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Harm Reduction Approaches to Substance Abuse Treatment: Clinical Interventions and Ethical Considerations

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1.  What is harm reduction?
  1. A way of life
  2. A set of principles for cognitive behavioral therapy
  3. The reduction of stress related to harmful behaviors
  4. A set of interventions whose goal is to reduce problematic behaviors.
2.  What is an example of a harm reduction technique?
  1. Distribution of Narcan to the public
  2. Making clean needles available to diabetics
  3. Requiring a prescription or Narcan
  4. There is no such thing as harm reduction techniques
3.  A harm reduction approach allows the practitioner to:
  1. Meet with the client infrequently
  2. Meet the client where they are at
  3. Push the client towards change
  4. Allow the client to leave the session early
4.  Which of the following is NOT a stage of change as per the Transtheoretical Model?
  1. Pre-contemplation
  2. Splitting
  3. Contemplation
  4. Maintenance
5.  What is an ethical consideration when utilizing a harm reduction approach to alcohol use with homeless adults?
  1. Participation in an educational program
  2. Whether or not housing is contingent upon an abstinence only approach
  3. Participation in mental health treatment
  4. Whether there are children involved
6.  Why is a harm reduction approach to alcohol use particularly important for college students?
  1. A harm reduction approach is important because it encourages drug use
  2. Because college students don’t listen
  3. It is important because college students need to be successful
  4. An abstinence only program may not fit with the social norms of emerging adulthood
7.  What is one feature of health inequality?
  1. Health status differs based on socioeconomic grouping
  2. It affects everyone
  3. It is not a problem
  4. It is only a problem in the United States
8.  What are ways to mitigate risk with clients who may be considering treatment with psychedelics?
  1. Set clear boundaries about not coming to session under the influence
  2. Encourage clients not to do their own research
  3. Discourage clients from using psychedelics
  4. Advise clients to come to session under the influence
9.  What is an ethical issue related to safe injection sites?
  1. They remain illegal under federal law in the US despite their ability to reduce overdose deaths
  2. They are not run properly
  3. These sites don’t allow certain drug users to obtain services
  4. They include mental health services
10.  What are some criticisms of needle exchange programs?
  1. They are not lenient enough
  2. They reduce crime in the surrounding area
  3. They encourage drug use
  4. They promote sobriety

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