Week 6- Treatment and Recovery

One downfall of keeping the client in the community while he/she participates in outpatient treatment is _____.

the individual is still exposed to drug cues and triggers.

The majority of outpatient treatment programs follow a _____ approach to recovery.

twelve step centered

One disadvantage of inpatient treatment is _____.

the client has to completely leave his/her life for a period of time.

Raheed is doing outpatient treatment for his AUD. He is attending individual therapy once a week, group once a week, and is expected to go to an AA meeting at least once a week. he also has a case manager who he meets with regularly to check on his progress and he is going to be in this program for 2 months. Raheem is most likely participating in what type of outpatient treatment program?

short term

_____ is a prerequisite for outpatient treatment.

Abstinence from illicit drugs and alcohol

The purpose of the "aftercare" program is the:

maintenance of gains made in treatment.

Which of the following is true about detoxification?

Outpatient detox is usually more successful than inpatient for opiate-dependent patients.

Which of the following is the most common treatment modality used to create psychosocial change for an individual with a SUD/AUD?

group therapy

Desmond is participating in a street outreach needle exchange program. He is attempting to only use clean needles when injecting heroin until he gets to a place in his life when he feels ready to try to quit. Desmond appears to be involved in which of the following types of treatment?

Harm Reduction

The most important element to the healing process form SUDs is _____.

the therapeutic relationship.

Jose, a substance abuse counselor, is working with Melynda, who has an SUD. They are currently coming up with a continuing plan to support Melynda's desire to work towards recovery. She is currently attending weekly group therapy, going to 3 AA meetings per week, as well as meeting with Jose every week. She is proud that she has been sober for 2 weeks. Melynda is most likely in which stage of change, according to Prochaska's model?

action

Which of the following seems to be foundational in the client's ability to recover?

all of these answers

According to Motivational Interviewing, when a client presents with resistance, it is viewed as _____ .

a sign that client is not appropriate for treatment

Of the following individuals with a SUD, who is the least likely to accept abstinence as a goal?

Hank, who is 23

There is little evidence suggesting that:

the Minnesota model can be applied to illicit drug abuse.

There are _____ approved medications used to treat alcohol use disorders.

four

Transdermal nicotine patches have been found to be _____ successful in treating nicotine dependence.

moderately

A danger when using a pharmaceutical as an adjunct to the treatment of an addiction to drugs is that the ______ per your text.

patient is already enamored with drugs, and pharmacotherapy might serve as a relapse trigger

Immunological therapies are being studied for the treatment of ______ addiction.

methamphetamine

The side effect profile of which compound allows it to be administered during the acute phase of the alcohol withdrawal syndrome?

acamprosate

Surprisingly, it is not the stress itself that triggers a relapse but:

demoralization and depression in the face of stress.

The stance that substance abuse rehabilitation must be effective the first time and that the individual must not ever relapse again:

demonstrates a double standard for substance abuse rehabilitation programs as opposed to other disease treatment programs.

A rarely discussed relapse trigger is the individual's:

sense of smell.

One factor that has been identified as predictive of the probability of individuals' ability to achieve long-term abstinence:

is their coping skills.

Those individuals who are least likely to break down in a stressful situation are those who:

believe that they can cope.

Urine toxicology testing:

is not a perfect therapeutic tool.

Opioid treatment contracts:

attempt to strike a balance between the legitimate need for treatment of chronic pain disorders and treatment noncompliance.

Patients who have a history of substance abuse: ___________

will suffer needless pain as do non-abusers.

An estimated _____ percent of the general population in this country suffers from a chronic pain disorder.

20

A popular misconception about urine toxicology testing is that it:

identifies people who are impaired by the substances identified.

The Minnesota Model relies heavily on ______.

the AA model

In the early stages of treatment a formal ______ is developed.

treatment plan

Rosalita is currently participating in group therapy to stop using cocaine, and she is also doing marital counseling with her husband so that he can support her overcoming her addiction. Which stage of treatment is Rosalita most likely in, according to McLellan's tripartite model of treatment?

rehabilitation

For many persons, outpatient therapy is a(n) _____, per your textbook.

transitional step between residential treatment and self-directed recovery.

Which of the following is NOT a component of outpatient treatment?

marriage counseling

Patients who have a substance use disorder and a chronic pain disorder might not respond to prescribed medications because of:

partial tolerance to medications being prescribed.

A proximal factor for a relapse is one that ______, while a distal factor is one that predates the relapse by a significant period of time.

precedes the relapse by a short period of time

It is preferred that clinicians who are working in the substance abuse treatment field are also currently dealing with their own substance use/abuse issues. T/F

False

Using the medical or disease model as a template, the addictions ______, per your text

can be arrested, but never cured

Even in cases where hair samples test "positive" for substances of abuse:

the hair sample does not accurately indicate when the substance was used.