Co-occurring Disorders - Substance-Related and Mental Disorders
Questions from paper 1
1)
a)
b)
c)
d)
Which presents as a wide variety of symptoms that are characteristic of other mental disorders?
substance-abuse
substance-induced disorders
substance dependence
substance pseudo disorders
2)
a)
b)
c)
d)
The standard use of terms for non-substance-related mental disorders derives from the
CCMD-3
ICD-10
WAG-III
DSM-IV-TR
3) A _____ definition reflects clinical realities and constrains and/or programmatically meaningful
descriptions of at risk populations.
a) system
b) working
c) service
d) individual
4) What term defines a return to active substance use in a person with a diagnosed substance use
disorder?
a) remission
b) recovery
c) regression
d) relapse
5) In a _____ relationship, different disorders are treated by different providers, yet the roles and
responsibilities of the providers are clear.
a) collaborative
b) consultative
c) managed care
d) teaching
6) In this type of program, there is a higher level of integration of substance abuse and mental health
treatment services.
a) addiction or mental health only
b) dual diagnosis capable
c) symbiotic services
d) dual diagnosis enhanced
Questions from paper 2
7)
a)
b)
c)
d)
Which activity involves determining the client’s readiness for change?
screening
assessment
treatment planning
closure
8) According to Lehman et al. (1998), mental illness should be considered primary for a person with COD.
a) True
b) False
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9)
a)
b)
c)
d)
All the following are advantages of using screening tools EXCEPT
simplicity of use and scoring
limited training needed for administration
provides and opportunity to connect with the client
cut-off scores for well-researched tools
10)
a)
b)
c)
d)
What is the 8th step in the integrated 12-Step Assessment Process?
screen for and detect COD
determine diagnoses
determine disability and functional impairment
identify strengths and supports
11) Which component of a Client-Centered Treatment Plan determines the recommended treatment
intervention?
a) Appropriate Care Setting
b) Diagnosis
c) Problem Priorities
d) Disability
Questions from paper 3
12) Which approach to service organizations links individuals to appropriate service interventions regardless
of where they enter the system of care?
a) the kiosk
b) no client left behind
c) it takes a clinic
d) no wrong door
13) The Fifth principle that guides systems of care states that it must support both the application of
evidence and _____ based practices.
a) community
b) theoretical
c) consensus
d) provider
14) What type of interventions do Miller & Rollnick (2002) mention can be used to engage the client in the
treatment process?
a) financial
b) social
c) structural
d) motivational
15)
a)
b)
c)
d)
Kliznet et al., (1992) states that particular emphasis should be placed on all of the following EXCEPT
prevention
early identification
early intervention
aftercare
Questions from paper 4
16) According to the Office of Applied Studies (2006), more than _____ of all persons with COD do not
access any SA/MH services.
a) 1/4
b) 1/3
c) 1/2
d) 2/3
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17) According to Rehm et al. (2003), substance use disorders frequently complicate the management of
many chronic illnesses such as
a) hypertension
b) diabetes
c) congestive heart failure
d) renal failure
18)
a)
b)
c)
d)
The “A” in the CAGE screening instrument stands for
annoyed
abuse
alcohol
after-effects
19) All the following are in the continuum of responses to persons with COD who appear in health settings
(NASMHPD, 1999) EXCEPT
a) Identification and Initial Management
b) Initiation
c) Collaboration
d) Integration
20)
a)
b)
c)
d)
In social welfare settings, central to the process of outreach and engagement is the establishment of a
therapeutic contract
treatment plan
relational hierarchy
helping relationship
Questions from paper 5
21) Kihlstrom (2005) states: _____ is the only process by which mental health practitioners should
determine what evidence guides evidence-based practices (EBP's).
a) scientific research
b) global subjective judgment
c) case studies
d) consensus
22)
a)
b)
c)
d)
Which is NOT a component of EPB's as put forth by the Institute of Medicine (2001)?
best research evidence
clinician expertise
patient values
individual differences
23)
a)
b)
c)
d)
All are reasons EBP's should be used EXCEPT
the quality of care is improved
increased likelihood that desired outcomes will occur
more efficient use of resources
services are more likely to be reimbursed by insurance companies
24) Which of the following does NOT have an evidence base for producing positive clinical outcomes for
persons with COD at the program level?
a) Modified Therapeutic Communities
b) Motivational Sheltered Communities
c) Integrated Dual Disorders Treatment
d) Assertive Community Treatment
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Questions from paper 6
25) Benefits to programs and clinicians of services integration include all EXCEPT
a)
b)
c)
d)
revised staff patterns and work schedules
opportunities for agency and professional growth
workforce development
increased job satisfaction
26) There are some services that should not be integrated.
a) True
b) False
27) NASMHPD & NASADAD (1998) state all the following will facilitate the process of integrating services in
organizations EXCEPT
a) an integrated organizational chart
b) shared assessment tools
c) regulations that can be modified at the clinician level
d) integrated policy manuals
28)
a)
b)
c)
d)
All the following are challenges that must be addressed to implement integrated services EXCEPT
the importance of accepting partial recovery for persons with severe mental problems
the belief that substance abuse problems will resolve when mental disorders are addressed
mental health professionals need to be familiar with physical sequelae of substance abuse
mental health professionals need to be comfortable with recovery issues such as denial
Questions from paper 7
29)
a)
b)
c)
d)
Which model was developed by Minkoff & Cline (2001) to guide systems integration efforts for COD?
CCISC
SICOD
ICEDT
TARTR
30) An example of systems integration would be the creation of an integrated State mental health and
substance abuse department.
a) True
b) False
31) Which of the organizational processes described by Charles Curie et al., (2005) involve individuals or
teams who have the authority to organize a complex change process?
a) Value-driven, evidence-based priorities
b) committed leadership
c) shared vision and integrated philosophy
d) true partnership among all levels of the system
32) What has been used to measure an organization's operating characteristics associated with the capacity
to implement evidence-based practices (Center for Mental Health Services, 2005)?
a) General Organizational Index
b) Best Practices Survey
c) Systems Malleability Quotient
d) Operating Characteristics Checklist
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Questions from paper 8
33)
a)
b)
c)
d)
At its core, epidemiology is
subjective
just a bunch of geeks with poor social skills
descriptive
biased towards the mean
34)
a)
b)
c)
d)
Which is NOT 1 of the 3 major studies from which current national COD epidemiologic data are derived?
National Addiction Survey
National Comorbidity Survey
National Survey on Drug Use and Health
National Epidemiologic Study on Alcohol and Related Conditions
35)
a)
b)
c)
d)
The NCS-A focuses on
abuse
adolescents
adults
addicts
36) A key COD finding is that substance use disorders are present in more than _____ of the individuals
sampled.
a) 9%
b) 19%
c) 29%
d) 39%
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