drug use and abuse chapter 15

A person who had health insurance and was diagnosed with a substance use disorder in 1985 would likely be treated in a

28-day inpatient program

Hunt, Barnett, and Branch (1971) showed that what percentage of the individuals treated for alcohol, tobacco, or heroin abuse in abstinence-oriented programs had returned to their primary substance use three months after treatment

70

Jerry belongs to a substance use disorder self-help group that emphasizes spirituality and a higher power. To which group does he belong

AA

drug that interferes with the metabolism of alcohol and used in treatment programs

Disulfiram

A person who takes disulfram and then has an alcoholic drink will soon experience life-threatening symptoms such as an excessively rapid heartbeat

False

According to the opponent process theory, the individual's self-efficacy to cope with high-risk situations determines whether or not they will relapse

False

Alcohol and drug treatment that most people receive today is consistently supported by research evidence

False

Alcoholics Anonymous (AA) has been shown to be, by far, the most effective treatment for alcoholism

False

Harm reduction programs stress abstinence as the only way to reduce the harmful consequences of alcohol abuse to society

False

In order to be cost effective, a person with a substance use disorder must remain in outpatient treatment for at least three months

False

It is generally agreed that substance use disorders are caused by psychological disorders

False

One limitation of Alcoholics Anonymous (AA) is that it is appropriate only for those holding Judeo-Christian beliefs

False

Recent research has demonstrated that telehealth methods are ineffective for treating substance use disorders

False

Recent research has shown that acamprosate in combination with behavioral treatment produces better outcomes than the same behavioral treatment paired with a placebo

False

The process of changing a problem behavior seems to be different for everyone

False

There does not seem to be any connection between alcohol or drug abuse and psychological disorders

False

Treatment is needed to change patterns of alcohol and drug misuse or dependence

False

Why is methadone used in the treatment of heroin abuse

It blocks the addict's craving for heroin

How does polysubstance use affect treatment

It can greatly complicate treatment as polysubstance abusers often present with more and more severe impairments

Which of the following people would be considered a dual-diagnosis patient

Monica, who has an alcohol use problem and has major depressive disorder

Which of the following people is most likely to function well with moderation as the outcome of a treatment program for alcohol use disorder

Romy, who is 24 years old

resolution of a problem without the help of formal treatment

Spontaneous remission

According to the 2015 NSDUH survey, more people were admitted to drug treatment for abuse of pain relievers than for any other nonalcohol drug

True

According to the disease model of alcohol use disorder, complete abstinence from alcohol should be the only valid goal of treatment

True

Alcoholics Anonymous is a religious society that requires one to adopt Western religious beliefs

True

Antabuse is thought to be effective because it creates a learned aversion to alcohol

True

Brief interventions tend to be most effective for individuals with mild to moderate alcohol problems

True

Halfway houses are usually designed as milieu treatment

True

In inpatient settings for substance abuse, the organization of patient care is similar to that given to people hospitalized for physical problems

True

Naltrexone, an opiate antagonist, is an approved pharmacotherapy used in alcohol treatment

True

Substance-use problems in women tend to develop faster than they do in men

True

Temposil is an alcohol-sensitizing drug that is not available in the United States

True

The biopsychosocial model is a new viewpoint attempting to account for the three major variable domains known to influence behavior

True

The primary goal of detoxification is to manage withdrawal symptoms

True

How many subjects in Sobell's research indicated that their change in behavior was immediate

about a third

therapeutic activities following the completion of a formal treatment program

aftercare

Which of the following results has been reported in research conducted on the effectiveness of therapeutic communities

associated with a more productive life after discharge if stay is long enough

How long must someone receive outpatient services for drug abuse in order for the treatment to be considered cost-effective

at least 6 months

When she was trying to stop drinking, Connie preferred the SOS program over the AA program because it

avoided discussions of spirituality

To increase the potential for successful outcomes, many believe that treatment of polysubstance abusers must address which of the following

behavior patterns

Which of the following perspectives on substance use disorder is most recent

biopsychosocial model

Treatment outcome research measures which of the following

change

What is at the core of the moral model of substance use disorders

choice

What drives treatment decisions for a patient under the stepped care approach

client's progress relative to goals

What is the most common way that people resolve their substance abuse problems

cognitive-behavioral therapy

Paolo is receiving treatment with disulfiram for his severe alcohol use disorder; however, it was not successful and Paolo quickly went back to his usual drinking behaviors What likely played a role in the failure of Paolo's treatment

compliance

The concept of harm reduction in treating substance abuse is focused on which of the following

consequence

professional guidance where specially trained professionals perform a variety of treatment activities

counseling

What model is especially important because of its prevalence in the United States

disease

People who attend Al-Anon meetings

experience problems from another's use of alcohol

Abstinence from alcohol is a mandatory goal of alcohol treatment

false

Professional treatment for substance use disorders is freely available to anyone who wants it

false

Relapse is such a long-standing problem in alcohol and drug treatment that we can do little about it

false

The only goal of any importance in alcohol and drug treatment is the reduction of substance use

false

Today, there are good reasons for rigid boundaries between what we call alcohol treatment and drug treatment

false

Treating patients who have co-occurring substance use and another psychiatric disorder is straightforward

false

Overall, what is treatment of those who misuse or become dependent on drugs designed to do

get dependent individuals into self-help programs

In the late 20th century, the standard approach to substance abuse treatment had shifted to shorter inpatient stays or to outpatient programs. This occurred in response to which of the following

insurer cost-benefit analyses

In recent years, cost concerns have led to

less use of inpatient treatment

drug used in treating heroin addiction that is similar in action to methadone

levo-alpha-acetylmethadol (LAAM)

A person who on a pharmacological journey from heroin use may be given which long-acting opioid as a form of maintenance therapy

methadone

In which treatment approach are the organization and structure of a setting designed to change behavior

milieu

treatment in which the organization and structure of a setting are designed to change behavior

milieu treatment

After several failed attempts to quit drinking on his own, Tuan found lasting success by attending Alcoholics Anonymous meetings. Which models of thought was Tuan exposed to in the program

moral and disease

Research has shown that most substance use disorders have a

multidimensional origin and require multifaceted treatment

The stepped care approach to treating substance use disorders is an alternative to the common 1980s

one-size-fits-all approach to treatment

long-standing behavioral pattern that frequently creates distress for individuals due to personal or social consequences

personality disorder

occurrence of something in different forms among members of a population

polymorphism

The first step new members of Alcoholics Anonymous (AA) must complete is admitting

powerlessness

program designed to enhance therapeutic results for specific groups of patients

precision medicine

treatment geared to changing emotions, thoughts, or behavior without use of medications or other means

psychological treatment

conversation between a specially trained individual and another person intended to change patterns of behavior

psychotherapy

process that results in changes back to health in physical, mental, spiritual, and social functioning

recovery

By definition, relapse must follow

remission

In his presentation on stepped care programs to the health center's board, which of the following was a description used by Dr. Maliki? Select all that apply

restricted individualized

Which of the following most accurately reflects the moral model of substance abuse

sentencing person addicted to alcohol to jail for public drunkenness

A person who believes they have an alcohol use disorder because they grew up living above a popular pub subscribes to which of the following models

social learning

behavioral pattern characterized by lack of concern for obligations or others and tendency toward violence

sociopathy

When people ask Latoya how she quit smoking after 20 years, she proudly says, "Cold turkey! No patches, no groups ... just by gumption and the grace of God!" Which term best reflects Latoya's experience?

spontaneous remission

The urges and cravings model states that relapse of substance use occurs because urges and cravings are what

survival-based

In a professional treatment setting, assessment directly supports which of the following

tailored treatment

planned activity designed to change some pattern of behavior(s) of individuals or their families

treatment

result of experiencing a treatment, usually measured in different areas of functioning

treatment effect

investigation designed to show a causal relationship between a treatment and some change

treatment outcome research

Assessment typically is thought to be essential to good treatment

true

Methadone maintenance seems to be an effective treatment for more severe heroin use disorder

true

According to Sobell's research, what leads a majority of people to change problematic substance use behaviors on their own

weighing pros and cons

Detoxification in drug treatment is focused on which of the following

withdrawal