Test Bank Template

Chapter 4: Treatment Modalities and Client Placement

Multiple Choice Questions:

1. As per the N-SSATS data reported in the chapter, which of these outpatient levels of care reported the largest number of available programs?

a. Partial hospitalization

b. Outpatient

c. IOP

d. DUI/DWI psychoeducation

2. As per the N-SSATS data reported in the chapter, which of these inpatient nonhospital levels of care reported the largest number of available programs?

a. Detoxification

b. Short-term residential

c. Long-term residential

d. Pharmacotherapy

3. Benzodiazepine use is the standard medical treatment for withdrawal from which substance(s)?

a. Opioids

b. Benzodiazepines

c. Alcohol

d. Both b and c

4. Which of the following substances does NOT currently have a well-established and validated pharmacotherapy for withdrawal symptom management?

a. Cocaine

b. Heroin

c. Alcohol

d. Benzodiazepines

5. Which level of treatment lacks a formal definition?

a. Partial hospitalization

b. IOP

c. Inpatient

d. Outpatient

6. As per the TEDS-A 2013 data reported in this chapter, which level of care represented nearly half of all SUD treatment admissions?

a. Ambulatory IOP

b. Ambulatory outpatient

c. Ambulatory detoxification

d. Hospital-based detoxification

7. Partial hospitalization runs no more than how many hours per week?

a. 5

b. 10

c. 15

d. 20

8. IOP runs for how many hours per day?

a. 1–2

b. 2–3

c. 3–4

d. 3–5

9. IOP runs for how many days per week?

a. 1–2

b. 2–3

c. 3–4

d. 3–5

10. This is the least intensive ASAM (2013) level of withdrawal management care.

a. Ambulatory Withdrawal Management without Extended On-Site Monitoring

b. Ambulatory Withdrawal Management with Extended On-Site Monitoring

c. Clinically Managed Residential Withdrawal Management

d. Medically Monitored Inpatient Withdrawal Management

11. This is the ASAM (2013) level of withdrawal management care for those with moderate withdrawal symptoms and in-need of 24-hour support.

a. Ambulatory Withdrawal Management without Extended On-Site Monitoring

b. Ambulatory Withdrawal Management with Extended On-Site Monitoring

c. Clinically Managed Residential Withdrawal Management

d. Medically Monitored Inpatient Withdrawal Management

12. This is the ASAM (2013) level of withdrawal management care for those with moderate withdrawal symptoms and not in-need of 24-hour support.

a. Ambulatory Withdrawal Management without Extended On-Site Monitoring

b. Ambulatory Withdrawal Management with Extended On-Site Monitoring

c. Clinically Managed Residential Withdrawal Management

d. Medically Monitored Inpatient Withdrawal Management

13. This is the ASAM (2013) level of withdrawal management care for those with severe withdrawal symptoms and in-need of 24-hour support.

a. Ambulatory Withdrawal Management without Extended On-Site Monitoring

b. Ambulatory Withdrawal Management with Extended On-Site Monitoring

c. Clinically Managed Residential Withdrawal Management

d. Medically Monitored Inpatient Withdrawal Management

14. As per the current Quadrants of Care Model, Level I is best defined as:

a. Psychiatric disorders less severe and SUDs less severe

b. Psychiatric disorders more severe and SUDs less severe

c. Psychiatric disorders less severe and SUDs more severe

d. Psychiatric disorders more severe and SUDs more severe

15. As per the current Quadrants of Care Model, Level II is best defined as:

a. Psychiatric disorders less severe and SUDs less severe

b. Psychiatric disorders more severe and SUDs less severe

c. Psychiatric disorders less severe and SUDs more severe

d. Psychiatric disorders more severe and SUDs more severe

16. As per the current Quadrants of Care Model, Level III is best defined as:

a. Psychiatric disorders less severe and SUDs less severe

b. Psychiatric disorders more severe and SUDs less severe

c. Psychiatric disorders less severe and SUDs more severe

d. Psychiatric disorders more severe and SUDs more severe

17. As per the current Quadrants of Care Model, Level IV is best defined as:

a. Psychiatric disorders less severe and SUDs less severe

b. Psychiatric disorders more severe and SUDs less severe

c. Psychiatric disorders less severe and SUDs more severe

d. Psychiatric disorders more severe and SUDs more severe

18. As per N-SSATS data reported in this chapter, approximately how many SUD treatment facilities offer specialized programs for adolescents?

a. One-third

b. One-fourth

c. One-fifth

d. Half

19. Kressel et al. (2000) did NOT include this as one of the four areas of change targeted by the TC.

a. Developmental

b. Psychological

c. Familial

d. Socialization

20. As per the chapter, what was one of the influential original SUD treatment models?

a. 12-Step Model

b. TC Model

c. Minnesota Model

d. NAADAC Model

True/False Questions:

21. As per the Affordable Care Act, SUD treatment is now considered an essential health benefit (EHB) for health insurance plans.

a. True

b. False

22. The typical 28-day time frame for an inpatient SUD treatment episode was established via theory and science.

a. True

b. False

23. The TC today—in a number of ways—resembles other residential types of treatment.

a. True

b. False

24. Treatment placement for adolescents must take into account the safety of the home environment.

a. True

b. False

25. There is ample theory and science available to guide age-appropriate SUD treatment and withdrawal management care for older adults.

a. True

b. False

Essay Questions:

26. According to Morgen, with the use of DSM-5 what is the problem with the Quadrants of Care Model as currently defined?

27. Explain how DeLeon’s conceptualization of habilitation instead of rehabilitation is the core of the TC treatment philosophy.

The TC uses a highly structured daily program to achieve this change, as the principal hypothesis is that the community is the agent of change (De Leon, 1997). Within this community-as-change-agent model, there exists a strong emphasis on self-reflection and acceptance of personal responsibility that permeates all facets of community life, such as the daily chores and duties, group or individual counseling, and the mentoring of new TC clients (Kerr, 2015). As with any SUD treatment program, varying versions of group counseling are supplemented with individual counseling and peer interactions in an effort to facilitate lasting change (De Leon, 2015).

28. Briefly explain the onset and risk of Wernicke’s encephalopathy and Korsakoff’s psychosis in the alcohol withdrawal process.

29. As per the chapter, what were the clinical considerations required when deciding between inpatient and outpatient detoxification services?