Co-Occurring Disorders
(multiple choice)
(multiple choice)
In 2017, _____ million American adults suffered from both a mental health disorder and a substance use disorder (also referred to as co-occurring disorders).
(a) 8.5 million
(b) 9 million
(c) 10.5 million
(d) 9.5 million
(3) 7 million
(a) 8.5 million
When a person meets the criteria for a substance use disorder (SUD), a medical condition defined by uncontrollable use of substances despite the negative consequences, and they are also diagnosed with one or more additional mental disorders, this is called having “co-occurring disorders” or a “dual diagnosis.”
American Indians and Alaska Natives (AI/NA) aged 12 years and older had the highest rate of substance abuse and dependence in 2017, at _____%.
(a) 15.2%
(b) 19.6%
(c) 12.8%
(d) 9.5%
(e) 16.3%
(c) 12.8%
White people had a 7.7% rate of substance abuse in 2017.
About 6.8% of Black people / African Americans struggled with substance use disorders, while the percentage of Hispanics or Latinos who suffered from substance use disorders was 6.6%.
Approximately 4/6% of Native Hawaiians and Pacific Islanders (NH/PI) suffered from substance use disorders.
Asian Americans had the lowest rate of substance use disorders at 3.8%.
What do the letter “T” and an island have in common?
You’ll find them both in the middle of WATER!
Mental illnesses are common in the U.S. Nearly one in _____ U.S. adults live with a mental illness (52.9 million in 2020).
(a) 3
(b) 4
(c) 5
(d) 6
(e) 7
(c) 5
This number represented 21% of all U.S. Adults.
The prevalence of AMI was higher among females (25.8%) than males (15.8%).
Young adults (aged 18 to 25 years) had the highest prevalence of AMI (30.6%) compared to adults (ages 26 to 49 years; 25/3%) and older adults (aged 50 years and older; 14.5%).
The prevalence of AMI was highest among adults reporting two or more races (35.8%), followed by White adults (22.6%).
The prevalence of AMI was lowest among Asian adults (13.9%).
Mental illnesses include many different conditions that vary in degree of severity, ranging from mild to moderate to severe.
Two broad categories can be used to describe these conditions: “Any Mental Illness” (AMI) and “Serious Mental Illness” (SMI).
To be considered a “successful completer” of Kolmac’s intensive outpatient program (IOP), you must actively engage in a minimum of _____ group sessions over a minimum of eight weeks.
(a) 24
(b) 25
(c) 26
(d) 27
(e) 28
(c) 26
According to researchers from the National Institute on Drug Abuse in 2018, which of the following is NOT one of the three possible mechanisms that may explain why co-occurring disorders are so prevalent.
(a) Overlapping Risk Factors
(b) Self-Medicating
(c) Drug-Induced Brain Changes
(d) Stigma & Judgement from Society
(d) Stigma & Judgement from Society
Of the 2.3 million people in American prisons and jails, more than _____% meet the criteria for addiction.
(a) 45%
(b) 90%
(c) 25%
(d) 75%
(e) 65%
(e) 65%
Around 75% of individuals in a state prison or local jail who suffer from a mental illness also struggle with substance abuse, and the opposite is also true.
I am the rare case when today comes before yesterday. What am I?
A Dictionary!
Which of the following is NOT a disorder described in The Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR)?
(a) Capgras Syndrome (CS)
(b) Factitious Disorder
(c) Alice in Wonderland Syndrome (AIWS)
(d) Alien Hand Syndrome
(e) None of the Above
(e) None of the Above
Capgras Syndrome (CS), or the delusion of doubles; a syndrome characterized by a false belief than an identical duplicate has replaced someone significant to the patient.
Factitious Disorder, or a serious mental disorder in which someone deceives others by appearing sick, by purposely getting sick or by self-injury.
Alice in Wonderland Syndrome (AIWS), or Macropsia; a rare neurological disorder characterized by distortions of visual perception, the body image, and the experience of time; patients may see things smaller than they are, feel their body alter in size, or experience any of the syndrome’s numerous other symptoms.
Alien Hand Syndrome, or a phenomenon in which one hand is not under control of the mind; the patient loses control of the hand, and it acts as if it has a mind of its own. The etiology includes neurosurgery, tumor, aneurysms, and rarely, a stroke.
In _____, the Kolmac program, co-founded by Dr. George Kolodner and Jim McMahon, for the treatment of alcohol problems, opened in Silver Spring, Maryland. It was the first intensive outpatient (IOP) addiction rehabilitation program in the country—all other treatment at the time was being delivered in a residential or partial hospitalization setting.
(a) 1970
(b) 1955
(c) 1982
(d) 1973
(e) 1996
(d) 1973
Researchers have studied rates of co-occurring disorders for decades. They have identified that certain mental health disorders have been linked to SUDs more often the others. Mental health conditions that are MOST LIKELY to occur along side SUDs include, but are not limited to:
(a) Anxiety Disorders (e.g., Generalized Anxiety Disorder [GAD], Social Anxiety Disorder [SAD], Panic Disorder [PD])
(b) Mood Disorders (e.g., Bipolar Disorder, Depression)
(c) Personality Disorders (e.g., Antisocial, Borderline, Avoidant, Paranoid Personality Disorders)
(d) Posttraumatic Stress Disorder (PTSD)
(e) Attention-Deficit / Hyperactivity Disorder (ADHD)
(f) All of the Above
(e) All
(f) All of the Above
_____% of the 78,529 liver diseases among people aged 12 years and older in 2015 involved alcohol.
(a) 53%
(b) 47%
(c) 87%
(d) 29%
(e) 42%
(b) 47%
40% of all hospital beds in the United States are used to treat conditions related to alcohol consumption.
Alcohol is the third-leading cause of preventable death in the United States.
An estimated 88,000 people die from alcohol-related causes annually.
More than 10% of U.S. children live with a parent with alcohol problems.
Over half of all American adults have a family history of problem drinking or alcohol addiction.
In 2017, an estimated 14.5 million American adults aged 12 and older battled an alcohol use disorder, or 5.3% of this population.
I shave every day, but my beard stays the same. Who am I?
A Barber!
More _____ with severe mental illness (SMI; 69.9%) received mental health treatment than _____ with SMI (54.9%).
(a) Females; Males
(b) Males; Females
(c) Adolescents (~18 to 25 years); Adults (~26 to 49 years)
(d) Adults (~26 to 49 years); Adolescents (~18 to 25 years)
(e) Adolescents (~18 to 25 years); Older Adults (~50 years and older)
(a) Females; Males
In 2020, among the 14/2 million adults with SMI, 9.1 million (64.5%) received mental health treatment in the past year.
The percentage of young adults (aged ~28 to 25 years) with SMI who received mental health treatments (57/6%) was lower than adults (~26 to 49 years; 63%) and older adults (aged ~50 and older; 72.9%).
Kolmac Outpatient Recovery does NOT have treatment locations in which of the following regions?
(a) Pennsylvania
(b) Virginia
(c) Washington, D.C.
(d) New Jersey
(e) Delaware
(f) West Virginia
(f) West Virginia
More than _____% of those diagnosed with co-occurring disorders never receive treatment for either condition!
(a) 30%
(b) 40%
(c) 50%
(d) 60%
(e) 70%
(c) 50%
Of the 20.3 million adults diagnosed with SUDs, more than a third (~33%) also suffer from mental illness.
Almost 20% of the 42.1 million people diagnosed with a mental health condition also have a SUD.
Costs tend to be the primary barrier to treatment for more than half of those who are diagnosed but do not receive treatment.
Drug abuse and addiction cost American society more than $_____ billion annually in lost workplace productivity, healthcare expenses, and crime-related costs.
(a) $500 billion
(b) $975 billion
(c) $365 billion
(d) $230 billion
(e) $740 billion
(e) $740 billion
What is full of holes but still holds water?
A Sponge!
Approximately _____ million (or 39%) of individuals who identify as LGBTQIA+ meet diagnostic criteria for mental illness.
(a) 5.8 million
(b) 6.2 million
(c) 8.9 million
(d) 4.6 million
(e) 2.9 million
(a) 5.8 million
Which of the following is NOT a phase of the Kolmac Treatment Model?
(a) Outpatient
(b) Outpatient Detoxification
(c) Intensive Outpatient
(d) Partial Hospitalization
(e) None of the Above
(d) Partial Hospitalization
Kolmac combines the focus of inpatient treatment with the flexibility of the outpatient model.
The comprehensive programs consist of a unique integration of the three traditional phases of treatment:
Phase One – Outpatient Detoxification (i.e., Withdrawal Management)
Phase Two – Intensive Outpatient (i.e., IOP)
Phase Three – Outpatient Treatment (i.e., Continuing Care [CC])
Each phase overlaps to provide a smooth transition.
Increased severity of mental illness is associated with an increased risk of co-occurring disorders, with about _____% of people with severe mental illness developing co-occurring disorders.
(a) 25%
(b) 50%
(c) 75%
(d) 60%
(e) 35%
(b) 50%
More than _____ million elderly adults aged 65 years or older had a substance use disorder in 2017.
(a) 1 million
(b) 1.5 million
(c) 2 million
(d) 2.5 million
(e) 3 million
(a) 1 million
In 2017, about 978,000 of people in this age group had an alcohol use disorder (AUD); about 93,000 had an illicit drug use disorder.
Two-thirds of the senior citizens over the age of 65 years who struggled with AUDs developed the disorder before age 65 years.
Between 21% and 66% of elderly individuals battling a substance use disorder also suffer from a co-occurring mental health disorder.
What can never be put in a saucepan?
Its Lid!
Approximately _____ million (or 11.1%) of U.S. adults with mental illness are uninsured.
(a) 5 million
(b) 5.5 million
(c) 6 million
(d) 6.5 million
(e) 7 million
(b) 5.5 million
Approximately 950,000 (or 8.1%) of youth have private insurance that does not cover mental or emotional problems.
Kolmac Outpatient Recovery offers individualized, measurement-based treatment. Which of the following thoughtful and life-changing treatments are NOT offered at Kolmac?
(a) Individualized Treatment Planning
(b) Group Psychotherapy
(c) Medication-Assisted Treatment (MAT)
(d) Detox (when applicable)
(e) Continuing Care (CC)
(f) Relapse Prevention
(g) Family Programs
(h) All of the Above
(h) All of the Above