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Substance Abuse Counseling Modalities

Dual Disorders Recovery Counseling

1. This recovery model emphasizes the various phases of treatment the patient may go through.

A. True

B. False


2. There are a total of 5 phases of treatment recovery in the Dual Disorders Recovery Model.

A. True

B. False


3. Patients receiving treatment under the DDRC model learn and improve upon coping skills in what phase of the model?

A. Engagement and Stabilization

B. Early Recovery

C. Middle Recovery

D. Late Recovery


4. The DDRC model is most dissimilar with which type of counseling approach?

A. Cognitive-Behavioral

B. Relapse Prevention

C. Dynamic

D. Psychoeducational


5. The DDRC counselor should focus primarily on understanding and coping with practical issues related to dual disorders instead of interpreting the patient’s behavior and motivation.

A. True

B. False


The CENAPS Model of Relapse Prevention Therapy

6. The CENAPS Model consists of 4 primary components: Assessment, Warning Sign Identification, Recovery Planning and Relapse Early Intervention Training.

A. True

B. False


7. Which of the following represents the therapeutic model most used to accomplish the specific goals of each CMRPT component?  

A. Cognitive therapy

B. Affective therapy

C. Behavioral therapy

D. All of the above


8.   The CENAPS model, developed by Terence Gorski, has been around since the 1970’s.

A. True

B. False


9.   CMRPT conceptualizes recovery as a developmental process that goes through six stages. The second stage is known as:

A. Transition

B. Early Recovery

C. Middle Recovery

D. Stabilization


10. What popular view of addiction is the CENAPS model based upon?

A. The social model

B. The character defect model

C. The disease model

D. None of the above


11. The CENAPS MODEL works best with clients who have average or above-average conceptual skills and eighth grade or better reading and writing skills.

A. True

B. False


The Living In Balance (LIB) Counseling Approach

12. The LIB approach is specifically oriented for the group setting.

A. True

B. False


13. One of the strongest emphases in the LIB program is to:

A. Teach clients visualization and relaxation techniques

B. Teach clients physical health issues

C. Teach clients how to become their own relapse preventionists.

D. None of the above


14. The LIB approach to relapse prevention is largely based upon the CENAPS model of Terence Gorski.

A. True

B. False


15.   The LIB model is most similar to this therapeutic model:

A. Neurobehavioral model

B. 12-step model

C. Behavioral model

D. Dual Disorders Recovery model


Treatment of Dually Diagnosed Adolescents

16. In the CCATS model, drug abuse and chemical addiction are viewed as secondary to psychological disorders.

A. True

B. False


17. This model is most similar to which counseling approach?

A. Psychodynamic

B. Motivational Interviewing

C. Transtheoretical

D. 12-Step


18.       This model differs most from which counseling approach?

A. Cognitive-Behavioral

B. Traditional, confrontational

C. Psychodynamic

D. 12-Step


19. Which of the following is the ideal setting for the CCATS model?  

A. Outpatient treatment

B. Residential setting

C. Partial hospital setting

D. None of the above


Description of an Addiction Counseling Approach

20.   This model of therapy is most similar to which of the following?

A. 12-Step model

B. Short term behavioral model

C. Short term cognitive model

D. All of the above


21. This model of treatment requires the counselor to have a minimum of 3 years experience in addiction counseling.

A. True

B. False


22.   Under this model of treatment, group sessions begin with:

A. Members introducing themselves to the group

B. Urine sample and breathalyzer test

C. Members talking briefly about any relapses since the last meeting

D. Members admitting their addiction and stating their date of last use


23. The terms relapse and slip have the same meaning.

A. True

B. False


Solution-Focused Brief Therapy

24. The entire focus of this model is on treatment goals.

A. True

B. False


25. The counseling approach most similar to this model would be:

A. Dual Diagnosis

B. Motivational Interviewing

C. 12-Step

D. None of the above


26. The counseling approach most dissimilar with the Solution-Focused model would be:

A. Dual Diagnosis

B. Motivational Interviewing

C. 12-Step

D. None of the above


27. In the Solution-Focused model the counselor is seen as a collaborator/consultant hired by the client to help the client achieve his/her goals.  

A. True

B. False


Motivational Enhancement Therapy

28. This therapeutic model is most similar to which other model of therapy?

A. Rogerian client-centered therapy

B. Cognitive therapy

C. Reality therapy

D. All of the above


29. MET is based upon the principles of cognitive and social psychology.

A. True

B. False


30. MET is an effective therapeutic model used in group counseling sessions.

A. True

B. False


31. The duration of treatment using the MET is typically:

A. 1 to 2 sessions

B. 2 to 4 sessions

C. 3 to 5 sessions

D. 4 to 6 sessions


32. Resistance on the part of the client is commonly dealt with by the MET counselor using this strategy:

A. Confrontation

B. ‘Rolling with’

C. Advice

D. Direction


12-Step Facilitation

33. Twelve step facilitation seeks to accomplish what two goals in individuals with alcohol or drug problems?

A. Acceptance and Surrender

B. Abstinence and Commitment

C. Sobriety and Acceptance

D. Surrender and Abstinence


34. The TSF model believes that self-centeredness in the client must be replaced by surrender to the group conscience.

A. True

B. False


35. The primary mechanism of action in the TSF model is active participation along with a willingness to work hard on one’s recovery.

A. True

B. False


Minnesota Model

36. The philosophy of the Minnesota Model is based upon:

A. Strategic family therapy

B. Cognitive-behavioral therapy

C. Motivational Enhancement Therapy

D. Alcoholics Anonymous


37. The primary goal of the Minnesota Model is:

A. Moderation management

B. Lifetime abstinence

C. Life skills training

D. None of the above


38. The Minnesota Model views addiction as a primary, chronic and progressive disease.

A. True

B. False


39. This model believes that the main agent of change is:

A. The counselor

B. The client

C. The group

D. Both a and b


40. The most similar counseling approach to the Minnesota Model would be psychoanalysis.

A. True

B. False


41. Under this model the counselor’s role is considered that of a:

A. Facilitator

B. Coach

C. Friend

D. None of the above


A Counseling Approach

42. The philosophy behind the Counseling Approach is best stated as:

A. addiction is a genetic predisposition

B. addiction is a disease of self-judgement

C. Both a and b

D. Neither a nor b


43. This model focuses primarily on 3 elements: chemical use, self-judgement and avoidance behaviors.

A. True

B. False


44. This model is most similar with what other counseling approach.

A. Psychoanalysis

B. 12-Step

C. Cognitive Behavioral

D. Motivational Interviewing


45. Based upon this model, the primary agent of change is:

A. The client

B. Spirituality

C. The treatment process

D. All of the above


Psychotherapeutic and Skills Training Approach

46. This approach primarily utilizes which of the following counseling techniques?

A. Cognitive-behavioral

B. Motivational Interviewing

C. Insight-oriented

D. All of the above


47. Based upon its philosophy of using whatever seems to work best,this approach is seen as highly compatible with most other techniques.

A. True

B. False


48. Attendance at self-help meetings is encouraged. Clients could face program termination if not in compliance with attending self-help meetings.

A. True

B. False


49. Which of the following is a distinguishing feature of this model?

A. Supervised urine testing once a week

B. Variable-length format

C. Treatment with psychotropic medications as clinically required

D. None of the above


50. A master’s degree in social work, psychology or counseling is the minimum requirement for all clinical staff working under this model.

A. True

B. False


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