Deck 29: Treatment Settings

Question 1

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

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

Answer 1

12-step centered

Question 2

What percentage of persons who enter into a substance abuse rehabilitation program will begin an outpatient treatment program?

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

Answer 2

85 percent

Question 3

One disadvantage of inpatient/residential treatment is

A) there is not much structure provided to the client.
B) the quality of treatment is much lower than outpatient treatment.
C) the client has to completely leave his/her life for a period of time.
D) there is no way to help a client "detox."

Answer 3

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

Question 4

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 with whom he meets regularly to check his progress. He is going to be in this program for two months. Raheed is most likely participating in what type of outpatient treatment program?

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

Question 5

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 6

is a prerequisite for outpatient treatment.

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

Question 7

Those who remain in residential treatment for longer than days are more likely to benefit than those who are there for a shorter period of time.

A) 5
B) 9
C) 14
D) 29

Question 8

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

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

Question 9

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

A) the fees charged for outpatient treatment are much more than for inpatient treatment.
B) the individual is still exposed to drug cues and triggers.
C) the individual still has to go to work.
D) the individual has to re-orient him/herself everyday after treatment.

Question 10

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) Remain in residential treatment

Question 11

The process of re-orientating 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 12

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) cost­benefit analysis of the person's substance use history

Question 13

The guiding philosophy for treatment is the

A) appropriate level of care necessary.
B) need to follow insurance company funding policies.
C) 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) level of confrontation necessary to assist the individual in accepting his or her SUD.

Question 14

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 15

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 16

What percentage of those who begin therapeutic community programs graduate?

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

Question 17

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 18

For many persons, outpatient therapy is a

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 19

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) supportive confrontation.

Question 20

Early therapeutic communities

A) usually utilized an "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 21

The purpose of the "aftercare" program is the

A) maintenance of gains made in treatment.
B) destruction of the abstinence support system.
C) elimination of substance use "cravings."
D) elimination of substance use thoughts.

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 inpatient/residential treatment programs?

Question 24

Describe the components of outpatient treatment programs.

Question 25

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

A) "sober house"
B) "detox residence"
C) "living clean house"
D) "transitional living facility"

Question 26

Currently, the participants in therapeutic communities

A) are all self-referred to the center.
B) are in 1/3 of the cases under supervision by the court.
C) are under the supervision of the court in 2/3 of the cases.
D) have completed all obligations to the court so they might freely participate in rehabilitation.

Question 27

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

Question 28

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

A) 15-20 percent
B) 30-40 percent
C) 50 percent
D) 60-70 percent

Question 29

At the end of one year of those who dropped out of a therapeutic community within the first year were still drug-free.

A) 14 percent
B) 45 percent
C) 25 percent
D) 45 percent..

Question 30

Briefly describe some of the variants of outpatient rehabilitation programs.