CIP CIP Substance Use Disorders & Co-occurring Conditions 2 — Questions and Answers
Question 1: ASAM (American Society of Addiction Medicine) criteria are used in treatment planning to:
- Determine the appropriate level of care for a client (Correct answer)
- Diagnose substance use disorders
- Certify intervention professionals
- Assess family system dysfunction
Correct answer: Determine the appropriate level of care for a client
ASAM criteria provide a multidimensional framework to determine the most appropriate level of care for individuals with substance use disorders.
Question 2: A client presents with substance-induced psychosis. The CIP should FIRST:
- Ensure safety and arrange emergency psychiatric evaluation (Correct answer)
- Proceed with the intervention as planned
- Contact the client's family to explain the situation
- Recommend residential treatment and schedule intake
Correct answer: Ensure safety and arrange emergency psychiatric evaluation
Substance-induced psychosis is a medical emergency requiring immediate safety measures and psychiatric evaluation.
Question 3: Which statement about marijuana use disorder is MOST accurate for a CIP to understand?
- Approximately 9% of people who use marijuana will develop a use disorder (Correct answer)
- Marijuana use disorder does not exist according to the DSM-5
- Marijuana causes severe physical withdrawal comparable to alcohol
- Marijuana use disorder only occurs with daily use over 10 years
Correct answer: Approximately 9% of people who use marijuana will develop a use disorder
Research indicates approximately 9% of marijuana users develop a cannabis use disorder, recognized in the DSM-5 with its own diagnostic criteria.
Question 4: A client who uses alcohol to cope with social anxiety likely has:
- A co-occurring anxiety disorder that should be addressed in treatment (Correct answer)
- Normal self-medication that will resolve once sobriety is achieved
- A personality disorder requiring separate specialized care
- A primary alcohol disorder with no comorbid concerns
Correct answer: A co-occurring anxiety disorder that should be addressed in treatment
Using alcohol to manage anxiety suggests a co-occurring anxiety disorder that integrated dual-diagnosis treatment should address alongside the substance use disorder.
Question 5: Stimulant use disorder (cocaine, methamphetamine) is distinct from opioid use disorder in that:
- There are currently no FDA-approved medications for stimulant use disorder (Correct answer)
- Stimulant withdrawal is typically more medically dangerous than opioid withdrawal
- Stimulants do not produce psychological dependence
- Stimulant use disorder responds poorly to behavioral therapies
Correct answer: There are currently no FDA-approved medications for stimulant use disorder
Unlike opioid use disorder, stimulant use disorder currently has no FDA-approved pharmacological treatments, relying primarily on behavioral interventions.
Question 6: A CIP should understand that trauma history in a client with substance use disorder:
- Significantly increases complexity and should inform treatment recommendations (Correct answer)
- Is outside the scope of addiction intervention
- Only matters if the trauma occurred before age 18
- Can be fully addressed during the intervention session
Correct answer: Significantly increases complexity and should inform treatment recommendations
Trauma history significantly increases treatment complexity and should inform recommendations for trauma-informed, integrated care.
CIP CIP Substance Use Disorders & Co-occurring Conditions 2
ASAM (American Society of Addiction Medicine) criteria are used in treatment planning to: