Psych final exam

What phrase is refers to integrated treatment practices?

"no wrong door"

What can come in the way of improvements in treatment or reduction in obstacles to treatment?

Harm reduction

For the role of partner or spouse of the addict, the present text recommends use the term A. codependent B. family manager C. chief enabler D. scapegoat

family manager

Most anxiety symptoms related to substance misuse are gone within a...

few days or weeks of abstinence

Persons who are dually diagnosed with substance misuse and mentally disorders can expect ________ homelessness compared to persons with just substance misuse problems.

more

When possible, goal setting should be _____________.

collaborative.

Al-Anon was originally only for...

wives of alcoholics

How to build relationships with client and finding strengths?

- Find out what is going on in the client's life and what they want to be different - Set aside enough time to dedicate to finding out where the client and why they are seeking help

What are the three common assessments?

CAGE, TWEAK, and AUDIT

Level 2 -

intensive outpatient/partial hospitalization treatment

Research indicates that in the transition from separate to integrated treatment for co-occurring disorders that stable remission rates...

more than double.

Geriatric MAST is a valid screening tool for...

older adults

With reference to traumatic brain injury, motivational interviewing techniques have been...

successful in treatment

In her role theory, Wegscheider introduced the role of ________ to represent a significant role in the drug dependent family dynamics. A. the family manager B. the scapegoat C. the taskmaster D. the family mentor

the scapegoat

What screening tool was created for pregnant women?

TWEAK

A major thesis of chapter 10 on family counseling is that: A. the drug addict is the symptom carrier B. anorexia is often the product of an overprotective mother C. one should seek the cause of the family mental illnesses D. addiction is a family illness

addiction is a family illness

People with disabilities face a number of...

barriers to treatment

A major focus in motivational interviewing is to help the clients: A. establish a sense of idenity B. examine family of origin issues C. break through denial D. develop, explore, and resolve ambivalence

develop, explore, and resolve ambivalence

According to Wegscheider, a high risk for marrying an alcoholic faces the family A. hero B. scapegoat C. lost child D. mascot

hero

According to Carl Rogers, empathy is the ability to...

listen to your clients and accurately reflect back to them the essence and meaning of what they said. *NOT REPEATING*

Level 4 -

medically managed intensive inpatient treatment

Co-occurring advance care:

provides services for both disorders using an integrated approach, such as adding self-help or relapse prevention group to mental health setting

Empathy requires:

reflective listening

The rules for the alcoholic family, according to Claudia Black, are...

"don't talk, don't trust, don't feel"

Clinical principles of harm reduction:

- Challenge stigmatization - Develop collaborative relationship with client - Allow clients to choose goals, drop preconceived notions about client's goals

Benefits of diagnosis:

- Helps clinicians talk to each other - Serves as a basis of eligibility for services and third part reimbursement - Establishes the seriousness of the situation - Can reassure the recipient of the diagnosis that he or she is not alone with the problem

what does ASAM stand for?

American Society of Addiction Medicine

What is recognized as the best practice approach?

Assertive Community Treatment (ACT)

What is an essential ingredient for harm reduction?

Supportive housing programs

What teaches family members how to provide positive feedback to the addicted member?

The Community Reinforcement and Family Training Approach (CRAFT)

In situations of domestic violence, the counselor is advised by the test authors to refer the violent partner to a...

batterers' group

What are some techniques used in Motivational Interviewing-OARS?

- Open ended questions - Affirmations - Reflections - Summaries

What are the negative symptoms associated with schizophrenia?

- flattened affect - loss of pleasure - problems in concentration

What are some mood disorders?

- major depression - mania - hypomania - dysthymia

What is reflective listening?

Making a responsive statement based on your experience and what you have heard, as to what the person really means.

What are the entities that offer screenings and assessments for substance use?

The National Institute of Alcohol and Alcohol Abuse Addiction Research Institute, University of Texas Institute for Behavioral Research at Texas Christian University

According to classical family symptoms theorists, the person with the drug use problem is viewed as: A. a person suffering from a mental disorder B. the symptom carrier or identified patient C. the problem D. the person in need of a formal intervention

the symptom carrier or identified patient

Network therapy is a disease-based approach to reinforce social networks and includes treatment that involves: A. family members without the presence of the client B. the client out of the presence of family members C. the therapist, family members, and client D. music therapy

the therapist, family members, and client

Co-occurring basic care:

treatment for disorder, screens for another

What is the annual rate of remission rate of parallel or sequential treatment with people who have COD?

5%

What is the percentage of persons who are severely mentally ill that can't even drink alcohol or use drugs at a moderate level without consequences?

5%

What is the goal in the persuasion stage of Stage-Wise Treatment?

To open up oppertunities for the client to think about their own goals

According to the text, generalizations about family role traits (hero, scapegoat, etc...) are not...

empirically validated

Family group counseling used in children welfare programming has roots in...

indigenous customs

Level 1 -

outpatient treatment

A clinical diagnoses of pathological gambling as defined in the DSM include:

- preoccupation with gambling - repeated efforts to quit - gambling from stress

Motivational interviewing was developed by ________________ as he demonstrated his motivational techniques to Norwegian student interns. A. William Miller B. Harold Hughes C. Charles Rapp D. Alan Marlatt

William Miller

What is the most commonly used international screening test validated for the population and cultures?

AUDIT

What is the most common assessment for clients who have mental health problems is known as:

Mental Health Screening Form-III

What model is a way to conceptualizing the variations of co-occurring disorders in order to match treatment to their different needs?

The quadrant model

Children who grew up in homes of addiction often develop coping mechanisms that may be useful later. The hero, for example, more than other siblings learns to: A. assume responsibility early B. make friends easily C. have a great imangination D. become peer group oriented

assume responsibility early

Co-occurring fully integrated:

both disorders are treated by the same clinician who is trained in psychopathology, assessment, and treatment strategies for both mental health and substance use disorders

Recovery Capital is another way to describe ________ _________.

clinical strength *Understood to include skills, resources, and strengths that a client brings for support of the recovery process*

An ecosystems framework relevant to the family views members in...

constant interaction.

McGoldrick in their book on ethnic families bring out attention to: A. the fact that all families are alike B. differences in the definition of what a family is C. the need for great assimilation of foreign groups into the dominant culture D. the risks of international child adoption

differences in the definition of what a family is

The suicide rate for pathological gamblers is ________ than any other addictive disorder.

higher

Which of the following is an example of a harm reduction strategy? A. insisting clients pay at least some money for treatment B. lowering financial barriers to treatment C. removing access to injection equipment D preventing physicians from prescribing methadone

lowering financial barriers to treatment

Cognitive-behavioral therapy is based on the idea that: A. abstinence is required in order to change addictive behaviors B. addiction is a disease with inevitable progression C. maladaptive thinking and bad habits are the mechanisms that cause addictive problems D. a person needs to "hit bottom" before they can change their addictive behavior

maladaptive thinking and bad habits are the mechanisms that cause addictive problems

The prevalence of serious mental disorders in the substance abusing population can be characterized as the...

norm, not the exception

Collaborative case management refers to...

offering a menu of supports and services to the client

Harm reduction expert Alan Marlatt, regarding a formal intervention, states that: A. it can be effective only if done soon enough B. is an important part of increasing client motivation C. should not be done under any circumstances D. is of proven effectiveness

should not be done under any circumstances

When clinicians inform clients that all screening questions are routine and every client is asked these questions, it's helpful in removing ___________.

stigma

Family therapy as a profession is criticized in the text for its use of...

traditional classic symptoms model.

According to the text, spirituality is ___________ in substance abuse treatment but is relatively ____________ by professional family therapists.

addressed ignored

Why is the SASSI different than most screening tools?

because most of the questions in one section do not ask direct questions about substance use

Mueser recommend for working with families with a member who has a co-occuring disorder, that therapists

focus on getting the addicted client sober above all else

Most clients come to treatment in the: A. pre-contemplation and contemplation stages B. contemplation stage only C. preparation stage only D. action stage

pre-contemplation and contemplation stages

What approach is not considered in the test to be strengths-based? A. harm reduction strategies B. motivation interviewing C. problem focused therapy D. solution focused interventions

solution focused interventions

Which of the following is not a tenet of a strengths-based approach? A. providing options B. choice C. urinalysis testing D. awareness of the client's readiness for change

urinalysis testing

The outcome measurement for harm reduction therapy is: A. abstinence from the addictive behavior B. any step in the direction of reducing harm C. successful employment D. entering formal treatment

any step in the direction of reducing harm

Self change or natural recovery occurs in ____-____% of individuals who quit smoking.

80-90%

What is the most commonly used substance by people with severe mental illness?

Alcohol

What is a common psychiatric diagnoses for people with an AOD disorder?

Anxiety

What is a focus of motivational interviewing?

Explore and resolve ambivalences

Which assessment is designed to detect gambling addiction?

GA 20 Questions *responding yes to 7 or more items yields a positive score for compulsive gambling*

What assumes the future can be created and negotiated regardless of the problem?

Solution-Focused Therapy

In order to successfully screen individuals with co-occurring disorders, a clinician must be competent in:

Substance Use Disorders and with the diagnostic criteria for common mental disorders

Will people with disabilities be likely to stay in treatment and complete goals?

Yes just like any other group

Level 0.5 -

early intervention

Co-occurring intermediate care:

primarily focuses on one disorder but also addressed some specific needs for the other

Level 3 -

residential/inpatient treatment

What are quick methods of detecting the possibility of addiction?

screening tools and assessments