Deck 17: Substance-Abuse Treatment: Strategies for Change

Question 1

1 Define the biopsychosocial model of drug abuse treatment.Take a specific drug abuse condition and describe how a biopsychosocial model might be applied to its treatment.

Answer 1

no answer

Question 2

2 Methadone and disulfiram (brand name: Antabuse)treatment are two examples of strategies that apply to a wide range of alcohol or drug abuse situations.

Answer 2

False

Question 3

10 Federal penalties for drug trafficking are increased up to double if the sale of the drug occurs within 1,000 feet of an elementary or secondary school.

Answer 3

True

Question 4

12 Most drug-related offenses in the United States are prosecuted at the federal level rather than at the state level.

Question 5

7 A minor,almost totally irrelevant goal of incarceration is deterrence.

Question 6

4 Polydrug abusers are abusers of polyethylene or polyurethane products.

Question 7

9 According to the Comprehensive Drug Abuse Prevention and Control Act of 1970,criminal penalties for illegal behavior related to drugs are determined by the drug's potential for serious abuse.

Question 8

7 What are some of the questions that should be asked about a treatment facility for alcohol or other drug abuse?

Question 9

1 In 2011,an estimated 21.6 million individuals aged 12 or older in the United States needed treatment for an alcohol or illicit drug-use problem,yet only 2.3 million individuals received it.

Question 10

3 Most drug abusers abuse only one drug.

Question 11

13 Drug paraphernalia are defined as products whose predominant use is to administer,prepare,package,or store illicit drugs.

Question 12

6 A dual diagnosis patient is someone who abuses two drugs at the same time.

Question 13

8 Rehabilitation is a matter of reducing the likelihood that a drug abuser will behave in a similar way in the future.

Question 14

2 How did the Anti-Drug Abuse Acts of 1986 and 1988 change the possible penalties for drug trafficking in America?

Question 15

3 What is meant by a potential "racial disparity" with respect to federal penalties for trafficking in powder cocaine versus crack cocaine? How is this disparity being reduced?

Question 16

5 Roughly 30 percent of all abusers of alcohol or other drugs have had a serious mental disorder in their lifetime.

Question 17

6 Describe the five types of survival roles an individual might assume in a dysfunctional family system that is contending with alcohol or other drug abuse.

Question 18

11 Dan lives with his family in public housing.He was recently convicted of drug trafficking on the public-housing property.Under the Anti Drug Abuse Acts of 1986 and 1988,Dan's entire family can be evicted.

Question 19

4 Discuss how drug-court programs are successful in providing effective rehabilitation.Differentiate between the likelihood that drug abusers will complete treatment versus the likelihood that drug court participants will complete treatment.

Question 20

5 Describe the five stages of change related to drug abuse rehabilitation and give a concrete example (in the form of an individual's attitude or reaction)for each one.

Question 21

18 Drug courts handle only nonviolent juvenile offenders of drug laws.

Question 22

15 There is a 100-to-1 disparity concerning the amount of drug possession and federal penalties for cocaine and crack respectively.

Question 23

30 Those in the maintenance stage of change have been drug-free for at least six months.

Question 24

20 Daytop Village is a rehabilitative facility designed exclusively to treat alcoholics.

Question 25

17 Drug-related offenses represent the reason for incarceration of approximately 15 percent of all inmates in federal prisons.

Question 26

31 Denial and bargaining are two typical family reactions to the condition of drug abuse.

Question 27

24 EAP stands for the slogan,Enhance All Prevention.

Question 28

23 The 1988 Drug-Free Workplace Act requires non-governmental organizations to establish employee assistance programs for their workers.

Question 29

19 Monsignor William O'Brien is nationally known as having founded Daytop Village.

Question 30

27 The precontemplation stage immediately precedes the action stage.

Question 31

33 Contemplation and preparation are stages of change that occur after a family's acceptance of drug abuse.

Question 32

25 Employee assistance programs focus on alcohol abuse exclusively.

Question 33

22 A person voluntarily entering a drug treatment program is more likely to succeed than someone entering because of legal pressure to do so.

Question 34

26 Those who are most determined to stay clean and sober are those who actively avoid situations that increase the possibility of relapse.

Question 35

29 In the action stage,drug use has not yet stopped.

Question 36

16 In many states,it is unlawful to sell drug paraphernalia to minors unless they are accompanied by a parent or legal guardian.

Question 37

21 Only 16 percent of drug abusers participating in a drug court program had been rearrested and charged with a felony offense-approximately one-third the level of recidivism observed in drug offenders not participating in a drug court.

Question 38

28 An individual in the contemplation stage of change often sets a specific "quit date."

Question 39

32 Feelings of denial help family members of a drug abuser avoid humiliation and shame.

Question 40

14 According to the Anti-Drug Abuse Act of 1986,the prison sentences for possession of crack are the same as for possession of cocaine,if the amounts are equivalent.

Question 41

40 All other considerations being equal,inpatient treatment is preferred over outpatient treatment.

Question 42

38 Family scapegoats usually feel like they "fade into the woodwork" and become emotionally and physically detached from their families.

Question 43

43 Although 17 million people (ages 12 and over)need alcohol treatment,only one in ten actually received it.

Question 44

36 The enabling behavior of cooperation and collaborating occurs when enablers tell others that the drug abuse was only an isolated incident and that the abuser never was in any danger.

Question 45

3 An example of a strategy for treatment that cuts across different forms of drug abuse is __________.

A)methadone maintenance
B)disulfiram (brand name: Antabuse)
C)LAAM maintenance
D)a twelve-step program

Question 46

34 Avoiding and shielding are two forms of enabling behavior.

Question 47

42 Accreditation by the Joint Commission for the Accreditation of Healthcare Organizations (JCAHO)is an important consideration in one's choice of a treatment facility.

Question 48

45 According to the text,one of the most comprehensive sources of information on substance-abuse treatment information is found in the Substance Abuse and Mental Health Services (SAMHSA).

Question 49

35 Taking over the responsibilities of a drug abuser is a form of enabling.

Question 50

4 Which of the following drugs is used for both alcoholism and heroin addiction?

A)naltrexone
B)Antabuse
C)methadone
D)LAAM

Question 51

1 Analogy: Antabuse is to alcohol as methadone is to __________.

A)cocaine
B)heroin
C)speed
D)marijuana

Question 52

2 Narcotics Anonymous is best suited for __________.

A)cocaine addicts
B)marijuana addicts
C)heroin addicts
D)all of the above

Question 53

41 Claims that sound "too good to be true" are never made by a highly qualified drug abuse treatment facility.

Question 54

39 Family support plays an important role in the success of drug abuse treatment.

Question 55

37 One form of enabling behavior is rationalization.

Question 56

44 In 2011,approximately 7 million people aged 12 or older needed treatment for an illicit drug problem.

Question 57

7 Approximately ________ of alcohol or other drug (AOD)abusers have serious mental disorders.

A)5 percent
B)20 percent
C)30 percent
D)60 percent

Question 58

8 Dual-diagnosis patients frequently participate in the practice of __________.

A)self-medicating
B)self-diagnosing
C)self-detecting
D)self-protecting

Question 59

6 Which of the following people would be referred to as a dual-diagnosis patient?

A)a man suffering from depression and taking the drug Prozac (prescribed by his physician)
B)a heroin addict who also snorts cocaine
C)a man with anxiety disorder who also smokes marijuana
D)a woman with depression who does not take the medication that was prescribed by her doctor

Question 60

5 An individual who abuses heroin and frequently smokes marijuana is referred to as a __________.

A)polydrug abuser
B)multiple substance abuser
C)neither A nor B
D)both A and B

Question 61

14 Which of the following scenarios would result in a double penalty?

A)a twenty-two-year-old man selling drugs to his seventeen-year-old brother
B)selling drugs 500 feet away from a secondary school
C)first offense trafficking of cocaine which results in bodily injury
D)all of the above

Question 62

10 If you decided to avoid behavior X because you did not want the negative consequences of doing X,then you would have been reacting to a message of __________.

A)deterrence
B)tertiary prevention
C)reward
D)psychological dependence

Question 63

12 Matt was walking in the schoolyard of his son's elementary school when he sold cocaine to a drug user.The police caught him making the sale and arrested him.This is his first offense.According to the Anti-Drug Abuse Acts of 1986 and 1988,what punishment should Matt expect to receive?

A)ten to twenty years in prison
B)a sentence two times longer than he would have received if he had been caught selling in the parking lot of his oldest son's college
C)one to five months' probation
D)His punishment will be determined by the laws governing the state where Matt sold the drugs.

Question 64

23 Approximately ______of those in public-funded drug treatment programs are there due to legal pressure.

A)a third
B)a quarter
C)half
D)three-quarters

Question 65

11 According to federal drug trafficking law,which schedule of controlled substances is penalized most severely?

A)Schedule I
B)Schedule II
C)Schedule III
D)Schedule IV

Question 66

13 Joe gave his wife cocaine (a Schedule I drug)as a gift for her birthday.Upon using the cocaine,Joe's wife went into cardiac arrest and died.Joe has never been arrested before.According to the Anti-Drug Abuse Acts of 1986 and 1988,__________.

A)since it was Joe's first offense,he would not get any jail time
B)since the cocaine was a gift,Joe would not have any responsibility for his wife's death
C)Joe's penalty would be doubled
D)Joe would be charged with the murder of his wife

Question 67

21 If you examined the population of inmates incarcerated in federal prisons,__________.

A)practically none of them would be drug offenders
B)about 51 percent would be drug offenders
C)many would have been transferred from state prison facilities
D)all of them would be in some drug treatment program

Question 68

27 The founder of Daytop Village is __________.

A)Monsignor Patrick O'Malley
B)Ms.Candace Lightner
C)John Cardinal O'Connor
D)Monsignor William O'Brien

Question 69

20 It is illegal for drug paraphernalia to be __________.

A)purchased by a minor unless the minor is accompanied by a parent or legal guardian
B)advertised on TV
C)exported from another country
D)all of the above

Question 70

15 Federal penalties for simple possession on the first offense __________.

A)make strict distinctions among the particular schedule of drug
B)involve a maximum of community service for one week
C)are much more severe for Schedule V drugs than for Schedule I drugs
D)none of the above

Question 71

22 Which is true about present-day incarcerated drug offenders?

A)More are in state prisons than are in federal prisons.
B)More are in federal prisons than are in state prisons.
C)They are equally divided between state and federal prisons.
D)Practically all of them are in federal prison.

Question 72

18 Penalties for the sale of drug paraphernalia __________.

A)are now handled at the federal level in all cases
B)are enforced by state and municipal laws
C)have been declared unconstitutional since 1970
D)also involve drug importation,exportation,and advertising

Question 73

16 Which of the following people should receive the harshest federal penalty for possession of a controlled substance,according to federal guidelines?

A)a second-offense violator with heroin
B)a second-offense violator with Valium
C)a first-offense violator with cocaine
D)a second-offense violator with benzene

Question 74

19 For charges of possessing equivalent amounts of crack cocaine and powder cocaine,__________.

A)sentences would be longer in the case of crack cocaine
B)sentences would be longer in the case of powder cocaine
C)sentences would be equivalent in the two cases
D)sentences would be restricted to probationary status only

Question 75

26 Daytop Village and Samaritan Village are __________.

A)therapeutic communities
B)special prisons
C)presently outlawed in the United States due to improprieties
D)generally rejected by rehabilitation professionals as viable treatment options.

Question 76

25 Two examples of therapeutic communities are __________.

A)Alcoholics Anonymous and SMART recovery
B)prisons and probationary programs
C)Daytop Village and Samaritan Village
D)employee assistance programs (EAPs)and prisons

Question 77

17 In the United States,most drug-related offenses are prosecuted __________.

A)at the federal level
B)at the state level
C)at the municipal (city)level
D)at the county level

Question 78

9 _______ is an integrated approach to drug treatment which recognizes that psychological,social,and biological factors each play a role in drug abuse.

A)The dual-diagnosis model
B)The polydrug abusers model
C)The biopsychosocial model
D)The self-medication model

Question 79

28 According to the text,about one-half of the Daytop client populations are __________.

A)prison inmates
B)teenagers
C)alcoholics
D)licit drug users

Question 80

24 According to California law,judges are required to offer drug offenders probation with substance abuse treatment as an alternative to incarceration only if __________.

A)the crime committed was nonviolent
B)the crime committed was the offender's first or second offense
C)the offender is a minor
D)both A and B circumstances exist