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Preventing and Addressing Alcohol and Drug Problems - A Handbook for Clergy


1. One in ____ children in the United States today lives in a family with alcohol abuse or alcoholism.

A. four

B. six

C. seven

D. nine

2. This paper defines 12 ____________ for clergy and other pastoral ministers in addressing alcohol and drug dependence and the impact on family members.

A. ground rules

B. core competencies

C. Papal edicts

D. action steps

3. The 7th Core Competency is the ability to communicate and sustain:

A. an appropriate level of concern

B. compassion for everyone involved

C. messages of hope and caring

D. All of the above

E. A and C above

4. According to this paper, the primary role of clergy should be simply a matter of effectively “referring out” to treatment.

A. True

B. False

Basic Information about Alcoholism and Addiction

5. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) describes alcoholism as a disease with four key symptoms. Which of the following is NOT one of those symptoms?

A. Craving – a strong need, or urge, to drink.

B. Loss of control – not being able to stop drinking once drinking has begun.

C. Appetite loss - lack of interest in food or other forms of sustenance.

D. Physical dependence – withdrawal symptoms, such as nausea, sweating, shakiness and anxiety after stopping drinking.

E. Tolerance – the need to drink greater amounts of alcohol to get “high.”

6. The National Institute on Drug Abuse (NIDA) defines drug addiction as a complex brain disease characterized by drug craving, seeking, and use that can persist even in the face of extremely negative consequences.

A. True

B. False

7. According to this paper, using alcohol and other drugs repeatedly over time changes __________ in fundamental ways that can persist long after the individual stops using drugs.

A. brain structure and function

B. blood chemistry

C. learning and memory

8. According to this paper, prime signs of alcoholism and/or drug addition include:

A. A person has little or no hangover after a night of heavy drinking.

B. A person makes unplanned use of alcohol/drugs.

C. A person is preoccupied with drinking/drug use and structures their activities so that there is access to using.

D. All of the above

E. A and B above

9. This paper asserts that clergy members need to be aware of how their own family’s journey may have been shaped by addiction.

A. True

B. False

Impact of Addiction on Children of Alcoholics and Drug Dependent Parents

10. This paper makes ten basic statements about children of alcoholics and other drug abusing parents that were developed from a variety of studies. Which of the following is NOT one of these?

A. Alcoholism and other drug addiction tend to run in families.

B. Family interaction is influenced by substance abuse or addiction in a family.

C. Children of drug addicted parents are at higher risk for placement outside the home.

D. Children of addicted parents are often quiet and shy.

E. Children of addicted parents score lower on tests measuring school achievement, and they exhibit other difficulties in school.

11. According to this paper, only when children learn to __________ can children truly overcome the disease’s potentially devastating consequences on their lives.

A. name the disease

B. find safe and trustworthy adults

C. speak freely of their feelings about its impact

D. All of the above

E. B and C above

12. This paper asserts that houses of worship are often the “safe places” where children and adults hurt by the disease of addiction can talk about their feelings and face their struggles, knowing that they are cherished there for who they are, and not for what they are able or unable to do.

A. True

B. False

13. Potentially the most important impact you, as a clergy member, can have on children of addicted parents is to show them _______.

A. there are people in their world who aren't addicted to alcohol or drugs.

B. it is okay for them to tell appropriate authorities about what is going on in their families

C. it’s okay for them to confide in you and that they can trust you

14. This paper suggests youth programs and teen groups can help young people develop strategies for dealing with alcoholism, addiction, and related family problems, including:

A. Developing healthy and positive visions of life

B. Finding strategies to deal with difficult and problematic situations

C. Learning how to act in situations that require teamwork and cooperation

D. A and C above

E. A, B and C above

15. This paper recommends you ensure a young congregant with a parent addicted to drugs or alcohol who comes to you for help understands these three basic facts:

A. He or she is not alone; there are more than 11 million children of alcoholics growing up today in the United States and many more whose parents abuse drugs.

B. He or she may, in some ways, be responsible for the parent’s addictive behavior.

C. He or she is a valuable, worthwhile individual in his or her own right.

D. All of the above

E. A and C above

16. As a spiritual leader you are in a position to build trust with young people in your congregation whose parents are addicted. You can build trust by presenting accurate information about addiction to the child in a brand new way and _________.

A. making sure the child understands what it means

B. helping that child draw on his or her own strengths as a result of the information, listening and caring you provide

C. letting the child communicate this information to his or her parents

17. This paper offers several "family and congregational" suggestions, including:

A. Using marriage preparation counseling as an opportunity to explore family addiction history.

B. Using sermons, homilies, or similar lectures to give the congregation choices and opportunities to grow in their spiritual lives.

C. Becoming familiar with 12-Step programs.

D. Giving adults who feel unequipped to counsel or help children of addicted parents who may come to them for help strategies for doing so.

E. All of the above

18. It is vital that clergy, staff or lay leaders model consistency and caring as an adult in order to break down the “Don’t Trust” rule.

A. True

B. False

Facts about Adolescent Alcohol and Drug Use

19. About _________ million adolescents ages 12-20 are underage alcohol drinkers.

A. 5.9

B. 7.8

C. 10.8

D. 11.7

20. Mental, emotional, physical, and behavioral changes may be warning signs that can indicate a serious alcohol abuse problem in teens. Which of the following is NOT one of these?

A. Memory lapses and poor concentration

B. Mood changes, flare-ups, irritability, and defensiveness

C. Disappearing for more than a day at a time

D. Switching friends, along with a reluctance to let you get to know the new friends

E. lack of involvement in former interests

Prevention Strategies

21. Faith leaders can play a critical role in preventing youth from using alcohol and drugs. Which of the following are ways to do this?

A. Reduce risk factors

B. Increase protective factors

C. Work to influence change in the community

D. A and B above

E. A, B and C above

22. Risk and protective factors are conditions that make people more (risk) or less (protective) likely to use alcohol or other drugs. Which of the following assertions does this paper make about these two factors?

A. Everyone is exposed to risk factors

B. The more risk factors there are in someone’s life the greater the likelihood he/she may use alcohol or drugs

C. The more protective factors a person has the less likely he/she is to use alcohol and drugs

D. All of the above

E. B and C above

23. There are several ways to communicate with youth listed in this paper. Which of the following is NOT one of these ways?

A. Use email alerts

B. Accidentally run into them on purpose

C. Set up a blog

D. Use one of the cell phone/tablet apps designed for faith communities

E. Make an mp3 audio that they can download on their iPod

Appendix A

24. Appendix A contains ten considerations for clergy. Consideration Two states: "You cannot “fix it” so stop trying." Which statement below is NOT given to support this consideration?

A. It is your role to assess the situation, know the resources and make a good referral for both the alcoholic/addict and the family.

B. If we are honest, we recognize that we can barely do this in our own lives and often do not succeed at all.

C. If you find that you have gotten angry or overly frustrated, you have sucked yourself into trying to “fix it.”

D. Know your role, your level of expertise, your limitations and your resources.

E. It's not your job to fix the situation of an alcohol or drug dependent household; it should be left to the experts.

25. Consideration Seven says, "In addiction as in life, there are few, as the Christian tradition describes, “Damascus Road” experiences." Which of the following is the "lesson" of this statement according to the paper?

A. Faith acts in subtle ways.

B. Recovery from addition is a long process.

C. Trust God’s timetable for spiritual and religious awakening. It will always be better than ours will.

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