Substance Abuse & Addiction Counseling Flashcards

In substance abuse counseling, 'enabling' behavior is best defined as:

Answer: Actions by others that unintentionally shield a person from the consequences of their substance use

Enabling refers to behaviors by family members or others that protect the person with a substance use disorder from experiencing natural consequences, thereby inadvertently perpetuating the addiction cycle.

Which of the following is the most evidence-based pharmacological treatment for opioid use disorder?

Answer: Medication-Assisted Treatment (MAT) with buprenorphine or methadone combined with counseling

Medication-Assisted Treatment using FDA-approved medications like buprenorphine and methadone combined with behavioral counseling is the gold-standard, evidence-based approach for opioid use disorder.

Which of the following best describes the 'harm reduction' approach in addiction counseling?

Answer: Reducing the negative consequences of substance use without requiring abstinence

Harm reduction is a pragmatic, client-centered approach that aims to minimize health, social, and economic harms associated with substance use without requiring complete abstinence as a condition of care.

Motivational Interviewing (MI) was originally developed by:

Answer: William Miller and Stephen Rollnick

Motivational Interviewing was developed by William Miller and Stephen Rollnick as a client-centered, directive counseling method specifically designed to enhance motivation for change.

What does the acronym OARS stand for in Motivational Interviewing?

Answer: Open questions, Affirmations, Reflections, Summaries

OARS stands for Open questions, Affirmations, Reflections, and Summaries — the four core communication skills used in Motivational Interviewing to build rapport and elicit change talk.

Co-occurring disorders (dual diagnosis) in addiction counseling refers to:

Answer: Having both a substance use disorder and a mental health disorder at the same time

Dual diagnosis or co-occurring disorders refers to the simultaneous presence of a substance use disorder and at least one mental health disorder, requiring integrated treatment approaches to address both conditions.

Which of the following is a key principle of the ASAM Patient Placement Criteria for substance use treatment?

Answer: Treatment level should match the severity of the client's clinical needs assessed across six dimensions

The ASAM criteria use six dimensions to assess clinical severity and guide placement into the appropriate level of care, ensuring treatment intensity matches the individual client's needs.