Providing Services to People with Co-Occurring Disorders in Addiction Treatment Settings (24 hours) – A Science 2 Service Course Quiz

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  1. You can reduce the drop out rate of clients with COD by:1
  2. Without a place to live and some degree of economic stability, clients with COD are likely to return to substance abuse or experience a return of symptoms of mental disorder.1
  3. Withdrawal from __________ invariably includes potent anxiety symptoms.1
  4. While studies report that nicotine dependence treatment for people with mental illness is safe and usually well tolerated, there have been reports of increases in psychiatric symptoms during the acute detoxification phase.1
  5. While most substance-induced symptoms begin to improve within hours or days after substance use has stopped, notable exceptions to this are psychotic symptoms caused by heavy and long-term amphetamine abuse and the dementia caused by using substances directly toxic to the brain.1
  6. While men with substance use disorders have more difficulty with emotional problems, their female counterparts have more trouble with functioning.1
  7. When working with people who have _________ disorders, clinicians can experience counter-transference as these clients are adept at “pulling others’ chains” in a variety of ways.1
  8. When sending a report to a physician, longer reports are more likely to be read.1
  9. When screening or assessing clients there are a number of circumstances that can affect validity and test responses that may not be obvious to the beginning counselor.1
  10. When screening for a history of trauma it can be damaging to ask clients to describe traumatic events in detail.1
  11. When forming a therapeutic alliance, the counselor should:1
  12. When dealing with cognitive or functionally impaired clients _____ is often helpful.1
  13. When dealing with clients who have BPD, therapists should be realistic in their expectations and know that clients will try to test them.1
  14. When cross-training is offered, interaction and communication between counselors from each discipline is facilitated, helping to remove barriers, increase understanding, and promote ________ work.1
  15. When counseling a client with borderline personality disorder, you can expect progress to be:1
  16. When counseling a client with borderline personality disorder you should set clear boundaries and expectations regarding limits and requirements in roles and behavior.1
  17. When considering historical information in assessing risk of harm:1
  18. When a client is getting better, he/she is said to be stabilizing.1
  19. When a client gets worse, it is often said that he/she is:1
  20. Virtually any substance taken in very large quantities over a long enough period can lead to a psychotic state.1
  21. Use of _____ is highly recommended whenever the clinical presentation does not seem to fit the client’s story, or where there appear to be unusual mental status symptoms or changes not explained adequately.1
  22. Unstable mood and self-image, and unstable and intense interpersonal relationships are characteristics of ______ personality disorder:1
  23. Unlike all other substances, the DSM only recognizes nicotine dependence (there is no diagnosis of nicotine abuse) because1
  24. Unintentional harm should also be considered when assessing the risk of harm.1
  25. treatment failures occur with both people with serious mental illness and those with less serious mental illness for several reasons, but among the most important are that:1
  26. Trauma associated with political oppression might be the case in refugee or other immigrant populations.1
  27. Tobacco treatment is not cost effective or feasible.1
  28. Tobacco smoking only affects the lungs, mouth, and throat.1
  29. Tobacco dependence is common in clients with other substance abuse and mental illnesses.1
  30. To screen for trauma, it is very important to limit questioning to very brief and general questions.1
  31. To lessen the possibility of burnout, one could:1
  32. To be effective, resources must be used to implement the evidence-based practices most appropriate to the client population and the program needs.1
  33. TIP 42 identifies ____ steps in the assessment process.1
  34. Though a number of advances have been made in recent years in the treatment of COD, systems of care often have not improved accordingly.1
  35. Those who have personality disorders tend to have difficulty forming a genuinely positive therapeutic alliance.1
  36. Those who abuse alcohol are two to three times more likely to smoke than the general population.1
  37. Those who ______ from stimulants are usually tired, withdrawn, and depressed.1
  38. There is a single, correct intervention for individuals with COD.1
  39. There are six approved medications as first-line treatments for tobacco use cessation.1
  40. The U.S. Public Health Service Guidelines encourages the use of the “5 A’s” ________ as an easy road map to quide clinicians to help their patients who smoke.1
  41. The TIP 42 consensus panel recommends the following strategies for community supervision of offenders with COD:1
  42. The screening process does not necessarily identify what kind of problem the person might have or how serious it might be1
  43. The screening process determines whether or not further assessment is warranted.1
  44. The risk of suicide is greatest when relapse occurs after a substantial period of abstinence, especially if there is concurrent financial or psychosocial loss.1
  45. The risk of suicide is greatest when a person:1
  46. The recovery perspective acknowledges that recovery is a long-term process of internal change and it recognizes that these internal changes proceed through various stages.1
  47. The purpose of assessment is to collect information about multiple variables that will permit ____________ treatment matching.1
  48. The purpose of assessment is not just to determine whether the client fits in my program, but to help the client figure out where he/she fits in the system of care, and to help him/her get there.1
  49. The provider encourages clients to build a network that offers:1
  50. The process whereby clients project attitudes, feelings, reactions, and images from the past onto the clinician is:1
  51. The prevalence of co-occurring substance use and antisocial personality disorder is low.1
  52. The prevalance of anxiety disorder is higher among men than women.1
  53. The pharmacology and potential for addiction to nicotine is dependent on its route of entry into the body.1
  54. The new dual recovery mutual self-help organizations are important signs of progress in several respects:1
  55. The National Mental Health Association has changes its mission to encompass substance abuse/addictions and co-occurring disorders.1
  56. The MTC, like all TC programs, seeks to develop a culture in which clients learn through mutual self-help and affiliation with the community to foster change in themselves but not others.1
  57. The most valuable components of your work with clients is:1
  58. The most common symptoms of substance-induced disorders is:1
  59. The most common symptoms of substance-induced disorders are:1
  60. The mental health equivalent of polysubstance abuse that describes individuals who meet the criteria for more than one personality disorder is:1
  61. The manner in which the instructions are given to the client, the setting in which the screening or assessment takes place, privacy (or lack there of), and trust and rapport between the client and counselor have no bearing on the validity and responses of the screening or assessment.1
  62. The majority of probationers with mental disorders (approximately ¾) have been involved with violent crime. T F1
  63. The Harborview Medical Center’s Crisis Triage Unit and The CORE Center have the capacity to meet and respond to the client at the location where care is requested, ensuring that each disorder is addressed in the treatment plan, and this typifies the _______ approach to treatment.1
  64. The goals of therapeutic communities are to promote abstinence from:1
  65. The general consensus of research to date is that while the ACT model for mental disorders is effective, it does not reduce hospital recidivism.1
  66. The five stages of change are precontemplation, contemplation, preparation, action, maintenance.1
  67. The first step in the assessment process is to engage the client in a(n) ______, welcoming manner and build a rapport.1
  68. The essential features of bulimia nervosa are binge eating and inappropriate compensatory methods to prevent weight gain.1
  69. The essential features of ________ are that the individual refuses to maintain a minimal normal body weight, is intensely afraid of gaining weight, and exhibits a significant disturbance in the perception of his/her body.1
  70. The essential feature of generalized anxiety disorder is excessive anxiety and worry occurring more days than not for a period of at least _________ about a number of events or activities:1
  71. The essential feature of a(n) __________ is a period of at least two weeks which there is either depressed mood or the loss of interest or pleasure in nearly all activities.1
  72. The Dual Recovery Empowerment Foundation provides training programs and materials to assist treatment providers, consumer-run programs, and consumer advocacy organizations in developing education programs for clients, consumers and family members.1
  73. The DSM-IV recognizes suicidality as a mental disorder.1
  74. The diagnostic criteria is a rigid tool and should never be tempered by cultural differences in behavior and emotional expression.1
  75. The culturally ________ individual may still think in terms of stereotypes.1
  76. The counselor has an important role in describing client ________ to ensure that proper medication is prescribed when needed.1
  77. The consensus panel for TIP 42 recommends the following treatment principles and services for women:1
  78. The clinician’s comfort level in working with a client has no bearing on the therapeutic alliance.1
  79. The category of disorders where the person may display inappropriate, exaggerated, or a limited range of feelings is:1
  80. The basic assessment offers a structure with which to obtain basic demographic and historical information.1
  81. The basic assessment offers a structure with which to obtain stage of change or stage of treatment for:1
  82. The basic assessment does not offer a structure with which to obtain identification of established or probable diagnoses and associated impairments1
  83. The basic assessment covers:1
  84. The association between alcohol use and suicide also may relate to the capacity of alcohol to remove ______ leading to poor judgment, mood instability, and impulsiveness.1
  85. The ASAM Patient placement Criteria envisions treatment as a continuum within which there are ______levels of care.1
  86. The appropriate treatment plan must be matched to:1
  87. The ability to employ diverse theories, concepts, models, and methods is listed as an essential attitude and value for clinicians who work with clients who have COD.1
  88. The “__________principle”-i.e., what goes up must come down- is useful to predict what kind of syndrome or symptoms might be caused by what substances.1
  89. The ___________ is a training program that is designed to help consumers learn how to engage in and develop consumer services.1
  90. Symptoms of mental illness that are the result of substance abuse is a condition referred to as:1
  91. Symptoms of mental disorders can be mimicked by substances.1
  92. Supportive housing is housing combined with access to services and supports to address the needs of homeless individuals so that may live independently in the community.1
  93. Suicide is frequently more successful in:1
  94. Suicidality is a high risk behavior associated with COD, especially serious mood disorders and is a DSM-IV diagnosable mental disorder.1
  95. Substances directly toxic to the brain most commonly include alcohol, inhalants like gasoline, and amphetamines.1
  96. Substance-induced disorders are distinct from independent co-occurring mental disorders in that all or most of the psychiatric symptoms are the direct result of substance use.1
  97. Substance use disorders alone increase suicidality.1
  98. Substance intoxification is associated with increased levels of ______to self and others.1
  99. Substance abuse treatment alone has been especially effective for those with anti-social personality disorders.1
  100. Substance abuse is more common in bulimia nervosa than anorexia nervosa.1
  101. Substance abuse and substance dependence are the same disorder.1
  102. Stimulants are used to treat:1
  103. Start low, go slow as it relates to counseling a client with a mood or anxiety disorder means to start low with general and non-provocative topics and proceed gradually as clients become more comfortable talking about issues.1
  104. Staff members should understand thoroughly and be prepared to act on an OTPs “duty to warn”1
  105. Staff cooperation can often be _______ by cross training, clinical team meetings, and a treatment culture that stresses collaboration.1
  106. Someone with some evidence of self neglect and/or compromise in ability to care for oneself in their current environment would be considered to have a ________ risk of harm.1
  107. Someone with no current suicidal or homicidal ideation, plan, intentions or serious distress, but who may have had transient or passive thoughts recently or in the past would be considered to have a:1
  108. Someone with no current suicidal or homicidal ideation, plan, intentions or serious distress, but who may have had transient or passive thoughts recently or in the pass would be considered to have a:1
  109. Some programs suggest the use of ________ that clients can use to increase their consciousness of the situational factors that underlie the urge to use or drink.1
  110. Some of the nine essential features of ACT include:1
  111. Social phobia, panic disorders, and post-traumatic stress disorders are all types of _______disorders.1
  112. Smokers with mental disorders consume nearly half of all the cigarettes sold in the US.1
  113. Small gains by the client should not be applauded, because this encourages them to not work as hard at recovery.1
  114. Self-harm, often called _________, can be expressed in a less extreme form than suicide, such as self-cutting, self-burning, and other self-mutilation behaviors.1
  115. Screening for the presence of substance abuse involves the following components:1
  116. Screening begins with inquiry about past and present substance use and substance-related problems and disorders.1
  117. Schizotypal Personality Disorder is a Cluster____ Personality Disorder.1
  118. Schizophrenia is a(n) _____ disorder.1
  119. Safety screening requires that the clinician specifically ask the client if:1
  120. Research shows that most people who kill themselves do not have a diagnosable mental or substance abuse disorder.1
  121. Recovery is a long-term process of internal change and these internal changes proceed through various stages.1
  122. Recovery has only one meaning when referring to substance use: abstinence.1
  123. Recognition of the limitations of one’s own personal knowledge and expertise is not a necessary attitude/value for clinicians working with COD clients.1
  124. Quitting smoking has no immediate benefits, however there are long term benefits.1
  125. Quadrants of Care place clients in four basic groups based on symptom severity, not diagnosis.1
  126. Public mental health and substance abuse treatment systems have evolved in different ways, and these different histories must be recognized as collaborative ventures are formed.1
  127. PTSD is considered an anxiety disorder.1
  128. PTSD entails three sets of symptoms that result in a decline in functioning:1
  129. Psychosocial classes in basic COD programs focus on:1
  130. Psychiatrists can be of great help when employed at a treatment facility by:1
  131. Protected health information is defined as individually identifiable health information held by or transmitted by a covered entity or its “business associate,” with limited exceptions.1
  132. Programs can adopt strategies designed to help clients become aware of cues or_______ that make them more likely to abuse substances.1
  133. Preconceptions about addiction often interfere with learning about what the client really needs.1
  134. Practice staff and providers should have an appropriate level of training, experience, and comfort with office based opioid treatment1
  135. Potential side effects of Antabuse include:1
  136. Postpartum depression affects between _______% of new mothers.1
  137. Populations at risk for anxiety and mood disorders are:1
  138. Pharmacologic effects can be therapeutic or detrimental.1
  139. Pharmacologic effects can be therapeutic of detrimental.1
  140. Personality disorders should not be diagnosed during substance use or withdrawal as misdiagnosis can easily occur if the current and historical roles of substance use are not properly assessed, therefore a period of abstinence is often required before the co-occurrence of a PD with a substance use disorder can be determined.1
  141. Person centered assessment emphasizes that one of the focuses of initial contact is finding out what a client wants in terms of their perception of the problem.1
  142. People with mental disorders and or dependency on other drugs are not more likely to have a tobacco addiction.1
  143. People with BPD often use substance in idiosyncratic and unpredictable patterns.1
  144. People with APD are more likely to be female and those with BPD are more likely to be male.1
  145. People with APD and BPD are likely to show features of other personality disorders.1
  146. People taking antipsychotic drugs should not increase their dose unless this has been checked with their physician and a change ordered.1
  147. Patient motivation to engage in MAT is associated with1
  148. Pathological gamblers are often referred to as _______ depending on why they gamble.1
  149. Participants see _________ as a means of both helping themselves and a supporting each other in achieving specific personal goals.1
  150. Onsite groups such as ___________ provide a forum for discussion of the interrelated problems of mental disorders and substance abuse.1
  151. One of the key issues providers face in developing a workforce able to meet the needs of clients with COD includes essential competencies for clinicians.1
  152. Offenders with mental illness were likely to be using substances when they committed their convicting offense and likely to be incarcerated for a violent crime.1
  153. Nicotine dependence is not recognized as a disorder in DSM-IV.1
  154. Much of substance abuse treatment is particularly targeted to those with APD, and substance abuse treatment alone has not been particularly effective.1
  155. Most substance-induced symptoms begin to improve within hours or days after substance use has stopped.1
  156. Most people diagnosed as having anti-social personality disorder rare not true psychopaths—that is, predators who use manipulation, intimidation, and violence to control others and to satisfy their own needs.1
  157. Most of the recovery process occurs outside of or following treatment.1
  158. Most clients with personality disorders tend to be limited in terms of their ability to receive, accept, or benefit from corrective feedback.1
  159. More severe mental disorder/more severe substance disorder would be Category _______ according to the Quadrants of Care.1
  160. More severe mental disorder/less severe substance disorder would be Category _______ according to the Quadrants of Care.1
  161. More clients can be engaged and retained in substance abuse treatment if that treatment is integrated with medical care than if clients are referred to a separate substance abuse treatment program.1
  162. Mood disturbances and anxiety are ever-present features of many people in substance abuse treatment.1
  163. Medical problems and medications can produce symptoms of anxiety and mood disorders.1
  164. Mechanisms for ongoing collaboration and consultation are needed to ensure that referrals are suitable to the treatment needs of persons with COD.1
  165. Master’s level clinical specialists could function as consultants to the rest of the team on matters related to mental disorders.1
  166. Markers such as improved health, better ability to care for oneself and others, a higher degree of independence, and enhanced self worth are all indicators of progress in the recovery process1
  167. Long-term or chronic use of certain medications can cause _______ to the subjective and therapeutic effects and prompt dosage increased to recreate the desired effects.1
  168. Less severe mental disorder/less severe substance disorder would be Category _______ according to the Quadrants of Care.1
  169. Key issues and concerns in the treatment of BPD includes:1
  170. It isn’t important that staff in outpatient substance abuse treatment settings with COD clients function as an integrated team.1
  171. It is uncommon for groups tailored to individuals with COD to consist of between two and four individuals in the early stages.1
  172. It is the responsibility of the program to address the specific needs of women, and mixed-gender programs need to be made more responsive to women’s needs.1
  173. It is the responsibility of each provider to be able to ____ clients with both mental and substance use disorders and ensure that they have access to the care needed for each disorder.1
  174. It is particularly important to identify and attend to any acute safety needs, which often have to be addressed before a more comprehensive assessment process can occur.1
  175. It is now believed that substance use is more often a cause of anxiety symptoms rather than an effort to cure these symptoms.1
  176. It is not necessary for all substance abuse treatment clients to receive at least a basic screening for suicidality.1
  177. It is not important that family members and significant others who are close to the client receive information on mental disorders and substance abuse, as well as on how the disorders interact with one another.1
  178. It is most important to continue to evaluate psychiatric symptoms and their relationship to _________ over time.1
  179. It is important to use person-centered terminology as a way of acknowledging each client’s individuality.1
  180. It is important to identify and contact collaterals to gather additional information, and one does not need a client’s permission to do so if you are:1
  181. It is important to express _______ and a willingness to listen to a client’s formulation of the problem when trying to build a therapeutic alliance.1
  182. It is estimated that between 55% and 99% of women in substance abuse treatment have had traumatic experiences.1
  183. Information from collaterals is not valuable as a supplement to the client’s own report for assessment purposes.1
  184. Individuals with COD are found in few addiction treatment settings, at only the highest level of care.1
  185. Individuals with both schizophrenia and substance use disorders may be particularly challenging to treat.1
  186. Individuals with _______ disorders experience craving, tolerance, and withdrawal from drugs associated with purging.1
  187. Individuals with _______ disdain society’s rules; they know right from wrong but they do not care.1
  188. Individuals with ______ may be impatient and engage in dangerous activities without thinking of the consequences.1
  189. In the model Case management for Rural Substance Abuse, the results will be helpful to service providers and policy developers as they plan drug treatment interventions, especially in urban areas.1
  190. In the Boley Homelessness Prevention Project, which served individuals who had been homeless or where at the risk of homelessness, the model emphasizes providing1
  191. In general, the risk of suicide increases with the presence of COD.1
  192. In Cognitive Behavioral Therapy the clinician withholds the designated incentive from the individual when a substance is detected.1
  193. In assessing the agency’s potential to serve clients with COD, programs should consider performing a ______________ to determine the prevalence of COD in their patient population.1
  194. In an effort to enhance services, SAMHSA is currently emphasizing the use of strategies that have been demonstrated to be effective in:1
  195. If the screening and assessment process establishes a substance abuse or mental disorder beyond the capacity and resources or the agency, referral should be made to a suitable residential or mental health facility, or other community resource.1
  196. If mental health symptoms resolve in less than 30 days with abstinence from substances, then these symptoms are most likely substance induced and the best treatment is:1
  197. If mental health symptoms including ________ resolve in less than 30 days with abstinence from substances, then these symptoms are most likely substance induced1
  198. If a person smells something that isn’t real they may be having _________ hallucinations.1
  199. Ideally, agencies should hire a psychiatrist with substance abuse treatment expertise to work onsite at the substance abuse treatment agency, but finding psychiatrists with this background may present a challenge.1
  200. ICM has been shown to be effective in engaging and retaining clients with COD in outpatient services and to reduce rates of hospitalizations.1
  201. Homeless people are:1
  202. Historically, substance abuse education in medical schools and residencies has received great attention.1
  203. HIPAA is an acronymn for:1
  204. HIPAA is an acronym for:1
  205. Hallmark traits of Cluster _____ involve anxious, fearful behavior.1
  206. Grounding, a coping skill for clients with emotional pain, is the same as relaxation training and meditation.1
  207. Generally, collecting assessment information is a legitimate and legal activity even for unlicensed providers, provided that they do not use diagnostic labels as conclusions or opinions about the client.1
  208. Funding resources for mental health services remain significantly lower per client than those available for substance abuse treatment.1
  209. For women, responsibility for care of dependent children is one of the most important barriers to entering treatment.1
  210. For women who are pregnant, the physician should discuss the safety of the medication before starting, continuing, of discontinuing treatment medication.1
  211. For substance abusers with gambling problems, as a counselor, you can assume the problematic gambling will be eliminated once the substance abuse is treated.1
  212. For patients taken methadone, they should not receive the initial dose of buprenorphine until at least at least1
  213. For most, if not all, homeless clients with COD, the impact of substance abuse and mental illness bears no direct relationship to their homeless status.1
  214. For counselors working in a mental health setting, it is important to remember that if a client acknowledges a past substance problem but states that it is now resolved, no further substance use assessment is required.1
  215. Evidence suggests that outpatient treatment can lead to positive outcomes for certain clients with COD, even when treatment is not tailored specifically to their needs.1
  216. Even with well-tested assessment tools, it can be difficult to distinguish between a mental disorder and a substance-related disorder without additional information such as the:1
  217. Essential features of anti-social personality disorder are:1
  218. Empirical evidence suggests that participation in Double Trouble in Recovery contributes substantially to members’ progress in dual recovery and should be encouraged.1
  219. Empathic detachment requires that the assessing clinician recognize that they are there to transform the client into a different person.1
  220. Empathic detachment does not require the clinician to maintain empathic connection when a client does not fit into the clinician’s expectations, treatment categories, or a preferred method of working.1
  221. Effective approaches for treating co-occurring antisocial personality disorder include:1
  222. Education about mental disorders does not need to be available within substance abuse programs.1
  223. During the induction phase of treatment, the consensus panel recommends combination therapy1
  224. During the first few months of sobriety, many people with substance use disorders may exhibit symptoms of depression that fade over time and that are related to acute withdrawal.1
  225. Dual diagnosis capable programs have a higher level of integration of substance abuse and mental health treatment services than dual diagnosis enhanced programs.1
  226. Drugs such as ________ can produce delusions and/or hallucinations secondary to drug intoxification.1
  227. Drug and alcohol programs are only subject to the _________if they transmit health information in electronic form and in connection with a HIPAA transaction, such as a healthcare claim.1
  228. Developed in the 1970’s, for clients with serious mental illness, the _____ model was designed as an intensive, long-term service for those who were reluctant to engage in traditional treatment approaches and who required significant outreach and engagement activities.1
  229. Desire and willingness to work with people who have COD is not an essential attitude/value for clinicians who work with COD clients.1
  230. Decreasing structure is a key guideline for developing a therapeutic alliance.1
  231. Counselors should use client______ as part of the motivation for change.1
  232. Counselors should understand the limitations of their licensure and certification authority to diagnose assess mental disorders1
  233. Counselors should rely solely on screening tools for a comprehensive assessment.1
  234. Counselors should recognize that recovery is a long term process1
  235. Counselors should recognize that acting-out behavior common to people with BPD is a maladaptive survivor response:|1
  236. Counselors should familiarize themselves with the:1
  237. Counselors always should ask if the client has been thinking of suicide, whether or not the clients mentions depression.1
  238. Continuing education is useful because it can respond rapidly to the needs of a workforce that has diverse educational backgrounds and experience.1
  239. Continuing care should include regular informal check-ins with clients to help alleviate potential problems before they become serious enough to threaten recovery.1
  240. Conferences to explore ________ between research and field practice are now common.1
  241. Compared to people with mental or substance use disorders alone, people with COD are no more likely to be hospitalized.1
  242. Comorbidity of alcoholism and ______ increased suicide risk1
  243. Communicating to the client that you will be helping him/her to help himself/herself assists in forming a therapeutic alliance.1
  244. COD is common in the general adult population yet many individuals:1
  245. Co-Occurring Dialogues is a listserv focusing on issues related to dual diagnosis.1
  246. Clinicians’ ________ are the specific and measurable skills that counselors must possess.1
  247. Clinicians who observe guardedness on the part of the client should consider the possibility of ______ and should try to provide support and gentleness.1
  248. Clinicians are encouraged to explore culturally driven concepts of what it means to abuse substances, have a mental disorder, or how clients may be “cured” with people who are familiar with the cultures represented in their client population.1
  249. Clients with COD compared to clients with a single diagnosis receive less treatment services of the major types-hospital inpatient, residential, and outpatient services.1
  250. Clients with co-occurring mental disorder involving psychosis have a higher risk for self-destructive and violent behaviors.1
  251. Clients with a co-occurring mental disorder involving psychosis are particularly vulnerable to:1
  252. Clients with ________ personality disorder exhibit a pervasive pattern of grandiosity, need for admiration, and lack of empathy.1
  253. Clients presenting in substance abuse treatment settings should be screened for:1
  254. Clients may be unwilling or unable to report past or present circumstances accurately.1
  255. Clients do not vary in how they respond to both intoxification and withdrawal given the dame exposure to the same substance.1
  256. Category IV”s Locus of Care are:1
  257. Both mental health and substance abuse staff require training, cross training, and on-the job training to adequately meet the needs of clients with COD.1
  258. Borderline Personality Disorder is best treated with:1
  259. Benzodiazepines have potential for:1
  260. Benzodiazepines are:1
  261. Being suicidal does not, in itself, mean that the person has an independent mental disorder.1
  262. Being aware of strong personal reactions and biases toward a client helps to manage:1
  263. Being able to engage the client in such a way as to______ and facilitate future interaction is an example of the basic competencies needed for the treatment of persons with COD.1
  264. Being able to _______ the emotional state of a client who is agitated, anxious, angry, or in another vulnerable emotional state is an example of the basic competencies needed for the treatment of persons with COD.1
  265. Because service systems are layered and difficult to negotiate, and because people with COD need a wide range of services but often lack the knowledge and ability to access them, the utility of case management is recognized widely for this population.1
  266. Awarding points (redeemable for tangible rewards such as phone cards, candy, toiletries) for positive behaviors in a TC is called:1
  267. ATTC is an acronym for1
  268. Assessments do not need to be revised as the client moves through recovery1
  269. Assessment should be repeated over time to capture the changing nature of the client’s status.1
  270. Assessment of tobacco use includes:1
  271. Assessment of a client with COD:1
  272. Assessment is about getting to know a person with complex and individual needs.1
  273. Asking a person if they have ever experienced a serious accident would not be appropriate when screening for trauma.1
  274. ASI is acronym for:1
  275. ASAM is an acronym for:1
  276. As treatment proceeds and as other changes occur in the client’s life and mental status, counselors must actively seek current information rather than proceed on assumptions that might be no longer valid.1
  277. As the client moves through recovery, information needs to be collected:1
  278. As a counselor, you need not take all suicide threats with seriousness, especially if the client has used threats to avoid consequences in the past.1
  279. Approximately ________ of U.S. residents are likely to have some anxiety disorder during their lifetime.1
  280. Anxiety syndrome associated with early recovery can be a mix of withdrawal and learning to live without using substances.1
  281. Antisocial Personality Disorder is a Cluster _______ Personality Disorder.1
  282. An important role of the psychiatrist working in a substance abuse treatment setting is to provide psychiatric medication based on the basement and diagnosis of the client, with subsequent regular contact and review of medication.1
  283. An important consideration for the public mental health and substance abuse delivery system is the recognition that not all people with emotional problems are candidates for care within the mental health system.1
  284. An important component of relapse prevention is helping the client learn to anticipate the early warning signs of mental and substance use disorders.1
  285. Among high-risk individuals for PTSD are those who survived:1
  286. Although true for most counseling situations, it is especially important to ________ when counseling clients with a mood or anxiety disorder.1
  287. All substance abuse treatment professionals should know how to conduct at least basic screening and triage for suicidality.1
  288. All substance abuse programs should have in place appropriate procedures for_______ clients with COD.1
  289. Alcohol abuse is associated with ______% of suicides.1
  290. Adding a psychiatrist in an addiction treatment setting to evaluate and prescribe medications for clients with COD can improve treatment retention and decrease substance use.1
  291. Adding a master’s level clinical specialist with strong diagnostic skills and expertise in working with client with COD can:1
  292. Addiction is a fixed and rigid event.1
  293. Addiction counselors are expected to diagnose mental disorders.1
  294. Acute manic symptoms may be ______ by intoxication with stimulants, steroids, hallucinogens, or polydrug combinations.1
  295. ACT is an acronym for:1
  296. According to ASAM PPC-2R, residential/inpatient treatment would be level:1
  297. Abuse of alcohol or drugs is a major risk factor in suicide, both for people with COD and for the general population.1
  298. Abuse of alcohol or drugs is a major factor for suicide in the co-occurring population as opposed to the general population.1
  299. A treatment principle of ACT emphasizes shared decision making with the client.1
  300. A therapeutic approach that seeks to modify negative or self-defeating thoughts and behaviors is:1
  301. A program that is ___________ actively combines substance abuse and mental health interventions to treat disorders, related problems, and the whole person more effectively.1
  302. A person with ____________ cycles between episodes of mania and depression.1
  303. A person displaying such symptoms as grandiosity, decreased need for sleep, racing thoughts, and pressured speech may be experiencing a:1
  304. A panic disorder consists of episodes of panic attacks followed by a period of persistent fear of the recurrence of more panic attacks.1
  305. A noteworthy alteration from the TC approach in MTC is the change from encounter group to conflict resolution groups.1
  306. A key technique for working with clients who have COD is to use repetition and skills building to address deficits in functioning.1
  307. A goal of engagement is to create a safe, ________ environment in which sensitive personal issues may be discussed.1
  308. A difficulty of working with people who have personality disorders is the strong ______ clinicians can have in working with these clients, who are adept at “pulling others’ chains”.1
  309. A critical issue for clients with COD is engaging them in treatment so that they can make use of the available services.1
  310. A counselor who listens rather than tells is using a(n) _______style.1
  311. A counselor can not be empathetic and firm at the same time1
  312. A comprehensive _________ serves as the basis for an individualized treatment plan.1
  313. A client who is aware that a problem exists and is thinking seriously about overcoming the problem, yet has not made a commitment to change is in the _________ stage of change.1
  314. A client who has no intention to change in the foreseeable future and may be unaware that a problem even exists is in the __________stage of change.1
  315. A client centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence is:1
  316. A client can not have both independent and substance-induced metal disorders.1
  317. A centralized intake team is a useful approach to screening and assessment, providing a common point of entry for many clients entering treatment.1
  318. A carefully developed discharge plan, produced in collaboration with the client, will ____ client needs with the community resources, providing supports needed to sustain the progress achieved in outpatient treatment.1
  319. A basic program has the capacity to provide treatment for both disorders while screening for other possible disorders.1
  320. A basic assessment covers the key information required for1
  321. A basic assessment consists of gathering key information and ______ in a process with the client that enables that counselor to understand the client’s readiness for change, problem areas, COD diagnosis(es), disabilities and strengths.1
  322. A _______ episode is defined by a distinct period during which there is an abnormally and persistently elevated, expansive, or irritable mood.1
  323. 6. Addiction counselors are expected to diagnose mental disorders.1
  324. 40. The goals of therapeutic communities are to promote abstinence from:1
  325. 38. Most people diagnosed as having anti-social personality disorder rare not true psychopaths—that is, predators who use manipulation, intimidation, and violence to control others and to satisfy their own needs.1
  326. 19._________ publishes a wide variety of treatment related materials, including a three volume set of therapy manuals for cocaine addiction.1
  327. “No wrong door” policy ensures that an individual needing treatment will be __________ and will receive treatment, either directly or indirectly or through appropriate referral, no matter where he/she enters treatment.1
  328. ________% of the US population could be classified as having symptoms of pathological gambling.1
  329. _________is a partial opiate blocker used to treat opiate addiction.1
  330. _______________ principle states that the healthcare delivery system, and each provider within it, has the responsibility to address the range of client needs wherever and whenever a client presents for care:1
  331. _____________ is a means of coordinating substance abuse and mental health interventions to treat the whole person more effectively.1
  332. ____________ is a persisting pattern of inattention and/or hyperactivity-impulsivity that is displayed more frequently and more serious than observed typically in individuals at a comparable level of development.1
  333. ____________ are rigid, inflexible, and maladaptive behavior patterns of sufficient severity to cause internal distress or significant impairment in functioning.1
  334. ___________ refers to the traditional types of informal relationships among providers-from referrals to requests for exchanging information and keeping each other informed.1
  335. ___________ interventions are specific treatment strategies or therapeutic techniques in which interventions for both disorders are combined in a single session or interaction, or in a series of interactions or multiple sessions.1
  336. ___________ implies consistent, seamless, and coordinated care as clients move across different service systems.1
  337. ___________ denotes those relationships among mental health and substance abused providers in which the contributions of professionals in both fields are moved into a single treatment setting and treatment regimen.1
  338. __________ is the process for evaluating the possible presence of a particular problem.1
  339. __________ is one of the most critical elements in an effort to move best practices in substance abuse treatment to community programs working on the front lines of substance abuse interventions.1
  340. __________ is a mood disorder that involves fluctuating moods from above normal to below normal, but never has symptoms so severe or persistent as to meet the diagnostic criteria for a bipolar disorder.1
  341. _________ model brings the mental health and substance abuse treatment systems into an integrated planning process to develop a comprehensive, integrated system of care.1
  342. _________ is the process for defining the nature of a problem and developing specific treatment recommendations for addressing that problem.1
  343. _________ is the ability to experience another person’s feeling or attitude while still holding on to our own attitude and outlook.1
  344. _________ is not a DSM-IV diagnosable mental disorder in and of itself, but is a high risk behavior associated with COD.1
  345. _________ is a common problem for any substance abuse provider, but particularly so for those who work with clients who have COD.1
  346. _________ dependence is the most common substance use disorder in the U.S.1
  347. _________ refers to the specific treatment strategies, therapies, or techniques that are used to treat one or more disorders.1
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