Deck 12: Treating Clients With Substance Abuse

Question 1

Compare and contrast the various models of substance use treatment.

Answer 1

No Answer

Question 2

Discuss pharmacological and cognitive-behavioral treatment approaches to the problem of substance use. What are the advantages and disadvantages of each?

Answer 2

No Answer

Question 3

What are Medication Assisted Treatment programs and how are they used?

Answer 3

No Answer

Question 4

What treatment targets should be considered in treating the family members of substance users?

Question 5

Why is self-efficacy important in the maintenance of abstinence?

Question 6

What factors should be taken into account when counselors consider the responsivity principle for substance-using clients?

Question 7

Should substance use programs be modified for ethnic groups and women? How should this be done?

Question 8

Explain the difference between substance abuse and substance dependence. How should treatments for these two conditions be different?

Question 9

Relapse prevention programs may incorporate classical conditioning, social learning, and cognitive skills components

Question 10

Although the techniques used by the moral model and pharmacological approaches differ, their core philosophies are very similar

Question 11

It is recommended that programs for treating substance-abusing clients be eclectic

Question 12

Empirical research indicates that social learning models tend to be inappropriate for substance-abusing clients because the clients are surrounded by peers who abuse alcohol and other drugs

Question 13

Because lapses in recovery are associated with decreases in self-efficacy, often no treatment for substance abuse is preferred to treatment in general

Question 14

Perhaps the most beneficial aspect of therapeutic communities is the persistent confrontation by others that have also struggled with addiction

Question 15

The "war on drugs" substantially contributed to prison population growth and to the presence of substance abusers within these populations

Question 16

According to the Stages of Change, treatment goals should differ according to clients' readiness to change

Question 17

Support groups such as AA are grounded in a psychological model of therapy

Question 18

General responsivity addresses the client's characteristics that are likely to affect his or her ability to participate in a treatment program

Question 19

Motivational interviewing is a client-centered, directive method for enhancing intrinsic motivation to change

Question 20

Co-occurring disorders do not generally pose impediments to successful substance abuse treatment

Question 21

The continuity of care perspective recognizes that substance abuse is a chronic and multifaceted problem

Question 22

When using the techniques of Motivational Interviewing, the correctional counselor presents the arguments for change and confronts the client about his/her antisocial behavior

Question 23

As a rule, longer periods of therapy are associated with substantial improvements in post-treatment outcome

Question 24

The disease model of substance abuse:

A) is consistent with the tenets of Alcoholics Anonymous.
B) contends that biological makeup plays an important role in determining whether a person is likely to become addicted to alcohol.
C) is inconsistent with the harm reduction philosophy of methadone maintenance.
D) all of the above

Question 25

The __________ model of substance abuse views alcoholism as a result of personal choice.

A) moral
B) temperance
C) educational
D) disease

Question 26

The characterological model states that substance abuse is the result of:

A) personality problems.
B) peer influences.
C) Biology.
D) poor education.

Question 27

Which of the following statements is not a technique used by the radical behavioral approach to substance abuse treatment?

A) free association
B) stimuli manipulation
C) community reinforcement
D) gaining alternative sources of pleasure

Question 28

Family _________ therapy targets dysfunctional family roles.

A) behavioral
B) systems
C) psychodynamic
D) nuclear

Question 29

According to the ________________ approach, substance abuse may be an attempt to "medicate" feelings of emptiness, rage, or depression (Wurmser, 1984).

A) radical behavioral
B) social learning
C) cognitive-behavioral
D) psychodynamic

Question 30

Some of the models of substance abuse differ dramatically on such issues as:

A) whether abstinence is required.
B) who is responsible for the addiction.
C) whether the addict is a moral individual.
D) all of the above

Question 31

The _________ Model contends that alcoholism and other addictions are learned behaviors.

A) Conditioning
B) Social Learning/Cognitive-Behavioral
C) both a and b
D) none of the above

Question 32

"Sponsors" in Alcoholics Anonymous and Narcotics Anonymous model skills of:

A) relationship-building.
B) responsibility.
C) support.
D) all of the above

Question 33

Which of the following is not a coping skill or alternative approach to high-risk situations?

A) anger management
B) assertiveness
C) relaxation training
D) intelligence

Question 34

Abstinence Violation Effects (AVE) include all of the following except:

A) demoralization.
B) reduced self-efficacy.
C) renewed commitment to abstinence.
D) loss of one's motivation to remain abstinent.

Question 35

Through behavioral family therapies, families learn to:

A) rearrange contingencies.
B) develop each others' self-efficacy.
C) become alert to factors that stimulate drinking.
D) all of the above

Question 36

Interventions and confrontations serve to:

A) motivate uncooperative addicts to change.
B) provide opportunities for family members to explain how an addict's behavior has hurt them.
C) allow friends and employers of addicts to express their concerns about the addict's behavior.
D) all of the above

Question 37

Drug courts who show effectiveness in reducing recidivism will do all of the following except:

A) rely on multiple service providers.
B) provide a clear incentive for completing the program.
C) ensure clients have a sufficient "dosage" or length of time in the drug court program.
D) reward clients with either dismissed charges, deferred sentencing, or completion of a condition of probation.

Question 38

Which of the following is neither characteristic of nor consistent with Alcoholics Anonymous?

A) acknowledgement of "defects of character."
B) targeting problematic thinking.
C) psychological model of therapy.
D) disease model.

Question 39

Client responsivity characteristics important to substance abuse include:

A) motivation for change.
B) comorbidity.
C) ethnicity and gender.
D) all of the above

Question 40

Which of the following strategies offers staff a set of skills to help move an individual through the Stages of Change?

A) harm reduction
B) community reinforcement approach
C) motivational interviewing
D) relapse prevention

Question 41

The symptoms of substance dependence include:

A) withdrawal symptoms when levels of the substance decline in the blood.
B) a lack of physical cravings.
C) infrequent or minor usage.
D) controlled use of substances.

Question 42

The most successful substance abuse interventions are:

A) educational approaches.
B) psychotherapy approaches.
C) cognitive-behavioral approaches.
D) confrontational approaches.

Question 43

Which of the following is associated with effective treatment for clients with substance abuse patterns?

A) unstructured environment to promote creativity
B) program takes place in a maximum-security prison
C) behavioral components
D) none of the above