Co-Occurring Disorders

Trauma

100

Name 4 types of Trauma.

What is :

Community Trauma

Complex Trauma

Domestic Violence

Early Childhood Trauma

Medical Trauma

Natural Disasters

Neglect

Physical and Sexual Abuse

Refugee and War Zone Trauma

Terrorism

Traumatic Grief

200

Trauma is the most frequently diagnosed co-occurring condition in individuals with _____________.

What is:

Substance Use Disorders.

300

Name the 5 Trauma Informed Services.

Safety –ensuring a physically and emotionally safe environment for the client.

Trustworthiness –Establishing trust and trustworthiness, making client responsibilities and tasks clear, and maintaining appropriate professional boundaries.

Choice –Emphasizing and encouraging consumer choice and control

Collaboration –Focusing on a collaborative approach and sharing of power with the client.

Empowerment – stressing the development of client empowerment and skill building.

400

Loss of memory or interest, chronic pain, insomnia, depression, self-destructive behaviors, hopelessness and substance abuse can be some signs of ___________.

What is :

Trauma

500

Trauma Informed Services would replace "what is wrong with you", with "_____________________".

What is :

What has happened to you?

Treatment

100

True or False:

There is only one set treatment path for someone with a co-occurring disorder in order to live a life of recovery.

What is :

False

200

Treatment interventions must match the ____________________ that the client is in.

What is :

Stage of Change

300

When we are assessing the client's perception of their problem, exploring their understanding of his or her clinical condition or examining the clients desire for continued treatment we are practicing ___________ ____________strategies.  

What is:

Motivational Interviewing

400

Treatment _______________ must match the stage of change that the client is in.

What is:

interventions

500

Name 4 barriers to effective treatment.

Services are not trauma-informed

No single locus of responsibility

Separate treatment philosophies, funding streams, and administrative structures

Different eligibility and reimbursement criteria

Lack of resources and trained professionals

Program admission barriers

Separate training, education and credentialing procedures

Stigma surrounds both disorders

Lack of integrated screening and assessment

Abuse and trauma issues remain untreated

Recovery

100

___________are the most powerful vehicle for moving the recovery process foward.

What are stories or

What is storytelling. 

 

200

People with co-occurring disorders can and do __________; they deserve access to the __________ they need to recover.

What is:

recover

and

services

300

Recovery, including meaningful roles in social life, school and work, is possible, especially when someone ____________________.

What is : 

starts treatment early and play a strong role in their own recovery process.

400

Name 4 community support groups that a person in co-occurring recovery might attend.

What is :

NA (narcotics anonymous)

AA (alcoholics anonymous)

CA (cocaine anonymous)

GA (gamblers anonymous)

OA (Overeaters Anonymous)

EDA (Eating Disorders Anonymous)

DRA (duel recovery anonymous)

Double Trouble

DAA (drug addiction anonymous)

NAMI (national alliance on mental illness)

CSP (community support program)

Hearing Voices Network

WRAP (wellness recovery action planning)

500

_________ inspires every person including those with the greatest challenges.

What is :

HOPE

Facts/definitions

100

People with COD are more likely to be__________________ and the rate may be increasing.

What is hospitalized

200

What part of SUD is a behavioral problem?  

What is substance abuse

300

Name the 5 STANDARDS OF CARE.

WELCOMING

ACCESSIBLE

INTEGRATED

CONTINUOUS

COMPREHENSIVE

400

In CCISC underlining principles for people with co-occurring disorders, what "door" is the right one? 

What is :

"ANY"

500

Which part of SUD is a medical disorder of the brain?

What is substance

dependence.

Stages of Change

100

Not yet considering change or 

is unwilling or unable to change.

Primary Task:

Raising Awareness

What is Precontemplation

200

Definition: 

Experienced a recurrence

of the symptoms.

Primary Task:

Cope with consequences and

determine what to do next

What is a relapse. 

300

Definition: 

Taking steps toward change but

hasn’t stabilized in the process.

Primary Task:

Help implement change strategies

and learn to eliminate

potential relapses

What is Action.

400

Definition: 

Sees the possibility of change but

is ambivalent and uncertain.

Primary Task:

Resolving ambivalence/

Helping to choose change

What is Contemplation

500

Definition: 

Has achieved the goals and is

working to maintain change.

Primary Task:

Develop new skills for

maintaining recovery

What is Maintenance