Addiction Final C6760

What screening instrument is good for gamblers?

lie/bet questionnaire

The term alcoholic may have _____________ _______________ by the general public, and a DSM diagnosis by a professional.

negative connotation

In AA practice, the meaning of alcoholic is ____-_____________ and _______ on the individual.

self-determined, varies

Children who grow up in addict/alcoholic homes 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 easier C. have great imagination D. become peer group oriented

A. assume responsibility early

Visitors who want to attend a twelve-step group in the community should... A. attend an open meeting B. read the Big Book before attending C. ask permission from the group facilitator D. only go with a member of that group

A. attend an open meeting

A strength-based approach to detoxification services would include which part of the following: A. focus on immediate housing needs B. focus on why the client is in detox C. focus on agency expectations D. focus on family expectations

A. focus on immediate housing needs

What are the TEN Components of Recovery that were developed by the American Psychological Association (APA)?

1. Self- Direction 2. Individualization & Person-Centered 3. Empowerment 4. Holistic 5. Nonlinear (flexibility) 6. Strength-Based 7. Peer Support 8. Respect 9. Responsibility 10. Hope

When using the Rename model, what is important to keep in mind?

- Choices of terminology are up to the family members. - In the end perceptions are what matter. - Adopting a language of strength has important ramifications - Avoid using alcoholic and addict

In CBT what is the ABC model of emotions?

1. A = Activating Event 2. B = Belief or interpretation of the activation event 3. C = Consequences of the interpretation of the activating event

What are some key questions for a therapist to consider in the Rename stage?

1. Are the new truths and realizations derived from treatment having a positive effect on your life? 2. Are these new concepts consistent with a positive self-concept?

What are the barriers to treatment?

1. Inaccessible program locations 2. Inaccessible staff due to cultural differences 3. Waiting lists for intake 4. Financial cost to consumers

What are some barriers that the homeless or people with COD encounter?

1. Sitting in waiting rooms 2. Filling out paperwork 3. Being in a closed-door session with staff

What is Motivational Interviewing?

A client-centered, directive method enhancing motivation to change by exploring and resolving ambivalence.

In SMART Recovery addiction is viewed as?

A maladaptive behavior rather than a disease

What is the best screening tool for a client from Nepal?

AUDIT

The World Health Organization has a screening instrument, what is it?

AUDIT: The Alcohol Use Disorders Identification Test

What does ACOA stand for?

Adult Children of Alcoholics - members grew up in an alcoholic home

For the role of the spouse/partner, the authors prefer the term? A. codependent B. family manager C. chief enabler D. scapegoat

B. family manager

Who started AA?

Bill Wilson and Dr. Bob Smith

What are the two well known alcohol screening devices for Elder Screening?

CAGE & MAST-G

Client-centered model in "breaking the silence" is?

Discussing spirituality that centers on the client's belief system when appropriate.

You only have to apply one assessment or screening instrument for SUD. True or False

False. Never rely on just one.

The rename, reframe, and reclaim model has to do with what process in an addict's recovery?

Healing

What is the ASAM-PPC-2R?

It is the American Society of Addiction Medicine's Patient Placement Criteria aka The ASAM Criteria (Levels of Care)

What levels on the ASAM do most people fall in between?

Level: 0.5 Early Intervention and Level 1: Outpatient Treatment

What clinical skill is used by all mental health facilitators?

OARS

What are some of the socioeconomic determinants that heavily influence the trajectory of addiction?

Racism, education, and economic class

What is the difference between screening and assessment?

Screening detects the problem and assessment defines the nature of the problem.

SMART Recovery draws its approach from?

The principles of CBT and REBT

Motivational interviewing was developed by ______________________ as he demonstrated motivational techniques to Norwegian student interns.

William Miller

If you answer yes to both or one of the Lie/Bet questions, do you have a problem with gambling?

Yes

Who developed Cognitive Behavior Therapy?

Aaron Beck

In terms of addiction, adaption is defined as: A. an active process of self change B. environmental change C. Both a and b. D. None of the above.

C. Both a and b.

Within Wegscheider's non-scientific family roles, what role does the scapegoat play?

Often the second born, they are often blamed for their irresponsible behavior. Early risk for pregnancy and drug use.

What are Screening Instruments ?

One or two series of questions that can determine SUD

What races are less likely to seek help with SUDs.

People who self-identify as black, Hispanic, and Native Americans

In an enmeshed family, what are the family dynamics?

Spouses are estranged: one child is enmeshed with the father and the other with the mother.

There is a high correlation and reliability to the GA-20 and DSM-5. True or False

TRUE

What is Alcoholics Anonymous?

The most widely used program. Involves a 12-step recovery method and regular meetings. Much of the work is carried out in voluntary self-help groups.

How do families respond to a family members destructive addicted behavior?

They adapt.

Within the family system, how does the stage of action work?

- All family members are bent on seeing change happen. - Assuming all family members are in therapy, sans the addict, family sessions are crucial in building solidarity so that the addict can play one against the other. - If the addict is unwilling to get help, interventions may be needed.

Within the family system, how does the stage of contemplation work?

- During this stage the family member(s) acknowledge concerns and is the possibility of change. - Starting to recognize their loved one has a serious addiction problem. - Many families are ambivalent and waver between "he can't help it and she won't do anything"

Which groups benefits from AA?

- Native Americans, Hispanic Americans, African Americans, Asian Americans, Pacific Islanders, White Americans - LGBTQ+ Communities - Women - Veterans - Elders

Reframe refers to what?

- Reframing is helpful and essential technique used by therapist to instill hope and pride in one's accomplishments. -This approach is integral to harm reduction. and the healing process. - Only when the bond to addiction is broken, can they move to better things and get to the next level, Reclaim.

In the last stage of the Healing Model of Rename, Reframe, and Reclaim, what does Reclaim represent?

- That healing is simply the inner change. - Healing what was lost either through drug addiction/alcoholism or in living in a family consumed with another's addiction. - Reclaiming what was fun in life, one's sense of peace and safety, one's spirituality, and one's wholeness.

Within the family system, how does the stage of Pre-contemplation work?

- The pre-contemplation stage is characterized by a lack of awareness of the magnitude of the addiction. - The family is unlikely to approach a treatment center for help. - One rule of this stage is "don't talk, don't trust, don't feel."

Within the family system, how does the stage of maintenance work?

- The role of the family is crucial in early recovery. - Familiar ways of interacting must change if the family is to maintain a healthy emotional balance and support sobriety. - A "what to do if" contingency plan need to be set in motion in case of backtracking.

Within the family system, how does the stage of preparation work?

- The theme of this stage of change can be summarized in the sober partner's attitude of "I can't take it anymore, I am at a breaking point." Typically, family members begin to look for solutions.

What are the 3 Tenets of Strength-Based Interventions?

1. Choice of goals in the helping relationship - harm reduction, abstinence 2. Informed choice about the variety of treatments - gender, group, inpatient, etc... 3. Informed choice of treatment models - CBT, SFT, 12 steps, etc.

The treatment system (continuum of care) for persons with an alcohol or drug misuse problem is traditionally conceptualized as?

1. Detoxification -Medical stabilization -Withdrawal symptom management 2. Intensive treatment (acute hospitalization) -Few financial resources -Risky environment -COD 3. Residential programs -Halfway house -Sober living 4. Outpatient services -Group counseling *Multiple sessions for 8-12 weeks 5. Aftercare services (transitional & sober living environments) -Case management -AA/NA -Counseling (DIROA)

Monique vs. Becky - how their unequal socioeconomic status determines what?

1. How potent the available drugs are. 2. Relationship between sex and drugs in the social scene. 3. The ability of the person to maintain a "non-deviant" identity. 4. Availability of resources to cushion consequences of illegal use. 5. Availability of the option to leave the drug "scene" and move on to a different way of life. (SEE IMAGE)

How is AA in the community is different than TSF?

1. It is NOT a treatment 2. It is a spiritual-based fellowship that supports the maintenance of abstinence for those who want it & sobriety steps for character 3. no state funding, record of attending, and has a voluntary membership

What are some of the possible conditions of marginalized people that make access within the community for mental health and substance abuse more difficult?

1. Lack of money, skills, and language too negotiate the treatment system. 2. High tolerance for pain and suffering 3. Illegal status 4. Negative experiences in other service systems (court, child welfare) 5. Cultural or religious beliefs that conflict with mainstream treatment centers. 6. Fear of "losing face" or bringing shame by disclosing personal problems.

How can counselors learn to be culturally sensitive and, at the same time, not stereotype a whole culture or race?

1. Most important: Client-driven problem-solving skills (client buys in) 2. Assessment skills that identify the role of socioeconomic disadvantage, racism, homophobia, and ableism in presenting problem. 3. Networking skills to learn more about community resources, services, and cultures from other social services agencies working with ethnocultural groups. 4. Advocacy skills to enhance access to services and culturally competent care and raise awareness of cultural issues. 5. Interpersonal skills to build rapport with the family and other support systems in cross-cultural interactions, being aware of culture-specific power dynamics and levels of hierarchy within families.

Motivation itself has several different meanings. What are they?

1. Motivation of desire - I want to change 2. Motivation of ability - I can change 3. Motivation based on reasons for change (weighing pros v. cons) 4. Motivation signaling commitment to change - I will change

Twelve Step Facilitation (TSF) consists of what?

1. Practiced in professional treatment programs 2. It is the dominant model in alcohol treatment 3. Based on the behavioral, spiritual, and cognitive principles of AA 4. Uses paid professionals

Prochaska and DiClemente Stages of Change

1. Precontemplation: defensiveness about substance use 2. Contemplation: aware the problem exists but ambivalent or anxious about change 3. Preparation: intends to make a change in the near future or unsuccessfully taken action within the past year 4. Action: the person takes action to change their behavior/environment to overcome a problem behavior 5. Maintenance: the person consolidates gains and works to prevent relapse 6. Relapse: may occur repeatedly and is a normal, inevitable part of the behavior change

What are tenets of CBT that play a powerful role in the initiation, maintenance, & recovery of addiction?

1. Reinforcement - the process of shaping behavior by controlling the consequences of the behavior (positive or negative reinforcement). 2. Modeling - learning by observing what others do and seeing the costs and benefits of such behavior. 3. Conditioned responding - like Pavlov's dog, gamblers have this problem when encountering cues internally or through the senses that mimic casinos. 4. Cognitive factors - addressing irrational thinking fueling addiction

The clinical principles of harm reduction

1. Substance use problems are best understood and addressed in context of the whole person in his or her environment 2. Meet the client as an individual 3. The client has strengths that can be supported 4. Challenge stigmatization 5. Substances are used for adaptive reasons 6. Drug use falls on a continuum of harmful consequences - safe to life-threatening 7. Not holding abstinence as a precondition of therapy before getting to know the client 8. Engagement in treatment is the primary goal 9. Start where the patient is 10. Look for and mobilize the client's strengths in service of change 11. Develop a collaborative, empowering relationship with the client 12. Goals and strategies emerge from the therapeutic process

What are some of the techniques of SFT?

1. The Miracle Question 2. Scaling questions 3. Coping Questions 4. "Not knowing stance"

In TSF, what are the goals for the client?

1. abstinence 2. acknowledgment that willpower alone cannot maintain sobriety 3. long-term recovery requires spiritual renewal 4. Basic 12-steps explained/ AA readings discussed/ AA meeting encouraged

What two questions are used in the Lie/Bet questionnaire?

1. have you ever felt the need to bet more and more money? 2. Have you ever had the need to lie to people important to you about how much you gamble?

How many questions does a client answer with the GA-20 to have a positive screen of a compulsive gambler?

7

What is Gamblers Anonymous (GA)?

A 12-step mutual help program of men and women "who share their experience, strength, and hope with each other so that they may solve their common problem and help others to recover from a gambling problem.

What is the Empowerment Model?

A clinician's decision to share religious/spiritual experiences requires the clinician and agency policy to be ethical and offer educational as well as debriefing if necessary.

Alcoholics Anonymous, as practiced as a mutual-help group in the community: A. is run by recovering individuals B. non-voluntary C. requires working on the 12 steps D. requires people to stay saner for at least two months before becoming members

A. is run by recovering individuals

According to the text, generalizations about family role traits, hero, scapegoat, etc., are A. not empirically validated B. not based on personal observation C. rarely helpful in engaging family members in system work D. refuted by Wegscheider and Black

A. not empirically validated

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

A. pre contemplation and contemplation stages

An ecosystems framework relevant to the family A. views members in constant interaction B. is no longer an accepted model C. focuses exclusively on the nuclear family D. is a predominant model in psychology today

A. views members in constant interaction

What is the goal of GA?

Abstinence

In a healthy family, what are the family dynamics?

All are touching but their boundaries are not overlapping.

What is the criterion that is used to guide addiction treatment matching in a majority of states? A. OARS B. ASAM C. AUDIT D. SAMHSA

B. ASAM

What was founded to help families of AA members? A. Nar-Anon B. Al-Anon C. Gam-Anon D. ACOA

B. Al-Anon

Which of the following requires a spiritual orientation? A. Women for Sobriety B. Alcoholics Anonymous C. SMARt Recovery D. Moderation Management

B. Alcoholics Anonymous

Persons who wish for help with managing to drink moderately should attend: A. Alcoholics Anonymous B. Moderation Management C. SMART Recovery D. Women for Sobriety

B. Moderation Management

Which of the following is not a clinical principle of harm reduction: A. Challenge stigmatization. B. Start with intake procedures to gather client demographics. C. Develop a collaborative relationship with the client. D. Drop preconceived notions about client goals.

B. Start with intake procedures to gather client demographics.

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

B. any step in the direction of reducing harm

According to the views of moderation management, drinking problems are viewed as: A. disease B. bad habits C. poorly-educated D. moral impurities

B. bad habits

SMART recovery is drawn from the principles of: A. harm reduction B. cognitive-behavioral therapy C. psychodynamic therapy D. transactional analysis

B. cognitive-behavioral therapy

The rules for the alcoholic family, according to Claudia Black, are: A. every unhappy family is unhappy in its own way. B. don't talk, don't trust, don't feel C. one day at a time D. seek change slowly

B. don't talk, don't trust, don't feel

Which of the following is not a method used in cognitive-behavioral therapy: A. reinforcement B. the miracle question C. modeling D. ABC emotions chart

B. the miracle question

I In Family Roles, the role of _____________represents a troublemaker in the drug-dependent family dynamics. A. the family manager B. the scapegoat C. the taskmaster D. the family monitor

B. the scapegoat

According to classical family systems, the person with the drug use problem is viewed as ______________. A. a person suffering from a mental disorder B. the symptom carrier C. the problem D. the person in need of a formal intervention

B. the symptom carrier

Al-Anon A. was founded in the 50s to meet the needs of substance abuse problems. B. was originally for wives of alcoholics. C. uses a totally distinct version of the 12 steps. D. has declined significantly in popularity today.

B. was originally for wives of alcoholics.

Which screening instrument has been validated for SUD within the Elder community? A. TWEAK B. Twenty Questions C. Geriatric MAST D. Geriatric AUDIT

C. Geriatric MAST

This is a concept that identifies strengths and resources with communities that have been overlooked in traditional acute care models. A. Components of Recovery B. HHS Action Plan C. Recovery Capital D. No Wrong Door

C. Recovery Capital

Which of the following is not a major level of care in the ASAM classification system? A. Early Intervention B. Medically Managed Intensive Inpatient Treatment C. Recovery and Living Environment D. Residential/Inpatient Treatment

C. Recovery and Living Environment

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

C. Urinalysis testing

Which of the following is not a technique for enhancing motivation? A. roll with resistance B. express empathy C. break through denial D. develop discrepancy

C. break through denial

A fundamental difference between the writings of cofounder Bill Wilson and professional, treatment programs that practice Twelve-Step Facilitation is around the issue of _____________. A. attendance B. confidentiality C. compliance

C. compliance

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

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

What approach is not considered to be strength-based? A. harm reduction strategies B. motivational interviewing C. problem-focused therapy D. solution-focused interventions

C. problem-focused therapy

When using Solution-Focused Therapy, the story of Mr. Glue Head best illustrates: A. the problems with using such a label for a drug user B. the dangers of inhalant use C. the advantages of letting the client define the problem D. the risk of letting the client define the problem

C. the advantages of letting the client define the problem

The CAGE acronym stands for what?

C: Have you felt you ought to CUT down on your drinking or drug use? A: Have people ANNOYED you by criticizing your drinking or drug use. G: have you ever felt GUILTY about your drinking drug use E: have you EVER had a drink or used drugs first thing in the morning to steady your nerves or to get rid of a hangover?

What two screening instruments are good for women

CAGE & TWEAK

What was added to CAGE for drug addicts?

CAGE-AID

What is the hallmark of a strength-based intervention?

CHOICE

Adaptation means what in world of addiction?

Coping

When Bridges are broken, what are the ways a family adapts? A. The family adapts to the social isolation and continual stress of addiction. B. Members may regroup and reconstitute the family without the addictive member. C. Substance abuse treatment for the individual separately within the family. D. All of the above.

D. All of the above.

Which of the following type of groups not found in specialized AA meetings? A. Veterans B. Elders C. Native Americans D. Persons with problem gambling as well as alcoholism

D. Persons with problem gambling as well as alcoholism

Each family has its own way of adapting. Which one of the following is not a way? A. Hiding key resources B. Covering up for the addiction C. Joining the addiction D. Tell everyone about their problems related to the addiction E. All of the above

D. Tell everyone about their problems related to the addiction

Which of the following is not a screen for alcohol problems? A. CAGE B. TWEAK C. AUDIT D. Twenty Questions

D. Twenty Questions

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

D. addiction is a family illness.

What does OARS do? A. Keeps you from interrogating the client. B. Gives them the opportunity to share information C. Gives the therapist a wealth of information D. All of the above. E. None of the above.

D. all of the above

Which is the following characterizes Solution-Focused Therapy? A. looks for the root of the problem B. sees the person as the problem C. relies on diagnostic labels from the DSM D. assumes the future can be created and negotiated regardless of the problem

D. assumes the future can be created and negotiated regardless of the problem

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

D. explore and resolve ambivalence

Which of the following is a goal of MI? A. compliance from the client B. challenge resistance C. confrontation D. exploring and resolving ambivalence

D. exploring and resolving ambivalence

HOPE questions were developed for who?

Developed as teaching tools for medical students, residents, and practicing physicians.

Asking a lot of questions when screening can really help the client understand there might be a possibility of SUD. TRUE OR FALSE

FALSE: one or two quick questions is best when screening a client for SUD.

A person in the contemplation stage exhibits little or no ambivalence about making a change. True or False

False

If the client is unmotivated for change, family counseling is premature. True or False.

False

The stages of changes is a linear process. True or False

False

There is a strong relationship between a clients initial motivation at treatment entry and outcomes sixths later. True or False.

False

The practice of AA members introducing themselves by their first names and then saying, ...and I'm an alcoholic, is a counter-therapeutic reinforcement of a negative label. True or False.

False - Some people that go to AA, carry the term "I'm and alcoholic" as a badge of honor.

12-step groups and 12-step facilitation are one and the same. True or False.

False.

The Transparency model gives the clinician the decision to share religious/spiritual experiences but requires the clinician and agency policy to be ethical and offer educational as well as debriefing if necessary. True or False

False. In the transparency model, the therapist shares their spiritual and religious beliefs but focuses on the client's spiritual needs, if appropriate.

When a family adapts to addictive behavior, it is just a passive adjustment. True or False

False. It is NOT a mere passive adjustment to circumstances.

Alcoholics Anonymous requires people to believe in a Christian God. True or False.

False. It is a "Higher Power."

In SMART Recovery, abstinence is not a goal. True or False

False. One of their primary goals is to help individuals gain independence from addictive behavior (abstinence)

When treating alcoholism, the therapist works tries to "fix the Identified Patient." True of False.

False. The patient is viewed within the context of the family, where symptoms and problems presumably evolved.

When SES determinants are negative, there is no difference if they are positive. True or False.

False. When SES determinants are negative, the blight can look like an addiction with a reduce chance of recovery.

How many lives are altered within the circle of an addicted person?

Four

If your father gambles away your college fund, where can you go to find support?

Gam-Anon

What is harm reduction?

HR attempts to alleviate social, legal, and medical problems associated with unmanaged additions. HR assists consumers in limiting the harms of their addictions - needle exchange, etc.

It is common to introduce yourself at an AA meeting as...?

Hi, My name is _______________, and I am an alcoholic.

Practitioners of strength-based strategies fiercely adhere to what foundational clinical skill?

Hope

What does affirming the client's experience do?

It humanizes the person.

What is Narcotics Anonymous (NA)?

It is a multilingual, multicultural organization that has 63,000 weekly meetings and members in 132 countries.

Why was NA started?

It started in the 50s when polyaddiction became more common and "pure alcoholics" were uncomfortable discussing drugs.

Why were HOPE questions developed?

It was started to begin the process of incorporating a spiritual assessment into the medical interview

What are the ASAM Level's of Care

Level 0.5: Early Intervention - initial convos, psycho-ed groups Level 1: Outpatient Treatment - therapy, once sober = maintenance Level 2: Intensive Outpatient/Partial Hospitalization Treatment - "step down" before you reenter the community Level 3: Residential/Inpatient Treatment - county beds Level 4: Medically Managed Intensive Inpatient Treatment - golden chalice of treatment (EOIRM)

What is MAST-G?

Michigan Alcoholism Screening Test that consists of 24 questions with special relevance to the elderly.

Who originally developed Solution-Focused Therapy and who then developed it further?

Milton Erickson 91954) Insoo Kim Berg & Steve deShazer (1978)

This type of mutual-help group is dedicated to supporting individuals who desire to drink moderately.

Moderation Management

What does OARS stand for?

O: open-ended questions - allows the person to share their narrative A: affirmations - humanizes the person R: reflections - listen to understand S: summaries - keep it short

Within Wegscheider's non-scientific family roles, what role does the hero child play?

Often the 1st born, the responsible one who seeks approval and is a high achiever. Often growing up and becoming a helper.

Why are the levels of care important?

Over 30 states and the Department of Defense use this for assessment, service planning, placement, and continued stay, etc. Insurance companies use this protocol.

Formal family treatment in not necessary due to the universal presence of what?

Self-help groups that provide support and guidance to families torn apart by addicted family members.

The TWEAK acronym stands for what?

T- Tolerance: how many drinks can you hold? (6+ drinks = tolerance) W - Worried: have close friends or relatives worried or complained about your drinking in the past year? E - Eye Opener: do you sometimes take a drink in the morning when you first get up? A - Amnesia: has a friend o family member ever told you about things you said or did while you were drinking that you could not remember? K - Kut Down: do you sometimes feel the need to cut down on your own drinking?

Due to the stigma of "addiction," it is best to let the client know that screening questions are routine. TRUE OR FALSE

TRUE

What screening test is more sensitive for black obstetric patients and white women?

TWEAK

Between Cage and TWEAK, which offers more information?

TWEAK - it looks at the relationship with alcohol

When SES determinants are positive, what do they do?

The act as protective factors for individuals and families, and they can flourish in that environment.

Who developed Motivational Interviewing

The development of motivational interviewing (MI) is credited to the relentless, spirited questioning by student interns in Norway of William R. Miller as he demonstrated how he would work with clients in various settings.

In the isolated family, what are the family dynamics?

There is a lack of cohesion and social support. Each member is protected by a wall of defense.

What are the HOPE questions?

They are open-ended questions that are helpful as a starting point to incorporate spiritual/religious dimensions into the assessment process.

Where does a person likely to go if they have an addiction problems and low SES?

They go to jail for treatment

Within Wegscheider's non-scientific family roles, what role does the family manager play?

They overcompensate or over-function to compensate for the chemically-dependent person. Often the sober partner.

How does Moderation Management view drinking problems?

They view it as a bad habit rather than a disease.

Within Weschnieder's non-scientific family roles, what role does the lost child play?

This person lives in a fantasy world and is little trouble within the family unit. Later in life, needs help with becoming a responsible adult.

Within Wegscheider's non-scientific family roles, what role does the mascot play?

This person provides comic relief for the family unit. Usually has a short attention span that is linked to family behavior.

What are prescreening questions used for?

To rule out abstinence

Evidence indicates that AA is a beneficial approach for alcoholics to stop drinking. True or False.

True

Harm reduction strategies for alcohol misuse are based on the premise that alcohol use ranges across a continuum, starting with no consequences for use and ending with devastating consequences for use. True or False

True

In Wegscheider's roles, chemically-dependent people usually see things in black or white. True or False.

True

It is never too early to begin preparing family members of alcoholics/addicts for the changes they need to make. True or False.

True

Male partners of alcoholics are less likely to join support groups than female partners. True or False.

True

Moderation Management is not intended for people who experience significant withdrawal symptoms when they stop drinking. True or False

True

The family hero, according to Wegscheider, often grows up to enter the helping professions. True or False.

True

The state of motivation may fluctuate from one time or situation to another. True or False.

True

A person triggered to gamble by crowded parking lots is experiencing a conditioned response. True or False.

True Problem gamblers respond to environmental stimuli or cues elicited internally or through the senses (sight, smell, sound, internal states) that trigger the impulse to gamble.

According to Dr. Ross, Codependence equals Co-addiction. True or False.

True - don't fail the class!

Breaking the silence refers to what?

Urging practitioners to become active in discussing spirituality/religion in the context of addiction treatment.

What screening instrument is used world-wide and why?

World Health Organization's AUDIT. It is short and translates over populations, cultures, and languages.

The capacity for patience, compassion, and forgiveness with communities of color is viewed as a _____________ ___ ______, not a sign of codependency.

resource of hope