Mental
Health
Addiction
& Biology
Risk
& Protection
Health & Safety Concerns
Relation To
Social Work
100
Substance use is almost always NOT the only problem for young people. Name three of the most common co-morbid mental illnesses associated with adolescent substance misuse.
Possible Answers: •Conduct Disorder •Major Depressive Disorder •ADHD •Anxiety Disorders (e.g., PTSD and Phobias) •Psychosis (e.g., Schizophrenia and other Psychotic Disorders) •Bulimia Nervosa
100
Heroin is an opioid drug that is synthesized from morphine, a naturally occurring substance extracted from the seedpod of what plant that is indigenous to the Middle East and Southeast Asia.
Asian opium poppy
100
Define Risk and Protective factors
•Risk factors: -Any factor associated with the increased likelihood of a behavior that usually has negative consequences •Protective factors: -Any factor that reduces the impact of a risk behavior, helps individuals not to engage in potentially harmful behaviors and/or promotes an alternative pathway
100
What are some types of crime associated with heroin addicts?
Possible Answers: •Violent crime •Robbery/Burglary •Shoplifting •Prostitution
100
Name one Social Work profession in which the client could be a teen who abuses heroin
Possible Answers: •Clinical Social Worker •DYFS Worker •School Social Worker Hospital Social Worker •Welfare Services •Public Health •Correctional Social Worker •Mental Health •Child Welfare
200
Co-morbid substance misuse is the single most important factor that increases the risk of __________ in young people with mental illness.
Suicide
200
There are several ways to take heroin, can you name at least 3?
Possible Answers: •Insufflation (snorting, inhaling) •Intravenously (injection, mainlining) •Subcutaneously (skin-popping) •Smoking •Orally •Suppository
200
Risk and protective factors exist on several levels individual, peer, family, societal and community, and school . Give an example of a risk or protective factor on 1 of the 6 levels that would affect teen heroin use. 6 Levels: •Individual level •Peer level •Family level •Societal & Community level •School level
Answer Varies
200
Although sexual transmission gets most of the headlines, what is the second most common form of transmission of infectious diseases?
Dirty needles
200
Could a social worker use their expertise to select and guide teen heroin users in recovery to become a counselor for their peers who are also struggling with heroin use? Yes or no?
Yes.
300
Risk of developing clinical features associated with drug dependence significantly (increases OR decreases) when drug use starts before age 18 versus during adulthood.
Increases
300
In what direction does the brain develop?
Back to front
300
What are early signs of risk that may predict later heroin use in teens?
Possible Answers: •Lack of attachment and nurturing by parents or caregivers •Ineffective parenting, a caregiver who abuses drugs •Poor classroom behavior or social skills, academic failure •Association with drug-abusing peers
300
What are the two most prominent diseases associated with heroin usage?
AIDS and Hepatitis C
300
State one area, related to teen heroin use, where further research should be directed.
Possible Answers: •Intravenous use vs. non-intravenous use •Social networks and parental influence/expectation •Protective and risk factors and resiliency •Triggers and abstinence •Physiology of cravings and withdrawal •Medical advances in treating heroin use •Study more adolescent and teen usage since most research is done on adults
400
Name three consequences of co-occurring mental illness and substance abuse?
Possible Answers: •Greater propensity for violence •Medication noncompliance •Failure to respond to treatment •Physical illnesses •Tardive dyskinesia •Difficulty developing social relationships •Homelessness Incarceration •AIDS
400
Drugs acting on the reward pathway set in motion a biological process that results in flooding the limbic system-specifically the Nucleus Accumbens-with this neurotransmitter, associated with feelings of pleasure.
Dopamine
400
What are the highest transitions for drug abuse among adolescents?
Entering high school, moving away to college
400
How many heroin-exposed births occur annually?
7,000
400
If teen heroin use treatment was a continuum, state one aspect it should it include (for example, prevention could be one aspect of the continuum).
Possible Answers: •Early intervention for those using heroin but who are not yet physically dependent •Acute treatment for those that are dependent but are not yet chronically dependent •Long term care when relapse continues to occur •Continued positive support and guidance for those clean and in recovery