Deck 8: Substance Abuse

Question 1

Substance abuse treatment composed of "services staffed by designated addiction treatment and mental health personnel who provide a planned regimen of care in a 24-­hour live-­in setting…." is called _____________________.

A) intensive outpatient treatment
B) partial hospitalization treatment
C)residential/inpatient treatment
D) medically managed intensive inpatient treatment

Answer 1

residential/inpatient treatment

Question 2

What is the role of a case manager in substance abuse treatment settings?

A) ensures that all documentation requirements are met
B) assists the client with non-treatment activities
C) designs therapeutic recreational activities
D) oversees all treatment activities

Answer 2

assists the client with non-treatment activities

Question 3

What is Alcoholics Anonymous?

A) a regulation described in 42 CFR, Part 2, Confidentiality of Drug and Alcohol Abuse Records
B) an employee assistance program offered by most large companies in the United States
C) a recovery program sponsored by the American Society of Addition Medicine
D) an organization of self-help recovery groups that utilizes a twelve-step program

Answer 3

an organization of self-help recovery groups that utilizes a twelve-step program

Question 4

Developed by the substance abuse client's treatment team, this document is used to identify the type and frequency of services needed by the client. It includes measurable goals and objectives that address the problems identified in the clinical assessment and should be updated periodically.

A) individualized treatment plan (ITP)
B) addiction severity index (ASI)
C) history and physical (H&P)
D) progress notes (SOAP)

Question 5

Two voluntary accreditation organizations that set standards for substance abuse treatment facilities are __________________.

A) CARF and The Joint Commission
B) ASAM and SAMHSA
C) Alcoholics Anonymous and American Psychiatric Association
D) National Institute on Alcohol Abuse and Alcoholism (NIAAA) and Center for Substance Abuse Prevention

Question 6

______________________ is a legal process by which individuals who are deemed to be a danger to themselves or to others may be admitted to a treatment program even though they refuse or cannot consent to the treatment.

A) Detention
B) Incarceration
C) Voluntary admission
D) Involuntary commitment

Question 7

Susan Smith, Director of Health Information Services, is preparing a presentation for the new employee orientation at the drug and alcohol rehabilitation program where she is employed. She will be presenting information on 42 CFR, Part 2. The topic of her talk will be _______________.

A) Confidentiality of Drug and Alcohol Abuse Records
B) Health Information Exchange in Behavioral Health Care
C) The Role of Twelve-Step Programs in Drug and Alcohol Rehabilitation
D) Federal Data Sets and Reporting Requirements for Drug and Alcohol Abuse Treatment Centers

Question 8

What is the purpose of the American Society of Addiction Medicine's (ASAM's) Patient Placement Criteria Manual?

A) to establish criteria for measuring and improving the quality of substance abuse treatment services
B) to define levels of care and the specific criteria that should be used in placing clients in the appropriate treatment setting
C) to assist in the development of a prospective payment system using reimbursement criteria based on the level of care in which the patient is placed
D) to assist in the development of legislation and regulations governing the placement of patients who have been involuntarily committed to substance abuse treatment

Question 9

The most common form of outpatient treatment for substance abuse disorders is _________________.

A) group therapy
B) family therapy
C) individual therapy
D) drug therapy

Question 10

Which of the following is NOT recommended by the American Academy of Pediatrics in an adolescent substance abuse treatment program?

A) knowledge of the clinicians about adolescent behavior and development in addition to chemical dependency treatment
B) low staff-to-patient ratio
C) combining adolescents and adults in the same treatment unit
D) availability of academic and vocational activities

Question 11

The Diagnostic and Statistical Manual of Mental Disorders __________________.

A) was developed by the American Medical Association
B) includes diagnostic criteria and descriptive text for various mental disorders
C) is a coding system is based on SNOMED
D) has not been updated since 1978

Question 12

The American Society of Addiction Medicine identified two levels of outpatient care and two levels of inpatient care in substance abuse treatment settings.

Question 13

Intensive outpatient treatment requires a minimum of nine treatment hours per week within a structured program.

Question 14

Partial hospitalization is usually an evening program whereas intensive outpatient treatment is usually a daytime program.

Question 15

Clients with acute problems may be seen in a medically managed intensive inpatient treatment program, such as that found in an acute care general hospital.

Question 16

In the United States, less than $10 million a year is spent for substance abuse treatment and prevention.

Question 17

Many substance abuse agencies and treatment facilities have established employee assistance programs to serve working adults and their employers.

Question 18

A dually diagnosed substance abuse client has both a substance-related disorder and a chronic mental illness.

Question 19

A case manager provides therapy to substance abuse clients.

Question 20

Federal law mandates strict confidentiality guidelines for substance abuse facilities.

Question 21

The Joint Commission has a separate accreditation program for behavioral health care programs like non-hospital substance abuse facilities.

Question 22

CARF accreditation may be sought by substance abuse programs that provide detoxification and partial hospitalization, but not by those that offer only drug court treatment or employee assistance.

Question 23

The individualized treatment plan must be based on the client s comprehensive clinical assessment.

Question 24

The Addiction Severity Index calculates a severity rating, or score, that can be used as an outcomes measure in research studies.

Question 25

All substance abuse treatment is voluntary; no one can be forced into a substance abuse treatment program

Question 26

The individualized treatment plan (ITP) includes both proposed treatment processes and treatment goals and objectives.

Question 27

The ______________________________ is a rating scale that was developed to be used by clinicians to measure the severity of a client's substance abuse problems by measuring seven substance abuse-related problem areas: medical condition, drug use, alcohol use, employment, illegal activity, social relations, and psychological findings.​

Question 28

______________________________ is a worldwide organization of self-help recovery groups that support individuals in maintaining sobriety based on a 12-step recovery process.​

Question 29

A _______________________________ is used as a basis for the client's diagnosis and individualized treatment plan and is conducted by a clinician for every client who enters a substance abuse treatment program.​

Question 30

________________________________ is a voluntary accreditation agency that sets standards that promote "the delivery of quality services to people with disabilities."​

Question 31

__________________________clients have both a substance abuse disorder and a chronic mental illness and typically have special treatment needs.​

Question 32

Substance abuse assessment and treatment programs established through a contractual arrangement between an organization and a substance abuse treatment facility to serve the employees within the organization are known as __________________________________.​

Question 33

The ___________________________________ is a written plan developed by the client's treatment team that is used to identify the type and frequency of services needed by the client. It includes measurable goals and objectives that address the problems identified in the clinical assessment and should be updated periodically (usually every six months) as the client's treatment needs change.​

Question 34

___________________________________ is a legal process by which individuals who are deemed to be a danger to themselves or to others may be admitted to a substance abuse (or mental health) treatment program even though they refuse or cannot consent to the treatment.​

Question 35

________________________________________ treatment programs for substance abuse provide a planned regimen of 24-hour medically directed evaluation, care, and treatment of mental and substance related disorders in acute care inpatient settings, which are staffed by designated addiction-credentialed physicians, including psychiatrists.​

Question 36

In addition to medical care and substance abuse treatment, clients in ____________ substance abuse facilities require nursing care.​

Question 37

The ____________________________________ agreement provides an exception to the federal confidentiality of alcohol and drug abuse rules by permitting disclosure of patient record information to an organization providing services to the substance abuse program, such as laboratory, data processing, bill collecting, dosage preparation, legal, medical, or accounting services.​

Question 38

Substance abuse ______________________ treatment services are staffed by designated addiction treatment and mental health personnel who provide a planned regimen of care in a 24-hour live-in setting where patients can reside safely and where mutual and self-help group meetings generally are available on site.​

Question 39

Match each description with the correct item

- A listing of all known public and private substance abuse treatment facilities in the United States and its territories

A) Treatment Episode Data Set (TEDS)
B) National Survey of Substance Abuse Treatment Services (N-SSATS)
C) Inventory of Substance Abuse Treatment Services (I-SATS)
D) Center for Substance Abuse Treatment (CSAT)
E) Drug and Alcohol Services Information System (DASIS)
F) Center for Substance Abuse Prevention (CSAP)
G) National Registry of Evidence-based Programs and Practices (NREPP)

Question 40

Match each description with the correct item

- A means to collect uniform data from states that is client specific, but not client identifiable, including demographic and substance abuse characteristics.

A) Treatment Episode Data Set (TEDS)
B) National Survey of Substance Abuse Treatment Services (N-SSATS)
C) Inventory of Substance Abuse Treatment Services (I-SATS)
D) Center for Substance Abuse Treatment (CSAT)
E) Drug and Alcohol Services Information System (DASIS)
F) Center for Substance Abuse Prevention (CSAP)
G) National Registry of Evidence-based Programs and Practices (NREPP)

Question 41

Match each description with the correct item

- A data system managed by SAMHSA and comprised of three components providing national- and state-level data on substance abuse clients and on the facilities that receive federal grants or contracts to provide substance abuse treatment.

A) Treatment Episode Data Set (TEDS)
B) National Survey of Substance Abuse Treatment Services (N-SSATS)
C) Inventory of Substance Abuse Treatment Services (I-SATS)
D) Center for Substance Abuse Treatment (CSAT)
E) Drug and Alcohol Services Information System (DASIS)
F) Center for Substance Abuse Prevention (CSAP)
G) National Registry of Evidence-based Programs and Practices (NREPP)

Question 42

Match each description with the correct item

- An annual survey of all substance abuse treatment facilities that collects facility-specific information on location, characteristics, services offered, and utilization.

A) Treatment Episode Data Set (TEDS)
B) National Survey of Substance Abuse Treatment Services (N-SSATS)
C) Inventory of Substance Abuse Treatment Services (I-SATS)
D) Center for Substance Abuse Treatment (CSAT)
E) Drug and Alcohol Services Information System (DASIS)
F) Center for Substance Abuse Prevention (CSAP)
G) National Registry of Evidence-based Programs and Practices (NREPP)

Question 43

Match each description with the correct item

- An agency of SAMHSA that provides national leadership for community-based substance abuse prevention programs through grant programs aimed at reducing the incidence of substance abuse

A) Treatment Episode Data Set (TEDS)
B) National Survey of Substance Abuse Treatment Services (N-SSATS)
C) Inventory of Substance Abuse Treatment Services (I-SATS)
D) Center for Substance Abuse Treatment (CSAT)
E) Drug and Alcohol Services Information System (DASIS)
F) Center for Substance Abuse Prevention (CSAP)
G) National Registry of Evidence-based Programs and Practices (NREPP)

Question 44

Match each description with the correct item

- An agency of SAMHSA that promotes community-based substance abuse treatment services by working with states and community-based groups to improve and expand existing substance abuse treatment services through block grants and other means

A) Treatment Episode Data Set (TEDS)
B) National Survey of Substance Abuse Treatment Services (N-SSATS)
C) Inventory of Substance Abuse Treatment Services (I-SATS)
D) Center for Substance Abuse Treatment (CSAT)
E) Drug and Alcohol Services Information System (DASIS)
F) Center for Substance Abuse Prevention (CSAP)
G) National Registry of Evidence-based Programs and Practices (NREPP)

Question 45

Match each description with the correct item

- An online searchable database of treatments and interventions that have been demonstrated to be effective for substance abuse and mental health treatment and prevention programs

A) Treatment Episode Data Set (TEDS)
B) National Survey of Substance Abuse Treatment Services (N-SSATS)
C) Inventory of Substance Abuse Treatment Services (I-SATS)
D) Center for Substance Abuse Treatment (CSAT)
E) Drug and Alcohol Services Information System (DASIS)
F) Center for Substance Abuse Prevention (CSAP)
G) National Registry of Evidence-based Programs and Practices (NREPP)

Question 46

Match each description with the correct caregiver type in the substance abuse setting

- Specially trained professionals such as social workers and psychologists who provide therapy to substance abuse clients and their families according to the treatment plan

A) physicians
B) physician assistants and nurse practitioners
C) recreational therapists
D) counselors
E) case managers

Question 47

Match each description with the correct caregiver type in the substance abuse setting

- May treat clients under the supervision of a physician, although in some states they may practice more independently

A) physicians
B) physician assistants and nurse practitioners
C) recreational therapists
D) counselors
E) case managers

Question 48

Match each description with the correct caregiver type in the substance abuse setting

- Monitor or manage any treatment plan that requires a medical intervention, such as prescription medications or detoxification services

A) physicians
B) physician assistants and nurse practitioners
C) recreational therapists
D) counselors
E) case managers

Question 49

Match each description with the correct caregiver type in the substance abuse setting

- May assist the client with non-treatment activities, such as obtaining adequate housing, securing financial assistance, keeping medical and counseling appointments, or organizing plans for follow-up care

A) physicians
B) physician assistants and nurse practitioners
C) recreational therapists
D) counselors
E) case managers

Question 50

Match each description with the correct caregiver type in the substance abuse setting

- In long-term inpatient and residential treatment programs, may develop programs for residents such as games, exercise programs, or outdoor activities

A) physicians
B) physician assistants and nurse practitioners
C) recreational therapists
D) counselors
E) case managers

Question 51

​Describe how an employee assistance program can be beneficial to an organization's staff members.

Question 52

List and describe two of the three components of the Drug and Alcohol Services Information System (DASIS).?

Question 53

List three items that would be included in the legal/ administrative portion of a client record.?

Question 54

List three items that would be included in the clinical assessment portion of a substance abuse record.

Question 55

List two places from which revenues may come at a community substance abuse center.

Question 56

Explain three steps that would occur during an involuntary commitment.​