Question 1

An adolescent client of yours has attended several AA meetings. He understands its principles. However, he is having trouble surrendering to a higher power because he was raised in an atheistic, humanist tradition. How do you respond?

Accepted Answer

AA allows for a broad interpretation of a "higher power," which can be understood in a non-religious, spiritual, or personal way, aligning with the client's beliefs.

Question 2

Internalizing and externalizing factors that assist youth in guarding against substance abuse are factors.

Accepted Answer

Protective factors are conditions or attributes in individuals, families, communities, or the larger society that help people deal more effectively with stressful events and mitigate or eliminate risk in families and communities. These factors can help youth guard against substance abuse.

Question 3

What is the definition of protective factors? Name at least two protective factors for each of the following domains: individual, peer, school, community, and family

Accepted Answer

Protective factors are conditions or attributes in individuals, families, communities, or the larger society that mitigate or eliminate risk in families and communities, and increase the health and well-being of children and families.

Individual protective factors:
1. Resilience - the ability to bounce back from adversity and cope with stress in a healthy way.
2. Positive self-esteem - a strong sense of self-worth and confidence.

Peer protective factors:
1. Supportive friendships - having friends who provide emotional support and positive influence.
2. Positive social skills - the ability to communicate and interact effectively with peers.

School protective factors:
1. Positive school climate - a supportive and inclusive environment that promotes learning and well-being.
2. Access to education - opportunities for academic and personal growth through access to quality education.

Community protective factors:
1. Access to resources - availability of community resources such as healthcare, recreation, and social services.
2. Community cohesion - a sense of belonging and connectedness within the community.

Family protective factors:
1. Parental involvement - active participation and support from parents in a child's life and education.
2. Stable and nurturing relationships - a secure and loving family environment that promotes emotional well-being.

Question 4

A student who was doing well academically last year is doing poorly this year. He has new friends who use drugs. His single father recently started smoking marijuana in front of him occasionally. His mother died of a drug overdose two years ago. What factors put this student at risk for substance abuse?

Accepted Answer

The student is at risk due to academic failure (a change in school performance), his friends' attitudes toward and use of substances (peer influence), and his father's attitude toward and use of substances (family influence), especially considering his mother's history.

Question 5

Delinquency, rebelliousness, and sensation-seeking are factors.

Accepted Answer

These factors are considered individual risk factors because they pertain to personal behaviors and characteristics that increase the likelihood of engaging in risky or harmful activities.

Question 6

You have a youthful, Mexican-American client with anger issues. She is an alcoholic. Both of her parents support your idea of outpatient treatment. Which option would you say is most appropriate?

Accepted Answer

A-CRA (Adolescent Community Reinforcement Approach) is appropriate for addressing substance abuse and related issues in adolescents, including anger management, and involves family support, which aligns with the client's situation.

Question 7

Elements in an individual's life that increase vulnerability to negative developmental outcomes are factors.

Accepted Answer

Risk factors are elements in an individual's life that increase vulnerability to negative developmental outcomes.

Question 8

A youth was reported as using drugs. She has a poor attitude toward school but is doing well academically, recently received an award for academic achievement, and has not been caught in any other trouble at school. Based on what you know about risk and protective factors in the school domain, what might you conclude?

Accepted Answer

DA poor attitude toward school does not necessarily correlate with drug use, especially given the youth's high academic achievement. Understanding the context of her attitude could provide insights into her behavior. POSIT screening is a tool used to assess various domains of functioning and risk factors in adolescents, including substance use, making it a relevant step in this scenario.

Question 9

You have a youthful, Mexican-American client who chronically behaves in a disruptive manner. He is an alcoholic. Both of his parents support your idea of outpatient treatment. Which option would you say is most appropriate?

Accepted Answer

The answer of You have a youthful, Mexican-American client who...

Question 10

Ideally, assessments of youths should include information-gathering from the .

Accepted Answer

Assessments should include information from both the parents/guardians and the youth, but conducted separately. This approach allows for a comprehensive understanding of the situation from multiple perspectives and ensures that the youth can speak freely without the presence of their parents/guardians, who might influence their responses or whom the youth might not want to share certain information in front of.

Question 11

What is resilience? How does resilience relate to a youth's risk for and/or protection from drug abuse?

Accepted Answer

The answer of What is resilience? How does resilience relate...

Question 12

A youthful client completes a POSIT test. Her guardian does not want you to conduct any other interviews with the youth because the test made her feel anxious. What is the first thing you would do in response?

Accepted Answer

The first step is to communicate with the guardian about the importance of a comprehensive assessment for accurate diagnosis and treatment planning. The POSIT test alone may not provide enough information, and explaining this could help address the guardian's concerns and the youth's anxiety.

Question 13

Your youthful, Mexican-American client is using alcohol and marijuana. Her mother says she knows that her husband's heavy drinking has been a negative influence on her daughter, but she wants help for her daughter. The youth wants help, too. The father is indifferent. Which type of family therapy do you think would be best?

Accepted Answer

The answer of Your youthful, Mexican-American client is using alcohol...

Question 14

You find out during an assessment that a youth who has no close friends considers the drug he uses to be his best friend. Which item would be most beneficial for you to include as part of his treatment?

Accepted Answer

The answer of You find out during an assessment that...

Question 15

Your youthful client is dually diagnosed as having clinical depression and abusing alcohol two to three times a week. The hangovers the youth is suffering have become obvious to family members. Both parents and the youth's older sibling are very concerned. Which type of family therapy do you think would be best?

Accepted Answer

FBT (Functional Family Therapy) is a type of family therapy that is effective in treating adolescents with depression and substance abuse. FBT focuses on improving family communication and problem-solving skills, and it has been shown to be effective in reducing depression and substance abuse symptoms.

Question 16

What are some key aspects and assumptions of Positive Peer Culture PPC)? In what setting is PPC used?

Accepted Answer

The answer of What are some key aspects and assumptions...

Question 17

A peer-led drug and alcohol prevention program is offered at the school in your community. At a school board meeting you are attending, a parent confronts the board and demands that the program be shut down because she does not want her child being counseled by another student. How would you respond?

Accepted Answer

Peer-led programs have been shown to be more effective than teacher-led programs in preventing drug and alcohol use.

Question 18

What is the definition of risk factors? Name at least two risk factors for each of the following domains: individual, peer, school, community, and family.

Accepted Answer

The answer of What is the definition of risk factors?...

Question 19

What are the seven interventions for dually-diagnosed adolescents identified by Bender, Springer, and Kim? Describe as many of the ten preliminary treatment guidelines for dually-diagnosed adolescents as you can.

Accepted Answer

The answer of What are the seven interventions for dually-diagnosed...

Question 20

Opportunities and recognition for prosocial involvement are factors.

Accepted Answer

Opportunities and recognition for prosocial involvement are considered community protective factors as they help foster positive behaviors and reduce the likelihood of negative outcomes within a community.

Quiz 9: Treating Substance-Abusing Youth