Social Work Practice with Addictions- SWK 330
If Maria decides to return to the residence with Antonio while continuing to receive outreach services through the domestic violence resource, the service provided by the resources would be considered:
Harm Reduction
The highest level of alcohol use is found among
21 year olds
The brain is determined to be fully developed by the age of:
25
Which of these is not a depressant? A: Nicotine B: Alcohol C: Morphine D: OxyContin
A
Someone having a direct relative that has an addiction is:
A genetic and possibly environmental factor
Someone that wanted to quit drinking and has now been completely sober for 2 weeks and attends weekly therapy sessions and AA meeting is in what stage of change?
Action
The ABC-DE Model stands for:
Activating Event, Beliefs, Consequences, Dispute, Effect
Delirium Tremens "DTs" is a symptom of withdrawal associated with which substance?
Alcohol
What word describes being 'on the fence' about a decision?
Ambivalence
The contemplation stage of change involves which of the following:
Ambivalence about making the change
Trauma is considered:
An environmental factor contributing to addiction
The following disorder has the highest mortality rate of any mental disorder
Anorexia Nervosa
According to Ecosystems theory, adaptation involves personal and environmental changes that occur:
As an active process each member of a family must go through as the result of addiction.
The miracle question involves:
Asking someone if they were to achieve this goal overnight, without any barriers, what their life would look like.
A disorder that can be described as a mixture of "highs and lows" is:
Bipolar
An example of gender-related factors in substance use treatment involve: A: Including neo-natal care in the services. B: Allowing for individuals to continue taking gender affirming hormones during their course of treatment. C: Both A & B D: None of the above
C
Which of the following is true? A: America has always viewed alcohol as bad B: Alcohol was introduced to the colonials by the Native Americans C: America has had a love/hate relationship with alcohol D: Prohibition decreased crime rates
C
ABC-DE Model is part of:
Cognitive Behavioral Therapy
What stage of change would best fit the following: -Knows and acknowledges heroin addiction is impacting their life in a negative way -Says they want to quit, but aren't ready to right now -Willing to talk with a friend, but not ready to speak with a professional or go to any self-help meetings
Contemplation
For a treatment program to be considered gender- responsive, it needs to include: A: Acknowledgement of the different gender roles B: Addressing gender-specific health concerns C: Trauma-informed care practices D: All of the above.
D
Managed care impacts treatment in the following ways: A: Guidelines on how long a visit can last B: What services can be covered under different plans C: Allows for flexibility of the medical provider, thus providing less pressure on them D: Both a & b
D
Maria has identified her Mexican- American culture to be very important to her and the resource she is accessing did not make note of this in her intake paperwork. This program would be considered: A: Lacking cultural responsiveness B: To need necessary information only C: To benefit from trauma-informed care training D: Both a & c
D
Motivational interviewing involves the following: A: Expressing empathy B: Developing discrepancy C: Avoiding argumentation D: All of the above
D
Solution-focused therapy includes which of the following? A:The miracle question B: Focusing on the past C: Scaling questions D: Both a and c
D
Some examples of advantages of the assessment process include: A: Meeting insurance requirements B: Gaining full picture of a person's life and the identified problem. C: Getting someone referred to the appropriate treatment needed. D: All of the above.
D
The ABC-DE model can be used to help someone: A: Change beliefs and responses to certain events in life B: Cope with triggers and prevent relapse C: Improve relationships with people in their environment D: All of the above
D
The following are examples of harm reduction strategies. A: Helping someone who is not ready to stop drinking find stable housing. B: Providing education on safe amounts of alcohol consumption. C: Helping someone with a gambling addiction come up with a plan to limit, but not completely stop, time spent online. D: All of the above.
D
The impact of substance use on parenting can lead to the following: A:Abuse B: Neglect C: Lack of bonding D: All of the above
D
The impacts of social class on someone with addiction include: A: Ability to avoid staying in a homeless shelter B: Ability to stay out of jail due to proper legal representation C: No impacts D: Both a & b
D
There are some criticisms of AA and these include: A: Use of masculine language B: Use of the term "alcohol" which does not include other substances C: Promotes total abstinence D: All of the above
D
Treatment that includes culturally based services includes: A: Offering interpretation services B: Includes family in the treatment process C: Recruits and retains staff from diverse cultures D: All of the above
D
The "3 C's" entail helpful reminders to family and friends that they:
Did not Cause, cannot Control or Cure their loved one's addiction.
Cognitive Behavioral Therapy views ______________ as a main area of focus when looking at behavioral changes
Distortions in thinking
When talking with someone about a substance use concern it is best to: A: Immediately educate them on how they should not be using substances B: Listen without judgement C: Find out what benefits they get from using the substance D: Avoid the subject because you are not a licensed professional E: Both B and C
E
A harm reduction approach would encourage: A: Meeting someone where they are. B: Encouraging someone to completely quit using a drug even when they do NOT express a desire to completely quit C: Encouraging incarceration to help people obtain forced sobriety D: Progressive Policies E: Both A and D
E.
An open-ended question:
Encourages elaboration and further communication
The preparation stage of change involves making plans to take action in the near future after a period of having not taken any action. The role the role of the helper in this stage is to:
Engage in problem solving and encourage small initial steps
T/F: "Codependent" is an official diagnosis a family a family may be given and this can be found in the Diagnostic and Statistical Manual of mental disorders, 5th Edition (DSM-5).
False
T/F: 95% of substance use treatment centers in the US have specialty services for people of color.
False
T/F: A 17- year old can use marijuana legally as long as the state allows for legal recreation use.
False
T/F: A diagnosis of depression is rare in the US.
False
T/F: According to most experts in the field of Drug Prevention, The DARE Program has shown effective outcomes in preventing kids and young adults from using drugs
False
Maria's 10 year old is will fall under which role according to Wegscheider's Role Theory:
Hero
The following label is used in Wegscheider's Role Theory to describe the family member that is extremely responsible:
Hero
Dopamine is associated with use of:
Heroin, Alcohol, Gambling
Socioeconomic status has:
Impacts on access to substances along with access to treatment.
_________ is the basic principle that cause and effect are intertwined.
Interactionism
Someone who has sustained sobriety for over 4 years and has a strong support system that they utilize when needed, would be in what stage of the change process?
Maintenance
When addressing a concern with a loved one who is struggling with addiction, it is suggested to use labels as much as possible so to clearly articulate the issues.
Maria and all 3 of her children
Using marijuana for medicinal purposes ONLY:
Means you are using it as it was prescribed for a diagnosed condition
The different levels of care for substance use treatment include early intervention, outpatient treatment, residential and inpatient, along with:
Medically managed intensive inpatient treatment
__________ is used to block withdrawal symptoms and reduce cravings and is distributed in clinics/hospitals in the US and Britain
Methadone
Bipolar is an example of a
Mood disorder
Federal Confidentiality laws pertaining to substance use treatment are:
More strict than other categories of treatment.
OARS is a technique of what therapeutic model?
Motivational Interviewing
According to the text, the rituals of anorexia are closely related to
Obsessive-Compulsive Disorder
OARS in Motivational Interviewing involves:
Open-Ended Questions, Affirmations, Reflections and Summarizing
DiClemente and Prochaska's Transtheoretical model identify 5 stages of the change process and the stages include pre-contemplation, contemplation and
Preparation, Action, Maintenance
QPR stands for
Question, Persuade, Refer
Maria is using marijuana in a:
Recreational manner
Setting a goal that is SMART means it is Specific, Measurable, Achievable, in addition to:
Relevant and Time-bound
In recovery there is a Three R's Model that includes the following:
Rename, Reframe, Reclaim
SBIRT is a model that follows a specific pathway to get people needing substance use treatment connected to the relevant services. SBIRT stands for:
Screening, brief intervention, referral to treatment
Cocaine use as cocoa leaf chewed originated with:
South American indigenous peoples
The type of guilt one experiences when they lose someone and the person may feel they should have been the one who lost their life instead, is described as:
Survivor Guilt
Wegscheider's Role Theory, includes the role of the Chief Enabler, which is also known as the:
The Family Manager
Breweries popped up in the Midwest related to the arrival of __________?
The Germans
Open meetings and closed meetings are two types of AA meetings. Open meetings can include family, friends and supports of the person struggling with the addiction.
True
T/F: A person with a Mental health AND substance use diagnosis is considered to have a co-occurring disorder.
True
T/F: A positive correlation has been found with people leaving an abusive relationship and entering recovery from a substance.
True
T/F: Addiction can impact anyone at any stage of their life and there are treatment programs that focus on the older population due to the different life experiences and stressors they may be experiencing.
True
T/F: Alcoholics Anonymous (AA) identifies the desire to quit drinking as the only requirement for membership.
True
T/F: Auditory Hallucinations are a symptoms of psychosis:
True
T/F: Childhood trauma and poor role models are two examples of risk factors for substance misuse.
True
T/F: Communication skills training and stress management are both examples of cognitive behavioral techniques.
True
T/F: Culture can influence how you help someone with addiction therefore it is important to ask questions and seek to understand as much as possible when attempting to help someone.
True
The pre-contemplation stage of change involves not recognizing that there is even a need for the change, and the role of the helper is to:
Validate lack of readiness and build rapport
Abuse of which of these substances is the leading risk factor of death among youths?
alcohol
A mother feeling resentful about caring for her daughter, whom she loves, struggling with addiction may be experiencing:
ambivalent Guilt
According to Shavelson (2001), which three words define harm reduction?
any positive change
Early American colonists used alcohol for all except which of the following?
as a deodorant
As stated in the text, addiction is an illness of the:
body, mind, and soul
The self-help group for individuals with eating problems is:
called Overeaters Anonymous (OA)
When a tolerance that develops for one drug generalized to another drug in the same pharmaceutical class, this is called:
cross-tolerance
The drug court movement promotes what action with individuals whose legal problems are related to their addiction?
decarceration-treatment in the community
According to QPR, the best thing to do for someone who you think is suicidal includes
listening to them without judgement
According to Hester and Miller's empirical research, the highest treatment effectiveness scores were obtained for
motivational enhancement
Heroin is a semi-synthetic derivative of
opium
Human rights apartments for formerly homeless people in San Francisco
reduce costs to the cities by $1,000 per month
The 12- steps are viewed as:
spiritual in nature
The prevalence of serious mental disorders in the substance abusing population can be characterized as:
the norm, not the exception
Motivational Interviewing approaches the helping process, viewing the ____________ as the expert.
the person receiving the help
The phenomenon associated with aging in which the drinker loses their ability to handle alcohol is
tolerance reversal
T/F: Culture can play a role in the development of addiction.
True
T/F: Decriminalization of marijuana means that it eliminates jail or prison, but other penalties may remain in place.
True
T/F: Constricted and pinpoint size pupils indicates someone has been using stimulants.
False
Establishing Drug Free zones creates a scenario where selling drugs in certain locations is more punitive than others (i.e., within certain feet from a school, etc). This practice as several drawbacks that include: A: Studies show that the majority of those charged with selling the drugs in these zones were not selling to school-aged children. B: Disproportionately targeting urban neighborhoods C:Both a & b D: None of the above
C
Valuing the principle of self-determination entails: A: Respecting an individual's right to determine their own decision and goals. B: Allowing someone to make decisions seen if they are seen as "bad" decision. C: Viewing a person as the expert of their own life D: All of the above
D
Which of the following are examples of harm reduction strategies? A: Providing education on safe quantities of alcohol B: Providing clean needles for those who may be injecting drugs. C: Supporting moderation on internet use D: All of the above
D
T/F: According to the text concerning shopping addiction, the key factor is materialism
False
T/F: Addiction is known as a "family disease" because it is the family that causes the addiction 100% of the time whether that be through genetics or the environment.
False
T/F: Addictions treatment providers are 100% comprised of individuals with personal experience with addiction.
False
T/F: Alcohol does not kill as many people per year has methamphetamines.
False
T/F: Alcoholics Anonymous (AA) is considered a formal treatment for addiction and receives governmental funding.
False
T/F: Bipolar is best treated with therapy and medications typically do not provide any relief.
False
T/F: Even if someone does not consent, as long as you are trying to help them, it is ok to disclose substance use treatment history and records to entities requesting this information.
False
T/F: Every state has state funded medical coverage to address gambling addiction.
False
T/F: Gender has little to no impact on someone's addiction and should not influence the type of substance use treatment they will receive.
False
T/F: Genetics, NOT the environment, is the only cause of addiction
False
T/F: If my goal is SMART that means I can leave it with no end date and vague so I can continue to add to it over time?
False
T/F: If you are concerned about someone that may be suicidal it is best to avoid conversation about this topic as it may put the thought in their head if they were not already thinking about it.
False
T/F: In the State of Missouri you can force someone into Substance Use Treatment, even if they do not wish to do so (excluding incarceration).
False
T/F: It is recommended to engage a couple in counseling if it is an abusive situation so that the aggressor can be called out for their behaviors.
False
T/F: Native- Americans are rarely impacted by addiction.
False
T/F: Once someone completes the 12 steps it is recommended that they no longer attend 12 step meetings and they are encouraged to consider themselves graduated from the program of AA.
False
T/F: PTSD is only diagnosed if you are a victim of violence
False
T/F: People with co-occurring disorders are more likely to get the help they need quickly due to the number of resources that address substance use and mental health at the same time.
False
T/F: Someone who has been diagnosed with a substance use disorder and is unable to maintain employment as a result will be able to easily get assistance because a substance use disorder is considered a qualifying diagnosis for disability.
False
T/F: Step 9 states "Make a direct amends to such people whenever possible, except when to do so would injure them or others." This is ONLY referring to physical injury.
False
T/F: The majority of states have a fully illegal status on marijuana.
False
T/F: The only people who can treat someone with an addiction is someone else with an addiction.
False
T/F: The only person impacted by addiction is the person struggling with the addiction.
False
T/F: The suicide rate for pathological gamblers is lower than for any other addictive disorder.
False
T/F: There are no medications that can help with cravings for alcohol.
False
T/F: There is no difference in the type of treatment available for those on state-funded insurance and commercial insurance.
False
T/F: When addressing a concern with a loved one who is struggling with addiction, it is suggested to use labels as much as possible so to clearly articulate the issues.
False
T/F: When someone stops using drugs the family dynamic immediately improves almost without any effort.
False
T/F: Developing discrepancy refers to acknowledging the difference between what someone wants for their life and the behaviors they are engaging in.
True
T/F: Eating disorder; trauma disorder; childhood sexual abuse, rape, and domestic violence are highly correlated to eating disorders.
True
T/F: Harm Reduction strategies support self-determination.
True
T/F: If someone is struggling to not drink alcohol, but really wants to quit, they are welcomed to attend an AA meeting?
True
T/F: If we are "Reframing" something, we are adding a more positive way of saying and looking at it.
True
T/F: In domestic and intimate partner violence situations substance use can be a factor with both the aggressor AND the victim/survivor?
True
T/F: In the days before purification, drinking wine was safer than water?
True
T/F: Lowering the drinking age from 21 and providing early education on moderation and safe alcohol consumption is an example of a harm reduction strategy.
True
T/F: Men get intoxicated quicker than women if they are drinking the same amounts.
True
T/F: One difference between a screener and an assessment is that the assessment goes in depth and the screener does not.
True
T/F: Role playing is a technique used in Cognitive Behavioral Therapy.
True
T/F: SMART Recovery combines the concept of self-help groups with cognitive behavioral techniques.
True
T/F: SMART Recovery stands for Self-Management and Recovery Training
True
T/F: SMART Recovery stands for Self-Management and Recovery Training.
True
T/F: Setting a SMART goal means it needs to be Specific, Measurable, Achievable, Relevant and Time-bound.
True
T/F: Some governmental assistance requiring routine drug testing is an example of a Federal and State policy issue that prompts welfare reform.
True
T/F: Step Facilitated Treatment (FST) encourages 12 step meeting attendance in addition to incorporating other modalities.
True
T/F: The Civil Asset Forfeiture allows for property to be seized by law enforcement even if there is not a conviction of a crime.
True
T/F: The Housing First model promotes addressing housing needs as a priority.
True
T/F: There are 4 main statuses of marijuana legalization. If a state identifies it has Fully Legal this means it can be used recreational and medicinal without punishment by those 21 years of age and older.
True
T/F: There are times that mental health symptoms can mimic substance use.
True
T/F: Using proper pronouns, not assuming sexuality and making non-discriminatory policies visible are all examples of Transgender trauma-informed care.
True
