Deck 16: Chemical Dependency Current Issues and Future Prospects

Question 1

You are working with a low-level drug dealer who became addicted to his own product. He tells you about the level of organization involved in his operations and how much money he made before he became addicted. He says the "war on drugs" is like Prohibition and laughs. What does he mean?

A) Bootleggers are guaranteed profits like dealers, and it is unenforceable.
B) Dealers are guaranteed profits like bootleggers, and it is unenforceable.
C) The "war on drugs" is logical, fair, and enforceable, just like Prohibition was.
D) The "war on drugs" dismantles organized crime.

Answer 1

Dealers are guaranteed profits like bootleggers, and it is unenforceable.

Question 2

A substance abuser comes to you for treatment. As part of it, you suggest using this harm-reduction approach: .

A) AA
B) NEP/SEP
C) IDU
D) POS

Answer 2

NEP/SEP

Question 3

A chemist invents a new designer drug in a clandestine lab. All ingredients are made of legal substances in legal amounts. What are the implications?

A) The drug is illegal and will stay illegal.
B) The drug is legal but may eventually become illegal.
C) The chemist can sell it to a pharmaceutical company and make a profit.
D) The government will outlaw the drug when 1000 people become addicted to it.

Answer 3

The drug is legal but may eventually become illegal.

Question 4

A substance abuser comes to you for treatment. As part of it, you suggest this zero-tolerance approach: .

A) AA
B) NEP/SEP
C) IDU
D) POS

Question 5

U.S. President Barack Obama has the legalization of drugs.

A) questioned
B) strongly opposed
C) strongly advocated
D) slightly encouraged

Question 6

An opiate addict requires treatment. Based on research that shows evidence of the best outcomes, you decide on an) .

A) one-year methadone treatment program
B) one-year methadone treatment program plus counseling and psychotherapy
C) two-year methadone treatment program
D) SEP/NEP

Question 7

According to Congress, the aim of the "war on drugs" was a .

A) drug-free society by 1995
B) drug-controlled society by 1995
C) pharmaceutical drug-saturated society by 1995
D) drugless society in 1971

Question 8

A youthful heroin addict with a co-occurrence of mental illness visits a primary care doctor within her parent's managed care network. This is an example of .

A) an HMO
B) a PPO
C) a POS
D) Medicaid

Question 9

A fellow chemical dependency professional tells you he used to be addicted to opiates and recovered through spontaneous remission. How would you characterize his recovery?

A) Miraculous
B) Resolve to stop using, creating an alternative, abstaining, dealing with craving, becoming ordinary
C) Resolve to stop using, abstaining, creating an alternative, dealing with craving, becoming extraordinary
D) Resolve to stop using, abstaining, creating an alternative, dealing with craving, becoming ordinary

Question 10

Do you think that the PPACA of 2010 will improve access to substance abuse treatment? Why or why not? Provide an argument that supports for your opinion.

Question 11

You are treating a cocaine addict who was incarcerated for a drug- related crime, began using again when released, committed another drug-related crime, was incarcerated again, and is now released again. Why was being imprisoned insufficient to stop a relapse?

A) Offenders of drug-related crimes have high rates of recidivism.
B) Treatment is more effective than incarceration at reducing drug use and drug-related crime.
C) The "war on drugs" spends too much money on incarceration and not enough on prevention and treatment.
D) A zero-tolerance approach is better than a harm-reduction approach.

Question 12

Has incarceration been beneficial in winning the "war on drugs"? Why or why not? Explain the facts and draw your own conclusions. You might agree or disagree with the conclusions of the authors.)

Question 13

Would the federal legalization of SEPs/NEPs help or hinder abuse? Explain the facts and draw your own conclusions. You might agree or disagree with the conclusions of the authors.)

Question 14

Most money spent in the "war on drugs" is for .

A) prevention
B) treatment
C) mutual-help programs, which allow them to exist in cities worldwide
D) law enforcement and criminal justice

Question 15

An alcoholic visits a chemical dependency professional outside of his managed care network. He must pay more, but the insurance company will pay a portion. This is an example of .

A) an HMO
B) a PPO
C) a POS
D) Medicaid

Question 16

The "war on drugs" has been going on for decades.

A) 1
B) 2
C) 4
D) 40

Question 17

In the age of managed care, insurance companies seem to have decided that substance abuse treatment and mental health treatment .

A) are not essential services
B) are vital services
C) require greater copayments
D) require lower copayments

Question 18

What are the research findings of Project MATCH and Project COMBINE? As a chemical dependency professional, would you be interested in conducting research? Why or why not?

Question 19

What are at least four observations about substance abuse and society that suggest a need for policy change? Discuss each.

Question 20

A 32 year old homeless woman who is a recovering alcoholic takes antipsychotic medication paid through public funding. This is an example of .

A) a PPO
B) a POS
C) Medicaid
D) Medicare