Deck 30: The Treatment of Substance Use Disorders

Question 1

Which part of the treatment plan includes a description of the steps needed for the client to accomplish in order for treatment to be completed successfully?

A) Treatment goal
B) Treatment methodology
C) Aftercare
D) Discharge summary

Answer 1

Aftercare

Question 2

Although treatment centers for substance use disorders abound in the United States

A) many of the least effective techniques are used in these centers.
B) the profit margin is very large, which makes such treatment centers a very good investment on the part of the owners.
C) there are not sufficient assessors to assess all substance abusers and make appropriate referrals.
D) they tend to cater to those who abuse illicit drugs more than they do those with alcohol use disorders.

Answer 2

many of the least effective techniques are used in these centers.

Question 3

The Minnesota model relies heavily on

A) religious guidance.
B) scientific data of best practices.
C) the AA model.
D) court-ordered patients.

Answer 3

the AA model.

Question 4

Treatment goals are to be

A) focused exclusively on individuals' expectations and hopes.
B) imposed on the individual by treatment staff, who are after all those trained in various professions.
C) stated in measurable terms.
D) stated in terms vague enough so the client cannot help but accomplish them.

Question 5

There is little evidence suggesting that

A) formats other than the Minnesota model are at all effective.
B) the Minnesota model can be applied to illicit drug abuse.
C) it is necessary to include a 12-step group as part of the treatment process.
D) 28 days is long enough to make meaningful change in personality.

Question 6

The most important element to the healing process from SUDs is

A) the treatment model used.
B) the therapeutic relationship.
C) time spent in treatment.
D) to quit despite treatment.

Question 7

It has been suggested that individuals who learn to abstain from alcohol

A) benefit most when they avoid involvement with community-based support groups.
B) seem to do so in spite of treatment, not because of it.
C) identify the treatment program as the most significant component of their recovery.
D) are often unimpressed with ancillary services but benefit most from psychoeducational components such as lectures.

Question 8

The therapist should serve as a

A) guide and confidant.
B) neutral mirror against which the "self" can be projected.
C) example because the therapist has "been there" by being in recovery themselves.
D) drill-instructor-like person helping the client towards recovery.

Question 9

The strength of the Minnesota model was that it

A) mandated 28 days in the rehabilitation setting.
B) drew on the training and skills of a range of specialists.
C) isolated the client from outside influences of all kinds.
D) was found to work with the "worst of the worst" (chronic drinkers).

Question 10

The majority of persons who go through a "detox" sequence

A) will not have substance use problems in the future.
B) are no longer in danger from long-term medical complications from their substance use.
C) will usually return to substance abuse without further treatment.
D) believe that it can be considered a form of treatment in its own right.

Question 11

Which of the following is true about detoxification?

A) It is sufficient treatment for a SUD/AUD.
B) The majority of alcohol-dependent patients require hospitalization for detox.
C) Outpatient detox is more typical than inpatient for opiate-dependent patients.
D) Further treatment for the SUD/AUD is usually necessary.

Question 12

Which of the following is NOT a part of recovery programs according to George Vaillant?

A) Increased spirituality
B) Compulsory supervision
C) Pharmacotherapy (treatment of a specified disorder with medications)
D) New love relationships

Question 13

Desmond is participating in a street outreach needle exchange program. He is attempting to only use clean needles when injecting heroin until he gets to a place in his life when he feels ready to try to quit. Desmond appears to be involved in which of the following types of treatment?

A) Hypnosis
B) Minnesota model
C) Harm reduction
D) Self-confrontation

Question 14

Which of the following is the most common treatment modality used to create psychosocial change for an individual with a SUD/AUD?

A) Group therapy
B) Individual therapy
C) Acupuncture
D) Biofeedback training

Question 15

The substance abuse rehabilitation counselor must be adept in

A) guiding clients toward recovery.
B) ordering clients toward recovery.
C) slowing clients in their journies toward recovery.
D) focusing only on the addiction and letting other components of the person's life sort themselves out.

Question 16

Confrontation, with empathy, is a in substance abuse rehabilitation.

A) irrelevant component
B) intrusive element
C) appropriate component when used properly
D) confusing intrusive complication

Question 17

The Minnesota model has been

A) widely accepted and studied as a proven method to treat addicted persons.
B) unable to generate evidence of its effectiveness.
C) able to support what were previously just "therapeutic myths."
D) able to support the long-held belief that 28 days is a therapeutic threshold beyond which change is inevitable.

Question 18

According to your text, the Minnesota model

A) is practically extinct.
B) centers around religion.
C) makes up the majority of treatment programs.
D) is empirically shown to be effective with drug abusers.

Question 19

Research has found that alcoholics require times the health care expenditures than non-alcoholics.

A) 2
B) 5
C) 7
D) 10

Question 20

Which type of family/marital therapy is most common in the field of substance abuse treatment?

A) Behavioral
B) Family disease model
C) Structural
D) Family systems

Question 21

It is preferred that clinicians who are working in the substance abuse treatment field are also currently dealing with their own substance use/abuse issues.

Question 22

Which of the following is NOT a form of harm reduction?

A) Needle exchange programs
B) Nicotine replacement treatments
C) Suspension of driving privileges
D) Methadone programs

Question 23

The HARM reduction (HR) model takes a very different approach to most way of treating substance abuse.
Provide some examples and explain how it treats such issues.

Question 24

The individual therapy approach

A) involves the use of psychoanalytic approaches exclusively.
B) involves the use of various schools of therapy, depending on the individual's needs.
C) has been proven to be more effective with women than with men.
D) has been proven useful because the client tends to accept feedback from the therapist more easily than peer feedback.

Question 25

Describe some of the characteristics shared by many substance abuse rehabilitation professionals.

Question 26

Group therapy formats in substance abuse rehabilitation programs have been

A) proven to be the least effective component of treatment.
B) complicated by the lack of research into the effectiveness of various forms of "group therapy."
C) proven to be more effective with women than with men.
D) proven useful because clients are more likely resist feedback from peers than staff.

Question 27

Describe the cognitive­behavioral therapy approach to treating substance abuse.

Question 28

Discuss the development of the Minnesota model of substance abuse treatment and its basic methodology.

Question 29

Acupuncture has been in the treatment of substance use disorders.

A) firmly established as necessary
B) proven to be about as effective as placebo
C) proven to reduce cravings for alcohol or illicit drugs
D) found to be harmful

Question 30

Discuss some of the many misperceptions about substance abuse treatment and what may contribute to it being
effective.