Three Classifications Of Outpatient Treatment Include: A.12 ✓ Solved

Three classifications of outpatient treatment include:a.12 step

Question 1: Three classifications of outpatient treatment include:

  • a. 12 step groups, cognitive behavioral therapy, aftercare
  • b. Motivational Interviewing, Stages of Change, Psychoeducational
  • c. EAP, court ordered, self-referred
  • d. Continuing care, intensive outpatient program, day program

Question 2: Which one of the following is not part of what is considered in determining the level of treatment and care for an individual?

  • a. Screening
  • b. Diagnosis
  • c. Insurance reimbursement limitations
  • d. Patient problem areas

Question 3: According to SAMHSA, a major source of referrals to substance use treatment is:

  • a. Family members
  • b. Medical providers
  • c. Employers
  • d. The criminal justice system

Question 4: Proper treatment setting is ____________, while a specific treatment approach that meets the needs of the client is ______________.

  • a. Level of care; best fit
  • b. Community clinic; harm reduction
  • c. Inpatient treatment; abstinence
  • d. Placement matching; modality matching

Question 5: Which of the following definitions best defines a “Continuum of Care”?

  • a. An outdated system of care that has been replaced by a triadic level of care.
  • b. An element of care providing consistency and flexibility in the spectrum, intensity and duration of addiction treatment.
  • c. A range of inpatient and outpatient services that are available to a patient, but not necessarily utilized.
  • d. A treatment system in which clients enter treatment at a level appropriate to their needs and then step up to a more intense treatment or down to less intense treatment as needed.

Question 6: Which one of the following is a true statement?

  • a. Drug courts have no impact on recidivism rates.
  • b. Drug courts reduce recidivism rates to about 16%.
  • c. Despite efforts, drug court recidivism rates have risen to about 25%.
  • d. Drug courts reduce recidivism rates to about 5%.

Question 7: Using the correctional system to combat addiction has resulted in all of the following except:

  • a. Decreased financial cost to taxpayers
  • b. Deterioration of families
  • c. High unemployment rates for felons
  • d. Overcrowding of prisons

Question 8: Which one of the following lists the correct order and stages of change of the DiClemente and Prochaska model?

  • a. Denial, contemplation, preparation, action, and relapse
  • b. Denial, precontemplation, contemplation, preparation, action, and maintenance
  • c. Precontemplation, contemplation, preparation, action, and maintenance
  • d. Precontemplation, contemplation, preparation, action, and relapse

Question 9: The accepted practice of treatment for drug and alcohol use disorders in the U.S. is:

  • a. abstinence
  • b. Prohibition
  • c. Harm Reduction
  • d. Moderation management

Question 10: Phases of Screening, Brief Intervention, and Referral to Treatment (SBIRT) usually takes ________.

  • a. Between 30 to 60 minutes.
  • b. Between 5 and 10 minutes.
  • c. About 45 minutes.
  • d. About 25 minutes.

Question 11: Ambulatory Detoxification with Extended On Site Monitoring is a Level II-D classification, which means which one of the following?

  • a. There is no such thing as Ambulatory Detoxification with Extended On Site Monitoring.
  • b. The client can be served in an outpatient setting with on call support from an addictions specialist.
  • c. The client is not at this moment in need of inpatient services, is only experiencing moderate discomforts from detoxification, and is able to go home to family and social support.
  • d. The client is transported by ambulance to a medical detoxification facility.

Question 12: The correct definition of polytherapy is:

  • a. The use of one medication in treatment.
  • b. The use of behavioral sensitization by two counselors in treatment.
  • c. The use of more than one medication in treatment.
  • d. The use of drug antibodies to prevent drugs of abuse from entering the central nervous system.

Question 13: ________ are the class of medication often used to treat anxiety.

  • a. Anticonvulsants
  • b. Antagonists
  • c. Agonists
  • d. Anxiolytics

Question 14: Some things a clinician can do to support medication compliance with clients include all of the following except:

  • a. Challenge and contradict the client’s perspective
  • b. Listen to the client’s attitudes about medications
  • c. Ground concerns with compliance within the client’s point of view
  • d. Understand how the client’s subjective beliefs influence compliance

Question 15: A ____________ is a proved medication that is typically given first to a patient.

  • a. Anticraving treatment
  • b. Antagonist
  • c. First line agent
  • d. Agonist

Question 16: The three endogenous chemicals with the most relevance to addiction pharmacotherapy are:

  • a. Dopamine, norepinephrine, GABA
  • b. Glutamate, Serotonin, Dopamine
  • c. Serotonin, dopamine, GABA
  • d. Serotonin, dopamine, norepinephrine

Question 17: Disulfiram (Antabuse) is considered:

  • a. Anticraving treatment for alcohol
  • b. Aversion treatment for alcohol
  • c. Alcohol withdrawal treatment
  • d. An anxiolytic

Question 18: What of the following is not one of the four pharmacokinetic processes?

  • a. Absorption
  • b. Reuptake
  • c. Distribution
  • d. Biotransformation

Question 19: The obsessive disinhibition form of a craving is the result of dysfunction in the ___________ neurotransmitter.

  • a. GABA
  • b. OP
  • c. 5HT
  • d. DA

Question 20: Naltrexone is considered:

  • a. Anticraving treatment for alcohol
  • b. Aversion treatment for alcohol
  • c. An anxiolytic
  • d. Alcohol withdrawal treatment

Paper For Above Instructions

Outpatient treatment for substance use disorders plays a vital role in the continuum of care, focusing on facilitating recovery and providing support without requiring an individual to enter a residential program. This paper explores various classifications of outpatient treatment options available, how they contribute to patient care, and the implications for comprehensive recovery strategies.

Classifications of Outpatient Treatment

Outpatient treatment modalities are classified into different categories based on their structure, goals, and the techniques employed. The main classifications discussed include:

  • 12-Step Groups: 12-step programs, such as Alcoholics Anonymous (AA), provide peer support and a structured recovery approach emphasizing personal accountability and relapse prevention.
  • Cognitive Behavioral Therapy (CBT): CBT is a therapeutic method focusing on identifying and modifying negative thought patterns that contribute to substance use. It is widely used in outpatient settings to address underlying psychological issues.
  • Aftercare: Aftercare services assist individuals as they transition from intensive treatment back into their everyday lives, helping to reinforce recovery strategies and prevent relapse.

Other classifications are:

Motivational Interviewing: A client-centered approach that enhances motivation to change by exploring and resolving ambivalence.

Stages of Change: A model that outlines the progress of behavioral change in individuals seeking recovery.

Psychoeducational Groups: These focus on educating clients about addiction and fostering coping skills.

Patient Care Evaluation Parameters

The determination of the appropriate treatment and care level is critical in an individual’s recovery journey. Key factors include:

  • Screening: Identifying the severity of the substance use issue.
  • Diagnosis: Establishing an accurate assessment of the condition.
  • Insurance Reimbursement Limitations: Understanding financial support options.
  • Patient Problem Areas: Recognizing specific challenges faced by the patient.

Accurate assessments allow practitioners to create a personalized treatment plan that aligns with the client's specific needs, leading to successful outcomes.

Referral Sources for Treatment

According to SAMHSA, a significant source of referrals for substance use treatment comes from family members. They often serve as the first point of contact in recognizing issues and encouraging the individual to seek help, alongside medical providers, employers, and the criminal justice system.

Treatment Setting vs. Treatment Approach

A suitable treatment setting is essential for effective therapy. The appropriate level of care must match the client’s needs, while the treatment approach should be tailored to maximize engagement and healing. Placement matching refers to the selection of an appropriate care level, whereas modality matching is ensuring the chosen therapeutic interventions resonate with the individual, fostering successful recovery.

The Continuum of Care

The concept of a Continuum of Care encompasses a range of services designed to address the various needs of individuals with substance use disorders. It emphasizes flexibility and consistency in treatment modalities, enabling clients to transition as necessary between different levels of care, whether that means increasing or decreasing intensity based on their progress.

Drug Courts and Recidivism

Drug courts have been shown to significantly reduce recidivism rates among participants. Studies indicate that individuals who engage with drug courts decrease their chances of re-offending by as much as 16% or more depending on various factors. Thus, these courts are a critical element in both the judicial and treatment framework for addressing substance use issues.

Stages of Change

The DiClemente and Prochaska model identifies several stages through which individuals commonly progress in their effort to change problematic behaviors, including denial, precontemplation, contemplation, preparation, action, and maintenance. Recognizing these stages allows clinicians to tailor their interventions and support effectively, guiding clients through their recovery journey.

Effective Treatment Practices

The accepted practice for treating substance use disorders in the U.S. predominantly emphasizes abstinence as a key goal. However, various methodologies, including Harm Reduction, are gaining traction in move to create tailored treatment approaches that meet an individual’s unique needs and circumstances.

Screening and Intervention

Screening, Brief Intervention, and Referral to Treatment (SBIRT) is a comprehensive, evidence-based approach. Phases of SBIRT typically take between 30 to 60 minutes, allowing for an in-depth understanding of the patient’s needs, existing support systems, and readiness for change.

Medications in Treatment

Ambulatory detoxification with extended on-site monitoring represents a specific level of outpatient care (Level II-D). It ensures that patients who do not require inpatient services can still receive support while managing withdrawal symptoms in a safe environment with medical oversight.

Polytherapy involves the use of multiple pharmacological agents concurrently to enhance treatment efficacy, particularly in complex cases of addiction. Clinicians may utilize different classes of medication, including anxiolytics, to support individuals struggling with co-occurring disorders.

Conclusion

Outpatient treatment provides a vital component of care in the journey toward substance recovery. Understanding the classifications and approaches to outpatient care, combined with effective evaluation and treatment strategies, offers a comprehensive resource for individuals seeking healing from addiction. Engaging clients with personalized support maximizes outcomes and fosters sustained recovery.

References

  • Substance Abuse and Mental Health Services Administration. (2021). Behavioral Health Treatments and Services. Retrieved from https://www.samhsa.gov
  • National Institute on Drug Abuse. (2020). Principles of Drug Addiction Treatment: A Research-Based Guide. Retrieved from https://www.drugabuse.gov
  • Prochaska, J. O., & DiClemente, C. C. (1986). Toward a comprehensive model of change. In J. W. O’Brien & R. O’Brien (Eds.), Treatment of Alcoholism and Substance Abuse (pp. 3-27). New York: Wiley.
  • Miller, W. R., & Rollnick, S. (2012). Motivational Interviewing: Helping People Change (3rd ed.). New York: Guilford Press.
  • Institute of Medicine. (2006). Improving the Quality of Health Care for Mental and Substance-Use Conditions. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK19839/
  • Sharma, E., & Petty, B. (2019). The Effectiveness of Drug Courts: A Meta-Analysis. Substance Abuse Treatment, Prevention, and Policy, 14(1).
  • McLellan, A. T., et al. (2000). Evaluating the effectiveness of addiction treatment services. In: Substance Abuse and Mental Health Services Administration (US); 2000.
  • Georgia Department of Behavioral Health and Developmental Disabilities. (2020). Screening, Brief Intervention, and Referral to Treatment (SBIRT) Model. Retrieved from https://dbhdd.georgia.gov
  • Zweben, J. E., & Cohen, J. (2019). The Use of Medications to Treat Addiction. Journal of Substance Abuse Treatment, 99, 19-27.
  • American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.