Deck 9: Treating Substance-Abusing Youth

Question 1

An adolescent client of yours has attended several AA meetings. He understands its principles. However, he is having trouble surrendering to a higher power because he was raised in an atheistic, humanist tradition. How do you respond?

A) You tell him he needs to accept that surrender to a higher power is synonymous with surrendering to God.
B) You indicate that many atheists have been helped by AA and so surrendering to a higher power should not be a problem for him.
C) You say he does not need to surrender to God but needs to place an emphasis on creating a spiritual defense against his alcohol use.
D) You reply that the surrender steps are not as important as the integrity and serenity steps.

Answer 1

You say he does not need to surrender to God but needs to place an emphasis on creating a spiritual defense against his alcohol use.

Question 2

Internalizing and externalizing factors that assist youth in guarding against substance abuse are factors.

A) individual
B) protective
C) community
D) risk

Answer 2

protective

Question 3

What is the definition of protective factors? Name at least two protective factors for each of the following domains: individual, peer, school, community, and family

Answer 3

Not Answer

Question 4

A student who was doing well academically last year is doing poorly this year. He has new friends who use drugs. His single father recently started smoking marijuana in front of him occasionally. His mother died of a drug overdose two years ago. What factors put this student at risk for substance abuse?

A) Academic failure school), friends' attitudes toward and use of substances peer), family history of substance abuse family)
B) Perception of risk of substance abuse individual), sensation- seeking individual), friends' attitudes toward and use of substances peer)
C) Academic failure school), friends' attitudes toward and use of substances peer), parental attitude toward and use/abuse of substances family)
D) Drug availability community), lack of parental supervision family), coping strategy to survive family system family)

Question 5

Delinquency, rebelliousness, and sensation-seeking are factors.

A) individual risk
B) individual protective
C) community risk
D) community protective

Question 6

You have a youthful, Mexican-American client with anger issues. She is an alcoholic. Both of her parents support your idea of outpatient treatment. Which option would you say is most appropriate?

A) A-CRA
B) PSST
C) BSFT
D) MST

Question 7

Elements in an individual's life that increase vulnerability to negative developmental outcomes are factors.

A) individual
B) protective
C) community
D) risk

Question 8

A youth was reported as using drugs. She has a poor attitude toward school but is doing well academically, recently received an award for academic achievement, and has not been caught in any other trouble at school. Based on what you know about risk and protective factors in the school domain, what might you conclude?

A) You need to find out the context of the poor attitude toward school.
B) The youth is not on drugs because otherwise her brain would not be capable of high academic achievement.
C) The youth must be taking drugs if she was suspected.
D) You need to give her a POSIT screening.

Question 9

You have a youthful, Mexican-American client who chronically behaves in a disruptive manner. He is an alcoholic. Both of his parents support your idea of outpatient treatment. Which option would you say is most appropriate?

A) A-CRA
B) PSST
C) BSFT
D) MST

Question 10

Ideally, assessments of youths should include information-gathering from the .

A) parents)/guardians) only, as youths may lie to the social worker
B) youth only, as parents)/guardians) might not know about their child's drug use and the child might be hesitant to discuss it in front of them
C) parents)/guardians) and from the youth, separately, to provide a broad, clear perspective
D) parents)/guardians) and from the youth, together, to provide a broad, clear perspective

Question 11

What is resilience? How does resilience relate to a youth's risk for and/or protection from drug abuse?

Question 12

A youthful client completes a POSIT test. Her guardian does not want you to conduct any other interviews with the youth because the test made her feel anxious. What is the first thing you would do in response?

A) Due to liability issues, you must get the guardian's consent to gather more information.
B) Explain to the guardian that the test alone is insufficient to diagnose the youth and to plan appropriate treatment.
C) Supplement the test with a thorough biospychosocial history, a mental exam, and direct observation of the youth.
D) End the assessment.

Question 13

Your youthful, Mexican-American client is using alcohol and marijuana. Her mother says she knows that her husband's heavy drinking has been a negative influence on her daughter, but she wants help for her daughter. The youth wants help, too. The father is indifferent. Which type of family therapy do you think would be best?

A) FBT
B) BSFT
C) MST
D) Structural-strategic family therapy

Question 14

You find out during an assessment that a youth who has no close friends considers the drug he uses to be his best friend. Which item would be most beneficial for you to include as part of his treatment?

A) Social skills, so he can make friends more easily
B) Grief resolution counseling, since the youth is likely to experience a loss when the drug is no longer being used
C) Drug education, so the youth learns that drugs cannot be friends
D) Psychiatric counseling, since the youth is likely experiencing a psychiatric disorder that gives him a distorted perception of the drug

Question 15

Your youthful client is dually diagnosed as having clinical depression and abusing alcohol two to three times a week. The hangovers the youth is suffering have become obvious to family members. Both parents and the youth's older sibling are very concerned. Which type of family therapy do you think would be best?

A) FBT
B) BSFT
C) MST
D) Structural-strategic family therapy

Question 16

What are some key aspects and assumptions of Positive Peer Culture PPC)? In what setting is PPC used?

Question 17

A peer-led drug and alcohol prevention program is offered at the school in your community. At a school board meeting you are attending, a parent confronts the board and demands that the program be shut down because she does not want her child being counseled by another student. How would you respond?

A) Agree with the parent.
B) Explain your professional background. Share that peer-led programs may possess greater potential for primary prevention than teacher-led ones.
C) Share that peer-led programs yield twice as much student self- disclosure among participants as teacher-led ones, which can only help the participants.
D) Share that studies comparing teacher-led and peer-led prevention interventions have resulted in mixed findings, so the parent might be right.

Question 18

What is the definition of risk factors? Name at least two risk factors for each of the following domains: individual, peer, school, community, and family.

Question 19

What are the seven interventions for dually-diagnosed adolescents identified by Bender, Springer, and Kim? Describe as many of the ten preliminary treatment guidelines for dually-diagnosed adolescents as you can.

Question 20

Opportunities and recognition for prosocial involvement are factors.

A) individual risk
B) individual protective
C) community risk
D) community protective