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Case Management and Substance Abuse Treatment (Revised)

Substance Abuse and Case Management: An Introduction

1. Up to 70% of individuals treated for substance abuse have a lifetime history of:

A. Depression

B. Anxiety

C. Antisocial tendencies

D. All of the above


2. Achieving and maintaining abstinence and recovery nearly always requires forming new, healthy peer associations.

A. True

B. False


3. Clinicians who develop a “helping alliance” with substance abusers have been shown to produce better treatment outcomes than those who do not.

A. True

B. False


4. Case management can help make sure that treatment is structured to:

A. Ensure smooth transitions to the next level of care.

B. Avoid gaps in service.

C. Respond rapidly to the threat of relapse.

D. All of the above.


5. The National Association of Social Workers’ standards for social work case management include which of the following?

A. Assessing

B. Monitoring

C. Evaluating

D. All of the above


6. Assertive community treatment was implemented for its focus on resource acquisition and because it helps clients see their own assets as a valuable part of recovery.

A. True

B. False


7. Brokerage-only services works best with all of the following clients, except for:

A. Those who are not economically deprived.

B. Those who are in late-stage addiction.

C. Those who have significant intent.

D. Those who have sufficient resources.


8. All of the following are reasons that a strengths perspective of case management has been selected for work with substance abusers, except for:

A. Strengths-based case management can be implemented with both female and male substance abusers.

B. The usefulness in helping them access the resources they need to support recovery.

C. The strong advocacy component that characterizes the strengths approach counters the widespread belief that substance abusers are in denial or morally deficient.

D. The emphasis on helping clients identify their strengths, assets, and abilities supplements treatment models that focus on pathology and disease.


Applying Case Management to Substance Abuse Treatment

9. The aim of case management is to:

A. Be client-driven and driven by client need.

B. Consolidate to a single point responsibility for clients who receive services from multiple agencies.

C. Provide the least restrictive level of care necessary so that the client’s life is disrupted as little as possible.

D. Advocate with many systems, including agencies, families, legal systems, and legislative bodies.


10. Teaching clients the day-to-day skills necessary to live successfully and substance free in the community is an important part of case management.

A. True

B. False


11. Which of the following is a basic prerequisite of effective practice?

A. The ability to establish rapport quickly.

B. An awareness of how to maintain appropriate boundaries in the fluid case management relationship.

C. The willingness to be nonjudgmental toward clients.

D. All of the above are basic prerequisites of effective practice.


12. Even though many individuals identified as viable treatment candidates cannot get through the gate, pretreatment does not constitute brief intervention therapy.

A. True

B. False


13. Client reluctance to enter into services can be reduced by all of the following, except for:

A. Motivational interviewing approaches.

B. Basic education about addiction and recovery.

C. Getting family involved.

D. Reminding clients of past and future consequences of continued substance abuse.


14. In order to reach the ultimate goal of independence, all of the following are vocational skills that clients must have, except for:

A. Skills in following instructions

B. Ability to obtain and maintain safe housing

C. Manner of dealing with supervisors

D. Telephone skills


15. Advocacy is speaking out on behalf of clients and can be precipitated by which of the following?

A. A client being refused services despite meeting eligibility requirements.

B. A client being discharged from services for reasons outside the rules or guidelines of that service.

C. A client being refused services because they were previously assessed but not utilized.

D. Any of the above.


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