1.  The main purpose of the study on youth with co-occurring mental health and substance abuse disorders was to . . .
Provide youth and their families with the chance to voice their experiences
Allow youth and families to identify their concerns and successes
Provide recommendations to improve outcomes for youth
All of the above

2.  The study consisted of ____ participants ranging from ___ to ___ years of age.
150; 13 to 28
1500; 13 to 18
100; 10 to 19
1000; 12 to 25

3.  Participant parents and youth in this study were selected to insure . . .
Geographic diversity
Social and economic diversity
Racial and cultural diversity
All of the above

4.  When youth were asked about how the initial residential treatment interview could be improved, they responded that . . .
Interviews should be less formal and more personal
Interviews should be less personal and more formal
Interviewers should be more culturally sensitive
Interviews should be conducted without their parents being present

5.  When parents were asked about the kinds of residential treatments received and how substance abuse and mental health treatments were combined, they responded that treatments were . . .
Well-integrated and family participation was high
Fragmented but family participation was high
Fragmented and family participation was low
Well-integrated but family participation was low

6.  When asked whether they felt that substance abuse led to mental health disorders or vice-versa, parents and youth . . .
Agreed that mental health problems existed first and then led to substance abuse
Disagreed that mental health problems existed first and then led to substance abuse
Agreed that mental health disorders and substance abuse are independent issues
Disagreed that mental health disorders and substance abuse are independent issues

7.  According to the research conclusions, the inhumane way in which children with co-occurring substance abuse and mental health disorders were treated led them to . . .
Resist the treatment program
Relapse after the treatment program
�Fake-it� throughout the treatment program
All of the above

8.  According to the research conclusions, most of the current treatment programs are based on ____ models.
Adolescent
Adult
Behavioral
Psychosocial

9.  The research makes recommendations to all groups EXCEPT:
SAMHSA
Treatment providers
Family members
Government legislators

10.  According to the National Co-Morbidity Survey, how many people are affected by co-occurring substance abuse and mental health disorders?
1 million
5 million
10 million
50 million

11.  According to Dr. Bert Pepper, what is the most common cause of relapse to substance abuse?
Treated and untreated mental health problems
Untreated mental health problems
Lack of familial support
The nature of addiction

12.  In the 1960s and 1970s, treating agencies _____ that co-occurring mental health and substance abuse problems existed.
Denied
Barely acknowledged
Declared
Finally understood

13.  According to Dr. Bert Pepper, who is the only stakeholder that is benefiting from the way policies and procedures are set up?
Jail-industrial complex system
Government
Treatment agencies
None of above

14.  In the last few decades, the mental health treatment system has radically ____ while the capacity for our jail system has radically ____.
Downsized; increased
Increased; downsized
Both have stayed the same
Become more specialized; increased

15.  According to the National Co-Morbidity Survey, what percentage of people with co-occurring mental health and substance abuse problems first develop a mental disorder?
30%
50%
75%
85%

16.  According to the National Co-Morbidity Survey, the median age of onset for a mental health disorder was ___, whereas the median age of onset for substance abuse was between ___ and ___.
8; 17 and 21
11; 17 and 21
11; 13 and 17
8; 13 and 17

17.  According to Dr. Bert Pepper, what proportion of children with mental health disorders are treated?
1 out of 10
2 out of 5
3 out of 10
1 out of 5

18.  According to Dr. Bert Pepper, the motivation for children with mental health disorders to use drugs and alcohol is to . . .
Seek attention
Fit in socially
Feel normal
All of the above

19.  The continuum of abuse includes all EXCEPT:
Experimentation
Drug abuse
Drug tolerance
Drug dependence

20.  According to the continuum of abuse discussed by Dr. Bert Pepper, as experimentation with drugs progresses, drug use becomes . . .
Tolerated
Abusive
Habitual
Recreational

21.  Which of the following statements is true about the continuum of abuse?
Length of time spent in each stage is unpredictable
Length of time spent in each stage is equal
Length of time spent in each stage varies depending on the drug
Length of time spent in each stage depending on the mental disorder

22.  Which of the following is not listed as one of the personality immaturities that may result from childhood or adolescent substance abuse and/or mental health disorders?
Low frustration tolerance
Limit testing
Short attention span
Dualistic perspective

23.  The inability to verbalize feelings effectively is called . . .
Psycho linguistic frustration
Psycho linguistic regression
Psycho linguistic dysfunction
Alexithymia

24.  When examining the social life of someone with co-occurring disorders, we see that their social network may be nearly empty until we get to their ___ circle.
Fourth
Third
Second
Inner

25.  The traditional approach for treating individuals with co-occurring disorders is called the _________ treatment.
Parallel
Integrated
Fragmented
Sequential

26.  The best approach to solving the problem of locking up young people with co-occurring disorders in jails and prisons would be . . .
Prevention
Early intervention
Integrated treatment
All of the above

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