Update ) Diagnosis &
Management in Psychiatric-Mental
Health II Practicum | Questions &
Answers | 100% Correct | Grade A -
Chamberlain
Question:
Individuals with untreated _______ are at particular risk for developing a SUD
Answer:
ADHD
Question:
Adolescent substance use Screening
Answer:
-American Academy of Pediatrics (AAP) recommended universally screening
all adolescents for substance use during routine healthcare visits
• using a Substance Use Screening, Brief Intervention, & Referral (SBIRT)
approach
-commonly used SBIRT tool is the CRAFFT screening tool
,• recommended by the AAP Bright Futures Guidelines for preventative care
screenings.
Question:
CRAFFT tool
Answer:
• C: Have you ever ridden in a Car driven by someone, including yourself, who
was "high" or had been using alcohol or drugs
• R: Do you ever use alcohol or drugs to Relax, feel better about yourself or fit
in?
• A: Do you ever use alcohol or drugs while you are by yourself (Alone)?
• F: Do you ever Forget things that you did while using alcohol or drugs?
• F: Do your Family or Friends ever tell you that you should cut down on your
drinking or drug use?
• T: Have you ever gotten into Trouble while you were using alcohol or drugs?
*2+ yes answers suggest a significant problem
Question:
SUD screening tools to use with adolescents 12-18 years
Answer:
-Screening to Brief Intervention (S2BI)
-Brief Screener for Tobacco, Alcohol, and other drugs (BSTAD)
,Question:
Drug testing
Answer:
-AAP supports the use of drug testing in:
• emergencies
• on a voluntary basis as part of a full assessment of behavioral or mental
health symptoms
• as part of therapy or monitoring of a client with an identified substance use
disorder
-the use of "suspicionless" drug testing as a means of screening for drug use is
not useful for both practical & ethical reasons
-parents may request that a provider drug test their child
• AAP cautions against the use of involuntary drug testing on a mentally
competent adolescent
Question:
AAPs position on drug testing at home and in schools
Answer:
video
Question:
Adolescent SUDs Tx
Answer:
-Behavioral treatments
, • most prevalent interventions for adolescent SUDs
• CBT, group therapy, contingency management, motivational interviewing
-12-step programs or peer-to-peer programs
-Residential treatment
• clients who require stabilization, present a danger to themselves or their
families, or present a public safety risk
-family involvement is often integral
• tx plan may include family therapy
-Multidimensional Family Therapy
• may be an alternative to residential tx for substance use & co-occurring
mental health disorders
-Medication-assisted treatment (MAT) is less likely to be used with
adolescent clients
-Community Reinforcement and Family Training (CRAFT) tx strategy
• increase motivation & communication skills within a family impacted by
addiction
Question:
Adverse childhood experiences (ACEs)
Answer:
traumatic events that occur before a child reaches age 18
-Growing up in a family with mental health or substance use problems can
also cause traumatic injury
-ACEs, stressful or traumatic experiences
• sexual or domestic violence, physical or emotional abuse, or neglect