T&F
AA had its organizational foundations in a religiously organized group (Oxford Group)?
True
T&F
AA is not for everyone?
T
T&F
AA is a self-help group founded on promotion
False
T&F
Tokenism (Contingency Management) approach is common in AA?
T
T&F
The 12-Step approach is often described as 12 steps for living?
True
T&F
The most common point of resistance in the 2 Steps is based on the concept of______
Higher Power
The ________ is read at the end of every AA meeting
serenity prayer
_____ typically introduces the meeting in AA
The chair
Private Clinical Groups are Programs of promotion versus Self Help(12 Step) groups which are programs of ______
Attraction
Name three self help approaches in our group which are AA alternatives
al-anon
Narcotics Anonymous (NA)
SA sex-aholic anonymous
HA heroin anonymous
EA emotions anonymous
NA narcotics anonymous
T&F
Rational Recovery requires no organized format in approaching recovery?
True
T&F
Moderation Management stated that alcoholics are "seduced" by the "one day at a time approach"?
True
T&F
Bill W of AA succumbed eventually to liver disease?
False
T&F
Rational Recovery alleges that alcoholism is a voluntary behavior that cannot be diagnosed?
True
T&F
Spirituality is pretty much the same as religion according to our book and lecture?
False
T&F
According to the ASAM guidelines self help support is a clinical level of care?
False
T&F
AA meetings are always open to anyone
False
T&F
AA argues that there really is only "one way" to recover?
False
T&F
Individual counseling is typically insight based?
True
T&F
Peer support is one of the weaknesses in Group Counseling
False
T&F
"Carefrontation" differs from confrontation because it requires that we work through conflicted issues with care and compassion?
True
T&F
Families always recognize that the addict's condition and behavior are not likely the primary cause of family related conflict?
False
T&F
"State Dependent Learning" means things are taught differently in Utah than in California?
False
Treatment approaches in this day and age are expected to be ______
Evidenced based
The _____Placement Criteria actually facilitates treatment decisions by describing levels of care and service
five
_____ and _______ are examples of State Dependent Learning according to our lecture
"I don't know how to do 'this' without substance abuse"
Private Clinical Groups are programs of promotion versus self help (12 step) groups which are programs of _____
Attraction
T&F
Family treatment should include members of the family and the older children whenever possible?
True
T&F
Co-occurring disorders are present in as many as 70% of the AOD cases you may see in treatment?
True
T&F
Co-occurring disorders are often overlooked in traditional AOD Treatment Programs
True
T&F
Confrontational counselling style has been found to be associated with poor long-term results?
True
T&F
According to our class more murders are committed by alcohol impaired individuals than any other impairing substance
True
Cocaine is a CNS depressant?
False, it is a stimulant
Alcohol is a CNS depressant
True
One of the best indicators that a drug is Psychoactive is that it typically has NO exponential effect? (AKA twice the effect)
False
Increasing doses of a substance to obtain the same effect is?
Tolerance
Reverse Tolerance
Refers to a condition that in which smaller quantities of a substance produce the same effect as larger doses.
What type of drugs frequently have little or no exponential value?
Psychotropic
T&F
Generalist training assumes that a large portion of mental health cases are going to have substance use related issues?
True
T&F
Because marijuana is now legal in several sates, the DOT (Department of Transportation) is actively moving to legalize it?
False
The combination use of two different drugs that produces an effect greater than the sum in respect to impairment is called?
Remember (1 + 1 = 3)
Synergistic
The effect seen in some drugs wherein the nature of the drug may cause a person to not recall that they took the does is called...
Potentiation
The primary neurotransmitter of influence in the brain reward system is...
Chose form serotonin or dopamine
Dopamine
In the Moral Model of addiction, AOD use is consider NOT a choice?
True or False
False
Addiction is a chronic, progressive and primary disorder in what kind of model?
The Disease Model
Addiction is viewed as likely a secondary disorder in what model?
The Psychological Model
Who is the physician who pioneered The Disease Model of Addiction?
Jellinek
Jail sentences are possible for marijuana use under the federal schedule?
True or false?
True
One of the problems with the study that produced the Disease Concept Theory is that the design of the study was later proved to be invalid?
True or False?
True
Under the Federal Schedule, Schedule 1 drugs are listed that have no accepted medical use?
True or False?
True
Because marijuana is now legal in several states DOT is actively moving to legalize it?
True or False?
False
T&F
One of the Disadvantages of the Disease Concept is that has the ability to encourage the client to self-fulfill the principle of lack of control
True
Simply put, "Addiction is a complex illness with...
complex pathways."
What model of addiction is the most thorough approach?
The bio-psycho-social
Assessing the client's nutrition is an expectation in what model?
Socio-cultural or bio-psycho-social
Native American Indians as a culture, view the passage of time much like the majority culture as a "linear" occurance?
False, they view it as cyclical.
Individuals we treat often tend to live out misperceptions or expectaions in their heritage or culture?
True of False?
True
Native-American Indian populations tend to believe that "learning from their mistakes" is a poor way to acquire knowledge and experiences?
True or False?
False, they do believe it is the correct way
Native American and Alaskan American cultures often see their youngsters start using substances at younger ages than the majority culture?
True or False
True
Asian Americans amongst all minority cultures tend to use more alcohol than other groups?
True or False?
False, they use least
If a father and a mother in a Japanese family disagree regarding family treatment decision, the mother's decision typically prevails?
True or False?
False, the father's decision would prevail
Given the opportunity to engage in a decision process, Asian American families typically prefer: a. spirited debate involving all
b. harmonious decision making
b. harmonious decision making
According to our class lecture, "acculturation" is a good or bad predictor of substance use in a cultural group?
Good
African American groups consider alcohol use a....
"party food"
Tobacco use is lower in African American groups in our culture?
True or False?
False, it is higher
Availability of alcohol in a community is meaningless when it comes to identifying risk of abuse?
True or False?
False
_____ rates of incarceration with African American groups n the US has contributed to the breakdown of family relationship and family ties.
High
"First general rule" regarding disclosure of client information is _______
confidentiality
T&F
42 CFR Part 2 takes precedence over state and local laws even with a subpoena
True
T&F
42 CFR Part 2 releases not only require names, dates, signatures and purpose for information but also an expirations date?
True
T&F
The first and perhaps "best" exception to release info is to obtain written consent from the client
True
T&F
42 CFR Part 2 would require us to sign agreements (Qualified Service Organization Agreements) with contractors we might coordinate services with to permit sharing information.
True
T&F
42 CFR Part mandates disclosure while the new HIPPA enactment prohibits it?
False
T&F
HIPPA provides mechanisms for disclosure for clients who are incapacitated?
True
T&F
Under HIPPA, should a client/patient in an emergency be unconscious clinical/medical personnel must document all efforts to revive the client before disclosure family members, persons, or friends?
False
T&F
Under HIPPA a provider may disclose information to a family member or friend if the provider decides information is in the "best interest" of the incapacitated/unconscious client in their professional judgment
True
T&F
Disclosures under the revised HIPPA act may be made over the phone, in person or in writing.
True
T&F
Based on the lecture, under the revised HIPPA rules providers can make disclosures of information on an unconscious/incapacitated patient if they are "reasonably sure" that the patient has "involved" the person in their (the patient's) care?
True
T&F
Despite all the changes in HIPPA, with all substance use related care the best recommendation on governance is to use the 42 CFR Part 2 Guidance
True
T&F
MOtivational Interviewing is an alternative to the JOhnson Model of Intervention?
True
T&F
Noting Changes in Academic Performance with adolescents is part of the Assessment Process?
True
T&F
Positive oriented assessment requires I ascertain what "positives" the client derives from the substance they use?
True
T&F
A SUDC and ASUDC Licensee can diagnose under their license?
False
T&F
One of the limitations in the typical behaviorally based assessment is clients can lie because of the way they are constructed
True
Identify two of the variables associated with the CAGE screening instrument, e.g. what does the "C" "A" "G" or "E" mean?
"Cut down"
"Annoyed"
"Guilty"
"Eye-opener"
T&F
Motivational interviewing is intended to enhance client engagement?
True
Name two of the four General Principles of Motivational Interviewing?
Express empathy,
develop discrepancy,
roll with resistance
Support self-efficacy
T&F
In Motivational Interviewing "counselor resistance" can be as large a challenge as a "Client resistance?"
True
T&F
Utilizing open ended questions is an encouraged techniques in Motivational Interviewing?
True
"Eliciting change talk" is one of the skill sets encouraged in MOtivational Interviewing?
True
Name two of the five stages in Prochaska & DiClemente's Stages of Change model detailed in the book?
Precontemplation
Contemplation
Preparation
Action
Maintenance
_____ and ____ are two examples of Medication Assisted Treatment
Suboxone
Methadone
T&F
The ASAM Criteria is about Detoxification approaches only?
False
____ and ____ are examples of levels of care in a treatment setting
Inpatient
Outpatient
How do you spell my last name?
Dusoe
Have a reason for everything you do and ________
Dusoism
do it, and know the reason
T&F
Codependency is diagnosis in the new DSM 5?
The caution against consuming alcohol in a pregnancy is because of the risk of causing ____ in the infant
Mothers smoking in pregnancy has the potential to cause harm in pregnancy that shows up in the ___ stage.
T&F
In fact youngsters of such a parent have been observed with problems with lung problems and infections in childhood?
____ of all the AOD substances is the most diabolical with the most potent and unpredictable effects on the offspring because of the varied chemical us e in a varied manufacturing process
T&F
Being born into a family with AOD problems may not change very much in relations to the roles in the family
T&F
Stigma is a pronounced gender related issue
T&F
Helping a family find spirituality and meaning is an appropriate approach to treating a family affected by AOD issues
T&F
Perception and acceptance of Anger is an example of how feelings are confused in families with alcohol and drug related issues
T&F
ACOA's based on research are more likely to be unhappy
Essay Question
Know about relapse and Prevention
slip> an episode of AOD use following a period of abstinence
relapse> return to uncontrolled AOD use following a period of abstinence
Cenaps Model was developed by Terence Gorski> integrates the fundamental principles of AA and the Minnesota Model Treatment to meet the needs of relapse-prone patients
Primary goals:
1. The recognition that chemical dependency is a biopsychosocial disease
2. The recognition of the need for lifelong abstinence from all mind-altering drugs
3. The development and use of an ongoing recovery program to maintain abstinence
4. the diagnosis and treatment of other problems or conditions that can interfere with recovery.
Recovery follows a sequence of six steps:
1. abstaining from alcohol and other drugs
2 Separating from people, places, and things that promote chemical use and establishing a social network that supports recovery
3. stopping compulsive self-defeating behaviors that suppress awareness of painful feelings and irrational thoughts
4. learning how to manage feelings and emotions responsibly without resorting to compulsive behaviors or the use of chemicals
5. Learning to change addictive-thinking patterns that create painful feelings and self-defeating behaviors
6. Identifying and changing the mistaken core beliefs about self, others, and the world that promote the use or irrational thinking.
Cognitive-Social Model of Relapse Prevention (Marlatt, Anis)
Maintaining a behavior and initiating a behavior change may be guided by different principles
belief in self-efficacy determines probability of relapse
Ability to cope with high-risk situations is critical
Apparently irrelevant decisions (AIDs) result from lifestyle imbalances and lead to relapse
Abstinence biolation effect (AVE) results in escalation of slips to relapse
**Assessment of high-risk situations & Coping with high-risk situations**
