Treatment of Adolescents with Substance Use Disorders

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Multiple Choice
Identify the choice that best completes the statement or answers the question.

Introduction
Substance use may compromise the emotional and mental development of the adolescent from youth to adulthood.

True

False

Using adult programs for treating youth has been shown to be effective.

True

False

In the treatment of adolescents, it is useful to consider substance use along a continuum with six anchor points. Points one and six are, respectfully:

A.	Abstinence and Recovery	C.	Misuse and Abuse
B.	Abstinence and Secondary Abstinence	D.	Abuse and Recovery

Another name for interagency agreements is:

A.	Notice of Collaboration	C.	Memoranda of Understanding
B.	Terms of Agreement	D.	None of the above

The use of Therapeutic Communities is typical in the treatment of adolescents with the severest substance abuse problems.

True

False

Which of the following are considered to have distinctive treatment needs?

A.	Youth in the juvenile justice system	C.	Homosexual, bisexual and transgendered youth
B.	Homeless youth	D.	All of the above

Chapter 1
According to the National Household Survey on Drug Abuse, most of the increase in adolescent substance use is attributed to:

A.	Peer pressure	C.	Increase in marijuana use
B.	Increase in alcohol use	D.	Lack of parental supervision

This drug, glamorized by rock stars and fashion models, has increased in popularity among young people:

A.	Marijuana	C.	Alcohol
B.	Heroin chic	D.	Crank

There is a strong and consistent association between this disorder and substance use among teenagers:

A.	Post traumatic stress disorder	C.	Conduct disorder
B.	Anxiety disorder	D.	Sleep disorder

10.

Treatment efforts that approach young people as “little adults” are bound to fail.

True

False

11.

“Risk Behavior Syndrome” refers to:

A.	Problem behaviors that serve a social goal	C.	A psychiatric disorder in the DSM-IV
B.	Problem behaviors the adolescent uses to get attention	D.	All of the above

12.

Chapter 2
It has been found empirically that female adolescent substance users have a history of parental rejection and sexual and/or physical abuse.

True

False

13.

A ‘coexisting disorder’ most commonly refers to:

A.	Dual disorder	C.	Both a and b
B.	A coexisting substance use disorder with a psychiatric disorder	D.	None of the above

14.

These disorders are most commonly predictive of later adolescent substance use:

A.	Post traumatic stress disorder and ADHD	C.	Affective and anxiety disorders
B.	Conduct and oppositional disorders	D.	None of the above

15.

Treatment facilities should suspend “no-medication” rules for depressed adolescents who have been prescribed antidepressants.

True

False

16.

The risk of adolescent health and behavioral problems rises with:

A.	Lack of parenting skills	C.	Poor bonding between parents and children
B.	High levels of family conflict	D.	All of the above

17.

Studies have shown a relationship between high intelligence level and increased risk of substance use.

True

False

18.

When a primary care provider identifies a substance use disorder in an adolescent, it is encouraged that the care provider:

A.	Give them a referral card	C.	Contact the parents
B.	Have them call a counselor to set up an appointment	D.	Make immediate contact with a treatment provider

19.

Physiological withdrawal symptoms are not common among adolescent substance abusers.

True

False

20.

Relapse is best viewed by treatment professionals as:

A.	A failure of the treatment program	C.	An opportunity for learning
B.	Noncompliance by the adolescent	D.	Resulting from lack of parental involvement

21.

In the Brief Intervention model of treatment, booster sessions offer an opportunity to review skills for relapse prevention.

True

False

22.

Chapter 3
A treatment program’s design, policy, evaluation and legal approach are shaped by:

A.	The program director	C.	Available funding
B.	Federal and state regulations	D.	Underlying philosophies

23.

The program or clinical supervisor, substance abuse counselors and therapists comprise the core staff of a treatment program.

True

False

24.

All of the following are roles of the core staff, except:

A.	Screening and assessment	C.	Prescribing medication
B.	Substance disorder treatment	D.	Case management

25.

Treatment programs should avoid using recovering substance abusers as staff members.

True

False

26.

Program managers should not encourage support staff members’ involvement in community activities, as this goes above and beyond the call of their official job description.

True

False

27.

Chapter 4
The most prevalent model for treatment of substance abuse in the last three decades has been:

A.	Minnesota Model	C.	Cognitive Behavioral
B.	Psychoanalysis	D.	12-Step Programs

28.

All of the following are 12-step statements with the exception of:

A.	We admitted we were powerless over alcohol	C.	We made a searching and fearless moral inventory of ourselves
B.	We subscribe to no power greater than our own	D.	We made a list of all persons we had harmed and became willing to make amends to them

29.

One of the goals of the Minnesota Model is identifying a variety of elements of care within one program.

True

False

30.

Most 12-based programs concentrate on the first 7 steps during primary treatment, whereas the remaining ones are attended to in aftercare.

True

False

31.

Chapter 5
The core goal of TC’s is to promote a more holistic lifestyle with a focus on:

A.	Problematic social behaviors	C.	Problematic emotions
B.	Problematic psychological behaviors	D.	All of the above

32.

Originally the large majority of residents of TC’s were young male:

A.	Alcoholics	C.	Marijuana abusers
B.	Heroin addicts	D.	Cocaine addicts

33.

Rehabilitation is a term used by TC’s to refer to helping TC residents develop socially productive lifestyles for the first time in their lives.

True

False

34.

Habilitation refers to living in the present moment.

True

False

35.

According to this manual, adolescent substance abusers made up what percentage of residents in TC’s?

A.	10-15%	C.	30-35%
B.	20-25%	D.	45-50%

36.

Most adolescent residents of the TC community are made up of males mandated by court.

True

False

37.

There is very little difference between the social histories of adults and adolescent users in treatment concerning onset and pattern of use, academic performance and juvenile delinquency.

True

False

38.

A core feature of TC treatment is that the following serves as the primary therapist:

A.	The licensed therapist	C.	The resident psychologist
B.	The community	D.	Staff members

39.

In the early days, an adolescent’s family was encouraged to participate in the treatment program of the Therapeutic Community.

True

False

40.

TC treatment staff need to be particularly aware of special issues regarding the adolescent in treatment, namely:

A.	Guilt, anger and sexuality	C.	Sexuality, anger and self-image
B.	Self-image, guilt and sexuality	D.	Shame, guilt and depression

41.

Chapter 6
Although the family environment is a factor, it is important to recognize that other factors also contribute to adolescent substance use. These include individual, environmental and contextual factors.

True

False

42.

The phrase “family therapy” is a catch-all name referring to:

A.	Intensive family treatment led by a licensed family therapist	C.	Any activity that brings family members together for discussion
B.	Any planned counseling session that brings at least 2 or more family members together	D.	None of the above

43.

All of the following are considered integrative family therapies except:

A.	Functional	C.	Multisystemic
B.	Structural	D.	Cognitive-behavioral

44.

In an effort to reduce health care costs, the primary setting for adolescent substance use disorder treatment is:

A.	The family’s home	C.	Outpatient program
B.	Residential treatment	D.	All of the above

45.

Chapter 7
Research on homeless youth in inner-cities indicates that the types of substances used vary geographically. What are the substances most commonly used on the west coast?

A.	Alcohol and marijuana	C.	Ecstasy and methamphetamine
B.	Cocaine and marijuana	D.	Heroin and cocaine

46.

The most commonly used substances by adolescents on the East coast are:

A.	Alcohol and cocaine	C.	Methamphetamine and marijuana
B.	Heroin and crack cocaine	D.	Alcohol and marijuana

47.

Rates of depression, anxiety and suicidal ideation are high among homosexual, bisexual and transgendered youth.

True

False

48.

Chapter 8
Whether a treatment program may admit an adolescent without parental consent depends on:

A.	The treatment program’s philosophy	C.	State statutes
B.	Federal regulations	D.	All of the above

49.

Federal law and regulations severely restrict communications about identifiable clients by programs providing substance abuse treatment.

True

False

50.

“Prevention programs” do not have to comply with Federal regulations regarding confidentiality.

True

False

51.

Adolescents in treatment have the right to revoke consent at any time.

True

False

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