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Technology-Based Therapeutic Tools in Behavioral Health

Part 1, Chapter 1: The Potential Utility of Technology-Based Therapeutic Tools

1. Which of the following is a key principle that guides TAC in the behavioral health arena?

A. Clinical judgment is fundamental and should drive decisions regarding the use of technology. Clinical judgment, and not merely the existence of a given technology, should guide the application of said technology in clinical contexts.

B. Practitioners should use technological solutions only within their realm of professional competence and scope of practice.

C. Clinicians and clients should thoughtfully consider and discuss the risks and benefits of technology-based tools as part of the therapeutic process.

D. All of the above.


2. Maintaining security and confidentiality in TAC is the responsibility of all parties engaged in such care.

A. True

B. False


Part 1, Chapter 1: An Overview of Behavioral Health Technologies

3. Clinicians should allow the technology itself to determine how it is integrated into clinical care.

A. True

B. False


4. Technology-based approaches to behavioral health assessment and intervention should be held to the same standards as traditional models of care.

A. True

B. False


Part 1, Chapter 1: Self-Directed, Web-Based, and Computer-Based Therapeutic Tools

5. Treatments that have been broken down into discrete procedures as part of the production of a treatment manual are easy to adapt for computer-based interventions.

A. True

B. False


6. Comparisons of computer-delivered interventions with person-delivered interventions generally report comparable outcomes.

A. True

B. False


Part 1, Chapter 1: Web-Based Text Communication: Email, Chat, Forums, Electronic Mailing Lists, and Social Networks

7. Email has utility in addressing all of the following issues, except for:

A. Eating disorders

B. Problematic alcohol use

C. Smoking cessation

D. Work stress


8. Embedding elements of cognitive-behavioral therapy on mobile devices can significantly:

A. Increase treatment retention as part of outpatient substance use disorder treatment.

B. Improve abstinence as part of outpatient substance use disorder treatment.

C. Both (A) and (B).

D. None of the above.


Part 1, Chapter 1: Emerging Technologies and Future Opportunities

9. Which of the following typically refers to technologies that weave themselves into the fabric of everyday life until they are indistinguishable from it?

A. Ambient intelligence

B. Ubiquitous or pervasive computing

C. Allostasis

D. Virtual reality


Part 1, Chapter 1: Integrating Technology Into Existing Services

10. Which of the following may not be a good candidate for online care?

A. Clients who are actively suicidal.

B. Clients who are homicidal.

C. Clients who are severely emotionally distressed.

D. All of the above.


11. All of the following are among the most significant barriers to adolescents’ participation in substance use disorder treatment, except for:

A. Transportation problems and/or scheduling conflicts.

B. Dislike for their counselors.

C. Discomfort talking about personal problems with another person.

D. Finding counseling unhelpful.


Part 1, Chapter 1: Legal and Ethical Issues To Consider

12. Which of the following is a legal consideration related to online counseling models?

A. State licensing boards typically require that a practitioner providing services in a different state also has a license to practice in that state.

B. The counselor should be aware of ethical standards and guidelines regarding online counseling models provided by professional organizations.

C. Counselors should be aware that online counseling best practice guidelines may vary with the specific system and tools used to deliver TAC.

D. All of the above.


13. All providers should put their TAC policies in writing and clearly communicate them to clients at the start of the therapeutic relationship using an informed consent agreement.  It is also helpful to have clients sign off on these policies to acknowledge that they have reviewed them and agree to comply.

A. True

B. False


14. Which of the following are the most active users of the Internet via mobile devices?

A. African Americans

B. Hispanic Americans

C. White Americans

D. Native Americans


Part 1, Chapter 1: Electronic Health Records

15. All of the following are main components of meaningful use, except for:

A. The use of a certified EHR in a meaningful manner.

B. The electronic exchange of health information to improve quality of healthcare.

C. The collection of data on clients’ behavioral health according to national standards.

D. The use of certified EHR technology to submit clinical quality measures and other measures.


Part 1, Chapter 2: Vignette 1: Implementing a Web-Based Prevention Outreach, and Early Intervention Program for Young Adults

16. Using digital assessment tools can provide continuity of care with automated message reminders about appointments, medication reminders, or preventive health facts.

A. True

B. False


17. All of the following are advantages of using web-based programs in counseling, except for:

A. Encourage self-assessment

B. Indicated for work with suicidal, homicidal, and psychotic clients

C. Reinforce stress management strategies / plans

D. Foster provision of well-developed, clear action plans


18. How can a counselor encourage clients to use, and continue using, web-based programs?

A. Give clear instructions about what to expect from the program and how to access the Web site.

B. Demonstrate access and use of the program before the client leaves the counselor’s office.

C. Emphasize confidentiality and protection of private information.

D. All of the above.


19. Counselors and administrators should be sure that clients fully understand how their agency’s Web-based communications system works so that clients have realistic expectations about:

A. Counselor availability.

B. How long it may be before they receive responses to messages they send.

C. How the system is monitored.

D. All of the above.


Part 1, Chapter 2: Vignette 2: Using Computerized Check-In and Monitoring in an Extended Recovery Program

20. All of the following are situations in which a check-in process can be particularly beneficial, except for:

A. Transitions from a lower to a higher level of care.

B. Periods of obviously increased stress with risk or relapse to substance use or exacerbation of mental illness.

C. Adjustments or alterations of medication for mental or substance use disorders.

D. Increases in a client’s need for motivation and support to continue treatment.


21. Clients who express reservations about a technology-based intervention may be reacting to:

A. A discomfort with using a computer.

B. The introduction of something new into their daily regimen.

C. A manifestation of symptoms related to substance use or mental illness.

D. Any of the above.


22. To best facilitate client computer access in treatment settings, spaces where clients are using computers should be in the open so they can easily access help from staff if needed.

A. True

B. False


23. All of the following aspects of brief messages to reinforce recovery can provide a quick and efficient way to help sustain motivation, except for:

A. Ask clients to help design and select the messages that are important to them.

B. Tailor messages slightly to the circumstances of the client.

C. Emphasize what should be avoided.

D. Use peer support staff or peer counselors to send messages.


Part 1, Chapter 2: Vignette 3: Conducting a Telephone- and Videoconference-Based Pretreatment Group for Clients With Substance Use Disorders

24. Which of the following is an advantage of video conferencing?

A. Low cost to clients and organizations.

B. Allows for convening clients with similar problems who are spread over a large geographic area.

C. Minimal training on equipment required for clients and staff members.

D. All of the above.


25. Leaders needing special skills in engagement, keeping clients involved, and making sure all clients participate is a disadvantage of video conferencing.

A. True

B. False


26. All of the following are ground rules for pretreatment telephone or video groups, except for:

A. For conference calls, callers say their names before they speak, because callers might not recognize each other’s voices.

B. Everyone should minimize noise and other distractions during the group and use the mute button if needed.

C. Participants are encouraged to use their real photo and name / surname in order to make connections with other members of the group and with the group leader.

D. No one other than the group members and leader should be viewing or listening in unless they have permission from the group leader and the group is aware that someone else is participating.


27. Asking clients to identify what they want helps to refocus them on their own goals rather than on goals others may have for them.

A. True

B. False


Part 1, Chapter 2: Vignette 4: Incorporating TAC Into Behavioral Health Services for Clients Who Are Hearing Impaired

28. All of the following are considerations prior to the first session with a deaf client, except for:

A. ASL will require a certified interpreter who is competent in the language of the client.

B. Payment of interpreters is typically the responsibility of the client or the client’s health insurance.

C. A client may choose not to work with a specific interpreter because they do not find the person to be a good language match or because the Deaf community is small and there may be a potential for dual relationships.

D. A client who seems unwilling to work with all available interpreters may be doing so for a variety of reasons - therapeutic resistance may be one of them.


29. Why may there be a lag during communication between the interpreter and the client?

A. The client may not be familiar with terminology or may use different signs from those the interpreter is using.

B. The interpreter may need to back up if there was a communication error that needs to be corrected.

C. The client may be asking questions that are relevant to the communication but not the content.

D. Any of the above.


30. Clinicians should remind clients that emails are confidential and are an effective medium for counseling.

A. True

B. False


Part 1, Chapter 2: Vignette 5: Using Smartphones To Support Recovery for Clients With CODs

31. Technology-based treatment extenders can replace standard treatment and should augment or supersede the help and support of a counselor.

A. True

B. False


32. Encryption is not typical in standard mobile phone texting, therefore, it is best that, if texting is used at all for counselor-client communication, both parties agree beforehand to a code strategy so that texts divulge minimal information.

A. True

B. False


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