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Principles of Adolescent Substance Use Disorder Treatment

Introduction

1. By the time they are seniors almost ________ of high school students will have tried alcohol, half will have taken an illegal drug, and nearly ________ will have smoked a cigarette.

A. 60 percent; 50 percent

B. 65 percent; 45 percent

C. 70 percent; 40 percent

D. 75 percent; 35 percent


2. Although most teens do not escalate from trying drugs to developing an addiction or other substance use, even experimenting with drugs is a problem because it can be part of a pattern of risky behavior including unsafe sex, driving while intoxicated, or other hazardous, unsupervised activities.

A. True

B. False


3. Drug use at an early age is an important predictor of development of a substance use disorder later, as the majority of those who have a substance use disorder started using before age 18 and developed their disorder by age 20.

A. True

B. False


Adolescents Drug Use and Treatments Needs Differ From Those of Adults

4. Adolscents are more likely than adults to report withdrawal symptoms when not using a drug and being unable to stop using a drug, but are less likely than adults to report hiding their substance use and getting complaints from others about their substance use.

A. True

B. False


Many Treatment Approaches an Available to Address the Unique Needs of Adolescents

5. Whatever a person’s age, treatment requires taking into account the needs of the whole person, including his or her developmental stage, _______________, and the influence of family, friends, and others in the person’s life, as well as any additional mental or physical health conditions.

A. Personal identity

B. Behavioral history

C. Demographic characteristics

D. Cognitive abilities


Principles of Adolescent Substance Use Disorder Treatment

6. Research indicates that adolescents who are mandated to enter substance abuse treatment are not likely to be successful.

A. True

B. False


7. Each of the following is an accurate statement about adolescent substance abuse treatment EXCEPT:

A. Effectively treating substance use disorders in adolescents requires also identifying and treating any other mental health conditions they may have

B. The best approach to treatment is to focus on the drug use patterns and behaviors rather than trying to solve large life needs.

C. Sensitive issues such as violence and child abuse or risk of suicide should be identified and addressed

D. Staying in treatment for an adequate period of time and continuity of care afterward are important


Why do Adolescents Take Drugs?

8. While some adolescents experiment with or continuously use drugs to fit in or feel better, others may turn to certain drugs because they think those substances will enhance or improve their performance.

A. True

B. False


Most Commonly Abused Drugs Among High School Seniors

9. Other than tobacco and alcohol, the most commonly abused drugs by high school seniors are marijuana, sedatives and hallucinogens.

A. True

B. False


How do Adolescents Become Addicted to Drugs, and Which Factors Increase Risk?

10. The transition from voluntary to compulsive drug use reflects changes in the brain's: 

A. Natural inhibition

B. Regulation of serotonin

C. Nerve cells

D. Motivation processes


11. Serious long-term consequences of inhalant use include liver and kidney damage, hearing loss, bone marrow damage, and brain damage.

A. True

B. False


Treatment of ADHD with Stimulant Mediations

12. Studies conducted to date with stimulant medications have found no difference in later substance use for ADHD-affected children who received treatment versus those that did not.

A. True

B. False


What Role Can Medical Professional Play in Addressing Substance Abuse Among Adolescents

13. Screening for substance abuse as a part of routine medical care can help to reduce the stigma associated with being identified as having a drug problem.

A. True

B. False


14. Through ______________, adolescents who report using drugs can be advised how continued drug use may harm their brains, general health, and other areas of their life, including family relationships and education.  

A. Succinct discipline

B. Coaching and guidance

C. Medication

D. Brief intervention


15. According to a recent survey, 45% of current adolescent cigarette smokers (ages 12 to 17) were also illicit drug users, while only about 10% of those who did not smoke used illicit drugs.

A. True

B. False


Unique Treatment Needs of Adolescents From Different Racial/Ethic Backgrounds?

16. Treatment providers are urged to consider the unique social and environment characteristics that may influence drug abuse and treatment for racial/ethnic minority adolescents including:  

A. Stigma, discrimination, and sparse community resources

B. Issues of culture of origin language and acculturation as important considerations for treatment

C. The need for bilingual treatment providers to work with adolescents and their families

D. All of the above


12-Step Groups or Other Recovery Support Services

17. For some adolescents, recovery support services may be an appropriate substitute for formal drug abuse treatment as they can be very effective in helping young people share their experiences and support each other.

A. True

B. False


Treatment Settings

18. Which of the following are NOT areas of assessment that the American Society of Addiction Medicine (ASAM) uses to determine appropriate intensity and treatment for adolescent substance abuse treatment?

A. Level of intoxication, potential for withdrawal, and presence of other medical conditions

B. Presence of other emotional, behavioral, or cognitive conditions and readiness or motivation to change

C. Strengths and weakness related to ability to adhere to treatment and general protective factors

D. Risk of relapse or continued drug use and recovery environment


Partial Hospitalization

19. For those adoleacents who can be safely managed in their home environment, a partial hospitalization setting offers them the opportunity to participate in treatment 4-6 hours for a day at least 5 days a week while still living at home.

A. True

B. False


Evidence-Based Approaches to Treatment Adolescent Substance Use Disorders-Behavioral Approaches

20. Therapists may use behavioral approaches to provide incentives to remain abstinent, modify attitudes and behaviors related to drug abuse, assist families in improving their _________________________________, and increasing life skills to deal with environmental cues that may trigger intense craving for drugs.

A. Communication and overall interactions

B. Coping strategies and unhealthy patterns

C. Social and emotional well-being

D. Problem-solving skills and relationship support


Contingency Management (CM)

21. Motivational Enhancement Therapy is an approach to treatment that uses immediate and tangible reinforcement for positive behaviors in order to modify problem behaviors like substance abuse.

A. True

B. False


Family-Based Approaches

22. Family-based approaches generally highlight the need to engage the family and address a wide array of problems in addition to substance abuse, including family communication and conflict, other co-occurring disorders, and problems with school or work attendance.

A. True

B. False


Multisystem Therapy

23. MST is a comprehensive and intensive family and community-based treatment with each of the following characteristics EXCEPT:

A. It has shown to be effective even with adolescents whose substance abuse problems are severe

B. In MST, the adolescent’s substance abuse is viewed in terms of characteristics of the adolescent and those of his or her family, peers, school and neighborhood

C. MST has been used with adolescents who engage in delinquent and/or violent behaviors

D. The therapist always works with the family as a whole rather than working with the caregivers of the adolescent alone


Addiction Medications

24. While various medications may be effective in treating opioid, alcohol, or tobacco use disorders, there are currently no FDA-approved medications to treat addictions to cannabis, cocaine, or methamphetamine in any age group.

A. True

B. False


Recovery Support Services-Peer Recovery Support Services

25. Peer recovery services help individuals remain engaged in treatment and/or the recovery process by linking them together in groups and in one on one relationships with peer leaders who have direct experience with addiction and recovery.

B. True

C. False


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