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1. Which of the following is NOT a component of outpatient treatment?
a. Individual and group therapy
b. Marriage counseling
c. Hospitalization
d. Vocational training
2. _________ is a prerequisite for outpatient treatment.
a. Pre-payment
b. Employment
c. Involvement of family
d. Abstinence from or reduction in the level of illicit drugs and/or alcohol use
3. One downfall of keeping the client in the community while he/she participates in outpatient treatment is
a. the fees charged for outpatient treatment are much more than for inpatient treatment.
b. the individual is still exposed to drug cues and triggers.
c. the individual still has to go to work.
d. the individual has to re-orient him/herself everyday after treatment.
4. Raheed is doing outpatient treatment for his AUD. He is attending individual therapy once a week, group once a
week, and is expected to go to an AA meeting at least once a week. He also has a case manager with whom he
meets regularly to check his progress. He is going to be in this program for two months. Raheed is most likely
participating in what type of outpatient treatment program?
a. DWI class
b. Short term
c. Intensive short term
d. Intensive long term
5. One disadvantage of inpatient/residential treatment is
a. there is not much structure provided to the client.
b. the quality of treatment is much lower than outpatient treatment.
c. the client has to completely leave his/her life for a period of time.
d. thereisnowaytohelpaclient“detox.”
6. Greg is involved in a type of treatment he is planning on doing for at least one year. He lives with a group of people
with SUDs who are working on changing their deviant substance abuse behaviors, becoming more mature, and
improving their lives without the need for substances. His program is highly structured with activities scheduled from
early morning until late in the evening. He is confronted daily about his behaviors and his coping strategies, but Greg
feels like he can take the confrontations because he feels supported. Greg is most likely participating in what type of
treatment?
a. Intensive long-term outpatient
b. Hospital-based residential treatment
c. Detox program
d. Therapeutic community
7. What percentage of those who begin therapeutic community programs graduate?
a. 5-7 percent
b. 10-15 percent
c. 20-26 percent
d. 45-50 percent
8. Those who remain in residential treatment for longer than ___ days are more likely to benefit than those who are
there for a shorter period of time.
a. 5
b. 9
c. 14
d. 29
9. Janie is about to successfully graduate from residential treatment. She lacks a stable support system at home and is
worried about her ability to live independently, but she is motivated to remain abstinent and get back on her feet.
Which of the following might be the best option for Janie?
a. A halfway house
b. Partial hospitalization
c. Therapeutic community
d. Remain in residential treatment
10. The guiding philosophy for treatment is the
a. appropriate level of care necessary.
b. need to follow insurance company funding policies.
c. determination of bed availability at various rehabilitation facilities so that treatment referrals can be spread
evenly around the regional centers to avoid charges of favoritism on the part of the referral agency.
d. level of confrontation necessary to assist the individual in accepting his or her SUD.
11. What percentage of persons who enter into a substance abuse rehabilitation program will begin an outpatient
treatment program?
a. 85 percent
b. 30 percent
c. 70 percent
d. 55 percent
12. For many persons, outpatient therapy is a
a. unnecessary financial drain.
b. transitional step between residential treatment and self-directed recovery.
c. way to please the insurance company representatives, who demand the individual have failed at outpatient
treatment before permitting admission to an inpatient recovery program.
d. form of treatment with major differences in treatment philosophies as compared with residential treatment
programs.
13. The majority of outpatient treatment programs follow a ___________ approach to recovery.
a. rational emotive
b. family systems
c. 12-step centered
d. alternative medicine
14. In the early stages of treatment a formal _________ is developed.
a. contract with the client not to abuse certain chemicals
b. treatment plan
c. genealogy
d. costbenefitanalysisoftheperson’ssubstanceusehistory
15. Early therapeutic communities
a. usuallyutilizedan“egostripping”technique.
b. made extensive use of trained mental health professionals in providing services to the clients.
c. were all designed so the person would return to independent living within a year.
d. had provisions for working with women who have children or persons with AIDS.
16. Which of the following statements is true?
a. Although residential programs are less expensive, reduced insurance company reimbursement rates result in
such programs costing almost as much as outpatient rehabilitation programs.
b. Residential treatment programs have better treatment outcomes even if the person is in the program for a
shorter period of time.
c. Although outpatient rehabilitation programs are inherently less expensive, the insurance company
reimbursement policies might make it more expensive to the individual than residential treatment.
d. The weekly cost of either inpatient or outpatient treatment is approximately the same since the program still
has to pay staff salaries, equipment, room for the treatment program, etc.
17. The process of re-orientating the client to post-treatment life is
a. reduced when outpatient program formats are used.
b. aboutthesameaswhenresidentialtreatmentprogramsareutilizedintheperson’streatment.
c. more intense than when residential treatment programs are utilized.
d. far more complicated for those completing outpatient treatment as compared with those completing residential
treatment.
18. There is _____ standard definition of inpatient/residential substance abuse treatment.
a. an accepted
b. no
c. an internationally approved
d. a shared (in the U.S. and the United Kingdom only)
19. Clients in a therapeutic community are viewed as passing through three phases of change: compliance, _______,
and making a personal commitment to change.
a. maintenance of hidden drug-use thoughts
b. fear of the treatment process
c. conformity
d. denial in the service of the ego
20. The main vehicle of personality change in the TC environment is thought to be the
a. revamping of the family environment.
b. expression of hidden feelings.
c. affirmations received for work well done.
d. supportive confrontation.
21. Currently, the participants in therapeutic communities
a. are all self-referred to the center.
b. are in 1/3 of the cases under supervision by the court.
c. are under the supervision of the court in 2/3 of the cases.
d. have completed all obligations to the court so they might freely participate in rehabilitation.
22. It has been estimated that _____ of new admissions to a therapeutic community will drop out in the first 30 days.
a. 15-20 percent
b. 30-40 percent
c. 50 percent
d. 60-70 percent
23. Thepurposeofthe“aftercare”programisthe
a. maintenance of gains made in treatment.
b. destruction of the abstinence support system.
c. eliminationofsubstanceuse“cravings.”
d. elimination of substance use thoughts.
24. At the end of one year ________ of those who dropped out of a therapeutic community within the first year were
still drug-free.
a. 14 percent
b. 45 percent
c. 25 percent
d. 45 percent
25. The ________ is a variant of the hallway house that serves as a transitional step between more intensive treatment
and independent living.
a. "soberhouse"
b. "detoxresidence"
c. "livingcleanhouse"
d. "transitionallivingfacility"
26. Describethecomponentsofoutpatienttreatmentprograms.
27. Brieflydescribesomeofthevariantsofoutpatientrehabilitationprograms.
28. What are some of the advantages and disadvantages of outpatient treatment programs?
29. Whataresomeoftheadvantagesanddisadvantagesofinpatient/residentialtreatmentprograms?
30. Explain the idea behind aftercare programs and describe some of the variants.
