Motivational interviewing is an alternative to the Johnson Model of intervention?
Noting changes in academic performance with adolescents is part of the assessment process?
Positive oriented assessment requires I ascertain what “positives” that client derives from the substance they use?
A SUDC and ASUDC licensee can diagnose under their license?
One of the limitations in the typical behaviorally based assessments is clients can lie because of the way they are constructed?
C: would you like to CUT down use
G: do you feel GUILTY when using
Motivational interviewing is intended to enhance client engagement?
Name 2 of the 4 general principles of motivational interviewing
Roll with resistance
In motivational interviewing “counselor resistance” can be as large a challenge as “client resistance”?
Utilizing open ended questions is an encouraged techniques in motivational interviewing?
“Eliciting change talk” is one of the skill sets encouraged in motivational interviewing?
Name 2 if the 5 stages in Prochaska and DiClemente’s stages of change model
Two examples of medication assisted treatment
The ASAM criteria is about Detoxification approaches only?
Examples of levels of care in treatment
"first general rule" regarding disclosure of client info is
don't disclose anything
42 CFR part 2 takes precedence over state and local laws even with a subpoena
42 CFR Part 2 releases not only requires names, dates, signatures and purpose for info but also an expiration date?
the first and perhaps "best" exception to to release info is to obtain written consent from the client?
42 CFR part 2 would require us to sign agreements (qualified service organization agreements) with contractors we might coordinate services with to permit sharing info
42 CFR part 2 mandates disclosure while the new HIPPA enactment prohibits it
HIPPA provides mechanisms for disclosure for clients who are incapacitated
under HIPPA, should a client/pt in an emergency be unconsious clincial/ medical personnel must document all efforts to revive the client before disclosure family members, persons, or friends?
under HIPPA, a provider many disclose info to a family member or a friend if the provider decides info is in the best interest of the incapacitated/unconscious client in thier professional judgment?
disclosures under the revised HIPPA act may be made over the phone, in person, or in writing
based in lecture, under the revised HIPPA rules providers can make disclosures of info on an unconsious/incapacitated patient if they are "reasonably sure" that the pt has "involved" the person in their (pt) care?
despite all the changes in HIPPA, with all the substance use related care the best recommendation on governance is to use the 42 CFR Part 2 guidance
Native American indians as a culture view the passage of time much like the majority culture as a "Linear" occurrence
individuals we treat often tend to live out misperceptions or experceptions in their heritages or culture (irish drinkers)
native-american and alaskan american cultures often see their youngsters start using substance at younger ages than the majoirty culture
asian american amongst all minority cultures tend to use more alcohol than other groups
If a father and a mother in japanese family diagree regarding a family treatment decision, the mother's decision typically prevails
given the opportunity to engage in a decision process asian american families typically prefers a
harmonious decision making
according to our class lecture and text, "acculturation" is predictor of substance use in a culture
african american groups consider alcohol use a "food"
tobacco use is lower in african american groups in our culture
availability of alcohol in a community is meaningless when it comes to identifying risk of abuse
rates of incarceration with African American groups in the US has contributed to the breakdown of family relaionships and family ties
in the moral model of addiction AOD use is consider NOT a choice
addiction is a chronic, progressive and primary disorder in the model
addiction is viewed as likely a secondary disorder in the model
the physician who pioneered the Disease model of addicition was
jail sentences are possible for marijuana use under the federal schedule
one of the problems with the study that produced the disease concept theory is that the design of the study was later proved to be invalid
under the federal schedule 1 drugs are listed that have no accepted medical use
becaue marijuana is now legal in several states the DOT is actively moving to legalized it
one of disadvantages of the disease concept is that has the ability to encourage the ct to self-fulfill the principle of lack of control
simply put addiction that is the most thorough approach is the
assessing the ct nutrition is an expectation in the Model
according to our class more murders are committed by alcohol impaired individuals than any other impairing substance
cocaine is a CNS depressant
alcohol is a CNS depressant
one of the best indicators that a drug is psychoactive is that it typically has no exponential effect ( taking 2 gives twice the effect)
increasing doses of a substance to obtain the same effect is
tolerance refers to a condition that in which smaller quantities of a substance produce the same effect as larger doses
(what type of drug) drugs frequently have little or no exponential value according to the lecture
generalist training assumes that a large portion of mental health cases are going to have substance use related issues
the combination use of two different drugs that produces an effect greater than the sum in respect to impairment is called ( 1+1=3)
the effect seen in some drugs wherein the nature of the drug may cause a person to not recall they took the dose is called
the primary neurotransmitter of influence in the brain reward system is serotonin or dopamine?
principles of effective treatment
Addiction is a complex but treatable disease that affects brain function and behavior.
No single treatment is appropriate for everyone.
Treatment needs to be readily available.
Effective treatment attends to multiple needs of the individual, not just his or her drug abuse.