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3H - Principles of Adolescent SUD Treatment - Quiz



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Beginning in Section I (Introduction): The approaches used in the PREVENTION of SUDs do not work with adolescents with a current Substance Use Disorder (SUD), because drug use has compromised the parts of the developing brain which make it possible to 'say no.'
True False
Which factor is said to impact an adolescent's likelihood of using drugs?
inherited genetic vulnerability
personality traits like poor impulse control or a high need for excitement;
mental health conditions such as depression, anxiety, or ADHD;
beliefs such as that drugs are “cool” or harmless
all of the above
'Neuroplasticity' refers to
the damage that is done to the adolescent brain by using drugs and alcohol.
an adolescent's emotional reaction to using amphetamines.
the fact that in the teenage years, the brain is still developing and malleable, and some brain areas are less mature than others.
The prefrontal cortex is responsible for assessing situations, making sound decisions, and controlling our emotions and impulses.
True False
The circuitry of the prefrontal cortex typically is not mature until a person is
approximately 16 years of age.
in his or her mid-20s.
approximately 18 years of age.
The adolescent brain
is like a car with a fully functioning gas pedal (the reward system) but weak brakes (the prefrontal cortex).
is highly motivated to pursue pleasurable rewards and avoid pain, but judgment and decision-making skills are still limited.
is limited in its ability to weigh risks accurately and make sound decisions
all of the above
When the chemical 'dopamine' is produced in brain circuits, it reinforces behaviors that contribute to learning, health, well-being, and the strengthening of social bonds.
True False
Which is not true about dopamine and drug use?
The 'high' produced by drugs represents a flooding of the brain’s reward circuits with dopamine.
Flooding of the adolescent brain with dopamine creates an especially strong drive to repeat the experience.
Willpower alone is often insufficient to overcome an addiction, because drug use has compromised the very parts of the brain that make it possible to 'say no.'
The 'reinforcement' effect of dopamine is temporary, and thus chronic drug use does not alter the key brain areas needed for judgment and self-control.
SUDs affect key developmental and social transitions and normal brain maturation - leading to a loss in IQ that is not recovered.
Looking at the chart entitled 'Adolescents Differ from Adults in Substances Most Abused', we see that adolescents age 12 to 17 abuse more marijuana, hallucinogens, and inhalants than older age groups.
True False
Moving on to Section II 'Principles of Adolescent Substance Use Disorder Treatment' ....... Very few adolescents who abuse drugs have a history of emotional, physical and/or sexual abuse or other trauma.
True False
Adolescents are not likely to benefit from a drug abuse intervention unless they are addicted to a drug.
True False
Most adults who develop a substance use disorder report that they started drug use in middle age, when the stresses of career and family became too much to cope with.
True False
Standardized screening tools are available to help pediatricians, dentists, emergency room doctors, and other clinicians determine an adolescent’s level of involvement in the use of drugs and alcohol (if any) - and they should routinely be used.
True False
The larger life needs of adolescents who have SUDs do not vary much from one person to another. Therefore, standardized approaches may be used to address most SUD adolescents' needs.
True False
Adolescents who abuse drugs frequently suffer from other conditions including depression, anxiety disorders, attention-deficit hyperactivity disorder (ADHD), oppositional defiant disorder, and conduct problems.
True False
Treatment for other psychiatric disorders (e.g., anxiety, depression, oppositional defiant disorder, ADHD) must be separate from (i.e., not integrated with) the treatment for the substance use disorder.
True False
A relapse signals the need for more treatment or a need to adjust the individual’s current treatment plan.
True False
Testing adolescents for _________________ is an important part of drug treatment.
sensitivity to allergens
hearing impairment
sexually transmitted diseases like HIV, hepatitis B and C
The minimal length of drug treatment depends on the type and extent of the adolescent’s problems, but studies show outcomes are better when a person stays in treatment for
3 months or more
6 months or more
2 months or more
one year
Moving on to Section III - Frequently Asked Questions: Addiction occurs when . . .
repeated use of drugs has changed how a person’s brain functions over time.
there are changes in the brain’s natural inhibition and reward centers that keep a person from exerting control over the impulse to use drugs - even when there are negative consequences.
there is a transition from voluntary to compulsive drug use.
All of the above
Only the second and third answers above
Although there are many factors which may make an adolescent more vulnerable to SUDs (abuse, genetics, stress, peers, lack of supervision), it is hard to predict which individuals will develop substance use disorders and which won’t.
True False
What is not true about marijuana use by teens? .
Among teens who are daily users of marijuana, research indicates that 25-50% become addicted.
Marijuana use as a teen may harm the developing brain, lower IQ, and seriously impair the ability to drive safely, especially when combined with alcohol.
Cognitive-Behavioral Therapy and Contingency Management have proven to be effective in treating marijuana addiction.
Marijuana is not actually 'addictive'. It's simply 'habit forming' within a social context.
'Sudden Sniffing Death' is one of the immediate health consequences of inhalant abuse.
True False
Regarding abuse of prescription medications, which is not true, according to this research publication?
With abuse of opioid pain relievers such as Vicodin® or OxyContin®, there is a great risk of addiction and death from overdose.
Especially when pills are crushed and injected or snorted, opioid medications affect the brain and body very much like heroin including hazardous suppression of breathing.
Prescription stimulants such as Adderal® act in the brain similarly to cocaine or illegal amphetamines -- raising heart rate and blood pressure, as well as producing an addictive euphoria.
Some young people who develop prescription opioid addictions shift to heroin, because it may be cheaper to obtain.
Prescription of stimulants for ADHD in childhood is positively correlated with SUDs in later life.
Treatment for Steroid Abuse is quite complicated because . . .
those in steroid withdrawal experience hormonal and other physiological complications
steroid withdrawal can produce depression with a potential for suicide
steroid abuse is also frequently complicated by abuse of other substances such as stimulants, opioids, cannabis, and alcohol.
All of the above
Only the first two options
Effectively treating a substance use disorder requires that we first treat the SUD, and then address other mental health problems when the SUD has been stabilized.
True False
With adolescents, cigarette smoking oftentimes accompanies other drug use. Based upon this research publication, which answer below is correct?
nearly 55 percent of current adolescent cigarette smokers (ages 12 to 17) were also illicit drug users
nearly 40 percent of current adolescent cigarette smokers (ages 12 to 17) were also illicit drug users
only about 6 percent of those who did not smoke used any illicit drugs.
The 1st and 3rd answers
The 2nd and 3rd answers
Recovery support services such as 12-step and other mutual-help groups can be an effective substitute for drug abuse treatment.
True False
Treatments approaches should take into account [what?]
the higher rate of internalizing and traumatic stress disorders among adolescent girls,
the higher rate of externalizing disruptive disorders and juvenile justice problems among adolescent boys,
the different developmental and social issues of boys vs. girls
the cultural and ethnic factors which may impact participation in treatment for SUDs
all of the above
Involvement in the Juvenile Justice system is almost always a negative occurrence which reduces the likelihood of successful treatment.
True False
Moving along to Section IV, Treatment Settings: Based on the consensus of drug treatment experts, ASAM has developed guidelines for determining the appropriate INTENSITY and LENGTH OF TREATMENT for adolescents with substance abuse problems. What is ASAM?
Associated Support for Addiction Medicine
American Society of Addiction Medicine
Addiction Society for Adaptive Medicine
Association of Substance Abuse Managers
Which factor below is not included in the six areas identified by ASAM, to determine appropriate level of care?
Level of intoxication and potential for withdrawal
Presence of other emotional, behavioral, cognitive, and medical conditions
Readiness or motivation to change, and risk of relapse or continued drug use
The adolescent's grade point average during the past 2 school years
Recovery environment (e.g., family, peers, school, legal system)
Moving along to Section V - 'Evidence-Based Approaches to Treating Adolescent SUDs' ..... Which item below is NOT included as a feature or example of 'Behavioral Approaches and Interventions'?
helps adolescents to actively participate in their recovery from drug abuse and addiction and enhance their ability to resist drug use.
helps the adolescent identify and deal with environmental cues that may trigger intense craving for drugs.
may provide incentives to remain abstinent and modify attitudes and behaviors related to drug abuse
utilizes Multidimensional Family Therapy (MDFT)
utilizes Cognitive-Behavioral Therapy (CBT)
Which is an accurate statement about the Adolescent Community Reinforcement Approach (A-CRA) ....
It seeks to REPLACE the reinforcers of substance use, with healthier reinforcers of abstinence.
New REINFORCERS may include active participation in constructive social and recreational activities.
Both of the above.
Therapy avoids the usual talk of problem-solving and coping skills, in order to focus upon pleasurable reinforcers.
_________________ is a counseling approach that helps adolescents resolve their ambivalence about engaging in treatment and quitting their drug use.
Brief Strategic Family Therapy (BSFT)
Multisystemic Therapy (MST)
Motivational Enhancement Therapy (MET)
Functional Family Therapy (FFT)
Twelve-Step Facilitation Therapy is designed to increase the likelihood that an adolescent with a drug abuse problem will become actively involved in a 12-step program.
True False
Which approach or intervention is based on a family systems approach to treatment, in which one member’s problem behaviors are seen to stem from unhealthy family interactions?
Family Behavior Therapy (FBT)
Multidimensional Family Therapy (MDFT)
Brief Strategic Family Therapy (BSFT)
Multisystemic Therapy (MST)
Which approach to adolescent SUDs combines a FAMILY SYSTEMS view of family functioning with BEHAVIORAL TECHNIQUES to improve communication, problem-solving, conflict resolution, and parenting skills.
Family Behavior Therapy (FBT)
Functional Family Therapy (FFT)
Addiction medications to prevent withdrawal symptoms or to reduce cravings for cannabis, cocaine, and methamphetamine may be used with relative safety in adolescents ages 16 and above..
True False
Cognitive-Behavioral Therapy (CBT) protocols used in group therapy and other peer support programs for adolescents ....
can provide positive social reinforcement through peer discussion and help enforce incentives to staying off drugs and living a drug-free lifestyle.
carry a risk of unintended adverse effects: Group members may steer conversation toward talk that glorifies or extols drug use, thereby undermining recovery goals.
Both of the above are true


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