Approaches to Drug and Alcohol Counseling

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1 Approaches to Drug and Alcohol Counseling Multiple Choice Identify the choice that best completes the statement or answers the question. 1. Dual Disorders Recovery Counseling This recovery model emphasizes the various phases of treatment the patient may go through. 2. There are a total of 5 phases of treatment recovery in the Dual Disorders Recovery Model. 3. Patients receiving treatment under the DDRC model learn and improve upon coping skills in what phase of the model? A. Engagement and Stabilization C. Middle Recovery B. Early Recovery D. Late Recovery 4. The DDRC model is most dissimilar with which type of counseling approach? A. Cognitive-Behavioral C. Dynamic B. Relapse Prevention D. Psychoeducational 5. The DDRC counselor should focus primarily on understanding and coping with practical issues related to dual disorders instead of interpreting the patient s behavior and motivation. 6. The CENAPS Model of Relapse Prevention Therapy The CENAPS Model consists of 4 primary components: Assessment, Warning Sign Identification, Recovery Planning and Relapse Early Intervention Training. 7. Which of the following represents the therapeutic model most used to accomplish the specific goals of each CMRPT component? A. Cognitive therapy C. Behavioral therapy B. Affective therapy D. All of the above 8. The CENAPS model, developed by Terence Gorski, has been around since the 1970 s.

2 9. CMRPT conceptualizes recovery as a developmental process that goes through six stages. The second stage is known as: A. Transition C. Middle Recovery B. Early Recover D. Stabilization 10. What popular view of addiction is the CENAPS model based upon? A. The social model C. The disease model B. The character defect model D. None of the above 11. The CENAPS MODEL works best with clients who have average or above-average conceptual skills and eighth grade or better reading and writing skills. 12. The Living In Balance (LIB) Counseling Approach The LIB approach is specifically oriented for the group setting. 13. One of the strongest emphases in the LIB program is to: A. Teach clients visualization and relaxation C. Teach clients how to become their own techniques relapse preventionists. B. Teach clients physical health issues D. None of the above 14. The LIB approach to relapse prevention is largely based upon the CENAPS model of Terence Gorski. 15. The LIB model is most similar to this therapeutic model: A. Neurobehavioral model C. Behavioral model B. 12-step model D. Dual Disorders Recovery model 16. Treatment of Dually Diagnosed Adolescents In the CCATS model, drug abuse and chemical addiction are viewed as secondary to psychological disorders. 17. This model is most similar to which counseling approach? A. Psychodynamic C. Transtheoretical B. Motivational Interviewing D. 12-Step 18. This model differs most from which counseling approach?

3 A. Cognitive-Behavioral C. Psychodynamic B. Traditional, confrontational D. 12-Step 19. Which of the following is the ideal setting for the CCATS model? A. Outpatient treatment C. Partial hospital setting B. Residential setting D. None of the above 20. Description of an Addiction Counseling Approach This model of therapy is most similar to which of the following? A. 12-Step model C. Short term cognitive model B. Short term behavioral model D. All of the above 21. This model of treatment requires the counselor to have a minimum of 3 years experience in addiction counseling. 22. Under this model of treatment, group sessions begin with: A. Members introducing themselves to the C. Members talking briefly about any group relapses since the last meeting B. Urine sample and breathalyzer test D. Members admitting their addiction and stating their date of last use 23. The terms relapse and slip have the same meaning. 24. Solution-Focused Brief Therapy The entire focus of this model is on treatment goals. 25. The counseling approach most similar to this model would be: A. Dual Diagnosis C. 12-Step B. Motivational Interviewing D. None of the above 26. The counseling approach most dissimilar with the Solution-Focused model would be: A. Dual Diagnosis C. 12-Step B. Motivational Interviewing D. None of the above

4 27. In the Solution-Focused model the counselor is seen as a collaborator/consultant hired by the client to help the client achieve his/her goals. 28. Motivational Enhancement Therapy This therapeutic model is most similar to which other model of therapy? A. Rogerian client-centered therapy C. Reality therapy B. Cognitive therapy D. All of the above 29. MET is based upon the principles of cognitive and social psychology. 30. MET is an effective therapeutic model used in group counseling sessions. 31. The duration of treatment using the MET is typically: A. 1 to 2 sessions C. 3 to 5 sessions B. 2 to 4 sessions D. 4 to 6 sessions 32. Resistance on the part of the client is commonly dealt with by the MET counselor using this strategy: A. Confrontation C. Advice B. Rolling with D. Direction Step Facilitation Twelve step facilitation seeks to accomplish what two goals in individuals with alcohol or drug problems? A. Acceptance and Surrender C. Sobriety and Acceptance B. Abstinence and Commitment D. Surrender and Abstinence 34. The TSF model believes that self-centeredness in the client must be replaced by surrender to the group conscience. 35. The primary mechanism of action in the TSF model is active participation along with a willingness to work hard on one s recovery. 36. Minnesota Model The philosophy of the Minnesota Model is based upon:

5 A. Strategic family therapy C. Motivational Enhancement Therapy B. Cognitive-behavioral therapy D. Alcoholics Anonymous 37. The primary goal of the Minnesota Model is: A. Moderation management C. Life skills training B. Lifetime abstinence D. None of the above 38. The Minnesota Model views addiction as a primary, chronic and progressive disease. 39. This model believes that the main agent of change is: A. The counselor C. The group B. The client D. Both a and b 40. The most similar counseling approach to the Minnesota Model would be psychoanalysis. 41. Under this model the counselor s role is considered that of a: A. Facilitator C. Friend B. Coach D. None of the above 42. A Counseling Approach The philosophy behind the Counseling Approach is best stated as: A. addiction is a genetic predisposition C. Both a and b B. addiction is a disease of self-judgement D. Neither a nor b 43. This model focuses primarily on 3 elements: chemical use, self-judgement and avoidance behaviors. 44. This model is most similar with what other counseling approach. A. Psychoanalysis C. Cognitive Behavioral B. 12-Step D. Motivational Interviewing 45. Based upon this model, the primary agent of change is: A. The client C. The treatment process B. Spirituality D. All of the above

6 46. Psychotherapeutic and Skills Training Approach This approach primarily utilizes which of the following counseling techniques? A. Cognitive-behavioral C. Insight-oriented B. Motivational Interviewing D. All of the above 47. Based upon its philosophy of using whatever seems to work best,this approach is seen as highly compatible with most other techniques. 48. Attendance at self-help meetings is encouraged. Clients could face program termination if not in compliance with attending self-help meetings. 49. Which of the following is a distinguishing feature of this model? A. Supervised urine testing once a week C. Treatment with psychotropic medications as clinically required B. Variable-length format D. None of the above 50. A master s degree in social work, psychology or counseling is the minimum requirement for all clinical staff working under this model.

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