QUESTIONS AND ANSWERS ALREADY PASSED
● Adderall - nootropic, amphetamine/dextroamphetamine; contains
amphetamine salt designed to increase dopamine, norepinephrine, used
for ADHD
● Provigil - nootropic, modafinil; used for sleep disorders
● Piracetam - nootric, sold as supplement, influences neuronal and
vascular functions and ehnaces cognitive functions without being
sedative or stimulant; used to treat depression, stroke, neurological
disorders.
● Homeostasis - process of creating family balance through equilibrium.
Don Jackson coined turn: movement from one part causes movement
from another until original configuration. Family with SU have rigid
roles.
● Harm Reduction - have proven to be effective for viral hepatitis, OUD,
and HIV; used to lessen consequences of SU, needle exchange, Narcan,
antiretroviral therapy for HIV psychoeducation and condoms.
,● Physiological dependence - if tolerance and withdrawal are evident
● 42 CRF Part 2 - protects client records from unauthorized disclosures
for client's with substance use disorders, dx MH and SUD, protect
clients from negative consequences; Confidentiality restrictions apply to
1.) records cannot be disclosed to admin, civil, criminal, or legislative
proceedings 2.) communication 3.) acknowledgements concerning
presences of client in a tx facility only does SUD
● HIPPA - Confidentiality protection for the records of all individuals
include protection of electronic health records
● Disabilities Act or PL 94-142 - provides students with free and
reduced public education delivered in the least restrictive environment.
● Section 504 of the Rehabilitation Act of 1973 - federal protection for
individuals with disabilities from discrimination; ensures
accommodations are provided
● The Matrix Model - neurobehavioral treatment; 1980s treat cocaine
and meth use, CBT, MI relapse prevention, 12-step. Guiding principles:
1.) positive therapeutic relationship 2.) structured schedule and
expectations 3.) educating participants and fam brain chem, cravings,
recovery, and relapse prevention 4.) CBT for change 5.) reinforce
positive behavioral change 6.) expected course of tx 7.) self help 8.)
UAs; 16 weeks of tx with 3 individual session and focus on groups
,● MAT services - AUD and OUD; meds reduce cravings, inhibit
intoxication effects, produce aversion, lessen desire for substance
For OUD started on methadone moved to Subutex and transitioned to
Suboxone for maintenance. for those wish to eventually be abstinent
gradual weaning from buprenorphine easier than methadone
Levo-alpha acetylmethadol (LAAM) also MAT hasn't been
manufactured in US since 2005
● OUD MAT - buprenorphine, methadone, naltrexone
● MAT AUD - acamprossate, disulfiram, naltrexone
● combatting burnout - 1.) avoid working in isolation 2.) maintain close
supervisory support 3.) debrief 4.) varied caseload to minimize overload
in one emotional area 5.) avoid overloading caseload 6.) work-life
balance 7.) vacation 8.) counseling for self
● Marijuana and MH - associated with developing higher instances of
schizophrenia, esp in young males, heavy use can induce or worsen
schizophrenia
● Psychoactive drugs - opium, caffeine, and nicotine are all
psychoactive subs effect individuals behavior, mood, awareness, and
thoughts. Categories: Stimulants, depressants, opiates, and hallucinogens
, ● The Smoking Cessation Practice Guidelines - Ask, advise, assess,
assist, and arrange 1.) ask regarding tobacco use 2.)advise smoking
cessation 3.) assess client's willingness to stop 4.) assist with
nonconfrontational counsel 5.) arrange to assess person's use in follow
up
● Cannabis Use Disorder Identification Test-Revised (CUDIT-R) -
similar to AUDIT, has cutoff scores to identify those at risk for
developing CUD
● Drug Abuse Screening Test - 10 (DAST-10) - assesses the effects and
consequences of various substances; asks about being charged with
driving while intoxicated; DAST 1 (In the past year have you used drugs
for other than medical use) precedes DAST 10
● Posttraumatic Stress Disorder Checklist -5 PCL-5 - measures sx of
PTSD
● Severity Dependence Scale (SDS) - measures person's degree of
dependence on cannabis and other substances used the last year
● Additive affect - effects produced are the sum of each individual
substance