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Principles of Drug Addiction Treatment (Updated)

Principles of Effective Treatment

1. As with other chronic diseases, the earlier treatment is offered in the disease process, the greater the likelihood of positive outcomes.

A. True

B. False


2. Research indicates that most addicted individuals need at least _____ in treatment to significantly reduce or stop their drug use and that the best outcomes occur with longer duration of treatment.

A. 1 month

B. 3 months

C. 6 months

D. 12 months


3. Treatment must be voluntary to be effective.

A. True

B. False


4. Substance abuse treatment facilities should provide referrals to offsite HIV testing, as research shows that doing so increases the likelihood that patients will be tested and receive their test results.

A. True

B. False


Frequently Asked Questions

5. Particularly in adolescents, there can be a danger of unintended harmful effects of group treatment where group members reinforce drug use and thereby derail the purpose of the therapy.

A. True

B. False


6. Lapses to drug abuse indicate all of the following, except:

A. Failure

B. Treatment needs to be reinstated or adjusted

C. Alternative treatment is needed

D. Lapses to drug abuse indicate any of the above


7. For methadone maintenance, _____ is considered the minimum, and some opioid-addicted individuals continue to benefit from methadone maintenance for many years.

A. 1 month

B. 3 months

C. 6 months

D. 12 months


8. Gender-related drug abuse treatment should attend to:

A. Biological differences

B. Social factors

C. Environmental factors

D. Gender-related drug abuse treatment should attend not only to biological differences but also to social and environmental factors


9. Research has shown that physical and sexual trauma followed by post-traumatic stress disorder is more common in drug-abusing women than in men seeking treatment.

A. True

B. False


10. As long as newborns are exposed to methadone during pregnancy, they do not require treatment for withdrawal symptoms.

A. True

B. False


11. Adolescent drug abuse is often associated with other co-occurring mental health problems, including all of the following, except:

A. Attention-deficit hyperactivity disorder

B. Oppositional defiant disorder

C. Bipolar disorder

D. Depressive and anxiety disorders


12. Recent research suggests that buprenorphine, a medication for treating opioid addiction, could be effective for those as young as:

A. 18

B. 16

C. 14

D. 12


13. Physical dependence in and of itself constitutes addiction.

A. True

B. False


Evidence-Based Approaches to Drug Addiction Treatment

14. All of the following pertain to methadone, except for:

A. It is a short-acting synthetic opioid agonist medication

B. It can prevent withdrawal symptoms

C. It can reduce craving in opioid-addicted individuals

D. It can block the effects of illicit opioids


15. If an addicted individual attempts to inject Suboxone, the naloxone will produce severe withdrawal symptoms, thus lessening the likelihood that the drug will be abused or diverted to others.

A. True

B. False


16. Naltrexone:

A. Has no potential for abuse

B. Is not addictive

C. Naltrexone has no subjective effects following detoxification, has no potential for abuse, and is not addictive

D. Naltrexone may be abused if used other than intended


17. Because _____ requires full detoxification, initiating treatment among active opioid users has been found to be more difficult.

A. Buprenorphine

B. Naltrexone

C. Naloxone

D. Methadone


18. Combined treatment of pharmacotherapy and behavioral intervention is urged because the treatments are thought to operate by different yet complementary mechanisms that can have additive effects.

A. True

B. False


19. Studies have shown that just getting help is one of the most important factors in treating alcohol addiction and that the precise type of treatment received is not as important.

A. True

B. False


20. Motivational Enhancement Therapy is all of the following, except for:

A. A counseling approach that helps individuals resolve their ambivalence about engaging in treatment and stopping their drug use.

B. An approach aimed to evoke rapid and internally motivated change.

C. An approach aimed to guide the patient stepwise through the recovery process.

D. Principles used to strengthen motivation and build a plan for change.


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