Deck 4: Substance Misuse With a Co Existing Disorder or Disability

Question 1

A common psychiatric diagnoses (or diagnosis)for persons with an AOD disorder is:

A) ​kleptomania
B) ​anxiety disorders
C) ​bipolar disorder
D) ​Korsakoff's syndrome

Answer 1

​anxiety disorders

Question 2

Which of the following is not a mood disorder?

A) ​major depression
B) ​hypomania
C) ​PTSD
D) ​dysthymia

Answer 2

​PTSD

Question 3

Persons who are dually diagnosed with substance misuse and mental disorders can expect the following (compared to persons with just substance misuse problems)

A) ​more homelessness
B) ​less often contracting sexually transmitted diseases
C) ​less incarceration
D) ​more services available

Answer 3

​more homelessness

Question 4

Which of the following does integrated treatment programs not provide:

A) ​team approach
B) ​focus on substance abuse problems before mental health problems
C) ​long-term commitment
D) ​one location for treatment of both problems

Question 5

Describe the symptoms of schizophrenia and how this can lead to homelessness.

Question 6

Describe a harm reduction approach with clients who are dealing with co-occurring disorders and survival needs.

Question 7

Collaborative case management refers to

A) ​experts providing service to a case.
B) ​offering a menu of supports and services to the client
C) ​referral after referral.
D) ​a group effort in which the leadership is provided by the substance abuse counselor.

Question 8

The phrase "no wrong door" refers to

A) the need for fire exits in treatment centers.​
B) ​integrated treatment practices.
C) ​the need to first decide whether the mental disorder or the substance abuse is the primary problem.
D) ​harm reduction practices.

Question 9

Discuss the connection between surviving Hurricane Katrina and the development of mental health problems and also the factor of resilience.

Question 10

Which of the following is a true statement concerning clients with schizophrenia?

A) ​What looks like resistance or denial may in reality be a manifestation of negative symptoms of schizophrenia.
B) ​Clients with co-occurring mental disorder involving psychosis have a higher risk for self- destructive and violent behaviors.
C) ​Clients with a co-occurring mental disorder involving psychosis are particularly vulnerable to homelessness,housing instability,victimization,poor nutrition,and inadequate financial resources.
D) ​About 1% of people develop schizophrenia during their lifetime;it usually develops between the ages of 16 and 30.

Question 11

Which one of the following characterizes Assertive Community Treatment (ACT)

A) ​recognized as a best practice approach
B) ​does not employ a team approach
C) ​time-limited services for persons with COD
D) ​inpatient treatment

Question 12

Which of the following statements about persons with disabilities is true:

A) ​People with disabilities do not abuse substances.
B) ​A person with a disability will make other clients uncomfortable.
C) ​People with disabilities should receive exactly the same treatment protocol as everyone else.
D) ​People with disabilities face a number of barriers to treatment.

Question 13

Name three stereotypical beliefs about persons with disabilities that pose barriers to treatment.

Question 14

Supported housing programs

A) ​draw on harm reduction as an essential ingredient.
B) ​have strict standards for admission of clients with co-occurring disorders.
C) ​require abstinence
D) ​require support services

Question 15

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

A) ​not problematic
B) ​the norm,not the exception
C) ​dealt with effectively by most treatment programs
D) ​fairly rare

Question 16

The most commonly used substance by persons with severe mental illness is

A) ​cannabis
B) ​cocaine
C) ​meth
D) ​alcohol

Question 17

Contrast integrated treatment practices with sequential treatment in terms of professional staff,admission criteria,and intervention practices.

Question 18

Research indicates that in the transition from separate to integrated treatment for co-occurring disorders that​

A) ​stable remission rates more than double.
B) ​the investment is too costly to be worth the trouble.
C) ​the 12 Step approach works best.
D) ​clients with different types of disorders do not get along well together.

Question 19

A clinical diagnosis of pathological gambling as defined in the DSM IV-R does not include which of the following:

A) ​preoccupation with gambling,
B) ​sleep difficulties
C) ​repeated efforts to quit
D) ​gambling from stress

Question 20

With reference to traumatic brain injury

A) ​motivational interviewing techniques have been found to be too complicated to be practical.
B) ​homework assignments cannot be assigned because of the brain damage.
C) ​motivational interviewing techniques have been successful in treatment
D) ​a strength perspective is not as important to practice.

Question 21

People with learning differences do best in insight oriented approaches.

Question 22

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

Question 23

Which of the following is not a stage in Stage-Wise Treatment?

A) ​Engagement
B) ​Detoxification
C) ​Persuasion
D) ​Active Treatment

Question 24

In the persuasion stage of Stage-Wise Treatment,the goal is to

A) ​persuade the client to be abstinent
B) ​persuade the client to start working on a treatment plan
C) ​open up opportunities for the client to think about their own goals
D) ​explain to clients why their mental health problems keep them from reaching their goals

Question 25

​The quadrant model is a way of conceptualizing the variations of co-occurring disorders in order to match treatment to their different needs.

Question 26

In spite of the prevalence of substance misuse among people with disabilities and the American with Disabilities Act of 1990,there is evidence that these persons are less likely to enter or complete treatment.

Question 27

Parallel or sequential treatment with persons who have COD had annul rates of remission of

A) ​2%
B) ​5%
C) ​10%
D) ​30%

Question 28

Most anxiety symptoms related to substance misuse are gone within a few days or weeks of abstinence.