MAC Family Counseling 4 — Questions and Answers
Question 1: The 'CRAFT' model (Community Reinforcement and Family Training) is primarily designed to help family members:
- Accept that they cannot change their loved one's addiction
- Engage treatment-resistant loved ones into substance use treatment (Correct answer)
- Cope with grief after a family member's overdose death
- Navigate legal consequences of a family member's substance use
Correct answer: Engage treatment-resistant loved ones into substance use treatment
CRAFT teaches family members specific skills to reduce enabling, reinforce sober behavior, and strategically invite their loved one to enter treatment.
Question 2: When a family counselor observes that a couple consistently argues about topics other than the real issue of substance use, this pattern is known as:
- Projection
- Triangulation
- Detouring (Correct answer)
- Scapegoating
Correct answer: Detouring
Detouring occurs when a family deflects tension onto a third party or peripheral issue rather than addressing the core conflict directly.
Question 3: A counselor using Emotionally Focused Therapy (EFT) with a couple affected by addiction would primarily focus on:
- Cognitive distortions that perpetuate substance use
- Attachment injuries and underlying emotional needs driving the couple's negative interaction cycle (Correct answer)
- Behavioral contracts for sobriety monitoring between partners
- Psychoeducation about the neurological effects of addiction
Correct answer: Attachment injuries and underlying emotional needs driving the couple's negative interaction cycle
EFT targets the attachment-based emotional cycle underlying relationship distress, helping partners identify and respond to each other's deeper emotional needs.
Question 4: Which ethical issue is MOST likely to arise when providing family counseling in addiction treatment?
- Dual relationships with the identified patient's employer
- Confidentiality conflicts when multiple family members are clients (Correct answer)
- Scope of practice when addressing legal matters
- Fee collection when insurance does not cover family sessions
Correct answer: Confidentiality conflicts when multiple family members are clients
When multiple family members are clients, confidentiality between members can create significant ethical dilemmas around information sharing within sessions.
Question 5: In the Johnson Intervention model, the goal of the structured intervention is to:
- Allow family members to express anger toward the addicted person
- Present specific, documented evidence of harm and offer a pre-arranged treatment option (Correct answer)
- Give the addicted person an ultimatum to choose family over substances
- Have the therapist diagnose substance use disorder in front of the family
Correct answer: Present specific, documented evidence of harm and offer a pre-arranged treatment option
The Johnson Intervention uses carefully prepared, factual impact statements from loved ones combined with a ready treatment plan to motivate entry into care.
Question 6: Family resilience in the context of addiction recovery is BEST described as:
- The family's ability to prevent relapse in the addicted member
- The family's capacity to adapt, reorganize, and grow stronger through the challenges of addiction and recovery (Correct answer)
- Individual members' ability to detach from the addicted person
- The family's financial stability during active addiction
Correct answer: The family's capacity to adapt, reorganize, and grow stronger through the challenges of addiction and recovery
Family resilience involves key processes—belief systems, organizational patterns, and communication—that allow families to withstand and recover from adversity.
Question 7: Which of the following is TRUE about Multisystemic Therapy (MST) for adolescent substance use?
- MST is delivered exclusively in outpatient clinic settings
- MST is an intensive, home-based intervention targeting multiple ecological systems (Correct answer)
- MST excludes peer relationships from its intervention targets
- MST is primarily indicated for adults with co-occurring family conflict
Correct answer: MST is an intensive, home-based intervention targeting multiple ecological systems
MST delivers intensive treatment in the home and community, addressing adolescent substance use by intervening across family, peer, school, and neighborhood systems.
MAC Family Counseling 4
The 'CRAFT' model (Community Reinforcement and Family Training) is primarily designed to help family members: