Assessment and Strategies in Working with Person with Co-Occurring Disorders Post-Test

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1. What is the difference between a screening and an assessment when gathering information about a client?

Screening is used to identify mental illness and assessments are used to identify substance disorders.

There are no differences.

They are both used to gather the same type of client information.

A screening evaluates the possible presence of a particular problem, and an assessment is the process to define the nature of the problem and develop recommended treatment that specifically addresses the problem.

2. A COD diagnosis is made by

a psychiatrist.

a clinical psychologist,

Only A

Both A and B

3. During an assessment, which of the following is NOT included with the intake information?

Family history of mental illness

Age client began using substances

Client's level of education

All of these are included with the client intake information

4. What period of abstinence is especially helpful for a clinician to work with the client to identify positive and negative outcomes of mental illness and substance disorder treatment?

14 days

30 days

60 days

Time frame is irrelevant

5. According to McLellan et al. 1992, which tool measures the severity of addiction in multiple problem domains?

ASI

COD

BDI

ASAM

6. The Beck Depression Inventory by Beck and Steer 1987

has a broad focus on specific problems.

has a narrow focus on multiple problems.

is a list of questions about mood and symptoms of feeling depressed.

is the gold standard assessment tool for COD.

7. The goal of the 12-step assessment process is to accomplish the following EXCEPT

a chronological history of past mental illness symptoms prior to the onset of substance abuse.

a chronological history of past mental illness treatments after the onset of substance abuse.

a detailed description of current strengths relating to the recommended treatment regimen

the client's current state of change for each problem.

8. The consensus panel indicates that each of the following are key concepts for effective engagement during the initial clinical contact EXCEPT

cultural sensitivity.

person-centered assessment.

universal access.

past substance use.

9. When screening for mental illness in a substance abuse treatment setting, it is important to screen for acute safety risks relating to HIV risky behaviors, danger of sexual victimization, suicide, and _______________.

serious intoxication

inability to care for one's self

substance-related disorders

past substance use

10. Which of the following is NOT a symptom to consider when screening for past and present substance use disorders?

Compulsive spending

Internet addiction

OTC medications

All of the above should be considered

11. Clients who appear to be SMI while present in a substance addiction treatment facility should be considered in what quadrant of severity?

12. The ASAM PPC-2R tool consists of six dimensions of assessment for appropriate "level of care" placement EXCEPT

Support Groups.

Readiness to Change.

Emotional, Behavioral, or Cognitive Conditions and Complications.

Relapse, Continued Use, or Continued Problem Potential.

13. According to ASAM 2001, which of the following risk is to be considered when evaluating "Emotional, Behavioral, or Cognitive Conditions and Complications"?

Health conditions

Living Arrangements

Collaterals

Social functioning

14. Which of the following assessment tools is beneficial when evaluating the interaction between the history of mental and substance disorders linking symptoms to periods of abstinence?

ASAM PC-2R

M.I.N.I. Plus

M.I.N.I.

LOCUS

15. When determining a client's skills and strengths, all of the following should be considered EXCEPT

finances.

motivators.

talents.

treatment successes.

16. In 1997, the Federal Government discontinued Social Security disability benefits for persons with

a mental disorder independent of COD.

combined substance and mental disorders.

an addiction disorder alone.

COD that prevents employment.

17. Which of the following statements is NOT true about Assessment Steps 9, 10, and 11?

Interventions must be matched to the specific diagnosis, stage of change, and stage of treatment.

ASI is a tool that identifies and quantifies addiction-related problems in a single domain.

Cultural barriers include literacy and linguistic barriers.

The client's comfort level in their treatment setting can positively or negatively influence their success.

18. Prochaska and DiClemente's States of Change include precontemplation, contemplation, preparation/determination, _______________, maintenance, and relapse (Prochaska and DiClemente 1992).

change

motivation

support

action

19. The Substance Abuse Treatment Scale by McHugo et al. 1995 is a rated scale of eight stages of the client's engagement in their treatment. Which of the following is NOT one of the eight stages?

Early persuasion

Late active treatment

Relapse treatment

Engagement

20. Integrated treatment planning involves helping the _______________ make the best possible treatment choices for each disorder.

client

clinician

counselor

psychiatrist/clinical psychologist

21. Which of the following is NOT one of the seven guidelines that have been identified as helpful in forming therapeutic relationships with clients who have COD?

Manage transference

Maintain recovery perspective

Increase structure and support

Use supportive and empathetic counseling

22. According to the text, markers of recovery include enhanced self-worth, improved health, and _______________.

increased financial stability.

stronger personal relationships.

increased degree of independence.

abstinence for 14 days.

23. Ensuring the treatment stage is consistent with the client's stage of change, and providing continuity of treatment is recommended for which of the seven guidelines in forming therapeutic relationships with clients?

Increase structure and support

Manage countertransference

Maintain recovery perspective

Develop and use a therapeutic alliance to engage the client in treatment

24. Tetter-totter symptoms may last for a few days followed by substance-related depression for a few weeks. If depressive or other symptoms persist after a few weeks, what may be occurring?

Relapse

Secondary substance abuse

Co-occurring mental disorder

Delayed recovery symptoms

25. What percentage of persons who commit suicide have a mental disorder?

35%

60%

78%

90%

26. Based on the study on cultural differences between nonwhites and whites, Jerrell and Wilson 1997, P. 138 noted that the results of the study were magnified by cross-cultural misperceptions such as

language barriers.

inadequate support systems.

the client's role in the family.

inaccurate diagnosis.

27. According to Miller and Rollnick 1991, p. 62, Motivational Interviewing is a

way of being with the client.

set of counseling techniques.

treatment-centered method of engagement.

treatment plan established by the counselor.

28. Supporting the client's resolve is a ME approach to which stage of change?

Precontemplation

Maintenance

Preparation

Relapse

29. What maintains that the form or frequency of behavior can be altered through a planned and organized system of positive and negative consequences?

RPT

CBT

30. Which model anticipates problems that are likely to arise in maintaining change and labels them as high-risk situations and helps clients develop strategies to cope with these high-risk situations without having a lapse?

Cognitive-Behavioral

Relapse Prevention

Contingency Management

SAMM