Deck 14: Twelve-Step Facilitation

Question 1

Which approach is among one of the oldest and most widely practiced models of addiction intervention?

A) 12-step models
B) Cognitive-behavioral models
C) Motivational interviewing
D) Developmental models

Answer 1

12-step models

Question 2

Alcoholics Anonymous is consistent with what theoretical model?

A) Cognitive-behavioral models
B) Psychodynamic models
C) 12-step models
D) Family systems models

Answer 2

12-step models

Question 3

Why was the 12-step movement developed?

A) Abstinence from addictive substances and behaviors
B) As an approach to treatment
C) Mutual-help groups and fellowships
D) As an approach to assessment

Answer 3

Mutual-help groups and fellowships

Question 4

Alcoholics Anonymous is structured to do which of the following?

A) Assist with maintenance of abstinence and recovery
B) Provide direct intervention to participants
C) Introduce community supports for recovery
D) Implement various treatments

Question 5

Why is it difficult to conduct research on 12-step fellowship programs?

A) Difficult to measure recovery
B) Difficult to retain research participants
C) Difficult to recruit research participants
D) Difficult to identify research participants

Question 6

All of the following are characteristics of an average 12-step fellowship member except:

A) Male
B) Young adult
C) Middle-Aged
D) Caucasian

Question 7

Who was the disease model first introduced by?

A) Prochanska
B) Kohlberg
C) Pavlov
D) Jellinek

Question 8

According to the disease model, addiction is considered to be what type of disease?

A) Bio-psycho-social
B) Behavioral
C) Emotional
D) Physical

Question 9

What term is used for alcoholics and addicts when outward signs and symptoms of the addiction are not observable?

A) In relapse
B) In recovery
C) Cured
D) Terminated

Question 10

According to the 12-step model, what is the only option for recovery?

A) Abstinence
B) Moderation of substance use
C) Using less of the substance than when the client first beginning treatment
D) Using the substance to a degree that is not harmful for their loved ones

Question 11

What is viewed as the foundation and driving force behind successful recovery in 12-step programs?

A) Social support
B) Admitting the problem
C) Commitment to change
D) Spirituality

Question 12

What is the goal of membership in the fellowship?

A) Spiritual awakening
B) Reduce or eliminate symptoms of addiction
C) Altruism
D) Commitment to the fellowship

Question 13

What has deterred many addicts from participating in 12-step fellowships such as Alcoholics Anonymous?

A) Attendance requirements
B) Emphasis on spirituality
C) Pressure to abstain from substances
D) Acknowledgement of having an addiction

Question 14

What is Step 1 in a 12-step fellowship program?

A) Admit a greater power can restore oneself
B) Admit powerlessness over the drug
C) Commit to attending the 12-step program
D) Inform loved ones of their participation in the 12-step program

Question 15

__________ means that an individual recognizes that willpower alone will not create sustained sobriety in recovery.

A) Commitment
B) Surrender
C) Acceptance
D) Acknowledgement

Question 16

_________ means that an individual understands a higher power is needed to sustain sobriety, be willing to take action, and use the 12-step program to guide them in recovery.

A) Surrender
B) Commitment
C) Spirituality
D) Acceptance

Question 17

Steps 1 through 3 in a 12-step fellowship are known as?

A) Surrender steps
B) Commitment steps
C) Acknowledgement steps
D) Altruism steps

Question 18

What is one of the main catalysts for recovery in the 12-step model?

A) Asking for forgiveness
B) Admitting powerlessness over the drug
C) Altruism
D) Universality

Question 19

Steps 1 through 3 in a 12-step fellowship program focus on:

A) Preparation for recovery
B) Engagement in specific recovery activities
C) Determining whether the program is right for the individual
D) Maintaining gains in recovery

Question 20

Steps 4 through 9 in a 12-step fellowship program focus on:

A) Preparation for recovery
B) Engagement in specific recovery activities
C) Determining whether the program is right for the individual
D) Maintaining gains in recovery

Question 21

Steps 10 through 12 in a 12-step fellowship program focus on:

A) Preparation for recovery
B) Engagement in specific recovery activities
C) Determining whether the program is right for the individual
D) Maintaining gains in recovery

Question 22

______________ refers to activities aimed at helping other addicts.

A) Acceptance
B) Working the steps
C) Sponsorship
D) Service

Question 23

______________ refers to well-established individuals in their recovery and who serve mentors, models, or guides to newcomers.

A) Surrender
B) Sponsors
C) Service
D) Working the steps

Question 24

The only criterion for acceptance into Alcoholics Anonymous is the desire to stop drinking.

Question 25

There is much research about the effectiveness of 12-step fellowship participation as a singular intervention.

Question 26

Research has shown that there tends to be a lack of diversity within 12-step fellowship programs.

Question 27

It is believed that simply attending 12-step program meetings is enough for successful recovery.

Question 28

Spirituality plays a role in 12-step programs.

Question 29

A common misconception about AA is that they are religious organizations.

Question 30

Only after an individual admits powerlessness over alcohol and drugs can they effectively work the remaining steps of the program in a beneficial manner.

Question 31

Attendance at 12-step meetings are essential for the program to be effective.

Question 32

According to 12-step programs, it is acceptable for individuals to skip steps if a particular step seems unnecessary or redundant.

Question 33

Self-forgiveness is important in 12-step programs.

Question 34

It is essential that clinicians facilitating TSF are in recovery for addiction themselves.

Question 35

Describe how addiction is viewed through the lens of the disease model.

Question 36

What are the 12 steps of Alcoholics Anonymous?

Question 37

Why is attendance at 12-step program meetings essential?

Question 38

Describe the importance of amends and forgiveness and when they occur in the 12-step program.

Question 39

What is Twelve-Step Facilitation and what is the purpose of it?

Question 40

What is the role of the practitioner in Twelve-Step Facilitation (TSF)? List the roles and tasks of each of them.