ADC Exam 6 with 100% Correct
Answers
What do studies indicate about lesbian, gay, bisexual, and transgender (LGBT)
individuals?
a. They are more likely to abuse alcohol and drugs than the general population.
b. They are similar to the general population in their use of alcohol and drugs.
c. They are more likely to use drugs but not more likely to use alcohol than others.
d. They are less likely to abuse alcohol and drugs than the general population. - ANS-A:
They are more likely to abuse alcohol and drugs than the general population. Because
many research instruments do not ask about sexual orientation, very little reliable
information is available on substance abuse among lesbian, gay, or bisexual (LGB)
individuals. However, research does indicate that lesbian, gay, bisexual, and
transsexual (LGBT) individuals use alcohol and drugs more often than the general
population. They are also more likely than the general population to persist in drinking
heavily into later life and less likely to stop using drugs. On average, members of the
LGBT community also use more kinds of drugs, including those that more profoundly
impair judgment, such as amyl nitrite (poppers), Ecstasy, ketamine (Special K), and
gamma hydroxybutyrate. These drugs are frequently used at parties and raves, during
and after which increased risky sexual behavior may lead to human immunodeficiency
virus/acquired immunodeficiency syndrome (HIV/AIDS) or hepatitis infections. Cultural
groups differ in how they view their LGBT members. In Hispanic culture, matters of
sexual orientation tend not to be discussed openly. LGB members of minority groups
often find themselves targets of discrimination within their minority culture and of racism
in the general culture.
What does the term cultural brokering refer to?
a. Immigration and naturalization assistance
b. Financial managers for ethnic and racial minorities
c. Housing services for ethnic and racial minorities
d. Liaison work between cultures to meet needs - ANS-D: Liaison work between
cultures to meet needs. The culture brokering approach was conceived to mediate the
difficult gap between the needs of foreign-born people and the U.S. health care system.
This model can also help clients with disabilities and impairments. Almost one-sixth of
all U.S. citizens have some functional disability. Of these, more than 30 percent live
below the poverty line, and most expend considerable financial resources on their
disability-related needs. The combination of depression, frequent pain, employment
difficulties, and functional limitations leaves the cognitively and physically disabled
vulnerable to substance abuse. Yet, research reveals, they are less likely to receive
effective treatment than those without any disability. Further, many disabled (and other)
individuals struggling with addiction have unidentified learning disabilities that can
,impair successful treatment. Even individuals with the same disability may differ in their
functional capabilities and limits. Consequently, treatment providers must carefully
assess these clients and tailor treatments to meet their unique needs.
How do the rates of heavy alcohol use among youth ages twelve to seventeen in rural
areas compare?
a. Double the rates in metropolitan areas
b. Slightly higher than the rates in metropolitan areas
c. About the same as the rates in metropolitan areas
d. Half the rates found in metropolitan areas - ANS-A: Double the rates in metropolitan
areas. The rate of alcohol use among adults over the age twenty-five is lower in rural
areas than that found in metropolitan areas. However, youth between the ages of twelve
and seventeen have rates of heavy alcohol use that are almost double those in
metropolitan areas. Further, rates of alcohol use and alcoholism among women in rural
areas are higher than rates among women in metropolitan areas. Even so, at least one
study reveals that individuals living in urban settings were treated for substance abuse
more than twice as often as those living in a rural setting. It was concluded that the
stigma of substance abuse treatment and the availability of treatment combined to
substantially limit the treatment rate. Given that 20 percent of the U.S. population lives
outside of metropolitan areas, understanding the unique needs of rural populations is
important.
Although homeless individuals are more likely to receive detoxification services than
people not homeless, what percentage will receive full treatment for their alcohol or
substance abuse problems?
a. 15 percent
b. 25 percent
c. 35 percent
d. 45 percent - ANS-B: 25 percent. In other words, 75 percent will not receive proper
treatment. Although the homeless receive detox services more than three times as often
as people who are not homeless (45 percent vs. 14 percent), this is likely due to
unexpected hospitalizations, psychiatric facility transitioning, and vagrancy and drug
possession arrests that result in an involuntary detox and loose medical supervision. Of
the approximately six hundred thousand homeless at any given time, about 41 percent
are white, 40 percent are African-American, 11 percent are Hispanic, and 8 percent are
Native American—disproportionate minority representation. The homeless may be: (1)
transient—temporarily with others and at high risk of suddenly being on the street; (2)
recently displaced—due to eviction or other financial problems (potentially due to
substance abuse; or (3) chronically homeless—often with severe substance use and
mental disorders, they are difficult to draw into treatment and are in need of creative
outreach and programming initiatives.
Homeless individuals are particularly susceptible to substance abuse due to the stress
and hopelessness of their current situation. What are the three most common
substances of abuse among this population?
a. Alcohol, crack cocaine, and marijuana
, b. Alcohol, opioids, and marijuana
c. Alcohol, opioids, and crack cocaine
d. Alcohol, marijuana, and inhalants - ANS-C: Alcohol, opioids, and crack cocaine.
Alcohol is the primary substance of abuse for 50 percent of the homeless admitted to
treatment, with 18 percent abusing opioids (pain meds, heroin, etc.) and 17 percent
abusing crack cocaine. Nearly one-quarter of the homeless (23 percent) have co-
occurring disorders, while 20 percent of those not homeless also suffer with a co-
occurring disorder. Recommendations for retaining homeless clients in treatment
include: (1) meet their survival needs (food, clothing, warmth, and safe shelter) in
addition to treatment and extensive continuing care; (2) optimally, early intensive
treatment (clients attending 4.1 days per week have better outcomes than those
attending fewer days); and (3) case management, which is needed to: (1) arrange safe
and drug-free housing (which powerfully influences recovery, especially if housing is
contingent on abstinence), (2) coordinate psychiatric and medical care, and (3) locate
vocational training or education to help individuals become self-sufficient. The Alcohol
Severity Index, the Alcohol Dependence Scale, and the personal history form have all
been deemed valid and reliable screening tools for this population, especially when
interviewed in a protected setting, with factual questions based on a recent time period.
What is the case management model that seeks to identify clients' needs and assist
clients in obtaining access various identified resources known as?
a. Brokerage or Generalist Model
b. Program of Assertive Community Treatment Model
c. Strengths-Based Perspective
d. Clinical or Rehabilitation Model - ANS-A: Brokerage or Generalist Model. This
approach endeavors to evaluate and determine clients' needs in order to help them
access specific resources. Client contacts are minimal, and planning is brief, as the goal
is prompt and accurate referral without establishing an intensive, long-term relationship.
Consequently, there is little to no monitoring or proactive advocacy. Because of this, the
Brokerage or Generalist model is not always ideal, yet the limited relationship allows for
cost-effective rendering of services to a greater numbers of clients. This approach
works best when treatment and social services are well integrated, thus limiting the
need for advocacy and monitoring. The optimal client is not economically deprived, has
otherwise adequate resources, and is not in late-stage addiction. Smaller agencies that
offer narrowly defined services may benefit most from this model. In some situations,
case managers may also serve as educators, offering sessions on substance abuse
and related high-risk behaviors.
Which is the ONLY case management model that specifically addresses making contact
with clients in their homes and other natural settings?
a. Clinical or Rehabilitation Model
b. Strengths-Based Perspective
c. Program of Assertive Community Treatment Model
d. Brokerage or Generalist Model - ANS-C: Program of Assertive Community Treatment
Model. Developed as a mental health treatment model, key elements of PACT include:
(1) meeting clients in homes and other natural settings; (2) addressing practical daily
Answers
What do studies indicate about lesbian, gay, bisexual, and transgender (LGBT)
individuals?
a. They are more likely to abuse alcohol and drugs than the general population.
b. They are similar to the general population in their use of alcohol and drugs.
c. They are more likely to use drugs but not more likely to use alcohol than others.
d. They are less likely to abuse alcohol and drugs than the general population. - ANS-A:
They are more likely to abuse alcohol and drugs than the general population. Because
many research instruments do not ask about sexual orientation, very little reliable
information is available on substance abuse among lesbian, gay, or bisexual (LGB)
individuals. However, research does indicate that lesbian, gay, bisexual, and
transsexual (LGBT) individuals use alcohol and drugs more often than the general
population. They are also more likely than the general population to persist in drinking
heavily into later life and less likely to stop using drugs. On average, members of the
LGBT community also use more kinds of drugs, including those that more profoundly
impair judgment, such as amyl nitrite (poppers), Ecstasy, ketamine (Special K), and
gamma hydroxybutyrate. These drugs are frequently used at parties and raves, during
and after which increased risky sexual behavior may lead to human immunodeficiency
virus/acquired immunodeficiency syndrome (HIV/AIDS) or hepatitis infections. Cultural
groups differ in how they view their LGBT members. In Hispanic culture, matters of
sexual orientation tend not to be discussed openly. LGB members of minority groups
often find themselves targets of discrimination within their minority culture and of racism
in the general culture.
What does the term cultural brokering refer to?
a. Immigration and naturalization assistance
b. Financial managers for ethnic and racial minorities
c. Housing services for ethnic and racial minorities
d. Liaison work between cultures to meet needs - ANS-D: Liaison work between
cultures to meet needs. The culture brokering approach was conceived to mediate the
difficult gap between the needs of foreign-born people and the U.S. health care system.
This model can also help clients with disabilities and impairments. Almost one-sixth of
all U.S. citizens have some functional disability. Of these, more than 30 percent live
below the poverty line, and most expend considerable financial resources on their
disability-related needs. The combination of depression, frequent pain, employment
difficulties, and functional limitations leaves the cognitively and physically disabled
vulnerable to substance abuse. Yet, research reveals, they are less likely to receive
effective treatment than those without any disability. Further, many disabled (and other)
individuals struggling with addiction have unidentified learning disabilities that can
,impair successful treatment. Even individuals with the same disability may differ in their
functional capabilities and limits. Consequently, treatment providers must carefully
assess these clients and tailor treatments to meet their unique needs.
How do the rates of heavy alcohol use among youth ages twelve to seventeen in rural
areas compare?
a. Double the rates in metropolitan areas
b. Slightly higher than the rates in metropolitan areas
c. About the same as the rates in metropolitan areas
d. Half the rates found in metropolitan areas - ANS-A: Double the rates in metropolitan
areas. The rate of alcohol use among adults over the age twenty-five is lower in rural
areas than that found in metropolitan areas. However, youth between the ages of twelve
and seventeen have rates of heavy alcohol use that are almost double those in
metropolitan areas. Further, rates of alcohol use and alcoholism among women in rural
areas are higher than rates among women in metropolitan areas. Even so, at least one
study reveals that individuals living in urban settings were treated for substance abuse
more than twice as often as those living in a rural setting. It was concluded that the
stigma of substance abuse treatment and the availability of treatment combined to
substantially limit the treatment rate. Given that 20 percent of the U.S. population lives
outside of metropolitan areas, understanding the unique needs of rural populations is
important.
Although homeless individuals are more likely to receive detoxification services than
people not homeless, what percentage will receive full treatment for their alcohol or
substance abuse problems?
a. 15 percent
b. 25 percent
c. 35 percent
d. 45 percent - ANS-B: 25 percent. In other words, 75 percent will not receive proper
treatment. Although the homeless receive detox services more than three times as often
as people who are not homeless (45 percent vs. 14 percent), this is likely due to
unexpected hospitalizations, psychiatric facility transitioning, and vagrancy and drug
possession arrests that result in an involuntary detox and loose medical supervision. Of
the approximately six hundred thousand homeless at any given time, about 41 percent
are white, 40 percent are African-American, 11 percent are Hispanic, and 8 percent are
Native American—disproportionate minority representation. The homeless may be: (1)
transient—temporarily with others and at high risk of suddenly being on the street; (2)
recently displaced—due to eviction or other financial problems (potentially due to
substance abuse; or (3) chronically homeless—often with severe substance use and
mental disorders, they are difficult to draw into treatment and are in need of creative
outreach and programming initiatives.
Homeless individuals are particularly susceptible to substance abuse due to the stress
and hopelessness of their current situation. What are the three most common
substances of abuse among this population?
a. Alcohol, crack cocaine, and marijuana
, b. Alcohol, opioids, and marijuana
c. Alcohol, opioids, and crack cocaine
d. Alcohol, marijuana, and inhalants - ANS-C: Alcohol, opioids, and crack cocaine.
Alcohol is the primary substance of abuse for 50 percent of the homeless admitted to
treatment, with 18 percent abusing opioids (pain meds, heroin, etc.) and 17 percent
abusing crack cocaine. Nearly one-quarter of the homeless (23 percent) have co-
occurring disorders, while 20 percent of those not homeless also suffer with a co-
occurring disorder. Recommendations for retaining homeless clients in treatment
include: (1) meet their survival needs (food, clothing, warmth, and safe shelter) in
addition to treatment and extensive continuing care; (2) optimally, early intensive
treatment (clients attending 4.1 days per week have better outcomes than those
attending fewer days); and (3) case management, which is needed to: (1) arrange safe
and drug-free housing (which powerfully influences recovery, especially if housing is
contingent on abstinence), (2) coordinate psychiatric and medical care, and (3) locate
vocational training or education to help individuals become self-sufficient. The Alcohol
Severity Index, the Alcohol Dependence Scale, and the personal history form have all
been deemed valid and reliable screening tools for this population, especially when
interviewed in a protected setting, with factual questions based on a recent time period.
What is the case management model that seeks to identify clients' needs and assist
clients in obtaining access various identified resources known as?
a. Brokerage or Generalist Model
b. Program of Assertive Community Treatment Model
c. Strengths-Based Perspective
d. Clinical or Rehabilitation Model - ANS-A: Brokerage or Generalist Model. This
approach endeavors to evaluate and determine clients' needs in order to help them
access specific resources. Client contacts are minimal, and planning is brief, as the goal
is prompt and accurate referral without establishing an intensive, long-term relationship.
Consequently, there is little to no monitoring or proactive advocacy. Because of this, the
Brokerage or Generalist model is not always ideal, yet the limited relationship allows for
cost-effective rendering of services to a greater numbers of clients. This approach
works best when treatment and social services are well integrated, thus limiting the
need for advocacy and monitoring. The optimal client is not economically deprived, has
otherwise adequate resources, and is not in late-stage addiction. Smaller agencies that
offer narrowly defined services may benefit most from this model. In some situations,
case managers may also serve as educators, offering sessions on substance abuse
and related high-risk behaviors.
Which is the ONLY case management model that specifically addresses making contact
with clients in their homes and other natural settings?
a. Clinical or Rehabilitation Model
b. Strengths-Based Perspective
c. Program of Assertive Community Treatment Model
d. Brokerage or Generalist Model - ANS-C: Program of Assertive Community Treatment
Model. Developed as a mental health treatment model, key elements of PACT include:
(1) meeting clients in homes and other natural settings; (2) addressing practical daily
