Treatment Considerations for Youth and Young Adults with Serious...

1. It is important to understand that SED and SMI:*
- a. Are not diagnostic categories; they are broad encompassing terms used in public health to refer to the range of various diagnosed mental illnesses in youth and young adults, respectively, which significantly impair functioning
- b. Are diagnostic categories; they are specialized terms used in public health to refer to specific diagnosed mental illnesses in youth and young adults, respectively, which significantly impair functioning
- c. Both a and b
- d. None of the above
2. Among youth and young adults in need of mental health services, co-occurring substance misuse is:*
- a. Moderately prevalent
- b. Highly prevalent
- c. Not prevalent
- d. Slightly prevalent
3. Individual-level risk factors may include a person’s genetic composition or prenatal exposure to alcohol:*
- a. True
- b. False
4. Which of the following statements is true?*
- a. Risk and protective factors, such as income level, peer group, trauma exposure, and employment status remain constant and predictable.
- b. Some risk and protective factors, such as income level, peer group, trauma exposure, and employment status, may change over time, while others can remain constant.
- c. Both a and b
- d. None of the above
5. Which of the following statements is true?*
- a. Screening for mental and substance use disorders should be determined on a case by case basis.
- b.Universal screening for mental and substance use disorders should be a standard part of any primary care practice.
- c. Both a and b
- d. None of the above
6. When first working with a potential client, primary care, mental health, and substance use providers can conduct an intake screening tools including:*
- a. Generalized Anxiety Disorder (GAD-7)
- b. Major Depressive Disorder Module of the
- c. PHQ-9 Adolescent
- d. All of the above
7. Which of the following statements is true?*
- a. Individuals with co-occurring disorders experience greater functional impairment, with greater negative outcomes, than people diagnosed with a single disorder.
- b. Individuals with co-occurring disorders experience similar functional impairment, with similar negative outcomes, compared to people diagnosed with a single disorder.
- c. Individuals with co-occurring disorders experience less functional impairment, but with greater negative outcomes, than people diagnosed with a single disorder.
- d. None of the above
8. Youth and young adults specifically diagnosed with co- occurring SED/SMI and SUD are at increased risk of:*
- a. Suicidal ideation and attempts compared to others without a disorder or those with one
- b. Failure to graduate high school on time compared to others without a disorder or those with one
- c. Early pregnancy compared to others without a disorder or those with one
- d. All of the above
9. According to the National Survey on Drug Use and Health:*
- a. 97 percent of individuals aged 12 to 17 access mental health services in specialty settings and 18 percent in non-specialty settings
- b. 17 percent of individuals aged 12 to 17 access mental health services in specialty settings and 18 percent in non-specialty settings
- c. 37 percent of individuals aged 12 to 17 access mental health services in specialty settings and 18 percent in non-specialty settings
- d. None of the above
10. Youth and young adults experiencing co-occurring disorders commonly face difficulties accessing integrated services designed to assess and treat their needs. This is due to:*
- a. Lack of access to health insurance or adequate insurance benefits
- b. Fragmented or uncoordinated care, especially for youth and young adults in foster, juvenile justice, or residential settings, or those experiencing homelessness
- c. Limited cross training and education for mental health and substance use professionals
- d. All of the above
11. Integrated Cognitive Behavioral Therapy (I-CBT) applies the same foundational CBT tenets to address SUD and co-occurring suicidal ideation or post-traumatic stress.*
- a. True
- b. False
12. Studies have demonstrated that use of CBT with youth and young adults with co-occurring mental disorders and SUD was associated with significant reductions at follow-up in:*
- a. Frequency of general substance use
- b. Severity of PTSD symptoms
- c. Severity of depressive symptoms
- d. All of the above
13. Which of the following statements is true?*
- a. Family-based therapies can vary significantly in treatment duration, intensity, and frequency. The length of treatment for MDFT is typically three to six months, with one to three hourly sessions per week.
- b. Family-based therapies are standardized in treatment duration, intensity, and frequency. The length of treatment for MDFT is typically three to six weeks, with one hourly session per week.
- c. Family-based therapies can vary significantly in treatment duration, intensity, and frequency. The length of treatment for MDFT is typically two to three weeks, with three to five hourly sessions per week.
- d. None of the above
14. Medications for mental disorders provide significant relief for many people and help manage symptoms to the point where people can use other strategies to pursue recovery from the substance use disorder. For many people, the most effective behavioral health approach involves:*
- a. SUD Counseling
- b. Medication management counseling
- c. A combination of counseling and medication
- d. None of the above
15. Several factors influence treatment practice selection. Clinicians should consider the youth’s presenting co-occurring:*
- a. Disorders and symptoms
- b. Acuity and culture
- c. Life circumstances
- d. All of the above