ADDICTION TREATMENT: A STRENGTHS PERSPECTIVE 3rd Edition

 
 
ADDICTION TREATMENT:
A STRENGTHS PERSPECTIVE
^3rd Edition
 
 
 
Chapter 1: The Nature of Addiction
 
Essay Questions
 

1. Make the case that Twelve Step approaches and harm reduction are not polar opposites or even mutually exclusive. PG 48

 

2. Discuss three major benefits of a harm reduction philosophy for society. PG 46 and throughout the chapter

 

3. Discuss in depth the methodology used in Project MATCH and the treatment implications of the findings. PG 35-36

 

4. Define interactionism and show how the addicted family member’s behavior affects the family system. PG 14

 

5. Discuss the ethical dilemmas faced by the casino worker who is a social work major. PG 6-7

 
.
Multiple Choice
 

1. According to Shavelson (2001), author of Hooked, which three words define harm reduction?
2. any positive change
3. recovery from pain
4. a controlled life
5. I’m in recovery

ANS: B     PG1
 

2. The DSM-5 has made the following change from the previous version of the DSM:

A.The term dependence will now be used instead of addiction

1. Abuse and dependence are now to be dichotomized
2. Specific criteria for diagnosis will no longer be provided
3. The term dependence will now be used only for physiological dependence

ANS:D     PG3
 

3. According to the DSM-5 what term or terms replace(s) the word dependence?
4. a personal choice

B.. a bad habit

1. a brain disease
2. addiction.

ANS:D        PG4
 
 

4. Which of the following are NOT typical symptoms defined by the DSM-5 to diagnose substance use disorder:
5. tolerance

B.unsuccessful attempts to control or reduce consumption

1. nervous facial tics
2. withdrawal problems

ANS:C         PG4
 
 

5. In the boxed reading, “Social Work Major Working in a Casino,” the author describes
6. her gambling addiction problems.
7. examples of people winning lots of money.
8. close surveillance of employees.
9. advantages of playing black jack.

ANS:C     PG6-7
 

6. A behavior pattern of compulsive substance abuse is the definition of:
7. contemporary perspective
8. metacommunication
9. incompatible with the biopsychosocial model
10. the concept of addiction

ANS:D     PG9
 

7. According to the text, to understand the pain connected with addictive and compulsive behavior, one must:
8. focus on harm reduction.
9. understand the pleasure side of the activity.
10. emphasize character weakness.
11. attend an AA meeting.

ANS:B      PG10
 

8. According to the text, alcoholism is described in this book as an illness because:
9. the concept recognizes alcoholism as both a medical and social problem
10. the use of disease as a term is victim blaming
11. to avoid the notion of alcoholism as a brain disease
12. to increase the popularity of the book.

ANS:A       PG11
 
 
9..  As stated in the text, addiction is an illness of the:

1. body only.
2. mind only.
3. soul only.
4. body, mind, and soul

ANS:D     PG12
 
10.. The third leading cause of death after heart disease and cancer is

1. illicit drug use
2. head injuries
3. asthma
4. alcohol misuse

ANS:D     PG17
 

11. According to the text, the following behaviors can become addictive except for:
12. drug/alcohol use.
13. eating.
14. shopping.
15. studying.

ANS:D     PG19
 
 

12. A concept that is stressed in the text for its explanatory value is

A.. interactionism
B.. dichotomization

1. abuse versus misuse
2. codependency

ANS:A     PG14

13. _______________ is the basic principle that cause and effect are intertwined.
14. Interactionism
15. Intolerance
16. Pathology
17. Medical model

ANS:A     PG14
 

14. Interactionism is seen most vividly, according to the text, in
15. use of robots.
16. family system dynamics.
17. creating art.
18. prayer.

ANS:B     PG15
 

15. According to the text, approximately____of mental health clients have problems stemming from their own or their family members’ addiction problems:
16. 20%
17. 50%
18. 80%

D 90%
ANS:B     PG15

16. Approximately______________of U.S. prison inmates meet the DSM criteria for substance misuse
17. 100,000
18. 300,000
19. 700,000
20. 1.5 million

ANS:D     PG16
 

17. Which of the following treatment modalities was not highly rated in empirical research for effectiveness?
18. self-control and social skills training
19. use of educational tapes, lectures, and films
20. motivational enhancement strategies
21. cognitive therapy

ANS:B     PG39
 

18. According to the NIAAA (National Institute of Alcohol Abuse and Alcoholism), about how many previously diagnosable alcoholics matured out of their dependence?
19.   none
20.   only a fraction
21.   one third
22.   most

ANS:C     PG39
 

19. According to Hester and Miller’s empirical research, the highest treatment effectiveness

scores were obtained for

1. harsh confrontational techniques
2. motivational enhancement.

C  psychoanalytical treatment

1. treatment that focused on the underlying cause of the drinking or drug use.

ANS:B     PG39
 
 

20. The following are trends in substance abuse treatment today except for
21. chain smoking regarded as an addiction

B.human rights seen as a practical philosophy
C.counseling of clients in moderate drinking
D.public opinion favoring more imprisonment of drug users
ANS:D     PG42
 

21. The drug court movement promotes what action with individuals whose legal                                problems are related to their addiction?
22. decarceration – treatment in the community
23. incarceration – treatment in the prison system
24.   requirement to serve out the remainder of prison term, in case of relapse
25.   moving clients into “wet house”.

ANS:A     PG46
 
 
22.Human rights apartments for formerly homeless people in San Francisco
A.are abstinence based.
B.reduce costs to the cities by $1,000 per month.
C.actually increase the hospitalization rates of residents
D.have been shown to be cost-ineffective.
ANS:B     PG46
 

23. Using a holistic basis for measurement, which of the following is considered a standard measurement for successful treatment outcomes?
24.   total abstinence as the only standard
25.   length of time of abstinence from all psychoactive substances
26.   improvement that might include moderate drug/alcohol use
27.   ability to secure stable housing

ANS:C     PG47
 
24 Restorative justice
A.advocates adversarial criminal justice practices.
B.is the guiding philosophy of PEASE academy
C.is an opposing philosophy to harm reduction.
D.uses a hierarchical structure for decision making.
ANS:B     PG47
 

25. Reentry programs focus primarily on

A.persons released from prison
B.aftercare following treatment
C.persons returning to prison after relapse
D.addicted people who have insurance.
ANS:A     PG48
.
 
                                                True or False
 

1. The DSM-5 uses the term addiction instead of dependence. True PG4

 

2. The social worker working in the casino was able to successfully resolve her ethical conflict. False PG6-7.

 

3. This text examines diverse theoretical frameworks from a strengths perspective. True PG28

 

4. The text recommends total abstinence as the best criterion by which to measure treatment success.     False  PG47

 

5. Harm reduction is the approach known for its pragmatism. True PG31

 

6. Project MATCH is criticized by researchers for its lack of a control group. True PG36

 

7. Restorative justice has its roots in both ancient tribal and modern (Mennonite) practices. True PG46-47 

Chapter 2: Historical Perspectives
 
Essay Questions
 

1. How have various societies at various times tried to control the use of alcoholic beverages? What are the control policies today? PG74-75, 77

 

2. Describe the role that wine played in the lives of ancient Greeks, Romans and Hebrews.PG61

 
3..  Describe the connection between xenophobia and Prohibition.  How did the Mafia enter the         picture?  Recount the reasons for the repeal of Prohibition. PG69,73
 

4. Discuss three major themes that emerge in a study of the history of substance use by the American and other populations. PG60

 
 
5.. Compare and contrast Prohibition and the war on drugs in today’s world. PG77-81
 
         
                                      
Multiple Choice

1. According to the book, all of the following are themes in the history of substance abuse    and  addiction except:
2. cultural traditions breed different reactions to the same drug

B.. America has had a love/hate relationship with alcohol

1. Russia has done much to advance the course of addiction treatment
2. increased drug potency tends to be associated with prohibition

ANS:C     PG60
 
 

2. This cultural/historical group encouraged complete abstinence from alcohol consumption:
3. Greeks
4. followers of Islam
5. Romans
6. Hebrews

ANS:B     PG62
 

3. Which national or indigenous population introduced marijuana into the “New                                       World”?
4. the Spaniards
5. the Caribbean Indians
6. the Mayans

D  Indians
ANS:A      PG63
 

4. Cocaine use as coca leaf chewing originated with:
5. Ancient Greeks
6. South American indigenous peoples*
7. Ancient Romans
8. Judaism

ANS:B     PG63
 

5.  The following is a legacy from the Puritans according to the text:
6. religiosity by the state
7. punitiveness
8. total abstinence

D.emphasis placed on leisure
ANS:B     PG65
 

6. Early American colonists used alcohol for all except which of the following?
7. protection against disease
8. as a solvent
9. as an antiseptic
10. as a deodorant

      ANS:D     PG66
 

7. Technological advances often exceed a people’s ability to handle it. What was the turning            point for alcohol?
8. wineries
9. the cotton gin
10. distillation *
11. electricity

ANS:C     PG66-67
 
 

8. In Colonial times the tavern was criticized because of which factor with which it was associated:
9. male drunkenness *
10. gambling by kids
11. being the headquarters of the suffrage movement
12. slave rebellion

ANS:A     PG66
 

9. In Colonial America strong drink was thought to:
10. cause rickets
11. induce pain
12. cause seizures
13. protect against disease

ANS:D     PG66
 

10. The behavior most clearly associated with the temperance movement was:
11. the enslavement of people
12. vegetarianism
13. moderation of drinking
14. total abstinence from all alcoholic beverages

ANS:C     PG68
 

11. Historically, the Chinese have had the biggest problem with which addictive drug?

A.Opium
B.Cocaine
C.Marijuana
D.Ecstasy
ANS:A     PG68
 
 
 

12.  The lesson that we can learn from Shane Butler’s insightful analysis of                                             treatment in Ireland is the need for:
13. compatibility between societies’ belief systems and publicly instituted policy
14. abstinence as a focus of treatment
15. a return to Catholic principles
16. reunification of north and south in Ireland

ANS:A     PG72
 

13. The American experiment with “prohibition – the noble experiment”:
14. caused corruption of police and politicians.

B.. was successful in reducing heavy alcohol consumption.
C.. reduced the crime rate.

1. was not supported by female suffragists..

ANS:A     PG73
 

14. Philadelphia physician Benjamin Rush is known for recommending:
15. pre-temperance ideology.
16. the 12 Step program.
17. medical treatment for chronic “inebriates.”
18. providing combat soldiers with liquor to prevent trauma.

ANS:C     PG83
 

15. Breweries popped up in the Midwest related to the arrival of____________
16. the Irish.
17. the depression.
18. the Germans. *
19. the colonists

ANS:C     PG73.
 

16. The __________ political family made their money through selling illicit alcohol   directly to          people at the highest levels of organized crime?
17. Johnson
18. Kennedy
19. Lincoln
20. Bush

ANS:B     PG73
 

17. Which national group is singled out in the text for their healthy enjoyment of good wine?
18. Norwegians
19. Irish
20. Russians
21. Italians

ANS:D     PG75
 

18. Which country is considered the world’s leading producer of cocaine?
19. Mexico
20. Canada
21. Columbia *
22. Cuba

ANS:C     PG79
 

19. About 90% of the world’s heroin comes from?
20. Colombia
21. Mexico
22. Sweden
23. Afghanistan *

ANS:D     PG80
 

20. The following concepts or notions were derived from Bill W. except for:
21. powerlessness
22. carrying the message to other persons
23. seeking divine guidance
24. empowerment

ANS:D     PG84
 

21. Jellinek’s major contribution was
22.   in his work with war trauma
23.   to identify multiple alcoholisms
24.   display his knowledge of the Greek alphabet
25.   to introduce the harm reduction model.

ANS:B     PG88
 
 
 

22. Box 2.1 describes a treatment center in Norway that
23. is based on a 12 Step approach.
24. operates within a system that lacks nationalized health care.
25. utilizes medical management such as Naltrexone in treatment
26. uses a harm reduction approach

ANS:A     PG94
 

23. The harm reduction model was practiced in Europe in modern times chiefly in connection             with
24. the spread of methamphetamines.
25. the spread of knowledge concerning U.S. practices
26. fear of the spread of HIV/AIDS
27. academic influences

ANS:C     PG96
 
True or False
 

25. The Jellinek curve depicts only the Gamma variety of alcoholism. False  PG88

 

24. . Alcohol is mentioned 3 times in the 12 Steps.   False  PG96

 
 
 
 
Chapter 3: The Biology of Addiction
 
Essay Questions

1. Discuss male/female differences in terms of the metabolization of alcohol and B.A.C.   levels. PG14

 

2. Discuss the phenomenon of the blackout and the legal implications. PG119-120

 
 

3. Define and differentiate among tolerance, tolerance reversal and cross tolerance. PG117-118

 

4. Discuss Cloninger’s adoption studies and the characteristics of Type 1 and Type 2 alcoholics.

PG162
 

5. Using scientific research findings, argue for a hereditary component in addiction. PG162-164

 
Multiple Choice
 

1. Which one of these is not a depressant?
2. nicotine
3. alcohol
4. morphine
5. OxyContin

ANS:A            PG110
 
 

2. Heroin is a semi-synthetic derivative of
3. OxyContin
4. opium *
5. cocaine
6. nicotine

ANS:B            PG110
 

3. The lachrymose drunk, according to Father Martin, is the __________ drunk.
4. laughing
5.   singing
6.   fighting
7.   crying

ANS:D            PG111
 

4. The highest level of alcohol use is found among:
5. 19 year olds
6. 21 year olds *
7. 40 year olds
8. 65 year olds

ANS:B            PG112
 

5. Abuse of which of these substances is the leading risk factor for death among youths?
6. nicotine
7. alcohol *
8. cocaine
9. meth

ANS:B             PG112
 

6. What percentage of patients treated at mental health centers have problems with alcohol
   1. and other drugs?
   2.   10 percent
   3.   20 percent
   4.   60  percent *
   5.   90 percent

ANS:C              PG113
 

7. Which countries of the following have the highest total per capita consumption in liters of                          pure alcohol?
8. China and Japan
9. the United States
10. Germany and Austria
11. Moldova and the Czech Republic

ANS:D            PG113
 
8,         According to research, the only drug that causes addiction in the majority of users is

1. heroin
2. alcohol
3. nicotine *
4. cocaine

ANS:C            PG117
 

9. The phenomenon associated with aging in which the drinker loses his/her ability to                              handle       alcohol is
10. tolerance
11. tolerance reversal
12. withdrawal
13. cross-tolerance

ANS:B            PG118
 
 

10. Advice to prevent a hangover is to do all the following except:
11. avoid darker drinks
12. drink lots of liquids such as water
13. reduce the quantity of alcohol
14. don’t eat and drink at the same time

ANS:D            PG119
 

11. The movie The Lost Weekend and Mark Twain’s Tom Sawyer were presented in the text

to illustrate the phenomenon of

1.   the blackout
2.   hangovers
3.   binge drinking
4.   anhedonia

ANS:A            PG121
 

12. When a tolerance that develops for one drug generalizes to another drug in the same                              pharmaceutical class, this is called
13. tolerance
14.   tolerance reversal
15. behavioral tolerance
16.   cross-tolerance

ANS:D            PG132
 

13. Which of these is not an opiate?
14. heroin
15. morphine
16. Valium
17. Demerol

ANS:C            PG121
 
 

14. ___________ is used to block withdrawal symptoms and reduce cravings and is distributed in clinics/hospitals in the US and Britain.
15. heroin
16. OxyContin
17. methadone
18. morphine

ANS:C                        PG125
 

15. Results from one NIAAA study found all except _______ to be effective in treatment for                 alcohol dependence.
16. naltrexone
17. behavioral counseling

C  medication management in cases of co-occurring disorders

1. OxyContin

ANS:D            PG125
 

16. All of the following are prescription drugs strongly associated with Emergency Room       visits          except for:
17. Vicodin
18. Melatonin
19. Oxyconntin
20. Methadone

ANS:B                        PG126
 

17. Smoking is directly responsible for approximately what percentage of lung cancer death                   according the American Lung Association (2006)?
18.   50%
19. 75%
20.   85%
21. 90%

ANS:D            PG131
 
 

17. The inability to feel pleasure is known as
18.   ephedrine
19. anhedonia
20.   “chasing the dragon”
21. “speedballing”

ANS:B                        PG131
 
 

18. A drug used experimentally to treat trauma victims is
19.   PCP
20.   nicotine
21.   Ecstasy
22.   marijuana

ANS:C                        PG139
 

19. This drug activates the very receptors in the brain involved in the increase of appetite:
20.   PCP
21.  nicotine
22.   Ecstasy
23.   marijuana

ANS:D            PG143
 

20. Of the following prescribed drugs, the one least likely to be associated with getting high is
21. Antabuse

B, Prozac

1. Methadone
2. Luvox

ANS:A                PG146
 

21. Ondansetron has been used effectively in treating
22. alcoholism.

B  hyperactivity disorder.
C  sleep apnea.
D.sleep disorders.
ANS:A            PG157
 

22. Aversion treatment derives from the ______________ school.
23. Classical conditioning/behaviorism
24. Carl Rogers
25. cognitive
26. psychodynamic

ANS:A            PG176
 

23. Which class of medications are widely prescribed today to combat depression?
24. antibiotics
25. SSRI’s
26. “truth serums”
27. Ritalin.

ANS:B                        PG179
 

24. Naltrexone works by
25.      blocking brain activity that produces a high
26. conditioning
27. producing a synthetic high
28. causing nausea

ANS:A            PG180
 
True/False

25. Confabulation is associated with Korsakoff’s psychosis. True PG168

 
 
 
 
 
 
 
Chapter 4 – Gender and Sexual Orientation Differences
 
Essay Questions

1. Justify placing women in a special treatment discussion group restricted to women. Page 229-234.
2. What are the physiological gender differences with regard to alcoholism? Page 227-229.

 

3. How are women as a group oppressed in the dominant culture of the United States? Page 215.

 

4. Why has the female prison population in the United States nearly doubled in the last 10 years? Page 220.

 

5. Briefly explain three “do’s” when working with transgender individuals. Page 24.

 
 
 
Multiple Choice.

1. The story of Monique and Becky is an example of
2. the protective power of gender
3. the protective power of race and class
4. how to maintain a harmless habit of cocaine
5. harm reduction
6. Answer: b, p. 211

 

2. According to the Global Status Report on Alcohol, the male/female ratio of heavy episodic drinking, which country as having the largest gap between males and females?
3. Canada
4. Germany
5. Italy
6. Mexico
7. Answer: d, p. 211

 

3. Compulsive gambling surveys consistently report that ______ are the group most likely to experience pathological gambling problems.
4.   men
5.   women
6.   homosexuals
7.   heterosexuals
8. Answer: a, p. 213.

 

4. Problem gambling helplines are now reporting that
5. the percentage of women calling helplines is decreasing.
6. men are more likely than women to be pathological gamblers.
7. women with gambling problems tend to be early onset.
8. the percentage of women seeking help with gambling problems has been increasing.
9. Answer: d, p. 213

 

5. In the recent past, women who were identified as alcoholics, drug addicts, or compulsive   gamblers were considered
6. not especially deviant
7. promiscuous
8. mentally ill
9. repressed
10. Answer: b, p. 214.

 

6. Which of the following is a not a reason why women are less likely than men to enter treatment?
7. lack of family support
8. obligation of child-rearing
9. lack of gender specific treatment programs
10. partner support
11. Answer: d, p. 216

 

7. Women-specific treatment programs are more likely to provide the following services except:
8. children’s activities
9. assistance in locating housing
10. anger management
11. d. residential beds for client’s children
12. Answer: d, p. 229

 

8. South Carolina remains the only state where:
9. a woman can be criminally prosecuted for using illicit drugs while pregnant.
10. there is free treatment on demand
11. guaranteed substance abuse treatment availability.
12. established a state wide system of drug courts.
13. Answer: a, p. 218

 

9. What percentage of female federal inmates were convicted of a drug violation.
10. 48%
11. 18%
12. 72%
13. 98%
14. Answer: c, p. 220

 

10. Which of the following is the strongest predictor of family violence?
11. cultural approval of violence
12. level of alcohol abuse
13. level of gambling problems
14. level of drug abuse
15. Answer: a, p. 221

 

11. Compared to men, women who have problems with substance misuse
12. often have do not have a history of sexual abuse from childhood.
13. do not suffer from low self-esteem.
14. are less likely to have a serious mental disorder.
15. are more likely to have a serious mental disorder
16. Answer: d, p. 224

 

12. Which of the following areas are risks for lesbian and bi-sexual women who are not open about their sexual orientation and who lack social support?
13. self-harm
14. smoking
15. gambling
16. alcohol abuse
17. Answer: a, p. 237

 

13. The highest percentage of teenagers who actually attempt or commit suicide are those struggling with ___________.
14. eating disorder
15.   sexual orientation issues
16. internet addictions
17. substance abuse problems
18. Answer: b, p. 238
19. Of all the sexual minorities, which group is the most subject to violent assault and employment discrimination?
20. bi-sexuals
21. lesbians
22. effeminate gay men
23. transgendered persons
24. Answer: d, p. 240

 

15. PFLAG as an organization
16. is a self-help but not advocacy group.
17. is open to membership of both sexual minorities as well as allies and families of gays and lesbians.
18. is open to families and friends of gays and lesbians but discourages gays and lesbians from attending.
19. is an organization for gays and lesbians to demonstrate patriotism
20. Answer: b, p. 242

 

16. A recommended way to build trust with gay and lesbian clients (according to the text) is to:
17. post a Safe Place symbol on a pink triangle on the office door
18. let them know right away that you are heterosexual.
19. post a “I’m straight but not narrow” slogan on the office door.
20. keep homosexuality out of the conversation.
21. Answer: a, p. 242

 
True or False
 

1. Women are more likely than men to have a spouse or partner who also is abusing substances. True, p. 217
2. Compared to men, women become intoxicated more readily even at the same body weight. True, p. 227.
3. A transgendered person may be sexually attracted to males, females, or both. True, p. 240
4. 4. Bisexual identity is a separate identity in itself. True, p. 240. 
5. Men are much more likely to be pathological or problem gamblers than are women. True, p. 213.

 
Chapter 5:  Gambling, Eating Disorders, Shopping, and Other Behavioral Addictions
 
Essay Questions
 

1. “Eating disorders start in the brain.” Discuss this claim in light of research findings. PG284

 

2. With emphasis on biology, relate anorexia to OCD. PG280.

 

3. Discuss cognitive distortions typified by gamblers and how these distortions can be offset in therapy. PG271

 

4. Compare and contrast motivational enhancement therapy (MET) and Albert Ellis’s rational emotive behavior therapy (REBT) in terms of the strengths perspective. PG299-300.

 

5. Discuss some of the creative group exercises for feeling work that are described at the end of this chapter. PG307-308

 
 
 
Multiple Choice
 

1. Which of the following states does not have legalized gambling (as of 2011)?
2. Hawaii
3. New York
4. Idaho
5. Mississippi

ANS:A                PG259
 

2. Among the criteria listed by DSM-5 for pathological gambling are all except
3. a preoccupation with gambling
4. a need to gamble with increasing amounts of money
5. gambling from stress
6. being a young to middle-aged male

ANS:D                  PG260
 

3. The requirement to join Gamblers Anonymous is
4. a willingness to pay small dues for coffee
5. a desire to stop gambling *
6. a promise to abstain from all forms of gambling forthwith
7. a pledge to speak out at meetings

ANS:B                  PG265
 
 

4. According to a National Council study, the suicide rate is highest among which of the following addictions?
5. eating disorder
6. pathological gamblers
7. alcoholics
8. cocaine users

ANS:B                  PG264
 

5. One reported side effect of a drug used for Parkinson’s disease is
6. a state of depression associated with suicide.
7. manic-like state that could lead to gambling problems.
8. the ability to quit smoking.
9. a reduced desire to drink alcohol.

ANS:B                  PG265
 

6. Which of the following have been found to be more related to anorexia than bulimia?
7. early menstruation age
8. purging
9. anxiety and obsessiveness
10. food-related obsessions

ANS:C      PG275
 

7. What percent of those with eating disorders misuse alcohol or other drugs?
8. 25%
9. 30%
10. 50%
11. 90%

ANS:C                  PG276
 

8. According to the text, all of the following are risk factors for an eating disorder among girls except for:
9. stress and trauma
10. susceptibility to media ads and images
11. substance misuse
12. early dating

ANS:D                  PG276
 

9. According to the text, the rituals of anorexia are closely related to
10. schizophrenia.
11. borderline traits.
12. OCD. *
13. alcoholism.

ANS:C                  PG280
 
 

10. The notion of “brain lock” is used by Schwartz to explain the disorder,________.
11. OCD
12. bipolar disorder.
13. schizophrenia.
14. antisocial personality.

ANS:A                  PG280.
 

11. Bulimics tend to share the following characteristics except for
12. a likely history of childhood sexual abuse
13. a tendency to abuse alcohol
14. the tendency to have overweight family members
15. hyperactivity

ANS:D                  PG283
 

12. The average lifetime duration for bulimia and binge eating disorder is                                     A. less than 16 months
13. less than 3 years
14. over 8 years *
15. a lifetime

ANS:C                  PG283
 

13. The preferred treatment for eating disorders described in the book is
14. a combination of pharmaceutical and cognitive interventions *
15. use of serotonin-enhancing antidepressants only
16. aversion therapy
17. psychodynamic therapy

ANS:A                  PG284
 

14. Treatment at the University of Iowa eating disorders clinic was criticized by a former client quoted in the text for its lack of
15. psychiatric care
16. attention to past trauma
17. affordability
18. a cognitive approach

ANS:B                  PG286
 

15. The self-help group for individuals with eating problems is
16. called Overeaters Anonymous (OA)
17. for women only
18. having difficulty getting established
19. headed by a professional therapist

ANS:A                  PG289
 
 

16. According to the text, motivational enhancement therapy
17. has much in common with Samenow’s criminal personality theory
18. is both cognitively based and client centered *
19. is client centered but not cognitively based
20. is confrontational but not argumentative

ANS:B                  PG296
 

17. According to Miller and Rolnick, a formal assessment or pretreatment testing
18. should be avoided as part of motivational work
19. provides an opportunity for the counselor to play the role of expert
20. should be presented as an incentive toward motivation
21. are for screening purposes only

ANS:C                  PG301
 

18. Which of the following helps to reduce angry outbursts?
19. letting out a primal scream
20. beat on punching bag
21. petting the dog
22. cursing

ANS:C                  PG304
 
 
True or False
 
19  The suicide rate for pathological gamblers is higher than that of any other addictive disorder. True       PG264
 

20. Internet gambling is the fastest-growing segment of the gambling market. True          PG268

 

21. There is no correlation between the availability of gambling and the rate of gambling addiction. False      PG270

 

22. Hoarding is increasingly seen as a separate disorder from compulsive spending. True              PG 280

 

23. Eating disorder; trauma disorder; childhood sexual abuse, rape, and domestic violence are highly correlated to eating disorders.  True   PG285

 

24. According to the text concerning shopping addiction, the key factor is materialism. False      PG291

 

25. Sex addiction will be recognized in DSM-5 as hypersexual disorder. True      PG297

 

26. According to the text, beating on a punching bag decreases aggression and anger. False

PG304
 
Chapter 6: Addiction Across the Life Span
 
Essay Questions
 

1. Discuss the stages of psychosocial development in terms of the needs and crises of each stage. PG322

 

2. What is the extent of alcohol and other drug use among today’s youth? How does early use of chemicals relate to later use? PG325-328

 

3. What are some of the cultural characteristics of youths who misuse alcohol? PG327
4. How does alcohol and tobacco marketing enter the picture? PG327

 

4. Explore the link between early childhood sexual abuse and later development of substance misuse patterns. How does one account for this correlation? PG330

 

5. Account for the link between ADHD and chemical misuse. PG333-3334

 

6. How does weight obsession affect each gender? PG335, 336

 

7. Relate binge drinking in the U. S. with alcohol control policies. How would harm reduction policies differ? PG340

 

8. Discuss the physiology of drinking late in life. PG357-358

 

9. What are some common pitfalls as outlined by Beecher for the counselor with an elderly clientele? PG358

 

10. Describe the three types of guilt feelings experienced by grief-stricken family members who have a dying spouse/partner or relative. PG372

 
 
Multiple Choice
 

1. The prefrontal cortex of the brain reaches full maturity soon after age
2. 10
3. teens
4. mid-20’s
5. 30

ANS:C                        PG322
 

2. According to Carol Gilligan, Erikson’s conceptualization for young life was:

A.. sensitive to gender issues.

1. too focused on violence.
2. lacking in concern for female developmental issues..
3. lacking in detail..

ANS:C                        PG324
 

3. Erik Erikson’s stage of development pertaining to adolescence was
4. identity vs. role confusion
5. trust vs. mistrust
6. ego integrity vs. despair
7. identity vs. responsibility

ANS:A            PG324
 

4. According to a study conducted by the European Public Health Alliance (2005), which of the following European countries was the only one with more persons in the 15 -34                             year age group using more illicit drugs than the U.S.?
5. Ukraine
6. United Kingdom
7. Czech Republic
8. Denmark

ANS:C                        PG325
 

5.       According to data from the National Survey on Drug Use and Health (2006), in the 18 to             25 age group, which of the following substances had the highest usage?

A.. Ecstasy

1. cocaine
2. alcohol
3. marijuana

ANS:D            PG326
 

6. Binge drinking is defined for males as ________ drinks on one occasion.
7. 3 or more
8. 4 or more
9. 5 or more *
10. 6 or more

ANS:C                        PG326

7. Drinking to get drunk is the most common among teens who live in
8. the Northeast
9. the Midwest and West
10. the Southeast
11. the Southwest

ANS:B                        PG326
 
 

8. An exception to the trend in reduced teen drug use is in regard to
9.   use of prescription drugs not prescribed for them.
10.   heroin use.
11.         use of Ecstasy.
12. cocaine use.

ANS:A            PG326
 

9. A recent change in emergency room admissions concerns overdoses related to ____                               overdoses.
10. alcohol
11. meth
12. prescription drug misuse
13. marijuana

ANS:C                        PG326
 

10. The following statement is true of drug use rates in school surveys except for this one:
11. African Americans and Hispanics have usage rates higher than whites in the                                      junior high grades.
12. African Americans and Hispanics have lower rates than whites at higher grade                                  levels.
13. Overall, illicit drug use decreased among high school students (in 20).
14. Minorities have lower rates of illicit drug use than Whites in the lower grades.

ANS:D                        PG327
 
 

11. Which racial youth group is more likely to become heavy users of cigarettes among            females?
12. Middle Eastern
13. African American
14. Caucasian
15.    Latino

ANS:C                        PG336
 

12. According to research  on teen smoking, a strong risk factor for smoking is all except:
13. having friends who smoke.
14. dropping out of school.
15. having a risk-taking personality.
16. sports involvement.

ANS:D                        PG331
 

13. An explanation presented in the text for the link between early sexual abuse and later development of alcoholism is all except
14. the development of biochemical abnormalities in the brain associated with trauma.
15. having older brothers.
16. the impact of anxiety and stress during adolescence which lead to later self      medication with chemicals.
17. the sense of shame and self-disgust in the victim which reduces his/her coping skills with later problems.

ANS:B                        PG332.
 

14. Boys with ADHD
15. have lower rates of substance misuse than other boys
16. have higher rates of substance misuse than other boys
17. have the highest rates of substance misuse when they are medicated             with Ritalin
18. none of the above

ANS:B                        PG334
 

15. The male counterpart to female anorexia is
16. cutting the skin
17. muscle dysmorphia *
18. binge drinking
19. bulimia

ANS:B                PG336
 

16. BASICS is a program for

A.older persons with alcohol problems.

1. young people with eating disorders
2. prevention of college binge drinking.
3. prevention of muscle dysmorphia.

ANS:C                        PG343-344
 

17. Research from the National Center on Addiction and Substance Abuse at Columbia University reveals that teens who smoke cigarettes are _______ times likelier than nonsmokers to try marijuana and have friends who smoke marijuana.
18. 10 times
19. 14 times *
20. 22 times
21. 50 times

18. The text recommends from a harm reduction perspective to control college binge drinking through
19. greater enforcement of underage drinking laws.
20. lowering the legal drinking age to 18 or 16.
21. restricting the marketing of alcohol products.
22. b and c *

 

19. According to the text, principles of motivational intervention are derived from the findings primarily from
20. anthropology.
21. social psychology. *
22. abnormal psychology.
23. behavior modification.

 

20. The following statement as of 2012 is true regarding recent combat veterans
21. The military no longer allows distribution of cigarettes in veterans’ stores.
22. The VA has determined that 15% of female veterans have been

victims of military sexual trauma at the hands of their fellow soldiers.

1. The stress that combat veterans have endured is not of long-term consequence.
2. Reports of sexual abuse by female veterans are often false reports.

ANS:B                        PG359.
 

21. According to Beechem, an expert on elderly alcoholism, all except which of the following is true?
22. the elderly tend to avoid substance abuse services
23. there is often a problem of misdiagnosis
24. established criteria for classifying alcohol problems among the aged are inadequate

Dd. early onset alcoholism is correlated with fewer health problems than later onset,          which tends to be more severe
ANS:D            PG363
 

22. According to the text, an intervention with an elderly person in contrast to a        standard intervention should
23. proceed more slowly
24. contain a larger number of participants
25. proceed more rapidly
26. be highly confrontational to break entrenched defenses

ANS:A            PG366
 
 
 
 
 
True or False
 

23. The process of brain maturation is complete at age 18. False   PG322

 

24. School surveys exaggerate the drinking and drug use rates of minorities in that age group.   False  PG327

 

25. Studies show multiracial adolescents have high rates of smoking and drinking. True    PG327

 
 
 
 
 
Chapter 7 – Screening and Assessment
Essay Questions

1. Discuss the impact of strength-based practices on traditional screening and assessment. (Pages 385, 399-402)
2. Explain the advantages and disadvantages of screening tools. (Page 386)
3. What background knowledge is essential before a counselor can embark on screening and assessment for co-occurring disorder problems? (Pages 393-394)
4. How is a formal diagnosis useful? (Page 399)
5. Explain why some strength-based practitioners see assessment as a “political activity”. (Page 400)

Multiple Choice

1. The principle advantage of screening tools is to provide
2. A method of positively identifying addiction problems
3. A method of quickly detecting the possibility of addiction problems
4. A method of securing third-party payments
5. A means of holding clients accountable for their behaviors
6. Answer: b, Page 387
7. The Lie/Bet questionnaire rules out pathological gambling problems when a client answers “no” to:
8. One question
9. Two questions
10. Three questions
11. Four questions
12. Answer: a, Page 387
13. Before using a short screening tool, it is helpful to remove any stigma that surrounds addiction by:
14. Assuring clients you don’t care if they answer “yes”
15. Letting clients know that the screening questions are routine and asked of all clients
16. Letting clients know that you suspect they have a problem and need to verify
17. Assuring clients that lots of people you see have alcohol, drug, or gambling problems.
18. Answer: b, Page 387
19. Which of the following is not a screen for alcohol problems?
20. CAGE
21. TWEAK
22. AUDIT
23. Twenty questions
24. Answer: d, Page 388-390
25. Which of the following is the most sensitive alcohol screen for Black obstetric patients and White Women?
26. CAGE
27. TWEAK
28. AUDIT
29. LIE/BET
30. Answer: b, Page 388
31. Which is the only alcohol screening test designed and validated for international use in a wide variety of populations, cultures, and languages?
32. TWEAK
33. SASSI
34. AUDIT
35. CAGE
36. Answer: c, Page 389
37. In the GA 20 Question Screen, how many questions must a person answer “yes” for a positive screen of compulsive gambler?
38. 18
39. 3
40. 7
41. 15
42. Answer: c, Page 390
43. Which internet site is not useful for finding alcohol/drug screening and assessment instruments:
44. National Institute of Alcohol and Alcohol Abuse
45. Addiction Research Institute, University of Texas
46. Institute for Behavioral Research at Texas Christian University
47. Project Match
48. Answer: d, Page 391
49. The SASSI differs from other substance abuse assessments because:
50. Most of the true/false items on one side of the form do not inquire directly about substance abuse
51. It can only be administered by physicians
52. It also requires a drug test (UA)
53. It takes the most time to administer
54. Answer: a, Page 391
55. Which of the following is not a major level of care in the ASAM classification system?
56. Early Intervention
57. Medically Managed Intensive Inpatient Treatment
58. Withdrawal and Detoxification Treatment
59. Outpatient Treatment
60. Answer: c, Page 392
61. In co-occurring disorders, which level of care is not classified by CSAT?
62. Basic care
63. Intermediate care
64. Fully integrated care
65. Harm reduction care
66. Answer: d, Page 392
67. Which of the following is essential knowledge a counselor should have before conducting screening and assessment for clients who have co-occurring disorders?
68. Familiarity with the diagnostic criteria for common mental disorders
69. Complete confidence that you are competent in every area
70. Access to the “gold standard” screening/assessment instruments for COD
71. Skill in detecting whether or not the client is telling the truth.
72. Answer: a, Page 393
73. Which of the following is the screen that CSAT recommends for use in substance abuse or other settings to help identify clients who may have mental health problems?
74. AUDIT
75. Simple Screening Instrument for Substance Abuse
76. Mental Health Screening Form-III
77. TWEAK
78. Answer: c, Page 396
79. Which of the following has been validated for screening substance abuse problems with older adults?
80. TWEAK
81. Twenty Questions
82. Geriatric MAST
83. Geriatric AUDIT
84. Answer: c, Page 398
85. Of the following, which statement identifies one of the purposes of formal diagnoses:
86. Helps clinicians communicate with each other
87. Justifies the years of education required by clinicians
88. Lets client know that the clinician is an expert in the field
89. Adds to the esteem of the profession
90. Answer: a, Page 399
91. Which of the following is not recommended for building a relationship and finding client strengths?
92. Focus on what is happening in the client’s life
93. Focus on what the client wants to be different
94. Set aside the need to gather specific client information until you find out why they have come to the agency and what they want different
95. Require clients to fill out intake forms before seeing a counselor.
96. Answer: d, Page 400
97. Focusing attention on what the client wants to see happen as a result of working together with the clinician accomplishes which goal?
98. Sets up a collaborative partnership with the clinician
99. Establishes the credibility of the clinician’s knowledge
100. Helps client understand that they need to stay abstinent
101. Allows the clinician a way to tell the client which options they will pursue
102. Answer: a, Page 400
103. Which of the following does not describe empathy as described by Carl Rogers and William Miller:
104. The ability to listen to your clients accurately
105. The ability to reflect back to your clients the meaning of what they have said
106. Repeating back what the client said
107. Using your experience to make a responsive statement to what your client said
108. Answer: c, Page 401
109. Which of the following cautions do not apply to persons who are part of ethnic minority groups or who do not use English as a first language?
110. Measurement error
111. Different rituals and world-views
112. Translation and interpretation errors
113. Asking questions
114. Answer: d, Page 386
115. Which of the following is not a limitation of the Diagnostic and Statistical Manual.
116. Subject to the political influence of the pharmaceutical industry
117. Deficit-focused
118. Serves as the basis for third-party reimbursement
119. Pays little attention to the issues of social injustice that may cause or increase the symptom and problem
120. Answer: c, Page 399

 
True/False:

1. The GA Twenty Questions has high reliability and a high correlation with the DSM-IV. T, Page 390
2. The ASAM classification system is not widely used. F, Page 392
3. There is no single “gold standard” for COD assessment. T, Page 394
4. Asking a lot of questions initially in the first interview with a client can set up the expectation that the agency (counselor) is the expert on the client’s condition. Page 385

 
 
Chapter 8: Strengths-and-Evidence-Based Helping Strategies
Essay Questions

1. Which factors indicate that it is important to “reduce barriers” to treatment? (Page 411
2. Discuss three methods of reducing barriers to treatment. (Pages 411-412)
3. Explain the purpose of a scaling question and how you might ask it? (Page 430)
4. Argue the pros and cons of harm reduction. (Page 409-419)
5. What does empirical research say about the effectiveness of solution-focused therapy? Motivational interviewing? Cognitive-behavioral? (Pages 426, 431, 438)

 
 
Multiple Choice

1. Which of the following is not a tenet of a strengths-based approach?
2. providing options
3. choice
4. urinalysis testing
5. awareness of the client’s readiness for change
6. Answer: c, page 406

 

2. What approach is not considered in the text to be strengths-based?
3. harm reduction strategies
4. motivational interviewing
5. problem-focused therapy
6. solution-focused interventions
7. Answer: d, page 408

 

3. Most clients come to treatment in the
4. precontemplation and contemplation stages
5. contemplation stage only
6. preparation stage

 
d.action stage

1. Answer: a, p. 418

 

4. Self-change or “natural recovery” occurs with what percent of persons who quit smoking altogether?
5. 50-60%
6. 80-90% *
7. 25%
8. 0-10%
9. Answer: b p. 416

 

5. Which of the following is not a clinical principle of harm reduction:
6. Challenge stigmatization.
7. Start with intake procedures to gather client demographics
8. Develop a collaborative relationship with the client.
9. Drop preconceived notions about client goals.
10. Answer: b, p. 419

 

6. Which of the following is an example of a harm reduction strategy?
7.   insisting clients pay at least some money for treatment
8. b.  lowering financial barriers to treatment
9. removing access to injection equipment
10.   preventing physicians from prescribing methadone
11. Answer: b, p. 411

 

7. The outcome measurement for harm reduction therapy is:
8. abstinence from the addictive behavior
9. any step in the direction of reducing harm
10. successful employment
11. entering formal treatment
12. Answer: b, p. 420

 
 

8. Which of the following characterizes Solution-focused therapy?
9. looks for the root of the problem
10. sees the person as the problem.
11. relies on diagnostic labels from the DSM.
12. assumes the future can be created and negotiated regardless of the problem
13. Answer: d, page 429

 

9. Motivational interviewing was developed by _____________ as he demonstrated his motivational techniques to Norwegian student interns.
10. William Miller
11. Harold Hughes
12. Charles Rapp
13. Alan Marlatt
14. Answer: a, page 420

 

10. A major focus in motivational interviewing is to help clients:
11. establish a sense of identity
12. examine family of origin issues
13. break through denial
14. explore and resolve ambivalence
15. Answer: d, p.4

 

11. Which of the following is not a technique for enhancing motivation?
12. roll with resistance
13. express empathy
14. break through denial
15. develop discrepancy
16. Answer: c, p. 422

 

12. Which of the following is a goal of motivational interviewing:
13. compliance from the client
14. challenging resistance
15. confrontation
16. exploring and resolving ambivalence
17. Answer: d, p. 422

 

13. Cognitive-behavioral therapy is based on the idea that:
14. abstinence is required in order to change addictive behaviors
15. addiction is a disease with inevitable progression.
16. maladaptive thinking and bad habits are the mechanisms that cause addictive problems
17. a person needs to “hit bottom” before they can change their addictive behavior.
18. Answer: c, p. 431
19. The story of “Mr. Glue Head” best illustrates:
20. the problem with using such a label for a drug user.
21. the dangers of inhalant use.
22. the advantages of letting the client define the problem.
23. the risk of letting the client define the problem.
24. Answer: c, p. 429
25. Which of the following is not a method used in cognitive-behavioral therapy:
26. reinforcement
27.   the miracle question
28.   modeling
29.   ABC of emotions chart
30. Answer: b, p. 433-434

 

16. Which of the following best describes the effectiveness research on Cognitive-behavioral therapy?
17. a promising approach
18. the most empirically supported of all the group therapy interventions
19. the least supported approach to addiction intervention
20. less empirical support than Solution-focused.
21. Answer: b, p. 438
22. Which of the following is not a good reason for using group therapy as a modality for addiction treatment:
23. cost-effective
24. in general, group therapy is just as effective as individual therapy
25. it’s the best modality for using films and lectures to describe the nature of addiction
26. helps people who have become isolated from friends and family
27. Answer: c, p. 438

 

18. A group that has no conditions for group membership, no requirement for attendance or participation, and no requirement for abstinence or the desire for abstinence is best described as a:
19. cognitive-behavioral group
20. harm-reduction drop-in group
21. solution-focused group
22. twelve-step group
23. Answer: b, p. 440
24. What is the criterion that is used to guide addiction treatment matching in a majority of states?
25. OARS
26. ASAM
27. AUDIT
28. SAMHSA
29. Answer: b., p. 443

 

20. A strength-based approach to detoxification services would include which part of the following:
21. focus on immediate housing needs
22. focus on why the client is in detox
23. focus on agency expectations
24. focus on family expectations
25. Answer: a, p. 444

 
True or False

1. Harm reduction strategies for alcohol misuse are based on the premise that alcohol use ranges across a continuum, starting with no consequences for use and ending with devastating consequences for use. True, p. 416

 

2. A person in the “contemplation” stage exhibits little or no ambivalence about making a change. False, p. 418

 

3. The stages of change model is a linear process. False, p. 418

 

4. A person who is triggered to gamble by crowded parking lots is experiencing a conditioned response. True, p. 433

 
 

5. There is a strong relationship between a client’s initial motivation at treatment entry and outcomes six months later. False, page 418

 
 
Chapter 9: Substance Misuse with a Co-existing Disorder or Disability
 

Essay Questions

 

1. Describe a harm reduction approach with clients who are dealing with co-occurring disorders and survival needs. Page 459

 

2. Name three stereotypical beliefs about persons with disabilities that pose barriers to treatment. Page 489

 

3. Discuss the connection between surviving Hurricane Katrina and the development of mental health problems and also the factor of resilience. Page 466-468.

 
 

4. Describe the symptoms of schizophrenia and how this can lead to homelessness. Page 460, 470

 

5. Contrast integrated treatment practices with sequential treatment in terms of professional staff, admission criteria, and intervention practices. P. 472

 
Multiple Choice
 

1. The percentage of persons who are severely mentally ill that can even drink alcohol or use drugs at a moderate level without consequences is
2. 25%
3. 50%
4. 5% d. 80%
5. Answer: c., page 456

 

2. Persons who are dually diagnosed with substance misuse and mental disorders can expect the following (compared to persons with just substance misuse problems)
3. more homelessness
4. less often contracting sexually transmitted diseases
5. less incarceration
6. more services available
7. Answer: a, page 457

 

3. The most commonly used substance by persons with severe mental illness is
4. cannabis
5. cocaine
6. meth
7. alcohol
8. Answer: d, page 456

 

4. Which of the following does integrated treatment programs not provide:
5. team approach
6. focus on substance abuse problems before mental health problems
7. long-term commitment
8. one location for treatment of both problems
9. Answer: b, p. 472

 

5. A common psychiatric diagnoses (or diagnosis) for persons with an AOD disorder is:
6. kleptomania
7. anxiety disorders
8. bipolar disorder
9. Korsakoff’s syndrome
10. Answer: b, 462

 

6. A clinical diagnosis of pathological gambling as defined in the DSM IV-R does not include which of the following:
7. preoccupation with gambling,
8. sleep difficulties
9. repeated efforts to quit
10. gambling from stress
11. Answer: b, p. 468

 

7. Which of the following is not a negative symptom associated with schizophrenia is:
8. flattened affect.
9. loss of pleasure.
10. problems in concentration.
11. heightened feelings of pleasure
12. Answer: d, p. 470

 

8. Which of the following is not a mood disorder?
9. major depression
10. hypomania
11. PTSD
12. dysthymia
13. Answer: c, p. 469

 

9. Which of the following is a true statement concerning clients with schizophrenia?
10. What looks like resistance or denial may in reality be a manifestation of negative symptoms of schizophrenia.
11. Clients with co-occurring mental disorder involving psychosis have a higher risk for self-     destructive and violent behaviors.
12. Clients with a co-occurring mental disorder involving psychosis are particularly vulnerable                    to homelessness, housing instability, victimization, poor nutrition, and inadequate financial           resources.
13. Schizophrenia usually develops after age 30.
14. Answer: d, p. 470

 

10. The phrase “no wrong door” refers to
11. the need for fire exits in treatment centers.
12. integrated treatment practices.
13. the need to first decide whether the mental disorder or the substance abuse is the primary        problem.
14. harm reduction practices.
15. Answer: b, p. 472

 

11. Research indicates that in the transition from separate to integrated treatment for co- occurring  disorders that
12. stable remission rates more than double.
13. the investment is too costly to be worth the trouble.
14. the 12 Step approach works best.
15. clients with different types of disorders do not get along well together.
16. Answer: a, p. 474

 

12. Collaborative case management refers to
13. experts providing service to a case.
14. offering a menu of supports and services to the client
15. referral after referral.
16. a group effort in which the leadership is provided by the substance abuse counselor. e. Answer: b, p. 483

 
13 Which one of the following characterizes Assertive Community Treatment (ACT)

1. recognized as a best practice approach
2. does not employ a team approach
3. time-limited services for persons with COD
4. inpatient treatment
5. Answer: a, p. 482
6. Supported housing programs
7. draw on harm reduction as an essential ingredient.
8. have strict standards for admission of clients with co-occurring disorders.

c.require abstinence

1. require support services
2. Answer: a., p 484

 

15. Which of the following statements about persons with disabilities is true:
16. People with disabilities do not abuse substances.
17. A person with a disability will make other clients uncomfortable.
18. People with disabilities should receive exactly the same treatment protocol as everyone else.
19. People with disabilities face a number of barriers to treatment.
20. Answer: d, p. 489
21. The prevalence of serious mental disorders in the substance abusing population can be characterized as:
22. not problematic
23. the norm, not the exception
24. dealt with effectively by most treatment programs
25. fairly rare
26. Answer: b, p. 456.

 

17. With reference to traumatic brain injury
18. motivational interviewing techniques have been found to be too complicated to be         practical.
19. homework assignments cannot be assigned because of the brain damage.
20. motivational interviewing techniques have been successful in treatment
21. a strength perspective is not as important to practice.
22. Answer: c, p. 492

 

18. In the persuasion stage of Stage-Wise Treatment, the goal is to
19. persuade the client to be abstinent
20. persuade the client to start working on a treatment plan
21. open up opportunities for the client to think about their own goals
22. explain to clients why their mental health problems keep them from reaching their             goals
23. Answer: c, p. 478

 

19. Which of the following is not a stage in Stage-Wise Treatment?
20. Engagement
21. Detoxification
22. Persuasion
23. Active Treatment
24. Answer: b, p. 475

 

20. Parallel or sequential treatment with persons who have COD had annul rates of remission of
21. 2%
22. 5%
23. 10%
24. 30%
25. Answer: b, p. 453.

     True or False                                                                                                                                                  
 

1. The quadrant model is a way of conceptualizing the variations of co-occurring disorders

in order to match treatment to their different needs.  T, p. 471
 

2. Most anxiety symptoms related to substance misuse are gone within a few days or weeks of abstinence. T, p. 462
3. The suicide rate for pathological gamblers is lower than for any other addictive disorder. F,     p. 468.
4. People with disabilities are as likely to stay in treatment and complete goals as any other                       group.  T, p. 491
5. People with learning differences do best in insight oriented approaches. F. p. 489

Chapter 10: Family Risks and Resiliencies
 
Essay Questions
 

1. Explain how the systems perspective has advanced since the early days of classic systems theory. How did mothers end up getting the blame for strange behavior in the child? PG514-515

 

2. What are some of the major objections to use of the concepts, “chief enabler” and “codependent?” What are some substitute terms that could be used? PG519, 520

 

3. From a strengths perspective, consider the characteristics of the various family roles as originally named by Sharon Wegscheider. PG520

 

4. How can referrals to Al-Anon be helpful to some clients? PG523

 
 

5. Diagram family communication patterns such as enmeshed, isolated, and healthy.PG526

 

6. Discuss healing work from the strengths perspective (“rename, reframe, reclaim”).PG543-546

 

7. Describe some of the exercises that can be used to engage family members. PG546-549

         
Multiple Choice
 

1. According to the boxed reading, “Children of Addicts,” Iowa families increasingly are                       facing problems related to substance use involving
2. marijuana
3. an increase in immigration.
4. methamphetamines.
5. high unemployment rates.

ANS:C                        PG506
 

2. A major thesis of chapter 10 on family counseling is that
3. the drug addict is the symptom carrier of the family dysfunction
4. anorexia is often the product of an overprotective mother
5. One should seek the cause of family mental illness in faulty family communication
6. Addiction is a family illness.

ANS:D            PG508
 

3. According to classical family systems theorists, the person with the drug use problem is viewed as______________.
4. a person suffering from a mental disorder.
5.    the symptom carrier.
6.  the problem.

D   the person in need of a formal Intervention.
ANS:B                        PG509.   .
 

4. According to the text, _____________ is/are addressed in substance abuse treatment but is/are relatively ignored by professional family therapists.
5. genograms
6. children’s roles in the family
7. spirituality
8. interactionism

ANS:C                        PG510
 

5. Al-Anon
6.   was founded in the 1950’s to meet the needs of persons with substance use problems.
7.   was originally only for wives of alcoholics
8.   uses a totally distinct version of the 12 Steps
9.   has declined significantly in popularity today.

ANS:B                        PG512
 

6. Family therapy as a profession is criticized in the text for its use of a traditional _________model
7. holistic
8. classic systems
9. ecological
10. linear approach

ANS:B                        PG508
 
 

7. The rules for the alcoholic family, according to Claudia Black, are
8.   “every unhappy family is unhappy in its own way”
9.   “don’t talk, don’t trust, don’t feel”
10.   “one day at a time”
11.   “seek change slowly”

ANS:B                        PG511
 

8. An ecosystems framework relevant to the family
9. views members in constant interaction.
10. is no longer accepted as a popular model.
11. focuses exclusively on the nuclear family.
12. is a predominant model in psychology today.

ANS:A            PG515
 

9. According to the text, generalizations about family role traits—hero, scapegoat, etc.
10.   are not empirically validated.
11.   are not based on personal observation..
12.   are rarely helpful in engaging family members in systems work.
13.   are refuted by Wegscheider and Black.

ANS:A            PG518
 

10. In her role theory, Wegscheider (1981) introduced the role of_____ to represent a significant role in the drug dependent family dynamics.
11. the family manager

Bb. the scapegoat

1.      the taskmaster

Dd. the family monitor
ANS:B                        PG519
 

11. According to Wegscheider, a high risk for marrying an alcoholic faces the family
12.       hero
13.       scapegoat
14.        lost child
15.        mascot

ANS:A            PG519
 

12. For the role of partner or spouse of the addict/alcoholic, the present text recommends use    of the term
13. codependent.
14. family manager.
15. chief enabler.
16. scapegoat.

ANS:B                        PG519
 

13. Children who grew up in addict/alcoholic homes often develop coping

mechanisms that may be useful later.  The hero, for example, more than other                                 siblings learns to ____________.

1. assume responsibility early
2. make friends easily
3. have a great imagination
4. become peer group oriented.

ANS:A              PG520
 

14. The Community Reinforcement and Family Training Approach (CRAFT)
15.   is derived from teachings from Al-Anon.
16.   teaches family members how to provide positive feedback to the addicted member.
17.   helps family members dissociate from the addicted member in order to become                                    independent.
18.   is geared toward the criminal justice system.

ANS:B                        PG522-523
 

15. Network therapy is a disease-based approach to reinforce social networks and includes treatment that involves ________________.
16. family members without the presence of the client.
17. the client out of the presence of family members.
18. the therapist, family members, and client.
19. music therapy.

ANS:C                        PG522
 

16. Family group counseling used in child welfare programming
17. has roots in indigenous customs.
18. was borrowed from a British innovation.
19. is distinctly different from African kinship care.
20. is rarely used outside of New Zealand.

ANS:A            PG523
 

17. McGoldrick et al. in their book on ethnic families bring our attention to
18. the fact that all families are alike
19. differences in the definition of what a family is.
20. the need for great assimilation of foreign groups into the dominant culture.
21. the risks of international child adoption regarding substance use.

ANS:B                        PG524
 

18. Because Al-Anon and MI may differ in their approaches to family members, the best                                response, according to the text is to
19.   recommend Al-Anon without any reservations.
20.   recommend against involvement in 12 Step programs.
21.   prepare family members for possible contradictions in models.
22.   attend Al-Anon meetings along with the clients to help Al-Anon change with the                            times.

ANS:C                        PG528
 

19. Harm reduction expert Alan Marlatt, regarding a formal intervention, states that it

A.. can be effective only if done soon enough.

1. is an important part of increasing client motivation.
2. should not be done under any circumstances.
3. is of proven effectiveness.

ANS:C                        PG530
 

20. Mueser et al. recommend for working with families with a member who has a co-                                  occurring  disorder,that therapists
21. focus on getting the addicted client sober above all else.
22. recommend against AA attendance for the addicted client.
23. not give substance use priority; wait for the family member to bring it up.
24. focus exclusively on the mental disorder at the beginning.

ANS:A            PG538
 

21. In situations of domestic violence, the counselor is advised by the text authors  to
22. refer the couple to conjoint counseling.
23. refer the violent partner to a batterers’ group.
24. not mention domestic violence in screening; let the partner bring it up later.
25. if children are endangered, keep it confidential so not to risk loss of trust.

ANS:B                        PG538
 

22. Key themes of African American families of which the counselor should be aware are all except:
23.   a network of extended family ties.
24.   reciprocity in providing aid.
25.   the personal connection between family and therapist.
26.   non-reciprocity regarding gift-giving.

ANS:D            PG541
 
 
 
True or False
 
23..  The family hero, according to Wegscheider, often grows up to enter the helping professions.             True
 
24..  The CRAFT approach to family treatment and Al-Anon’s are somewhat contradictory.         True
 

25. It is never too early to begin preparing family members of alcoholics/addicts for the changes they need to make. True

 

26. If the client is unmotivated for change, family counseling is premature. False

 

27. 27. Male family members of cocaine addicts have been found to be more difficult to engage in family counseling than female partners.   True

 
 
 
Chapter 11: Mutual-Help Groups: A Strengths Perspective
 
Essay Questions
 

1. Explain the authors’ contention that AA can be viewed as a “narrative community.” Do you agree or disagree?  Page 564

 

2. Explain the differences between a Twelve-step facilitation model practiced in a professional treatment program and a Twelve-step group as practiced in the community. Page 557

 

3. What is the meaning of “disease” in the Twelve-step community? Page 567

 

4. How does identity transformation take place in a Twelve-step community program? Page 573

 
Multiple Choice
 

1. Visitors who want to attend a twelve-step group in the community should
2. attend an open meeting                                      b. read the Big Book before attending                                                                                        
3. ask permission of the group facilitator                                                
4. d. only go with a member of that group
5. Answer: a, p. 582

 

1. “Cross-talk” in a 12-step meeting means                                                                giving advice or rebutting someone’s point
2. talking across the table to someone else
3. talking negative about a person or topic
4. crossing the line on what is acceptable to discuss
5. Answer: a, p. 562

 

3. A fundamental difference between AA meetings and 12 Step treatment models is:
4. AA meetings stress the voluntary nature of attendance.
5. Compliance is stressed in the AA meetings.
6. The treatment models are highly directive.
7. AA only requires monthly dues
8. Answer: a, p. 558

 

4. A fundamental difference between the writings of cofounder Bill Wilson and professional treatment programs that practice “Twelve-Step Facilitation” is around the issue of _______.
5. attendance
6. confidentiality
7. compliance
8. Answer: c, p. 557

 

5. The Twelve Traditions are:
6. a historical perspective on AA.                                                                                                                   b. guidelines for the functioning of the program in the community.
7. an alternative to the Twelve Steps.                                                                                                        d. no longer applicable to modern AA
8. Answer: b, p. 561

 

6. The first step of the 12 steps of AA begins:
7. “Came to believe that a power greater than ourselves could restore us to sanity.”
8. “We admitted we were powerless over alcohol.”
9. “Made a decision to turn our will and our lives over to the care of God as we understood       Him.”
10. none of the above
11. Answer: b, p. 561
12. Persons who wish for help with managing to drink moderately should attend:
13. Alcoholics Anonymous
14. Moderation Management
15. SMART Recovery
16. Women for Sobriety
17. Answer: b, p. 580

 

8. Alcoholics Anonymous, as practiced as a mutual-help group in the community:            a.    is run by recovering individuals
9. non-voluntary                                                                                                                                                   c.   requires working on the 12 steps
10. requires people to stay sober for at least two months before becoming members
11. Answer: a, p. 557

 

9. According to “the metaphor of disease”: alcoholism is a threefold disease and includes which of the following?
10. mental, physical, and spiritual
11. physical, spiritual, and emotional
12. psychological, physical, and emotional
13. none of the above
14. Answer: a, p. 567

 

10. Which of the following requires a spiritual orientation?
11. Women for Sobriety
12. Alcoholics Anonymous
13. SMART Recovery
14. Moderation Management
15. Answer: b, p. 560

 

11. Women make up approximately ___% of AA membership (as of 2007).
12. 15
13. 33
14. 55
15. 75
16. Answer: b, p. 562

 

12. In AA, newcomers may spend entire days in meeting after meeting; it is routinely suggested that they attend ______ meetings in 90 days.
13. 30
14. 45
15. 60
16. 90
17. Answer: d, p. 562

 

13. According to the most recent AA member random survey (AA, 2004) of 7,500 AA members in the US and Canada, the average AA member is:
14. female
15. white
16. age 21-30
17. received no professional treatment before AA attendance
18. Answer: b, p. 562
19. Which of the following is a type of group not found in specialized AA meetings?
20. veterans
21. elders
22. Native Americans
23. persons with problem gambling as well as alcoholism
24. Answer: d, p. 574

 

15. Gamblers Anonymous is
16. unwelcoming of women
17. becoming more friendly to women
18. only open to males
19. only holds women-only meetings for women
20. Answer: b, p. 573

 

16. SMART recovery is drawn from the principles of
17. harm reduction.
18. cognitive-behavioral therapy.
19. psychodynamic therapy.
20. transactional analysis.
21. Answer: b, p. 579

 

17. According to the views of moderation management (MM), drinking problems are viewed as:
18. disease
19. bad habits
20. mental illness
21. moral impurities
22. Answer: b, p. 580

 

18. Which characteristic does not describe the characteristics of moderation management members
19. women
20. middle-class
21. poorly educated
22. don’t have severe drinking problems
23. Answer: c, p. 581

True or False
 

1. Moderation Management is not intended for people who experience significant withdrawal symptoms when they stop drinking. True, p. 580

 

2. Alcoholics Anonymous requires people to believe in a Christian God. False, p. 570

 

3. 12 Step groups and 12-Step facilitation are one and the same. False, p. 557

 

4. 4. The practice of AA members introducing themselves by their first names and then saying, “¼and I’m an alcoholic,” is a counter-therapeutic reinforcement of a negative label,         according to the text.  False, p. 571.
5. There is evidence to indicate that AA is a very useful approach for alcoholics trying to stop drinking. True, p. 563.

 
 
 
Chapter 12: Racial, Ethnic, Culture, and Class Issues
 
Essay Questions
 

1. Explain the Recovery Management model and why it is important in addressing issues that arise because race, ethnicity, culture, and class. (p. 590)

 

2. Discuss why it is that although race is not a biological category, it continues to be widely used. (p. 591-592)

 

3. Explain how social class affects the so-called attributes of ethnicity or culture. (p. 593)

 

4. What does the story of Becky and Monique tell us about the path to addiction, the agent of addiction (drug used) and recovery options? (p. 590)

 

5. Compare variations (for example immigration history) within various Asian American groups relevant to substance misuse.  (p. 598-600)

 
 
Multiple Choice

1. Which group has the highest poverty rate for families?
2. Alaskan Natives
3. Asian Americans
4. African Americans
5. Native Americans
6. Answer: d, p. 621

 

2. Even though Asian Americans in general have a higher educational status and higher income status than other minorities, it is misleading to describe them as a “model minority” because
3. they have a higher rate of alcoholism and drug addiction
4.   their low treatment rate may be the result of the lack of culturally relevant services
5.   their addiction rates have consistently been over-reported in the prevalence studies
6.   they uniformly lack the enzyme aldehyde dehydrogenase
7. Answer: c, p. 598

 

3. Among current Native American adults who drink alcohol, the prevalence rate
4. varies a great deal
5. is the same as the general population
6. is lower than the general population

 

1. has never been measured
2. Answer: a, p.602

 

4. Which one of the following is not an important social factor in the biopsychosocial model that impacts the course of a person’s addiction problems and recovery?
5. race
6. intelligence
7. class
8. ethnicity
9. Answer: b, p. 589

5.Which factor is not considered a hallmark of effective treatment with Asians with substance abuse problems?

1. screening with culturally sensitive instruments at community events
2. culturally competent staff who speak the language of the client
3. use of Narrative therapy as an intervention
4. use of Motivational interviewing an an intervention
5. Answer: c, p. 600

 

6. Protective factors among young, low-income, Mexican American women include
7. the breakdown of the family of origin and extended kinship networks
8. the survival of poverty
9. an attitude of fatalism
10. the responsibility of providing family connection and care of the children
11. Answer: d, p. 615

 

7. Which factor does not cause variation in drinking and drug use rates among Native Americans and Alaska Natives vary by:
8. tribe
9. rural
10. urban
11. intelligence
12. Aswer: d, p. 603

 

8. People who identified themselves as “Asian Indian” include all groups except:
9. Filipinos
10. Vietnamese
11. Hmong
12. Samoans
13. Answer: d, p. 597
14. Which factor does not account for the low rate of alcohol/drug misuse for the Asian/Pacific Islander group?
15. national database surveys have ignored this group and consistently put Asian/Pacific Islanders in the category of “Other”
16. the lack of culturally relevant services which reduces the treatment rate
17. methodological weaknesses in the research that has resulted in an underestimation of the levels of substance misuse and dependency
18. Asians are the “model minority” without many addiction problems
19. Answer: d, p. 598

 

10. The most recent median income figures (United States Census, 2006c) indicate that

_________ households have the highest median income of any racial group, that is,
$90, 528.

1. Latino
2. Single race Asian Indians
3. African American
4. non-Hispanic white
5. Answer: b., p. 598

 

11. Compared to the average national poverty rate of 11.5%, the average poverty rate for American Indians and Alaskan Natives is
12. 27.6%
13. 20.1%
14. 13%
15. 39.2%
16. Answer: a, p. 606

 

12. As related by Raymond Slick, an American Indian, sobriety is the traditional way. His philosophy is called
13. The Red Road
14. ancestor worship
15. tribal essence
16. spiritual recovery
17. Answer: a, p. 608

 

13. The term “Hispanic” or “Latino” describes a population that includes the following subgroups except
14. Mexican Americans
15. Cuban Americans
16. Central Americans
17. Jamaicans
18. Answer: d, p. 612

 

14. Results from the National Survey on Drug Use and Health (SAMHSA, 2010) indicate

that among persons aged 12 or older, the rate of substance abuse was highest among

1. American Indians and Alaska Natives
2. Asians
3. Latinos
4. African Americans
5. Answer: a, p. 603

 

15. The term “historical trauma” was originally used by
16. Maria Yellow Horse Brave Heart.
17. Ja and Aoki.
18. van Wormer.
19. Lee and Mock
20. Answer: a, p. 605

 

16. The use of traditional cultural and spiritual practices in Native American treatment
17. is the only effective method of treatment with this population
18. needs more systematic evaluation before we can assess the efficacy of this approach
19. is not at all effective with this population
20. Answer: b, p. 609

 

17. The concept of culture
18. is not difficult to define
19. refers to learned values, behaviors, and beliefs that are shared by other group members
20. does not impact our beliefs about the use of alcohol, drugs, and gambling
21. is never a barrier to receiving professional help with addiction problems
22. Answer: b, p. 592
23. A skill that is not particularly helpful for counselors in developing culturally sensitive practice is:
24. networking
25. advocacy
26. confrontation
27. building rapport
28. Answer: c, p. 594
29. Gambling in the U.S. expanded rapidly since
30. the Supreme Court ruling of 1975
31. the passage of the 1988 Indian Gambling Regulatory Act
32. the development of electronic Keno games
33. the Great Lakes vs. Prescott case was decided
34. Answer: b. p. 605
35. The incidence of problem gambling is higher in
36. racial and ethnic minorities than among whites
37. whites than among racial and ethnic minorities
38. rural rather than urban residents
39. southern states than among northern states
40. Answer: a, p. 613

True or False
 
 

1. An intervention approach, if it is truly effective, will work well universally. False, p.589

 

2. “The myth of the ‘model minority’” is a term applied to Native Hawaiians. False, p. 598

 

3. Data from school surveys indicate that drug use is higher among Asian youth than among other adolescent groups. False, p. 603

 
 

4. The “immigrant paradox” is when foreign-born immigrant family members are found to have few problems than their U.S. born children who are moving toward acculturation. True, p. 614.
5. Most drug and alcohol treatment programs for Hispanic clients employ cultural responsiveness in their programming. False, p. 615.

 
 
Chapter 13: Public Policy
 
            Essay Questions

1. Discuss the impact on families of the welfare reforms passed under the Clinton administration. PG638-639

 

2. What are the “unintended consequences” of the mandatory minimum sentencing laws? PG649

 

3. What are the essential features of “the middle road?” PG654-655

 

4. What legal complications can occur when the client refuses to sign the Consent-for-Release-of-Information form? PG642

 

5. Why do current sentencing policies have a disproportionate effect on African Americans and Hispanics? PG645

 

6. Discuss incarceration rates regarding the impact on women and their families. Consider the impact of conspiracy laws. 645-646

 
Multiple Choice

1. The TANF guidelines that encourage states to deny cash assistance or food            stamps to persons with recent drug felony convictions applies to
2. men only
3. women without children only

C..  single mothers only

1. men and women

ANS:D            PG639
 

2. CASAWORKS for families, found that
3. mental health treatment did not increase employment among female TANF                       recipients.
4. medical treatment did not help reduce substance use among TANF recipients.
5. wrap-around housing assistance was associated with significant decreases in                      substance use by TANF recipients.
6. specialized substance abuse treatment was the only treatment that helped                          TANF          women.

ANS:C                        PG639
 

3. According to the text, a primary emphasis of managed care is on
4. providing the most comprehensive service possible for patients.
5. cost containment.
6. educating the medical community on substance use issues.
7. public health issues.

ANS:B                        PG640
 

4. The ________ is an approach designed to help mentally ill persons in trouble with the law stay  out of jail by diverting them into treatment.
5. case-management
6. mental health court movement
7. drug courts
8. polydrug addiction services

ANS:B                        PG240
 

5. The legal case, Kerr v. Farrey determined
6. that people with drug-related felonies could not receive welfare aid.
7. that involuntary commitment proceedings were legal.
8. that Narcotics Anonymous was a religious program, not a secular one.*
9. that persons with substance addiction would no longer qualify for welfare aid.

ANS:C                        PG642
 

6. A major problem in the addictions professions, according to Laura Kaplan is
7.  that this field is not a profession.
8.   the problem of dual relationships.
9.   the lack of a code of ethics
10.   the lack of a national professional association.

ANS”B           PG642
 

7. In 2011, the Global Commission on Drug Policy endorsed
8. a harm reduction approach to drug policiies.
9. the U.S. centered war on drugs.
10. an international focus on the drug wars in Mexico.
11. reducing the demand for Afghanistan’s opium supply.

ANS:A            PG643
 

8. The stress on decriminalization of illicit drugs is most pronounced (as of 2011) in
9. the United States
10. Portugal
11. Mexico City
12. Washington, DC

ANS:B                        PG643
 
 

9. According to the U.S. Department of Justice (2006), around _____ of inmates in                           the federal             prison are serving time for drug related crime.
10. one-third
11. one-half
12. two-thirds
13. 90%

ANS:B                        PG646
 

10. Mandatory minimum sentences apply to everything that has to do with the                             substances listed below except:
11. marijuana
12. cocaine
13. heroin
14. alcohol

ANS:D             PG646
 

11. ________ were the fastest growing population in prison from 1977 to 2005..
12. women
13. Hispanics
14. African Americans
15. non-citizens

ANS:646

11. Women caring for minor children (prior to incarceration in prison) make up approximately what percent of all women offenders?
12.    one-third
13. around 70%
14. over 90%
15. less than 10%

ANS:B                        PG646
 

12. When assets of suspected drug dealers are seized, according to the text,
13. the whole family may suffer grievous loss *
14.   statistics show drug dealing in the immediate area is reduced.
15.   the impact is greatest on the middle classes who own enough to suffer a loss.
16.   this is an example of harm reduction.

ANS:A            PG648
 

13. According to the text, media reports of a whole generation of “crack babies”
14. underestimated the problem.
15. led to policy reform where reform was needed.
16. were not informed by empirically-based studies.
17. should have focused on “meth babies” instead.

ANS:C                        PG649
 

14. As an effort of harm reduction, the text favors
15.     mandatory minimum sentencing to enhance treatment possibilities.
16. the seizing of assets used in crime.
17. drug-free zones to protect children.
18. a middle road toward decriminalization.

ANS:D            PG654
 

15.     Legal threats to pregnant women who are using drugs during pregnancy have         resulted in
16.   fewer women obtaining  prenatal care *
17.   more prevention and treatment services available
18.   more money for services
19.   a commitment to provide basic social and health needs.

ANS:A            PG651
 
 

16. Professor Reichert conducts student tours of Europe to teach
17. the harms of drug misuse.

B the advantage of teaching youths how to drink moderately.

1. how the harm reduction model operates in practice.
2. what Europeans can learn from U.S. drug treatment models.

ANS:C                        PG653
 
 

17. One of the most promising developments in recent years is the drug court, an alternative to prison that was first launched in:
18. Iowa
19. Nebraska
20. Washington
21. Florida

ANS:D            PG638
 

18. In the U.S. in 2006, __ states have some form of legal gambling, only ______ of which appropriate money for treatment
19. 30, 10 %
20. 48, around half
21. 50, 75%
22. 10, one-fourth

ANS:C                        PG657
 

19. The recommendation of the book regarding drug control is
20. criminalization.
21. full legalization.
22. a middle road.
23. crackdown on the dealers, not addicts.

ANS:C                        PG654
 
 
True or False
 

20. The bulk of money related to the war on drugs is diverted into military and law enforcement operations.    True PG641
21. In the Kerr v. Farrey ruling by the Seventh Circuit Court of Appeals in Wisconsin, a prisoner (Kerr’s) First Amendment rights were violated because he was coerced into attending an NA program. True PG642

 

22. Michelle Alexander’s book, The New Jim Crow is largely concerned with the mass incarceration of minorities. True PG647

 
23.. It is illegal for law enforcement to take the money and property of persons “involved” in a drug crime without the owners’ being convicted, indicted, or arrested for a particular crime. False   PG647
 

24. According to research studies, there is no convincing evidence that prenatal cocaine exposure is associated with developmental toxic effects that are different in severity, scope, or kind from the sequelae of multiple other risk factors.     True  PG649

 

25. Prior to passage of healch care reform, substance abuse treatment in the U.S. has

been integrated within the healthcare system. False PG656                                                                                                    

 

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