IOT Intensive Outpatient Treatment - ANSWER-At least 9 hours up to 70 hours. Includes group therapy, pharmacotherapy, relapse prevention, individual
... [Show More] counseling, family therapy, and vocational training.
Therapeutic Community - ANSWER-A highly structured residential setting where residents abstain from drugs, alcohol, and criminal behavior. Lasts six months to 2 years.
Five medications used for addiction - ANSWER-Naltrexone/Vivitorol, Disulfram/Antibuse, Acamprosate/Camplal, Methadone/Methadose, Burprenophrine/Subutex and Suboxone
Group models in treatment - ANSWER-Psychoeducation, Skills Development, Cognitive Behavioral Support, and Interpersonal
Treatment of Tobacco use - ANSWER-Buoropion and varenidine
Treatment of Alcohol - ANSWER-Naltrexone, acomprosate, and disulfram
evidence-based practice - ANSWER-Seeking Safety, Motivational Interviewing, 12 Step Facilitation, CBT, Solution Focus Based, Behavioral Couples, Community Reinforcement, DBT
ATRIUM - ANSWER-Addictions and Trauma Recovery Integration Model
TREM - ANSWER-Trauma recovery and Empowerment Model
Cultural Accomomodation - ANSWER-Modify the practice to a culture or community
Cultural Adaptation - ANSWER-Review and change the structure to fit needs of groups or community
Client file - ANSWER-The official legal record of treatment process
HIPPA - ANSWER-Gives clients rights over their health info when in paper or client has the right to: Receive a copy, request mistakes be changed, be notified when info is shared, specify how they want to be contacted, file a complaint if rights are violated.
GAIN - ANSWER-Global Appraisal of individual needs, measures recency, breadth, and frequency of problems.
GATE - ANSWER-Gather info, access supervision, take responsible action, extend the action.
substance use disorder criteria - ANSWER-2-3 mild, 4-5 moderate, 6+ severe
-Using larger amounts or for longer time than intended
-Persistent desire or unsuccessful attempts to cut down or control use
-Great deal of time obtaining, using, or recovering
-Craving
-Fail to fulfill major roles (work, school, home)
-Persistent social or interpersonal problems caused by substance use
-Important social, occupational, recreational activities given up or reduced
-Use in physically hazardous situations
-Use despite physical or psychological problems caused by use
-Tolerance
-Withdrawal *(not documented after repeated use of PCP, inhalants, hallucinogens)*
What does the experienced effect of a drug depend on? - ANSWER-The amount of the drug ingested will affect the experience with higher does producing a greater effect.
Drug Tolerance - ANSWER-decreased sensitivity to a drug over time develops after regular use. Tolerance develops as the body seeks homeostasis.
Drug Cues - ANSWER-Prior drug use setting, drug use paraphernalia, seeing others use drugs.
Tolerance for barbituates - ANSWER-The margin between intoxication and lethality stays the same. While tolerance does develop tolerance for a lethal dose only marginally increases meaning that the likelihood of an unintentional fatal does increases substantially over time as the need for the intoxicating effect pushes towards a lethal does.
Wernicke's encephalopathy - ANSWER-Most common symptom is confusion, also includes poor muscle coordination, oculomotor impairment. It is a short term condition resulting from vitamin B1 thiamine deficiency and develops after years of drinking and poor nutrition. Can lead to to Korsakoff syndrome which is long-term psychosis and memory problems.
What conditions does alcohol induce? - ANSWER-Steatosis-fatty deposits in the liver that can be fatal, Hepatitis-inflamation of the liver due to alcohol, Cirrhosis-scarring of the liver from alcohol use
NOT Nephrosis
Formication - ANSWER-a sensation like insects crawling over the skin. Especially in chronic cocaine, meth, and users of other stimulants.
Organ most damaged by Cocaine abuse - ANSWER-The heart-it causes arterial constriction and a cumulative effects of arterial narrowing.
Basic chemical classes of amphetamine - ANSWER-Amphetamine sulphate, Dextroamphetamine, Methamphetamine. Synthetic stimulants that are chemically similar to the body's adrenaline.
In terms of quitting which drug ranks the highest - ANSWER-Nicotine.
THC Content - ANSWER-THC content in marijuana varies widely.
Convergence Theory - ANSWER-Rates of substance abuse among women are converging with those of men.
Where does alcohol abuse rank in psychiatric disorder with the elderly? - ANSWER-Third, 2-4 percent of the elderly have a substance use disorder.
First requirement at initial meeting with a client - ANSWER-Establish Rapport. Explore readiness for change, rules, expectation, confidentiality.
Motivational Interviewing (MI) - ANSWER-Supportive Persuasion, the goal is to help clients discover their desire to change.
What percent of people with dual diagnosis received treatment for their mental illness only? - ANSWER-32.9 receive treatment for mental illness only, 7.4 percent will be treated for both disorders,
What factors affect screening instrument validity - ANSWER-Screening Setting, Privacy, Levels of rapport and trust, how instructions are given and clarified.
Functions of a CADC - ANSWER-Screen clients, substance use assessment, create a treatment plan
CANNOT-diagnose mental disorders
Assessment process and instruments should be sensitive to - ANSWER-Age, gender, race, ethnicity, disabilities
NOT-Political orientation
Mental health symptoms that resolve with abstinence in 30 days or less are due to? - ANSWER-Substance abuse-induced disorders that require continued abstinence.
CRAFFT - ANSWER-6-item screen for alcohol or drugs in adolescents, 14-18 drawing on situations that are common to this age group.
(C=car, R=relax, A=alone, F=forget, F= family or friends, T= trouble)
AUDIT - ANSWER-Alcohol Use Disorders Identification Test
CAGE - ANSWER-Four question screening tool for alcohol.
cut down drinking, feeling annoyed, feeling guilty at drinking, needing an eye opener drink
MAST - ANSWER-Michigan Alcohol Screening Test
25 questions
Suicide Evaluation most important intro statement - ANSWER-I need to ask a few questions about suicide. It is most important to introduce the topic than launch in two questions.
Purpose of Screeing - ANSWER-To determine the need for placement or referral.
Primary purpose of substance use assessment - ANSWER-To determine the severity and extent of the substance use problem.
Who creates a treatment plan? - ANSWER-Collaborative team with the client
How to handle assessment info to be most effective? - ANSWER-Converted into goals and objectives. Secondary is careful documentation, information sharing, and client feedback.
What encourages a client to complete treatment? - ANSWER-Knowledge of the benefits of treatment
Understanding the treatment process
Fully assuming the patient role
NOT-frequent interdisciplinary consultations.
Levels of treatment placement recognized by ASAM - ANSWER-Four levels of treatment placement and five specific levels of care.
Level 0.5 early intervention
Level I basic non-residential outpatient
Level II intensive outpatient or partial hospitalization
Level III Residential or inpatient
Level IV medically managed inpatient
Assessment Dimensions Recognized by ASAM - ANSWER-Six dimensions are recognized.
1. Acute intoxication or withdrawal potential
2. Biomedical conditions and complication
3. Emotional, behavioral or cognitive conditions
4. Readiness to change
5. Relapse continued use or continued problems
6. Recovery environment
Stages of Change Model - ANSWER-Five Stages
precontemplation, contemplation, preparation, action, maintenance
CMRS - ANSWER-Circumstances, Motivation, Readiness, and Suitability Scales are used to determine client readiness for substance use treatment.
MATRS - ANSWER-Guiding principles in treatment planning:
Measurable
Attainable
Time Limited
Realistic
Specific
How often do treatment plans need to updated in criminal justice cases - ANSWER-At every transition point.
Addiction Severity Index (ASI) Problem Domains - ANSWER-Six problems domains:
1. Medical Status
2. Employment and Supports
3. Alcohol and Drug use
4. Legal Status
5. Family and Social Status
6. Psychiatric Status
Which organization adopted the Addiction Severity Index - ANSWER-National Institute on Drug Abuse NIDA, was adopted in 1980. The ASI is the most widely used assessment instrument in the field of addiction.
Instrument Validity - ANSWER-The instrument assesses what is purports to assess.
Instrument Reliability - ANSWER-how well an instrument consistently gives accurate information.
What is true of depression and substance abuse - ANSWER-Depression can lead to self medication with drugs of abuse.
Drugs of abuse can induce symptoms of depression
Drugs of abuse can worsen symptoms of depression.
NOT-Drugs of abuse can successfully treat depression.
How does motivation for participation in treatment differ from motivation to change behaviors? - ANSWER-Motivation for change is internal; treatment may be pushed on a client.
SOCRATES - ANSWER-A 19 item self report instrument used to assess motivation for change.
Treatment Plan Key Components - ANSWER-Problem statements obtained in assessment
Goal statements derived from problem statements
Objectives which consist of what client will do to meet goals
Interventions what the staff will do to assist the client
SOAP note - ANSWER-S: subjective
O: objective
A: assessment
P: plan
DAP Note - ANSWER-Data, Assessment, Plan
The mnemonic DIG-FAST evaluates which psychological state? - ANSWER-Mania.
Distractibility, indiscretion, grandiosity, flights of ideas, activity, sleep deficit, talkativeness.
Center for Substance Abuse Treatment (CSAT) recommend that substance abuse be considered and treated as a? - ANSWER-Chronic Treatable Condition
How does CSAT recommend that interventions following discharge from a formal inpatient or outpatient program be called? - ANSWER-Continuing care keeps with the chronicity model or treatment, suggesting that substance abuse treatment requires a long term treatment model.
What is the best distinction between treatment programs and mutual self help/12 step programs? - ANSWER-Programs offer treatment and groups offer support.
CSAT agreed upon which core features/services? - ANSWER-intake/orientation
Biopsychosocial assessment
Individualized treatment planning
individual and family counseling
psychoed
24 hour crisis support
drug screening
education and vocational services,
psychiatric evaluatio
medication management
Case Management
NOT recreational therapy
Naltrexone can be used to treat what substance abuse disorders? - ANSWER-Alcohol and Opioids
Core treatment and recovery skills? - ANSWER-Stress management
Substance refusal training
Relaxation Training
Assertiveness Training
NOT-Exercise and Health
Primary Learning Styles - ANSWER-Kinesthetic
Auditory
Visual
Verbal
Logical
Social
Solitary
NOT Gustatory-Taste
How does family influence treatment outcomes? - ANSWER-Treatment outcomes can be improved or worsened by family support.
How many main levels exist in the substance abuse continuum of care according to ASAM? - ANSWER-Five main levels:
Level 0.5 Early intervention
Level I outpatient
Level II intensive outpatient
Level III residential or inpatient
Level IV medically managed intensive inpatient
How many sequential stages must outpatient clients work through, regardless of their level of care? - ANSWER-Four sequential stages:
1. Treatment engagement
2. Early Recovery
3. Maintenance
4.Community Support
Minimum duration of IOT - ANSWER-90 days
Most effective relapse prevention training - ANSWER-Both group therapy and individual therapy are effective
Most common duration of counseling in an IOT program? - ANSWER-Individual counseling is typically thirty to fifty minutes once a week.
How are pharmacotherapy and medication management described in substance use treatment? - ANSWER-Of considerable, albeit limited, value in treatment. They are of critical importance.
Topics is psychoeducational groups are - ANSWER-Sequenced by concept for maximal effectiveness, they build upon one another.
CIWA-Ar scale originally designed for? - ANSWER-The clinical institute withdrawal assessment, alcohol revised assists in identifying alcohol dependent clients.
Which substance lacks effective treatment medications? - ANSWER-Cocaine and Marijuana
Adjunctive Therapies - ANSWER-used to enhance the emotional and psychological functioning of client.
Stress management
Meditation
Acupuncture
Dealing with smoking cessation during substance abuse treatment should be? - ANSWER-Seriously considered if the client desires it.
Disulfiram/Antabuse is contracted for clients who use alcohol and what other substance? - ANSWER-It can be taken with cocaine use or methadone maintenance.
sandwich technique - ANSWER-An intake interviewing technique, it increases the likelihood that the client will disclose crucial info an accept treatment.
Most effective screening tools for substance use disorders - ANSWER-CSAT Simple Screening Instrument
ADS Alcohol Dependence Scale and ASI Addiction Severity Index
Texas Christian University Drug Screen
SDSS - ANSWER-Substance Dependence Severity Scale.
Drug use disorder severit [Show Less]