Deck 30: Treatment Settings

Question 1

Most outpatient treatment programs follow a(n) format for helping people achieve recovery.

A)rational emotive
B)family systems
C)12-step-centered
D)alternative medicine

Answer 1

12-step-centered

Question 2

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

A)contract with the client not to abuse certain chemicals
B)treatment plan
C)genealogy
D)cost-benefit analysis of the person's substance use history

Answer 2

treatment plan

Question 3

The main vehicle of personality change in the TC environment is thought to be the

A)revamping of the family environment.
B)expression of hidden feelings.
C)affirmations received for work well done.
D)peer support and appropriate confrontation.

Answer 3

peer support and appropriate confrontation.

Question 4

Clients in a therapeutic community are viewed as passing through three phases of change: compliance, , and making a personal commitment to change.

A)maintenance of hidden drug-use thoughts
B)fear of the treatment process
C)conformity
D)denial in the service of the ego

Question 5

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

A)Individual and group therapy
B)Marriage counseling
C)Hospitalization
D)Vocational training

Question 6

Janie is about to successfully graduate from residential treatment.She lacks a stable support system at home and is worried about her ability to live independently, but she is motivated to remain abstinent and get back on her feet.Which of the following might be the best option for Janie?

A)A halfway house
B)Partial hospitalization
C)Therapeutic community
D)Remaining in residential treatment

Question 7

One downfall of keeping the client in the community while he or she participates in outpatient treatment is that

A)the fees charged for outpatient treatment are much more than for inpatient treatment.
B)the individual is still exposed to drug-use cues that can trigger a relapse.
C)the individual still has to go to work.
D)the individual has to reorient himself or herself every day after treatment.

Question 8

An important guiding philosophy for treatment is

A)that not all people with a substance use disorder need the same level of treatment.
B)that clients need to follow insurance company funding policies.
C)the determination of bed availability at various rehabilitation facilities so that treatment referrals can be spread evenly around the regional centers to avoid charges of favoritism on the part of the referral agency.
D)the level of confrontation necessary to assist the individual in accepting his or her SUD.

Question 9

Greg is involved in a type of treatment he is planning on doing for at least one year.He lives with a group of people with SUDs who are working on changing their deviant substance abuse behaviors, becoming more mature, and improving their lives without the need for substances.His program is highly structured with activities scheduled from early morning until late in the evening.He is confronted daily about his behaviors and his coping strategies, but Greg feels like he can take the confrontations because he feels supported.Greg is most likely participating in what type of treatment?

A)Intensive long-term outpatient
B)Hospital-based residential treatment
C)Detox program
D)Therapeutic community

Question 10

is not only expected but often is a prerequisite for continued participation in an outpatient treatment.

A)Prepayment
B)Employment
C)Involvement of family
D)Abstinence from or reduction in the level of illicit drugs and/or alcohol use

Question 11

There is standard definition of inpatient/residential substance abuse treatment.

A)an accepted
B)no
C)an internationally approved
D)a shared (in the United States and the United Kingdom only)

Question 12

Approximately of those who enter into a substance rehabilitation program will begin an outpatient treatment program.

A)85%
B)30%
C)70%
D)55%

Question 13

One disadvantage of inpatient/residential treatment is that

A)there is not much structure provided to the client.
B)the quality of treatment is less intense than that of outpatient treatment.
C)the client has to refrain from routine life for a period of time.
D)there is no way to help a client "detox."

Question 14

The process of reorientating the client to post-treatment life is

A)reduced when outpatient program formats are used.
B)about the same as when residential treatment programs are utilized in the person's treatment.
C)more intense than when residential treatment programs are utilized.
D)far more complicated for those completing outpatient treatment as compared with those completing residential treatment.

Question 15

For many persons, outpatient therapy is a(n)

A)unnecessary financial drain.
B)transitional step between residential treatment and self-directed recovery.
C)way to please the insurance company representatives, who demand the individual have failed at outpatient treatment before permitting admission to an inpatient recovery program.
D)form of treatment with major differences in treatment philosophies as compared with residential treatment programs.

Question 16

Which of the following statements is true?

A)Although residential programs are less expensive, reduced insurance company reimbursement rates result in such programs costing almost as much as outpatient rehabilitation programs.
B)Residential treatment programs have better treatment outcomes even if the person is in the program for a shorter period of time.
C)Although outpatient rehabilitation programs are inherently less expensive, the insurance company reimbursement policies might make it more expensive to the individual than residential treatment.
D)The weekly cost of either inpatient or outpatient treatment is approximately the same since the program still has to pay staff salaries, equipment, room for the treatment program, etc.

Question 17

Early therapeutic communities

A)usually utilized a harsh "ego stripping" technique.
B)made extensive use of trained mental health professionals in providing services to the clients.
C)were all designed so the person would return to independent living within a year.
D)had provisions for working with women who have children or persons with AIDS.

Question 18

According to Willebring (2010), approximately of those people with an alcohol use disorder reduce or stop drinking entirely without professional treatment or participation in a 12-step group.

A)one-fourth
B)one-half
C)two-thirds
D)three-fourths

Question 19

Of those who begin participation in a therapeutic community program, about are graduates.

A)5-7%
B)10-15%
C)20-26%
D)45-50%

Question 20

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

A)DWI class
B)Short term
C)Intensive short term
D)Intensive long term

Question 21

In its original conception, therapeutic communities began with a 24-hour "marathon session" that included a "hot seat" experience where the person receiving treatment endured others telling them about their personality flaws.

Question 22

Explain the idea behind aftercare programs and describe some of the variants.

Question 23

What are some of the advantages and disadvantages of outpatient treatment programs?

Question 24

What are some of the advantages and disadvantages of inpatient/residential treatment programs?

Question 25

Currently, the participants in therapeutic communities are under the supervision of probation or parole agents in two- thirds of the cases.

Question 26

The purpose of the "aftercare" program is the maintenance of the gains made in treatment.

Question 27

The "living clean house" is a variant of the halfway house that serves as a transitional step between more intensive treatment and independent living.

Question 28

Discuss the original process of the treatment community, and note how it has changed to its modern format.

Question 29

It has been estimated that 90% of new admissions to a therapeutic community will drop out in the first 30 days.

Question 30

Describe the components of outpatient treatment programs.