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SAMHSA Tip 42- Co-Occurring Disorders With SUD – Q’s And A’s
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SAMHSA Tip 42- Co-Occurring Disorders With SUD –Q’s And A’s
Based on TIP 42 quick guide for co-occurring disorders and includes
information MAT programs.
Co-occurring disorder (COD) refers to _______ and a mental disorder. COD
can only be diagnosed when at least one disorder of each type is _________ of
each other & not just a ________ Correct Ans - 1) substance abuse/
dependence diagnosis
2) independent
3) cluster of symptoms
What are the phases of treatment that Substance Use Professionals
generally use? Correct Ans - 1) Engagement
2) Stabilization
3) Primary Treatment
4) Continuing Care
Why is it important to identify substantial periods of abstinence when
assessing someone for COD? Correct Ans - To understand the true
nature of their mental health symptoms, disability, and treatment without
substance use as substances can impact the way other symptoms present.
What are the key models and techniques used when working w/ SUD
clients? Correct Ans - 1)Stages of Change Model
2) Motivational Interviewing
How do Substance Use professionals use the Stages of Change model?
Correct Ans - To conceptualize a client's position on the treatment and
recovery continuum
What are techniques and models that have shown to work w/ COD clients?
Correct Ans - 1) Contingency Management (CM)
2) CBT
3) Relapse Prevention (RP)
4) MAT
,Celiene Manages Cognitive Barriers Through Really Progressive
Medications And Treatment is a mnemonic for: Correct Ans - The
main models of treatment for people with COD
1) Contingency Management (CM)
2) CBT
3) Relapse Prevention (RP)
4) MAT
No Wrong Door Correct Ans - Principle that states individuals with
COD can seek treatment through multiple different community services
and helping agencies. Requires that these agencies have systems to identify,
assess, refer and/or treat these individuals
SSI-SA Correct Ans - Simple Screening Instrument for Substance
Abuse. It is designed to use in a clinical setting for receiving or seeking
treatment. It review the individual's use of ETOH and other substances
over 6 months
How do you administer the SSI-SA ? Correct Ans - Structured
interview following the form OR provide the self-response form for the
client to fill out.
If the response to the first question on the SSI-SA question 1 is "no" what
should the SU professional do? Correct Ans - May want to end the
screening as further screening may be unnecessary; use discretion to
decide. If the individual says "yes" and scores 4 or more on the screen
further assessment is needed for treatment
AUDIT Correct Ans - Alcohol Use Disorders Identification Test
Alcohol and drug use are the highest _________________ to self or others even
without COD Correct Ans - predictors of harm
CIWA-Ar
CINA
COWS
CIWA-B Correct Ans - Examples of withdrawal scales that
professionals use to assess withdrawal symptoms and phases
, True or False: It should be assumed that all withdrawal from drugs need a
medical intervention Correct Ans - False: Withdrawal from ETOH,
benzos, opioids, and sedative hypnotics are the only substance that will
likely require medical intervention
True or False: Not all drugs provoke significant physiological withdrawal
however medical attention may be warranted for associated conditions
Correct Ans - True: Cocaine, THC, stimulants, and hallucinogens
typically do not need medical intervention BUT may need medical attention
if they are experiencing overdose, dehydration, or at risk of harming
themselves due to hallucinations
True or False: Withdrawal does not cause emotional or psychological
distress Correct Ans - False: It can cause emotional and mental
problems and it is important for the substance use professional to respond
to clients in a compassionate manner
True or False: Per SAMHSA Tip 42 an intoxicated individual can be assessed
for intake into a treatment program Correct Ans - True: Each
agency should have it's own policy towards screening or assessing
intoxicated individuals and the SU professional should adhere to their
agencies own policies; however, SAMHSA states that intake can proceed as
long as the intoxicated is cooperative and is engaging in assessment
voluntarily
Symptoms and Signs of Withdrawal/Intoxication that may require
immediate medical attention Correct Ans - -Changes in mental
status
-Increasing anxiety/panic
-Hallucinations
-Seizures
-Temperature > 100.4 degrees
-Significant increases/decreases in HR or BP
-Insomnia
-Abdominal pain
-GI bleeding
-Changes to pupil responsiveness
-Tightened deep tendon reflexes in the legs that may indicate CNS
irritability and/or seizure
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