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A comprehensive set of questions and answers related to substance abuse and addiction, covering key concepts, theories, and treatment approaches. It explores topics such as dependency, addiction, treatment components, the disease model, the nervous system, psychoactive drugs, treatment approaches, ethical considerations, and assessment methods. The document also includes information on various therapeutic models, such as psychodynamic theory, client-centered therapy, rational-emotive therapy, transactional analysis therapy, gestalt therapy, and reality therapy. It further delves into the principles of behaviorism, including classical and operant conditioning, and explores the stages of change and cultural sensitivity in addiction treatment. A valuable resource for students and professionals seeking to understand the complexities of substance abuse and addiction.
Typology: Exams
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Dependency CORRECT ANSWER occurs when a drug user experiences physical or psychological distress upon discontinuing use of the drug. Addiction CORRECT ANSWER implies compulsive use, impaired control over using the substance, preoccupation with obtaining and using the drug, and continued use despite adverse consequences. Five Critical Components of Effective Treatment CORRECT ANSWER Assess Patient-Treatment Matching (individualized) Comprehensive Services Relapse Prevention Accountability DSMV removed what distinction? CORRECT ANSWER The distinction between abuse and dependence. Substance Use Disorders Have _____ Criteria... including ______ and _______. CORRECT ANSWER 11 including tolerance and withdrawal. Once addiction reaches dependency, it is now a _____________. CORRECT ANSWER Chronic and relapsing disorder. Medical View of Addiction CORRECT ANSWER Disease Model Criminal View of Addiction CORRECT ANSWER Protect Public
Process of Stimulus and response CORRECT ANSWER Sensory, Interconnection, Motor Responses Two Major Structures in the Nervous System CORRECT ANSWER Central Nervous System and Peripheral Nervous System Two Parts of the Peripheral Nervous System CORRECT ANSWER Autonomic and Somatic systems Psychoactive drugs majorly affect this CORRECT ANSWER synapses Alcohol affects what part of the Nervous System CORRECT ANSWER CNS Two key issues that separate alcohol use from alcohol abuse CORRECT ANSWER Tolerance and loss of control Sedatives-Hypnotics CORRECT ANSWER Barbiturates Inhalants are CORRECT ANSWER CNS Depressants Marijuana has CORRECT ANSWER Depressant, stimulant, analgesic and hallucinogenic effects CNS Stimulants CORRECT ANSWER Caffeine, Nicotine, and Amphetamines Disease means CORRECT ANSWER an involuntary disability
treatment approaches CORRECT ANSWER Medical, Biopsychosocial, social, clinical Three substances that require detox CORRECT ANSWER Alcohol and CNS Depressants, Opiates, Cocaine 12 Core Functions CORRECT ANSWER 1. Screening
Invented Gestalt Therapy CORRECT ANSWER Fritz Perls Invented Reality Therapy CORRECT ANSWER William Glasser Types of Behaviorism CORRECT ANSWER Classical Conditioning and Operant Conditioning Inventor of Classical Conditioning CORRECT ANSWER Pavlov Inventor of Operant Conditioning CORRECT ANSWER BF Skinner Four Parts of Operant Conditioning CORRECT ANSWER Positive Reinforcement Negative Reinforcement Punishment Extinction Types of Extinction CORRECT ANSWER Implosive Therapy and Flooding (PE) Basis of a Treatment Plan CORRECT ANSWER Assessment Who invented Johari's Window CORRECT ANSWER Joe and Harry Psychodynamic Theory Personalities CORRECT ANSWER Id, Ego, SuperEgo The event does not cause the action CORRECT ANSWER RET
Helping the individual get back in touch with objective and moral reality by making responsible choices CORRECT ANSWER Reality Therapy Satisfaction without harming others CORRECT ANSWER Reality Therapy Three Ego States of Transactional Analysis Therapy CORRECT ANSWER Parent, Adult, Child Transactional Analysis CORRECT ANSWER Based on life experience, a person develops one of four life positions from which he/she views himself, other and the world Goal of therapy: new response to old stimulus CORRECT ANSWER Behaviorism Common Co-Occuring Disorder for addiction counselors CORRECT ANSWER Personality Disorders, Mood Disorders, and Psychotic Disorders 3 Perspectives CORRECT ANSWER Moral, Legal, Ethical Wyatt V Stickney: Rights of involuntarily committed patients, constitutionally entitled to treatment CORRECT ANSWER Patient Rights Confidentiality of alcohol and drug abuse patients CORRECT ANSWER 42 C.F.R. Part 2 Tarasoff V Regents:
Threatening violence to specific victim, warn both intended victim and police Only when reasonable identifiable victims when client is violent party CORRECT ANSWER Duty to warn 5 MI principles CORRECT ANSWER 1. Empathy through reflective listening
Basic example of a system CORRECT ANSWER SAMSHA Comprehensive Continuous Integrated Systems of Care CORRECT ANSWER Model to bring the mental health and substance abuse treatment systems into an integrated planning process to develip a compmrehensive, integrated system of care Four Quadrant Model CORRECT ANSWER A valid model for service planning Screening CORRECT ANSWER A process for evaluating the possible presence of a particular problem Assessment CORRECT ANSWER A process for defining the nature of that problem and developing specific treatment recommendations for addressing the problem Psychoactive CORRECT ANSWER the ability of certain medications, drugs, and other substances to cause acute psychomotor effects and a relatively rapid change in mood or thought Twin Epidemics CORRECT ANSWER AOD abuse and HIV Prevention and treatment of AOD abuse and HIV disease require CORRECT ANSWER a multidisciplinary approach that relies on the strengths of a variety of providers and treatment settings to provide a comprehensive range of effective services
Most important features of any program providing care to HIV-infected patients CORRECT ANSWER minimal barriers to access and a "user friendly" environment 1993 Substance Abuse Block Grant recipients must create a waiting list to give preferential treatment to CORRECT ANSWER 1. Pregnant IDU
Privilege CORRECT ANSWER A legal term that refers to an individual's right not to have confidential information revealed in court or other legal proceedings. Grounds for breaching confidentiality CORRECT ANSWER Suicide, child abuse, elderly abuse, neglect MDMA CORRECT ANSWER Combo drug with stimulant qualities Predominant action on the CNS is one of depression associated with extreme physical fatigue Interferes with the body's ability to control temperature Increases heart rate and blood pressure Gold Standard for Urinalysis CORRECT ANSWER GC/MS Basic Steps of Assessment CORRECT ANSWER Information, Data analysis, and Treatment Plan Development Validity CORRECT ANSWER accurately measure what it intends to measure Reliability CORRECT ANSWER produces stable results Standardized Interview CORRECT ANSWER Limits the interviewer to a prescribed style and list of questions. May be more credible than structured interview. Treatment Plan Development includes CORRECT ANSWER Problems, goals/objectives, resources, persons responsible, time frame, benefits
Maslow's Hierarchy of Needs CORRECT ANSWER Physiological, Safety, Belonging/love, Esteem, and Self-Actualization Termination CORRECT ANSWER A stage in the counseling process Three Stages of Drug/Alcohol Treatment CORRECT ANSWER Medical, Psychosocial, Aftercare 8 Basic Communication Skills CORRECT ANSWER 1. Attending
Universiality CORRECT ANSWER Profound effect on the chemically dependent individual Styles of Group leadership CORRECT ANSWER Authoritarian, Democratic, Laissez-faire Family Roles of Sharon Wegscheider-Cruse CORRECT ANSWER Enabler, hero, scapegoat, lost child, and mascot Claudia Black's Family Roles CORRECT ANSWER Responsible, adjuster, placater, the acting-out child Counselor is informed of domestic physical abuse of client's children CORRECT ANSWER legal obligation to inform the appropriate state or social services agencies Treatment Planning CORRECT ANSWER -identify and rank -establish goals -methods and resources Definition of Case Management CORRECT ANSWER Activities which bring services, agencies, resources, or people together within a planned framework of action toward the achievement of established goals. It may involve liaison activities and collateral contacts. Types of Trauma CORRECT ANSWER 1. Situational
Search Warrant CORRECT ANSWER may not be used to allow law enforcement to enter Arrest Warrant CORRECT ANSWER permit entry to search for client who committed/threatened crime on program premises or against personnel. Unless arrest warrant is accompanied by a court order, the program cannot cooperate with a search for a patient who committed a crime elsewhere. Duty To Warn CORRECT ANSWER activated when a client makes a threat of physical harm to an identified individual or individuals. Threat of harm is deemed imminent.