MAC Co-Occurring Disorders 2

Question 1

Which integrated treatment model is considered the gold standard for clients with co-occurring serious mental illness and substance use disorder?

Accepted Answer

Assertive Community Treatment (ACT)

Answer

ACT provides comprehensive, integrated, community-based services and is the gold standard for individuals with serious mental illness and co-occurring SUD.

Question 2

A client with bipolar disorder and alcohol use disorder is in the precontemplation stage. The most appropriate counselor response is to:

Accepted Answer

Provide psychoeducation and express empathy without pushing change

Answer

In precontemplation, motivational techniques such as psychoeducation and empathic reflection are appropriate rather than confrontation or discharge.

Question 3

When a client with schizophrenia uses cannabis, the most likely clinical concern is:

Accepted Answer

Exacerbation of psychotic symptoms and relapse risk

Answer

Cannabis use in individuals with schizophrenia is strongly associated with worsening psychotic symptoms and increased relapse rates.

Question 4

The term 'quadrant model' in co-occurring disorder treatment categorizes clients according to:

Accepted Answer

Severity of mental illness and severity of substance use disorder

Answer

The quadrant model organizes clients by high/low severity of both mental illness and substance use disorder to guide appropriate service levels.

Question 5

A client with PTSD and opioid use disorder reports that heroin helps them 'turn off' traumatic memories. This is best conceptualized as:

Accepted Answer

Self-medication of PTSD symptoms

Answer

The self-medication hypothesis explains that individuals may use substances to manage distressing symptoms of an underlying psychiatric disorder.

Master Addiction Counselor Exam Practice Test

Master Addiction Counselor Exam Practice Test

MAC Co-Occurring Disorders 2