably helped her the most?

A) The structure of the residential treatment, which prevented her from relapsing and conditioned her behavior after she moved out
B) Her participation in a mutual-help support group, because maintenance after leaving the facility would have been impossible without attending
C) Her personal characteristic of being highly motivated, which helped her follow the professional guidance given to her and let her receive the needed help
D) The length of stay at the residential facility, because studies show success occurs after three months of residential treatment

Question 17

The most often used component of treatment is .

A) detoxification services
B) residential facilities
C) outpatient services
D) medication-assisted treatment

Question 18

Discuss the controversy surrounding controlled drinking, and include some historical information. What is your viewpoint?

Question 19

Two women become friends in long-term treatment program. They are each given a voucher of increasing value every time they take and pass a drug test. After one year, the program ceases giving the voucher. One woman passes the next test but her friend does not. What statement could you make about this situation?

A) CRAFT involves modifying the environment to reward drug-free bahevior.
B) Contingency management involves positive reinforcement but has limitations.
C) A community reinforcement approach is equivocal in its ability to help addicts.
D) Network theory relies on cognitive behavioral strategies and social supports.