AODS 299 Midterm review

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  1. What is the philosophy behind MAT?
    MAT(medically assisted treatment)

    • A combination of medication and behavioral therapies is considered the
    • most successful method of treatment for substance-use disorders. Methadone, Suboxone, buprenorphine,subutex and is considered a method of harm reduction.
  2. What are the 5 primary categories of primary treatment ASAM?
    • 1. Early Intervention
    • 2. Outpatient Treatment
    • 3. Intensive Outpatient Treatment
    • 4.Day Treatment//Partial hospitalization
    • 5. Residential/Inpatient Treatment
    • 6. Medically Managed Intensive Inpatient Detox Treatment
  3. What are some of the AXIS I substance use disorders that are commonly recognized in AODS treatment?
    • -Substance-Induced Delirium
    • -Substance-induced Psychosis
    • -Substance-induced anxiety disorder
    • -Substance-induced mood disorder
    • -Substance-Induced Psychotic Disorder
    • -Substance-Induced Sleep Disorder.
  4. What are uses for Methadone?
    • -used as a replacement for heroin (opiates)/helps prevent withdrawal symptoms.
    • -used for managing severe chronic pain relief
  5. What are some of the key ideas and values associated with cultural
  6. What is Relapse Prevention?
    It is a cognitive-behavioral self-control program that teaches individuals with substance addiction how to anticipate and integrate behavior diversion activities, coping skills, and emotional support.
  7. What does HIPPA stand for?
    Health Insurance Portability and Accountability Act (of 1996).
  8. What is HIPPA used for in Alcohol and substance abuse programs?
    HIPPAis the  privacy rule that provides regulations for the use/disclosure of an individual's health information, which gives the patient/client control over the use of their health information. It protects the confidentiality of the client's information and prohibits anyone from disclosing any party outside of treatment that could identify whether or not a client is a drug or alcohol abuser.
  9. What are signs of Alcohol withdrawal?
    • minor symptoms include:
    • rapid pulse, sweating, increased body temperature, hand tremors, anxiety,depression, insomnia, and nausea or vomiting

    • Major symptoms include:
    • Tachycardia; transient visual, tactile, or auditory hallucinations and illusions; psychomotor agitation;grand mal seizures; and delirium tremens.
  10. What are signs of Benzo withdrawal?
    • symptoms can include:
    • Anxiety, mood swings, depersonalization, poor concentration,social isolation, low energy, disturbed sleep,nausea, lack of appetite, night muscle spasms.
  11. What is TWEAK?
    Is a short 5-question test designed to screen alcohol pregnant women for harmful drinking habits.

    • T—Tolerance*—“How many drinks can you hold?”
    • W—Worried—“Have close friends or relatives worried or complained about your drinking in the past year?”
    • E—Eye-opener—“Do you sometimes take a drink in the morning when you first get up?”
    • A—Amnesia—stands for blackouts—“Has a friend or family member ever told you about things you said or did while you were drinking that you could not remember?”
    • K—K/Cut Down—“Do you sometimes feel the need to cut down on your drinking?”
  12. What criteria do you look for when considering substance dependence?
    • Tolerance:
    • • A need for markedly increased amounts of the substance to achieve intoxication or desired effect
    • • Markedly diminished effect with continued use of the same amount of the substance

    • Withdrawal:
    • • The characteristic withdrawal syndrome for the substance
    • • Taking the same (or a closely related) substance to relieve or avoid withdrawal symptoms

    • • Taking the substance often in larger amounts or over a longer period than was intended
    • • Having a persistent desire or unsuccessful efforts to cut down or control substance use
  13. What drugs are used in treating withdrawal and relapse of alcohol dependence?

    i.e. Naltrexone
    Vivitrol,Diazepam, lorazepam, chlordiazepoxide
  14. What are the general differences with respect to substance abuse and substance abuse treatment between men and women?
    Men are more likely to blame their addiction on anything but themselves and can be counseled using a confrontational approach, whereas women are more likely to blame themselves for their addiction and would require a more supportive and less confrontational approach (like Motivational Interviewing).
  15. What does the term Enmeshed refer to?
    it refers to people in relationships that have a hard time recognizing that they’re actually in an unhealthy relationship; they are so intertwined that neither can be separated from the other regardless of how good or bad a situation can be.
  16. What does the term codependent describe?
    Co-dependency occurs when two people form a relationship with each other because neither feels that he or she can "stand alone." Neither person feels capable or self-reliant. It is as if two half parts are trying to make a whole. Both partners are seeking to become psychologically complete by binding the other partner to themselves.
  17. What are the general components and intent of Law CFE 42?
    It is a law that the counselor must operate under, it requires a different level of confidentiality(like that of other codes or even by HIPPA). Client records can only be released with the client's dated/prior written consent and can only be released to the party that the client so chooses, unless it is for a bona fide medical emergency, authorized by the courts after showing good cause or for medical research pending the proper protocols are followed to protect the clients identifying information. The client also decides how much is to be released as well.
  18. Name the common screening instruments used by clinicians.
  19. What are the legal and confidential responsibilities regarding HIV?
    The law prohibits discrimination based on disability by private and public entities that provide most of the benefits, programs, and services a substance abuser or person living with HIV/AIDS is likely to need or seek. They also outlaw discrimination by a wide range of employers.

    The Federal confidentiality law and regulations protect any information about a client who has applied for or received any service related to substance abuse treatment from a program that is covered under the law. Services can include screening, referral, assessment, diagnosis, individual counseling, group counseling, or treatment. The regulations are in effect from the time the client applies for or receives services or the program first conducts an assessment or begins to counsel the client. If a person requesting information has a "special authorizing court order," he does have the right to receive confidential information according to 42 CFR, Part 2.
  20. What are the exceptions to privilege?
    Medical emergencies, communications among program staff, and reporting instances of child abuse, neglect or when there is danger to self or others.
  21. What are the stages of change?
    • They are:
    • precontemplation,contemplation, preparation(determination),action and maintenance.
  22. What are the 12 steps?
    1. We admitted ...   7. Humbly asked...
    2. Came to ...         8. Made a list...
    3. Made a...           9. Made direct...
    4. Made a ...          10. Continued to take...
    5. Admitted to...     11. Sought through...
    6. Were entirely...   12. Having had...
    By Bill Wilson and Dr. Bob Smith:

    1. We admitted we were powerless over alcohol—that our lives had become unmanageable.

    2. Came to believe that a power greater than ourselves could restore us to sanity.

    3. Made a decision to turn our will and our lives over to the care of God as we understood Him.

    4. Made a searching and fearless moral inventory of ourselves.

    5. Admitted to God, to ourselves, and to another human being the exact nature of our wrongs.

    6. Were entirely ready to have God remove all these defects of character.

    7. Humbly asked Him to remove our shortcomings.

    8. Made a list of all persons we had harmed, and became willing to make amends to them all.

    9. Made direct amends to such people wherever possible, except when to do so would injure them or others.

    10. Continued to take personal inventory, and when we were wrong, promptly admitted it.

    11. Sought through prayer and meditation to improve our conscious contact with God as we understood Him, praying only for knowledge of His will for us and the power to carry that out.

    12. Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics, and to practice these principles in all our affairs.
  23. Explain what SBIRT is?
    Screening,Brief Intervention, and Referral to Treatment:

    Screening quickly assesses the severity of substance use and identifies the appropriate level of treatment.

    • Brief intervention focuses on increasing insight and awareness regarding substance use and motivation toward behavioral change.
    • Referral to treatment provides those identified as needing more extensive treatment with access to specialty care.
  24. What are Carl Rogers 3 basic concepts and tools?
    • Unconditional Positive regard
    • Empathy
    • Congruence

    The specialized tools of the person-centered therapist is to remain non-directive and focused on the inherent intelligence and integrity of the client and not on the constructed theory of a particular science of neurosis.
  25. What are Yalom's key concepts related to group therapy teachings?
    • Death
    • Freedom/Responsibility
    • Isolation
    • Meaninglessness
  26. What are the key concepts of the 12-Step Facilitation Therapy?
    • Therapy focuses on two general goals:
    • (1) acceptance of the need for abstinence from alcohol and other drug use.

    (2) surrender, or the willingness to participate actively in 12-step fellowships as a means of sustaining sobriety.
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AODS 299 Midterm review
AODS 299 midterm review-Palomar
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