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1. Substance use may compromise the emotional and mental development of the adolescent from youth to adulthood.
A. True
B. False
2. Using adult programs for treating youth has been shown to be effective.
A. True
B. False
3. In the treatment of adolescents, it is useful to consider substance use along a continuum with six anchor points. Points one and six are, respectfully:
A. Abstinence and Recovery
B. Abstinence and Secondary Abstinence
C. Misuse and Abuse
D. Abuse and Recovery
4. Another name for interagency agreements is:
A. Notice of Collaboration
B. Terms of Agreement
C. Memoranda of Understanding
D. None of the above
5. The use of Therapeutic Communities is typical in the treatment of adolescents with the severest substance abuse problems.
A. True
B. False
6. Which of the following are considered to have distinctive treatment needs?
A. Youth in the juvenile justice system
B. Homeless youth
C. Homosexual, bisexual and transgendered youth
D. All of the above
7. According to the National Household Survey on Drug Abuse, most of the increase in adolescent substance use is attributed to:
A. Peer pressure
B. Increase in alcohol use
C. Increase in marijuana use
D. Lack of parental supervision
8. This drug, glamorized by rock stars and fashion models, has increased in popularity among young people:
A. Marijuana
B. Heroin chic
C. Alcohol
D. Crank
9. There is a strong and consistent association between this disorder and substance use among teenagers
A. Post traumatic stress disorder
B. Anxiety disorder
C. Conduct disorder
D. Sleep disorder
10. Treatment efforts that approach young people as "little adults" are bound to fail.
A. True
B. False
11. "Risk Behavior Syndrome" refers to:
A. Problem behaviors that serve a social goal
B. Problem behaviors the adolescent uses to get attention
C. A psychiatric disorder in the DSM-IV
D. All of the above
12. It has been found empirically that female adolescent substance users often have a history of parental rejection and sexual and/or physical abuse
A. True
B. False
13. A ‘coexisting disorder’ most commonly refers to:
A. Dual disorder
B. A coexisting substance use disorder with a psychiatric disorder
C. Both a and b
D. None of the above
14. These disorders are most commonly predictive of later adolescent substance use:
A. Post traumatic stress disorder and ADHD
B. Conduct and oppositional disorders
C. Affective and anxiety disorders
D. None of the above
15. Treatment facilities should suspend "no-medication" rules for depressed adolescents who have been prescribed antidepressants.
A. True
B. False
16. The risk of adolescent health and behavioral problems rises with:
A. Lack of parenting skills
B. High levels of family conflict
C. Poor bonding between parents and children
D. All of the above
17. Studies have shown a relationship between high intelligence level and increased risk of substance use.
A. True
B. False
18. When a primary care provider identifies a substance use disorder in an adolescent, it is encouraged that the care provider:
A. Give them a referral card
B. Have them call a counselor to set up an appointment
C. Contact the parents
D. Make immediate contact with a treatment provider
19. Physiological withdrawal symptoms are not common among adolescent substance abusers.
A. True
B. False
20. Relapse is best viewed by treatment professionals as:
A. A failure of the treatment program
B. Noncompliance by the adolescent
C. An opportunity for learning
D. Resulting from lack of parental involvement
21. In the Brief Intervention model of treatment, booster sessions offer an opportunity to review skills for relapse prevention.
A. True
B. False
22. A treatment program’s design, policy, evaluation and legal approach are shaped by:
A. The program director
B. Federal and state regulations
C. Available funding
D. Underlying philosophies
23. The program or clinical supervisor, substance abuse counselors and therapists comprise the core staff of a treatment program.
A. True
B. False
24. All of the following are roles of the core staff, except:
A. Screening and assessment
B. Substance disorder treatment
C. Prescribing medication
D. Case management
25. Treatment programs should avoid using recovering substance abusers as staff members.
A. True
B. False
26. Program managers should not encourage support staff members’ involvement in community activities, as this goes above and beyond the call of their official job description.
A. True
B. False
27. The most prevalent model for treatment of substance abuse in the last three decades has been:
A. Minnesota Model
B. Psychoanalysis
C. Cognitive Behavioral
D. 12-Step Programs
28. All of the following are 12-step statements with the exception of:
A. We admitted we were powerless over alcohol
B. We subscribe to no power greater than our own
C. We made a searching and fearless moral inventory of ourselves
D. We made a list of all persons we had harmed and became willing to make amends to them
29. One of the goals of the Minnesota Model is identifying a variety of elements of care within one program.
A. True
B. False
30. Most 12-based programs concentrate on the first 7 steps during primary treatment, whereas the remaining ones are attended to in aftercare.
A. True
B. False
31. The core goal of TC’s is to promote a more holistic lifestyle with a focus on:
A. Problematic social behaviors
B. Problematic psychological behaviors
C. Problematic emotions
D. All of the above
32. Originally the large majority of residents of TC’s were young male:
A. Alcoholics
B. Heroin addicts
C. Marijuana abusers
D. Cocaine addicts
33. Rehabilitation is a term used by TC’s to refer to helping TC residents develop socially productive lifestyles for the first time in their lives.
A. True
B. False
34. Habilitation refers to living in the present moment.
A. True
B. False
35. According to this manual, adolescent substance abusers made up what percentage of residents in TC’s?
A. 10-15%
B. 20-25%
C. 30-35%
D. 45-50%
36. Most adolescent residents of the TC community are made up of males mandated by court.
A. True
B. False
37. There is very little difference between the social histories of adults and adolescent users in treatment concerning onset and pattern of use, academic performance and juvenile delinquency.
A. True
B. False
38. A core feature of TC treatment is that the following serves as the primary therapist:
A. The licensed therapist
B. The community
C. The resident psychologist
D. Staff members
39. In the early days, an adolescent’s family was encouraged to participate in the treatment program of the Therapeutic Community.
A. True
B. False
40. TC treatment staff need to be particularly aware of special issues regarding the adolescent in treatment, namely:
A. Guilt, anger and sexuality
B. Self-image, guilt and sexuality
C. Sexuality, anger and self-image
D. Shame, guilt and depression
41. Although the family environment is a factor, it is important to recognize that other factors also contribute to adolescent substance use. These include individual, environmental and contextual factors.
A. True
B. False
42. Too often, the phrase "family therapy" is a catch-all name referring to:
A. Intensive family treatment led by a licensed family therapist
B. Any planned counseling session that brings at least 2 or more family members together
C. Any activity that brings family members together for discussion
D. None of the above
43. All of the following are considered integrative family therapies except:
A. Functional
B. Structural
C. Multisystemic
D. Cognitive-behavioral
44. In an effort to reduce health care costs, the primary setting for adolescent substance use disorder treatment is:
A. The family’s home
B. Residential treatment
C. Outpatient program
D. All of the above
45. Research on homeless youth in inner-cities indicates that the types of substances used vary geographically. What are the substances most commonly used on the west coast?
A. Alcohol and marijuana
B. Cocaine and marijuana
C. Ecstasy and methamphetamine
D. Heroin and cocaine
46. The most commonly used substances by adolescents on the East coast are:
A. Alcohol and cocaine
B. Heroin and crack cocaine
C. Methamphetamine and marijuana
D. Alcohol and marijuana
47. Rates of depression, anxiety and suicidal ideation are high among homosexual, bisexual and transgendered youth.
A. True
B. False
48. Whether a treatment program may admit an adolescent without parental consent depends on:
A. The treatment program’s philosophy
B. Federal regulations
C. State statutes
D. All of the above
49. Federal law and regulations severely restrict communications about identifiable clients by programs providing substance abuse treatment.
A. True
B. False
50. "Prevention programs" do not have to comply with Federal regulations regarding confidentiality.
A. True
B. False
51. Adolescents in treatment have the right to revoke consent at any time.
A. True
B. False
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