Chapter 15 Review

Sokolow, et al (1981) reported in their survey of patients in NY alcoholism rehab programs that almost ____% used at least one other drug in 30 days before treatment

50%

Hunt, Barnett, and Branch (1971) showed that __________% 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%

____ is a pharmacotherapy for alcoholism that affects the NMDA receptor

Acamprosate

_____ is a self help group for alcohol abusers that was founded by Dr. Bob and Bill W.

Alcoholics Anon

____ differs from AA in that there is no emphasis on spirituality or a higher power

All of these (SOS,SMART,RR)

The ____ model is the foundation for AA

American disease

Which of the following drugs has FDA approval for treatment of alc use disorders

Antabuse

What is typically the first step in substance abuse treatment process?

Assessment

which of the following results have been reported in research conducted on effectiveness of the therpeutic communities

Associated with more productive life after discharge if stay is long enough

Why is methadone used in the treatment of heroin abuse?

Because it blocks the addictive craving for heroin

The treatment most clearly implied from the ____ model is to advise at risk people of their risk of dev a substance use disorder and perhaps to counsel them to avoid alc or drugs

Biological

_____ is the greatest barrier to changing a substance abuse problem

Denial

___ involves the medical management of alcohol withdrawal symptoms

Detoxification

The _____ model is especially important because of its prevalence in US

Disease

Which of the following is an alcohol sensitizing drug

Disulfiram

AA has been shown to be, by far, the most effective treatment for alcohol abuse

False

According to the opponent process theory, the individuals 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

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

False

One drawback of internet based treatment interventions is that they do not offer the "support networks" like more tradition treatment

False

One limitation of AA is that it is appropriate only for those holding Juedo Christian beliefs

False

One of the most common early effects of antabuse when a small quantity of alcohol is consumed is dyspnea or labored breathing

False

Recent research has shown both naltrexone and acamproate in combination with behavioral treatments produce better outcomes than the same behavioral treatments paired with a placebo

False

Substance abuse professionals and peer self help groups are competitive and antagonistic toward one another

False

Treatment outcome research has shown that inpatient substance abuse treatment is ineffective

False

Individuals with genetic polymorphism in the ____ receptor tend to be more responsive to Naltrexones effects on alcohol use

GABA

A needle exchange program would be an example of the ___ approach to substance abuse

Harm Reduction

In recent study in canada, heroin addicts who failed in methadone treatment were successful when prescribed ____

Heroin

In ____ there is considerable attention given to the medical aspects of alcohol problems

Inpatient hospital treatment

An example of ___ would be Milieu treatment

Intermediate setting

Halfway houses are an example of _______

Intermediate setting

Why is levy alpha acetylmethadol sometimes used as a substitute for methadone

Longer lasting effects

____ is the last stage of the stages of change model

Maintenance

According to the ____ model, treatment consists of spiritual or legal intervention

Moral

In the ___ model, individuals are seen as personally responsible for problems they incur from alc use

Moral

____ is a non medical treatment for alcohol use disorders in which verbal psychotherapy encourage the individual to move forward in stages of changing alc use patterns

Motivational enhancement

An important antidrug used to treat opiate dependence is ____, an opiate antagonist

Naltrexone

___ is an opiate antagonist that may help in recovery from alc dependence

Naltrexone

Narcotics anonymous evolved with concentration on _____

Opiates

About 60% of drug abusers in treatment receive their treatment in ______

Outpatient treatment

___ are people working in a direct patient care and not possessing a formal degree

Paraprofessionals

According to the stages of change model, individuals in the ____ state often have not acknowledged problem

Precontemplation

Individuals in the ____ stage are typically on the edge of taking action to change

Preparation

Which of the following self help movements stopped holding meetings in 1999

Rational Recovery

____ is an education movement that is based on cognitive behavioral principles and the Addictive voice recognition technique

Rational Recovery

The focus of ____ is on 4 key areas: motives for use, beliefs, emotions, and behavior

SMART

____ is a self help group that is purported to be based on methods that are scientifically validated and is led by a coordinator who has maintained a period of sobriety

SMART

the Sobriety priority program is the philosophy that underlies ____

Secular Organizations for sobriety (SOS)

According to the ____model, treatment includes arranging a persons environment so that psychoactive substances is reinforced

Social Learning

Structured behavioral contracting programs for drug abusers follow the ___ model

Social Learning

Taxation of beverage alcohol would be an example of an intervention based on the ____ model

Sociocultural

____ is one of the last steps in AA and involves a stable on to one relationship between a member with more sobriety and one with less

Sponsership

_____ refers to the resolution of a problem without the use of formal treatment

Spontaneous Remission

More people resolve their substance abuse problems through ____ than any other way

Spontaneous remission

Why is it difficult to assess the effectiveness of AA?

The member are anonymous

Which of the following is likely to results as a consequence of the 2010 Affordable Care Act

There will be greater demand for substance abuse treatment

Which of the following is not true about self help groups

They are led by group leaders who have recovered

What is the primary problem impacting the effectiveness of drug treatment programs?

Treatment drop out

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

True

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

True

Drug treatment in therapeutic communities is associated with a more productive life following discharge if there was a sufficient length of stay

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

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 US

True

The biopsychosocial model is a new viewpoint attempting to account for the 3 major variable domains known to influence behavior

True

The primary goal of detoxification is to manage withdrawal symptoms

True

Which of the following is not true of AA?

With its emphasis on God, the program is only appropriate for those who accept western Religions

`Drug therapeutic communities are most often run by _____

ex addicts

In AA, the beginning of recovery occurs when the alcoholic ____

recognizes his/her powerlessness over alcohol

____ is an approach in which a persons withdrawal is monitored by professional staff in a treatment setting but no drugs are administers

social detoxification

Sokolows 1981 study showed that patients arriving for alcohol treatment were most likely to also use _______

tranquilizers

According to the 2011 NSDUH survey, more people were admitted to drug treatment for abuse of pain relievers more than for any other nonalcoholic drugs

true