Mixed Deck — All CRM Topics Flashcards

According to the DSM-5, how many criteria must be met for a diagnosis of Severe Substance Use Disorder?

Answer: 6 or more

The DSM-5 designates Severe SUD when 6 or more of the 11 diagnostic criteria are met within a 12-month period.

The SAMHSA National Helpline is a resource that provides:

Answer: Free, confidential treatment referrals and information for substance use and mental health disorders

SAMHSA's National Helpline (1-800-662-HELP) offers free, confidential 24/7 treatment referrals and information in English and Spanish.

The 'No Wrong Door' approach in recovery services means:

Answer: Clients can enter services through any point of access and be connected to appropriate support

The No Wrong Door approach ensures that regardless of where someone seeks help, they will be connected to the right services for their needs.

When a CRM is unsure whether an ethical boundary has been crossed, the BEST course of action is to:

Answer: Consult with a supervisor or ethics consultant for guidance

Ethical dilemmas should be brought to supervisors or ethics consultants who can provide guidance — not left to resolve without support.

Which of the following best describes 'stigma' as it relates to mental health and recovery?

Answer: Negative stereotypes and discrimination that discourage help-seeking

Stigma involves negative attitudes and discrimination toward people with mental health or substance use disorders that create barriers to seeking help.

Why is ongoing support important in recovery?

Answer: Ongoing support maintains accountability and helps clients manage challenges

Recovery is a continuous journey, and ongoing support is crucial for clients to navigate its complexities beyond initial sobriety. Consistent engagement with a mentor provides accountability, reinforces positive behaviors, and helps clients address new challenges as they arise. This sustained connection reduces feelings of isolation and offers a reliable resource, significantly increasing the likelihood of long-term recovery success.

A CRM working in the criminal justice context should be aware that:

Answer: Diversion programs like drug courts can provide treatment alternatives to incarceration and improve recovery outcomes

Drug courts and diversion programs channel individuals with substance use disorders toward treatment rather than incarceration, which improves both health and recidivism outcomes.

The 'disease model' of addiction supports which of the following views?

Answer: Addiction is a chronic brain disease with genetic and environmental components

The disease model classifies addiction as a chronic, relapsing brain disorder influenced by genetics and environment, requiring ongoing treatment.

Which of the following is an example of a stimulant substance?

Answer: Methamphetamine

Methamphetamine is a stimulant that increases dopamine release and accelerates central nervous system activity.

Professional codes of ethics for CRMs typically require mentors to:

Answer: Practice within their competence and refer when client needs exceed their scope

Ethical codes require CRMs to know the limits of their competence and to refer clients to qualified professionals when needs exceed their scope.

What is the importance of post-crisis follow-up?

Answer: To provide ongoing support and help the individual maintain stability after the crisis

Post-crisis follow-up is critical to provide ongoing support and help the individual maintain stability after the immediate crisis has passed. It allows for monitoring progress, addressing any emerging challenges, and connecting the individual with long-term resources to prevent relapse and promote sustained well-being.

Which federal program in the US provides health insurance coverage that often funds addiction treatment services for low-income individuals?

Answer: Medicaid

Medicaid provides health coverage for low-income individuals and, following ACA expansion, covers substance use disorder treatment in most US states.

If a client discloses ongoing child abuse during a CRM session, the mentor is typically required to:

Answer: Report the abuse to the appropriate child protective services as a mandated reporter

Recovery mentors in most states are mandated reporters, required by law to report disclosed child abuse to child protective services.

What is the importance of goal setting in recovery?

Answer: To provide structure, motivation, and a sense of accomplishment

Goal setting is a powerful tool in recovery as it provides clients with clear direction and a roadmap for their journey. Establishing achievable goals offers motivation, helps clients track their progress, and fosters a sense of accomplishment as milestones are met. This structured approach empowers clients, builds self-efficacy, and reinforces positive behaviors crucial for long-term sobriety.

Grounding techniques are used in mental health support primarily to help clients:

Answer: Reconnect with the present moment when overwhelmed by anxiety or trauma responses

Grounding techniques help individuals anchor themselves in the present moment, reducing the intensity of anxiety, dissociation, or trauma triggers.

The biopsychosocial model of addiction emphasizes that substance use disorders result from:

Answer: An interaction of biological, psychological, and social factors

The biopsychosocial model recognizes addiction as a complex condition influenced by biology, psychology, and social environment.

The term 'relapse' in substance use recovery is best described as:

Answer: A return to substance use after a period of abstinence or reduced use

Relapse is a return to substance use after a period of sobriety and is considered part of the chronic disease process of addiction.

What is the role of informed consent in recovery support?

Answer: To provide transparency and empower clients to make informed decisions

Informed consent is a critical ethical practice in recovery support, ensuring clients fully understand the nature of the services they will receive. It involves clearly explaining the mentor's role, the recovery process, confidentiality limits, and client rights, promoting transparency. This empowers clients to make autonomous, well-considered decisions about their participation, fostering a sense of ownership over their recovery journey.

When a client discloses past trauma to a recovery mentor, the BEST initial response is to:

Answer: Acknowledge the disclosure, validate their experience, and express appreciation for their trust

Validating the disclosure and expressing gratitude for trust establishes safety and empowerment without causing re-traumatization through probing questions.

Complex trauma (C-PTSD) differs from standard PTSD primarily in that it:

Answer: Results from repeated or prolonged trauma and often involves disturbances in self-organization and emotional regulation

C-PTSD develops from repeated or chronic trauma (such as prolonged abuse or domestic violence) and includes additional symptoms beyond standard PTSD like emotional dysregulation and negative self-concept.