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Quantum Units Education

Administrators - Persons with Co-Occurring Disorders

Key Terminology: Program Types

1. Dual diagnosis capable (DDC) programs are those that address co-occurring mental and substance-related disorders in their policies and proce­dures, assessment, treatment planning, program content, and discharge planning.

A. True

B. False

2. A four quadrant conceptual framework was developed by experts to classify treatment settings in four basic groups based on substance abuse and mental health disorder severity and to provide a structure for fostering consultation, collaboration, and _________ for all clients with COD.

A. Service

B. Resilience

C. Integration

D. Hope

Elements of Successful Programming for Clients with COD

3. Which of the following is NOT one of the components of the “no wrong door” policy?

A. Creative outreach strategies may be needed to encourage some people to engage in treatment

B. Treatment includes intensive outreach activities, active engagement with clients, and a high intensity of services

C. The overall system of care needs to be seamless, pro­viding continuity of care across the service system

D. Treatment plans should be based on clients’ needs and should respond to changes as they progress through stages of treatment

Appropriate Level of Care

4. Basic substance abuse treatment programs will generally focus primari­ly on one disorder without substantial modifica­tion to its usual treatment, but will also explicitly address some specific needs of the other disorder.

A. True

B. False

Continuity of Care

5. Treatment for persons with COD should consider rehabilitation and recovery over a significant peri­od of time, which is usually at least:

A. 6 months

B. 12 months

C. 18 months

D. 24 months

Group Therapy

6. Modifications of the group therapy format for clients with COD may require stronger direction, shorter duration, and smaller group size, depend­ing on degree of illness.

A. True

B. False

Assertive Community Treatment (ACT)

7. The standard ACT model, which was designed for moderately mentally ill clients who required specialized outreach, has been modified to work with clients with COD by including the use of traditional substance abuse and mental health treatment interventions and providing an individual focus on clients with COD.

A. True

B. False

Residential Substance Abuse Treatment

8. Each of the following is an accurate statement about therapeutic communities EXCEPT:

A. The duration of residential TC treatment is typically about 3-6 months, although this may be likely to decrease with the influence of managed care and other factors

B. Goals of a therapeutic community (TC) are to promote abstinence from alcohol and illicit drug use and to decrease or eliminate antisocial behavior

C. The TC views drug abuse as a disorder of the whole person, reflecting prob­lems in conduct, attitudes, moods, values, and emotional management

D. A priority of TC is to effect a global change in lifestyle, including attitudes and values

Dual Recovery Mutual Self-Help Programs

9. Their pri­mary purpose of dual recovery 12-step fellowships is to allow members to help one another achieve and maintain dual recovery, pre­vent relapse, and carry the message of recovery to others who experience dual disorders.

A. True

B. False

Specific Populations-Criminal Justice Populations

10. COD programs for treating inmates focus on the SA disorder first, as the primary disorder, because the belief is that mental health disorder symptoms cannot be accurately assessed until the individual is free from substance abuse.

A. True

B. False


11. For women, responsibility for care of dependent children is one of the most important barriers to entering treatment, as this may cause them to risk losing support and even custody of their children.

A. True

B. False

Assessing Your Agency’s Potential to Serve Clients with COD-Principles of Implementation

12. Principles of implementation that can be applied to any treatment setting include how to organize, how to integrate with a system and with an agency, and:

A. How to staff appropriately

B. How to select appropriate clientele

C. How to design, launch, and implement

D. How to evaluate program success and address change as needed

Resources for Professional Development

13. Over the past decade, many universities have begun to offer specialized programs and curriculum that focus on COD in response to the disciplines of medicine and psychology recognizing this need.

A. True

B. False

Funding Issues

14. Despite efforts to integrate the fields, mental health and substance abuse treatment are still funded separately, which often creates administrative and treatment difficulties

A. True

B. False

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