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Quantum Units Education®

Treatment Considerations for Youth with Serious Emotional Disturbances and Serious Mental Illnesses and Co-occurring Substance Use

1. A health care professional has questions regarding SED. Which of the following informational points of interest should be communicated to the health care professional?

A. SED is a diagnostic category.

B. SED is not a diagnostic category.

C. SED is a term that only applies to individuals over the age of 65.

D. SED is a term that only applies to men over the age of 65.


2. A health care professional has questions regarding protective factors. Which of the following informational points of interest should be communicated to the health care professional?

A. Protective factors are characteristics associated with a higher likelihood of negative outcomes and those that reduce a risk factor’s impact.

B. Protective factors are characteristics associated with a higher likelihood of negative outcomes and those that increase a risk factor’s impact.

C. Protective factors are characteristics associated with a higher likelihood of positive outcomes or those that reduce a risk factor’s impact.

D. Protective factors are characteristics associated with a higher likelihood of positive outcomes or those that increase a risk factor’s impact.


3. Which of the following statements best describes the term SMI?

A. SMI may be experienced by someone 14 or having (within the past six months) a diagnosable mental, behavioral, or emotional disorder which causes serious functional impairment, which substantially interferes with or limits one or more major life activities.

B. SMI may be experienced by someone 15 or having (within the past eight months) a diagnosable mental, behavioral, or emotional disorder which causes serious functional impairment, which substantially interferes with or limits one or more major life activities.

C. SMI may be experienced by someone 16 or having (within the past six months) a diagnosable mental, behavioral, or emotional disorder which causes serious functional impairment, which substantially interferes with or limits one or more major life activities.

D. SMI may be experienced by someone 18 or having (within the past year) a diagnosable mental, behavioral, or emotional disorder which causes serious functional impairment, which substantially interferes with or limits one or more major life activities.


4. A 16-year-old male patient has questions regarding SUD. Which of the following educational points should be expressed to the patient?

A. SUD only involves the use of alcohol.

B. SUD only involves the use of opioids.

C. SUD occurs when the recurrent use of alcohol and/or drugs causes clinically significant impairment.

D. SUD does not cause clinically significant impairment.


5. Which of the following statements is most accurate?

A. ACEs or potentially traumatic events experienced before the age of 12, can have long-term impacts on youth who experience them

B. ACEs or potentially traumatic events experienced before the age of 18, can have long-term impacts on youth who experience them.

C. ACEs or potentially traumatic events do not, typically, have a long-term impact on youth who experience them.

D. ACEs or potentially traumatic events do not, typically, have a long-term impact on male individuals who experience them.


6. A health care professional has questions regarding screening for SED/SMI and SUD. Which of the following informational points of interest should be communicated to the health care professional?

A. Screening for SED/SMI and SUD using a standardized tool helps providers identify youth and young adults who may be at risk for co-occurring disorders and implement appropriate care plans.

B. Screening for SED/SMI and SUD using a standardized tool helps providers identify youth and young adults who may be at risk for co-occurring disorders - however, it does not impact the implementation of appropriate care plans.

C. Trauma history should not be included in the screening process.

D. Trauma history should not be included in the screening process for individuals over the age of 12.


7. According to the course, which of the following best describes the following causal evidence level: strong evidence?

A. Causal impact demonstrated by a least two randomized control trials.

B. Causal impact demonstrated by at least three randomized control trials.

C. Causal impact demonstrated by at least two randomized control trials, that lasted for at least 12 months.

D. Causal impact demonstrated by at least three randomized control trials, that lasted for at least 14 months.


8. A 17-year-old male patient has questions regarding CBT. Which of the following educational points should be expressed to the patient?

A. CBT is a short-term, goal-oriented psychotherapy treatment.

B. CBT is a long-term, goal-oriented psychotherapy treatment.

C. CBT is a short-term, goal-oriented treatment that relies solely on medications.

D. CBT is a long-term, goal-oriented treatment that relies solely on medications.


9. Which of the following statements is most accurate?

A. CBT should only be utilized in inpatient settings.

B. CBT should only be utilized in outpatient settings.

C. CBT may be utilized in a wide range of health care settings, including inpatient psychiatric rehabilitation and community outpatient programs.

D. CBT may be utilized in a wide range of health care settings, but it should be avoided in inpatient psychiatric rehabilitation and community outpatient programs.


10. A health care professional has questions regarding MDFT. Which of the following informational points of interest should be communicated to the health care professional?

A. MDFT should not be used in SUD treatment.

B. MDFT should not be used in youth substance misuse treatment.

C. MDFT is a medication-based approach to the treatment of youth substance misuse and SUD, concurrent substance use, and co-occurring mental health and behavioral problems.

D. MDFT is a manualized, family-based approach to treatment of youth substance misuse and SUD, concurrent substance use, and co-occurring mental health and behavioral problems.


11. A health care professional is developing an education lecture on buprenorphine. Which of the following points of interest should be included in the health care professional's lecture?

A. The FDA has approved the use of buprenorphine for individuals aged 14 and older.

B. The FDA has approved the use of buprenorphine for individuals aged 16 and older.

C. The FDA has approved the use of buprenorphine for individuals aged 18 and older.

D. Buprenorphine is not approved for the treatment of opioid use disorder.


12. A 16-year-old female patient has questions regarding MET. Which of the following educational points should be expressed to the patient?

A. MET is a long-term intervention designed to enhance an individual’s engagement in treatment, motivation to change, and self-efficacy.

B. MET is a brief intervention designed to enhance an individual’s engagement in treatment, motivation to change, and self-efficacy.

C. MET is typically reserved for female patients using methadone.

D. MET is typically reserved for male patients.


13. A health care professional has questions regarding Symbyax. Which of the following informational points of interest should be communicated to the health care professional?

A. Symbyax may be used to treat individuals under the age of 10.

B. Symbyax is only FDA-approved for bipolar II disorder.

C. Symbyax is a combination of olanzapine and fluoxetine.

D. Symbyax should only be used in combination with risperidone.


14. Which of the following is an FDA-approved medication for generalized anxiety disorder?

A. Aripiprazole

B. Duloxetine

C. Fluoxetine

D. Clomipramine


15. Which of the following is an FDA-approved medication for obsessive compulsive disorder?

A. Asenapine

B. Lurasidone

C. Olanzapine

D. Sertraline


16. A health care professional is working to assess and respond to the specific needs of a patient. Which of the following strategies can help the health care professional assess and respond to specific needs?

A. Compare the effectiveness of interventions in treating the individual’s presenting diagnoses.

B. Avoid comparing the effectiveness of interventions in treating the individual’s presenting diagnoses.

C. Consider the youth’s readiness to change, only if the individual is over the age of 14.

D. Consider the youth’s readiness to change, only if the individual is over the age of 16.


17. A health care professional is attempting to assess the treatment setting and level of care for a patient. Which of the following strategies can help the health care professional assess treatment settings and the level of care?

A. Focus on assessing medications.

B. Solely focus on medication adverse effects.

C. Assess severity of symptoms to determine the setting in which services are delivered.

D. Do not assess the severity of symptoms to determine the setting in which services are delivered.


18. According to the course, clinicians and program managers should document adaptations made to programs and treatment practices along five dimensions. Which of the following best represents one of the five dimensions?

A. CBT use

B. Medication use

C. Dosage

D. Program community data


19. Which of the following strategies may be used by a team of health care professionals to effectively treat a patient with co-occurring disorders?

A. Focus on SUD treatment first

B. Focus on SED treatment through the first week of care

C. Coordinate treatment with local law enforcement

D. Coordinate treatment with needed health-related social and economic services


20. Which of the following strategies may be used by a team of health care professionals to effectively prevent relapse and provide recovery support?

A. Avoid providing youth patients with medication refills

B. Avoid providing patients, over the age of 14, with medication refills

C. Engage families

D. Avoid including family members in youth relapse prevention and recovery support


21. Which of the following statements best describes the following resource: The Partnership for Drug-Free Kids?

A. Provides information to health care professionals on medications used in youth treatment.

B. Provides information to health care professionals on medications used in SUD treatment.

C. Provides a compendium of resources for law enforcement on dealing with youth with SUD and related mental health issues.

D. Provides a compendium of resources for parents of youth with SUD and related mental health issues, as well as online trainings and support groups.


22. A health care professional has questions regarding Encompass. Which of the following informational points of interest should be communicated to the health care professional?

A. Encompass is an evidence-based, inpatient treatment program.

B. The population focus for Encompass is youth and young adults with substance use disorders and co-occurring mental health issues.

C. The program duration is 24 months.

D. The program relies solely on CBT.


23. A health care professional has questions regarding Native Connection. Which of the following informational points of interest should be communicated to the health care professional?

A. Native Connection does not employ CBT.

B. The program duration varies depending on the needs of the individual and their family.

C. Native Connection does not treat individuals under the age of 16.

D. Native Connection focuses on treatment approaches that avoid discussing trauma.


24. A health care professional has questions regarding Seasons Center for Behavioral Health. Which of the following informational points of interest should be communicated to the health care professional?

A. The program does not use CBT.

B. The program duration is 2 weeks.

C. A key implementation consideration is coordination of care.

D. The program does not treat individuals over the age of 12.


25. Which of the following best represents a key implementation consideration forNationwide Children’s Hospital?

A. Treatment engagement

B. Medication use

C. Opioid use

D. Alcohol dependence


26. Which of the following statements is most accurate?

A. Qualitative data includes numeric data that can be processed by mathematical or statistical analysis

B. Qualitative data includes any non-numeric, text-based information.

C. Qualitative data includes both numeric data and text-based information.

D. Qualitative data includes both numeric data and text-based information that represents a diverse population.


27. A health care professional has questions regarding CQI. Which of the following informational points of interest should be communicated to the health care professional?

A. CQI involves a systematic process of assessing program or practice application and short-term outcomes.

B. CQI involves a systematic process of assessing program or practice application and long-term outcomes.

C. CQI does not involve program staff in identifying and making improvements.

D. CQI does involve program staff in identifying and making improvements - however, CQI does not help assess practice fidelity.


28. Which of the following best represents an illustrative indicator for treatment retention?

A. Extent of client engagement in the treatment

B. Number of treatment sessions attended

C. Amount of use

D. Amount of interest


29. Which of the following best represents an illustrative data source for reductions in risky behavior? 

A. Frequency of use

B. Attendance in school

C. Behavioral conduct

D. Addiction Severity Index


30. Which of the following best represents an illustrative data source for improvements in educational/professional achievement and attainment?  

A. Attainment of client’s personal goals for education and professional development

B. School achievement

C. Vocational training

D. Degree/certificate attainment


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