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SUD Treatment Care Continuum and Program Standards (ASAM Criteria)

1. Without the ability to transition to less or more intensive levels of care throughout treatment in response to changing clinical needs and treatment goals, individuals with SUD face higher risk of relapse and worse behavioral and physical health outcomes, including increased inpatient hospital utilization.

A. True

B. False


2. Which of the following services are directed by nonphysician addiction specialists rather than medical personnel and are appropriate for individuals whose primary problems involve emotional, behavioral, cognitive, readiness to change, relapse, or recovery environment concerns?

A. Clinically managed services

B. Medically monitored services

C. Medically managed services

D. Early intervention services


3. If present, which of the following is safely manageable in a clinically managed service?

A. Intoxication

B. Withdrawal

C. Biochemical concerns

D. Intoxication, withdrawal, and biochemical concerns are all safely manageable in a clinically managed service


4. Which of the following is the treatment goal for intensive outpatient programs?

A. Individual, group, or family counseling and SBIRT services should educate individuals about the risks of substance use and help them avoid such behavior. SBIRT services aim to intervene early, linking individuals with SUDs to appropriate formal treatment programs.

B. Designed to help patients achieve changes in alcohol and/or drug use and addictive behaviors and often address issues that have the potential to undermine the patient’s ability to cope with life tasks without the addictive use of alcohol, other drugs, or both.

C. At a minimum, provides a support system including medical, psychological, psychiatric, laboratory, and toxicology services within 24 hours by telephone or within 72 hours in person. Emergency services are available at all times, and the program should have direct affiliation with more or less intensive care levels and supportive housing.

D. Patients receive individual, group, or family therapy, or some combination thereof; medication management; and psychoeducation to develop recovery, relapse prevention, and emotional coping techniques. Treatment should promote personal responsibility and reintegrate the patient to work, school, and family environments. At a minimum, provides telephone and in-person physician and emergency services 24-hours daily, offers direct affiliations with other levels of care, and is able to arrange necessary lab or pharmacotherapy procedures.


5. Which level of care is appropriate when an individual’s temporary or permanent cognitive limitations make it unlikely for them to benefit from other residential levels of care that offer group therapy and other cognitive-based relapse prevention strategies?

A. Medically monitored inpatient programs that are intensive for adults and high-intensity for adolescents

B. Clinically managed population-specific high-intensity residential programs specific for adults only

C. Clinically managed residential programs that are high intensity for adults and medium intensity for adolescents

D. Clinically managed low-intensity residential programs


6. Which level of care is appropriate for individuals in some imminent danger with functional limitations who cannot safely be treated outside of a 24-hour stable living environment that promotes recovery skill development and deters relapse?

A. Medically monitored inpatient programs that are intensive for adults and high-intensity for adolescents

B. Clinically managed population-specific high-intensity residential programs specific for adults only

C. Clinically managed residential programs that are high intensity for adults and medium intensity for adolescents

D. Clinically managed low-intensity residential programs


7. Which of the following requires only that physicians and nurses be available for consultation if protocols are in place and the care setting is staffed by appropriately credentialed and trained counselors?

A. Outpatient withdrawal management

B. Social residential withdrawal management

C. Both outpatient and social resident withdrawal management

D. Neither outpatient nor social resident withdrawal management


8. Which of the following is not covered by the Controlled Substances Act?

A. Naltrexone

B. Methadone

C. Buprenorphine

D. Naltrexone, methadone, and buprenorphine are all covered by the Controlled Substance Act


9. Which of the following does not partially activate opioid receptors?

A. Naltrexone

B. Methadone

C. Buprenorphine

D. Naltrexone, methadone, and buprenorphine all partially activate opioid receptors


10. Opioid treatment programs are appropriate for individuals who are assessed as meeting the diagnostic criteria for a severe opioid use disorder.

A. True

B. False


11. The OBOT model of care allows waivered physicians to prescribe buprenorphine in all of the following settings, except:

A. Office-based

B. Private clinics

C. Public clinics

D. Inpatient


12. How many hours of services per week are provided to adults in outpatient services?

A. 0

B. Less than 6

C. Less than 9

D. 20 or more


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