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Brief Intervention - ASSIST

What is the ASSIST-Linked Brief Intervention?

1. The ASSIST-linked brief intervention is a short intervention that focuses on modifying behavior of drug users around the substance used most frequently or the one causing the most problems for the client.

A. True

B. False


2. Suggested main steps of the ASSIST-linked brief intervention include each of the following EXCEPT:

A. Asking clients if they are interested in seeing their questionnaire scores and providing personalized feedback

B. Giving advice about how to reduce risk associated with substance use and allowing clients to take ultimate responsibility for their choices

C. Asking clients how concerned they are by their scores, and weighing the good things about using the substance against the less good things about using

D. Synthesizing the immediate needs and priorities of the client in order to provide a positive intervention


Model of Behavior Change

3. Although when attempting change, movement from the stage of precontemplation to contemplation may not result in a tangible decrease in substance use, it is a positive step that may result in clients moving on to the action stage at some time in the future.

A. True

B. False


4. During the contemplation state of change, the client will likely vocalize their intentions to others and make small changes in their substance use behavior.

A. True

B. False


Components of Brief Interventions that Work-FRAMES

5. Clinical experience and research into brief interventions for substance use have found that effective interventions comprise a number of consistent and recurring features, including feedback, responsibility, advice, motivation, ___________, and self-efficacy.

A. Encouragement

B. Empathy

C. Evaluation

D. Empowerment


Components of Brief Interventions that Work-Motivational Interviewing

6. Motivational interviewing is a client-centered style of interaction that helps clients explore their substance abuse issues and move through the stages of change, and it is particularly effective in the preparation phase.

A. True

B. False


7. A key principle of motivational interviewing is to help clients accept that ambivalence is normal and to consider new perspectives on their substance use, which is known as:

A. Contemplating new possibilities

B. Battling old patterns

C. Rolling with resistance

D. Embracing the struggle


Putting it Altogether: A Step by Step Approach to the Assist-Linked Brief Intervention

8. Allowing clients to take ultimate responsibility for their choices is an important motivating factor in helping them to achieve change.

A. True

B. False


What to Do With High Risk and Injecting Clients

9. Clients who inject drugs regularly require more than just a brief intervention, but the take-home materials should still be given to these clients as a means of:

A. Motivating them to seek further treatment

B. Giving key information about life threatening situations such as overdose

C. Providing hope about their future

D. Offering services and resources


Longer Interventions Addressing Multiple Substance Use

10. When addressing clients with multiple substance use, the focus of the intervention should be directed toward the substance or substances that have the potential to create the greatest health problems.

A. True

B. False


Giving Longer or Recurrent Interventions-Information, Skills and Techniques

11. Which of the following is NOT necessarily included when taking a substance abuse history?

A. Quantity and frequency of use

B. Pattern and duration of use

C. Familial substance abuse histories and patterns

D. Route of administration and form of substance used


More on Stages of Change

12. Sometimes clients are willing to make a change but are not confident that they are able to do so, so both ___________________ need to be addressed in interventions to encourage clients to change their behavior.

A. Value and assurance

B. Hope and fortitude

C. Relevance and determination

D. Importance and confidence


More on Motivational Interviewing

13. A simple, respectful, and effective way of giving feedback involves assessing readiness and interest, providing feedback, and:

A. Eliciting personal readiness

B. Giving corrective, positive suggestions

C. Creating opportunities to build confidence

D. Presenting immediate direction


14. In motivational interviewing, reflective listening is used to highlight the client’s ambivalence about their substance use, to steer the client towards a greater recognition of their problems and concerns, and to reinforce statements.

A. True

B. False


15. Since substance abusing clients often have difficulty believing in their ability to make change and don’t generally have faith in themselves, it is often more effective for the clinician to develop and model self-efficacy statements.

A. True

B. False


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