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Quantum Units Education

Substance Abuse Treatment and LGBT Cultural Competence

Policies and Procedures

1. Personnel training should be _____ and include discussions of subtle forms of discrimination and harassment as well as blatant forms of this behavior.

A. Experiential

B. Didactic

C. Both (A) and (B)

D. None of the above


2. All personnel should be familiar with the procedures for reporting violations.

A. True

B. False


3. Which phrase should be used to refer to individuals who are drug-free?

A. Clean and sober

B. Straight

C. Either (A) and/or (B)

D. None of the above


4. The organization should have an AIDS policy, rather than just a contagious-disease policy that includes HIV / AIDS.

A. True

B. False


Training and Education

5. Lacking specific and often essential information about the special problems of LGBT clients, professionals may attribute treatment failures to the clientele rather than to the insufficient training and education about LGBT issues that resulted in inappropriate treatment by the providers.

A. True

B. False


6. An integrated training and education system addresses both content and process and addresses all of the following components, except for:

A. Trainees

B. Clientele

C. Community

D. Professional peers


7. The separation of men and women will enable practitioners to address LGBT needs.

A. True

B. False


8. An important first step in implementing an evidence based program is:

A. Making LGBT sensitivity and competency training a priority in the basic curriculum or in the inservice training schedule.

B. Redesigning existing programs to include LGBT-related competencies.

C. Using a team approach involving academic and clinical staff and, if possible, a team member from the LGBT community at large.

D. Giving pretests and posttests to evaluate training.


9. Which important dimension of the training process plays a significant role in introducing important ideas to newcomers and improving practice by long-term practitioners?

A. Conducting quality improvement studies focusing on the effects of LGBT sensitivity and competency training.

B. Effective techniques for training and skills development and “what works” during consultations among professionals.

C. Collecting client satisfaction and followup data from LGBT clients treated at the same site over time.

D. Videotapes and audiotapes of clinical sessions before and after training to ascertain whether there have been changes in the ability to treat LGBT clients.


10. Which defense is part of the identity comparison stage of lesbian and gay identity development?

A. Denial

B. Reactivity

C. Bargaining

D. Sadness


11. Which feelings occur during the identity acceptance stage of lesbian and gay identity development?

A. Rage, sadness

B. Hostility toward straight culture

C. Excitement, focused anger

D. Arrogant pride and rejection of straight culture as the norm


Quality Improvement and LGBT Clients

12. Standards for leadership are directed at how well an organization _____ its services to meet the needs of its users, who are defined by the demographics of people in the service area.

A. Plans

B. Structures

C. Delivers

D. All of the above


13. Providers should be mindful that the guiding rationale for collecting sexual orientation and transgender identity information is to determine:

A. Whether these communities are being properly served.

B. What health problems these communities are experiencing.

C. Both (A) and (B).

D. None of the above.


14. Clients can never be forced to provide any demographic information.

A. True

B. False


15. Those who are uncertain about disclosures or reluctant to disclose that they are, or might be, LGBT individuals may likely require the most support.

A. True

B. False


16. Ultimately, the goal of quality improvement with respect to service to LGBT clients is to:

A. Obtain client feedback.

B. Achieve better treatment outcomes.

C. Monitor progress.

D. Collect baseline data.


17. Which specific outcome measure can be evaluated?

A. The number of LGBT clients abstaining from substance use.

B. The number of LGBT clients relapsing.

C. The number of LGBT clients readmitted.

D. All of the above.


Using Alliances and Networks To Improve Treatment for Lesbian, Gay, Bisexual, and Transgender Clients

18. Alliances within the LGBT community serve which function?

A. They bring people together socially.

B. They provide a culture and ideology.

C. They accept same-gender orientations and behaviors.

D. All of the above.


19. Creating a culturally responsive environment for LGBT clients is integral to providing a safe setting for all clients and to helping all people in recovery learn to live in a diverse society.

A. True

B. False


20. The critical need for administrators when designing and implementing successful treatment practices is to:

A. Understand the existence of subpopulations.

B. Invite different LGBT populations to participate in the design of services and policies.

C. Both (A) and (B).

D. None of the above.


21. Why are LGBT-identified persons seen as a “high-cost-of-care” population?

A. Managed care seeks to limit the number of patient visits and shorten the length of visits, as a result, a trustful provider / patient relationship may not develop and, therefore, disclosure of a person’s sexual orientation or sexual identity may not occur, reducing the likelihood that appropriate care is provided in a timely fashion.

B. Some insurance companies have taken steps to reduce the probability of insuring an individual who may someday contract HIV.

C. Both (A) and (B).

D. None of the above.


22. Which of the following has issued professional standards of practice related to the treatment of LGBT individuals and has developed standards and quality measures regarding treatment of LGBT individuals that managed care organizations would be required to meet?

A. The National Committee for Quality Assurance

B. The Joint Commission on Accreditation of Healthcare Organizations

C. Both (A) and (B)

D. None of the above


23. For the consumer member of a managed care plan, whether public or private, there is no single requirement to ensure nondiscrimination based on sexual orientation.

A. True

B. False


24. The Community Standards of Practice and quality indicators are meant to guide and assist providers in achieving which goal?

A. The elimination of discrimination on the basis of sexual orientation and gender identity.

B. The promotion and provision of full and equal access to services.

C. The elimination of stigmatization of LGBT people and their families.

D. All of the above.


Recommendations

25. LGBT populations abuse substance at rates that are the same as or lower than the rates in the general population.

A. True

B. False


26. Counselors can help LGBT clients recover from substance abuse and addiction by being empathic, supportive, and nonjudgemental, and assisting clients to:

A. Integrate their sexual identity

B. Become more self-accepting

C. Heal from shame resulting from heterosexism, internalized homophobia, and substance abuse

D. All of the above


27. Counselors should screen for:

A. Other health problems

B. Domestic violence

C. Both (A) and (B)

D. None of the above


28. Substance use, especially alcohol, is often an integral part of the LGBT social life and is connected to:

A. Sexual identity formation

B. Coming out

C. Self-acceptance processes

D. All of the above


29. Education topics should be diverse and applicable to all LGBT populations and include which topic?

A. Sexual orientation

B. Sexual identity

C. Sexual behavior

D. All of the above


30. Counselors should protect LGBT clients from homophobic behavior and if necessary should force their clients to discuss sexual orientation and behavior even if they are not comfortable doing so.

A. True

B. False


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