Addictions and Substance Use Counseling Flashcards

A client says, 'I know my drinking is hurting my family, but I'm not sure I'm ready to give it up.' Which stage of change fits best?

Answer: Contemplation

Contemplation is marked by ambivalence: the client sees the problem but has not yet committed to change.

In motivational interviewing, what does the 'R' in OARS stand for?

Answer: Reflective listening

OARS stands for Open questions, Affirmations, Reflective listening, and Summaries.

A client says 'I want to quit smoking for my kids.' In MI's DARN-CAT framework, what type of change talk is this?

Answer: Desire

Phrases like 'I want' or 'I wish' express desire, one of the preparatory forms of change talk.

A treatment program gives clients vouchers or prize draws for each negative urine drug screen. Which approach is this?

Answer: Contingency management

Contingency management uses operant conditioning, giving tangible rewards for verified behaviors such as abstinence.

After one drink, a client says, 'I've blown it, so I might as well keep going.' Which relapse prevention concept does this show?

Answer: Abstinence violation effect

Marlatt's abstinence violation effect describes the guilt and loss of self-efficacy after a lapse that can turn it into a full relapse.

Which evidence-based approach teaches family members positive communication skills to help a treatment-refusing loved one enter treatment?

Answer: Community Reinforcement and Family Training (CRAFT)

CRAFT trains concerned significant others in non-confrontational strategies and has higher treatment-entry rates than confrontational interventions.

Which of the following is an example of a harm reduction strategy?

Answer: Syringe services programs that provide sterile injection equipment

Syringe services lower HIV and hepatitis C transmission without requiring abstinence, which is the core of harm reduction.