Facing Addiction in America (7 credit hours)

Program Summary:  This course takes a comprehensive look at substance use prevention, treatment, and recovery.  The course includes a discussion of the diagnostic criteria for substance use disorder (DSM-5), the affects of substance use on the brain, risk factors and protective factors, evidence-based treatment and prevention interventions, the substance use care continuum, strategies to reduce harm, and recovery. The reading includes Chapters 1-5 from Facing Addiction in America:  The Surgeon General’s Report on Alcohol, Addiction, and Health.  

This course is recommended for social workers, counselors, and therapists and is appropriate for beginning,  intermediate, and advanced levels of practice.  

Course Reading:  Facing Addiction in America:  The Surgeon General’s Report on Alcohol, Addiction, and Health-  Chapters 1-5

Author:  The Office of the Surgeon General, The US Department of Health and Human Services

Find the reading at:  

Chapter 1 Introduction  https://www.freestatesocialwork.com/articles/addictioninamericachapter1.pdf

Chapter 2 Neurobiology  https://www.freestatesocialwork.com/articles/addictioninamericachapter2.pdf

Chapter 3 Prevention  https://www.freestatesocialwork.com/articles/addictioninamericachapter3.pdf

Chapter 4 Treatment https://www.freestatesocialwork.com/articles/addictioninamericachapter4.pdf

Chapter 5 Recovery  https://www.freestatesocialwork.com/articles/addictioninamericachapter5.pdf

Full article https://www.freestatesocialwork.com/articles/addictioninamerica.pdf

Course Objectives:  To enhance professional practice, values, skills, and knowledge by identifying key issues related to substance use prevention, treatment, and recovery.

Learning Objectives:  Identify DSM-5 criteria for a substance use disorder.  Identify the ways in which substance use affects the brain.  Identify risk and protective factors for substance use.  Describe the prevention paradox.  Describe the substance use care continuum.  Identify strategies to reduce harm.  Identify medication-assisted treatment for alcohol and opioid use disorders.  Give an example of a behavioral therapy.  Define the concept of recovery.

Review our pre-reading study guide.

This course includes 83 test questions.  Your computer must be configured to accept cookies to save your answers if you log-out.  

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1: For questions 1-16, please refer to Chapter 1.  The United States spends more than any other country on health care and ranks ____________ in life expectancy.
2: A public health approach seeks to improve the health and safety of the population by
3: According to Table 1.1, substances can be divided into three main categories:
4: Key Terms:  The most severe form of substance use disorder, associated with compulsive or uncontrolled use of one or more substances best describes
5: Key Terms:  The use of any substance in a manner,  situation, amount, or frequency that can cause harm to users or to those around them best describes which key term?
6: Key Terms:  Binge drinking for men is drinking at least  ____________ standard alcoholic drinks on the same occasion on at least 1 day in the past 30 days.
7: Almost ______________ of the US population met diagnostic criteria for a substance use disorder for alcohol or illicit drugs.
8: In 2015, 12.5 million individuals misused a pain reliever in the past year.  How many individuals met diagnostic criteria for a prescription medication disorder?
9: Implications of Tables 1.3 and 1.4:  Greater impact is likely to be achieved by reducing substance misuse
10: 76% of those who die from alcohol overdose are
11: Higher cost of alcohol and other drugs is a
12: Recent scientific findings indicate that brain development is not complete until approximately age
13: The term 'substance ________' is increasingly avoided by professionals because it can be shaming.
14: The DSM-5 includes criteria for diagnosing
15: Alteration of the body's responsiveness to alcohol or a drug such that higher doses are required to produce the same effect achieved during initial use describes which of the following key terms?
16: A recent study by the CDC found that in 2011, only 1 in __________ US adults had ever been asked by a health professional about their drinking behavior.
17: For questions 17-31, please refer to Chapter 2.  Well-supported evidence suggests that the addiction process is a three stage cycle:  binge/intoxication, withdrawal/negative affect, and
18: Which region of the brain is involved in stress and the feelings of unease, anxiety, and irritability that typically accompany substance withdrawal?
19: According to the three-stage addiction cycle, the stage at which one seeks substances again after a period of abstinence is:
20: A person may go though the three-stage addiction cycle over the course of
21: The addiction cycle tends to _____________ over time.
22: The process by which presentation of a stimulus such as a drug increases the probability of a response like drug taking describes which key term?
23: Key Terms:  Antagonists bind to and  ___________ the activation of certain receptors on cells, preventing a biological response.
24: Which stage follows binge/intoxication?
25: Studies suggest that people addicted to substances experience an overall ___________ in the sensitivity of the brain's reward system, both to addictive substances and also to natural reinforcers, such as food and sex.
26: To help explain how the prefrontal cortex is involved in addiction, some scientists divide the functions of this brain region into
27: The over-activation of the Go system in the prefrontal cortex promotes
28: Binge drinking for women is defined as drinking ________ or more standard alcoholic drinks on the same occasion on at least 1 day in the past 30 days.
29: The frontal cortex does not fully develop until
30: About three quarters of 18- to 30-year-olds admitted to treatment programs began using substances at the age of _______________ or  younger.
31: Clinical reports suggest that women who use cocaine, opioids, or alcohol progress from initial use to a disorder at a ____________ rate than do men.
32: For questions 32-50,  please refer to Chapter 3.  Alcohol is involved in about ________ percent of the overdose deaths related to prescription opioid pain relievers.
33: Early substance misuse, including alcohol misuse, is associated with a greater likelihood of developing a substance use disorder later in life.
34: Research has shown that binge drinking is more common among individuals in
35: Which of the following is an example of a community risk factor?
36: The Prevention Paradox suggests that ______ are likely to have greater benefits.
37: The Nurse-Family Partnership program uses trained nurses to provide an intensive home visitation intervention for at-risk, first-time mothers during pregnancy.  This is an example of a(n)
38: Which school-based prevention program has shown long-term preventive effects on substance use among males with high levels of aggression?
39: Which prevention program is designed to help college students reduce alcohol misuse and the negative consequences of their drinking with two 1-hour interviews and a brief online assessment?
40: Which program provides personalized feedback to at-risk older drinkers, which included a personalized patient report, discussion with a physician, and three phone calls from a health educator?
41: According to a 2009 World Health Organization review, policies that increase alcohol prices
42: Since the early 1980s, alcohol-related traffic deaths in the US have
43: The National Minimum Drinking Age Act threatened to withhold a portion of states' _____________ if states made the purchase or public possession of alcoholic beverages legal for those under the age of 21.
44: A Community Guide review found that raising the MLDA reduced crashes among drivers aged 18 to 20 by a median of
45: According to Table 3.4, which evidence-based strategy had the highest number of states with a green rating in 2015?
46: Adolescent Use of Marijuana:  One study followed people form age 13 to 38 and found that those who began marijuana use in their teens and developed a persistent cannabis use disorder had up to an ___________ drop in IQ, even if they stopped using in adulthood.
47: Which of the following best describes the key term:  fidelity.
48: Which of the following reflects more current thinking on the "Fidelity-Adaptation Dilemma"
49: In one study, the LifeSkills Training program delivered in middle and junior high schools has shown significant, long-term effects on Grade 12 students' alcohol and marijuana use only among students whose teachers delivered at least _________ of the required material.
50: Which of the following best describes the key term:  dissemination?
51: For questions 51-75, please refer to Chapter 4.   Substance use disorder treatment has historically occurred in which setting?
52: The US Food and Drug Administration has approved medications to treat
53: According to Figure 4.1, outpatient services occur at what point in the Substance Use Care Continuum?
54: The first step to early intervention is
55: Ideally substance misuse screening should occur for all individuals who present in
56: Motivational interviewing is a client-centered counseling style that
57: The most common reason for not seeking substance use treatment is
58: If the case of an opioid overdose, there is typically a ____________ hour window in which bystanders can take action to prevent the user's death.
59: In 2015, the FDA approved an ________ form of naloxone to reverse opioid overdose.
60: When compared with relapse rates for chronic diseases, relapse rates for substance use disorders are
61: Which substance use disorder assessment tool contains 99 scales and subscales and can assess change over time?
62: In general, patients with serious substance use disorders are recommended to stay engaged for at least __________ in the treatment process, which may involve participation in three to four different programs or services.
63: Acamprosate has been developed to treat
64: Research clearly demonstrates that __________ leads to better outcomes for opioid use disorders.
65: Buprenorphine treatment can be provided by
66: Which medication for opioid use disorders is not abusable?
67: The best candidate for disulfiram are patients
68: Which behavioral therapy involves giving tangible reward to individuals to support positive behavior change?
69: Which family therapy features the 'daily sobriety contract?'
70: Research has shown that incorporating tobacco cessation programs into substance use disorder treatment is associated with a 25%  ___________ in the likelihood of maintaining long-term abstinence from alcohol and drug misuse.
71: Which of the following best describes telemedicine?
72: In the Project QUIT study, patients in the emergency department were found to be significantly more likely to disclose their substance use
73: Among studies evaluating Web-based intervention support as an add-on to standard in-person treatment, preliminary evidence shows _________ among the intervention group.
74: _____________ can be a significant barrier to treatment engagement for Asian patients.
75: Much of the literature on substance use in the military examines the relationship between alcohol and drug use and
76: For questions 76-83, please refer to Chapter 5 Recovery:  The Many Paths to Wellness. Which of the following is a pathway to recovery?
77: Rigorous follow-up studies of treated adult populations, who tend to have the most chronic and severe disorders, show more than _____________ achieving sustained remission, defined as remission that lasted for at least one year.
78: Even after a year or 2 of remission is achieved- through treatment or some other route- it can take ___________  more years before the risk of relapse drops below 15%, the level of risk that people in the general population have of developing a substance use disorder in their lifetime.
79: Which of the following is an example of 'recovery capital?'
80: AA's 12 steps are ordered in a logical progression beginning with
81: More than 80% of Al-Anon members are
82: Peer recovery coaches are
83: At the end of a 2 year period living in an Oxford House, the abstinence rate is ________ times greater than typical outcomes following detoxification and treatment.

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Free State Social Work, LLC, provider #1235, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 9/6/2021 - 9/6/2024. Social workers completing this course receive 7 continuing education credits.

Free State Social Work has been approved by NBCC as an Approved Continuing Education Provider, ACEP NO. 6605. Programs that do not qualify for NBCC credit are clearly identified. Free State Social Work is solely responsible for all aspects of the programs.

G.M. Rydberg-Cox, MSW, LSCSW is the Continuing Education Director at Free State Social Work and responsible for the development of this course.  She received her Masters of Social Work in 1996 from the Jane Addams School of Social Work at the University of Illinois-Chicago and she has over 20 years of experience.  She has lived and worked as a social worker in Chicago, Boston, and Kansas City.  She currently practices in the area of hospital/medical social work.  The reading materials for this course were developed by another organization.