Substance Abuse Treatment Quiz
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Questions and Answers

What is the primary concern regarding the THC content in cannabis?

  • It is far more potent than in the past, potentially leading to more harmful effects. (correct)
  • It reduces the risk of addiction.
  • It decreases the number of chemicals present in cannabis.
  • It makes cannabis less effective for medical treatments.
  • According to the information, what is the most commonly used substance in Hamilton?

  • Cannabis
  • THC
  • Opioids
  • Alcohol (correct)
  • What factors influence an individual's risk related to alcohol consumption?

  • Whether alcohol is consumed with food.
  • How much and how often someone drinks, and the way they drink (e.g., binge drinking). (correct)
  • The time of day alcohol is consumed.
  • The type of alcoholic beverage consumed.
  • What does the information suggest regarding opioid misuse?

    <p>It may lead to addiction, overdose, and death. (B)</p> Signup and view all the answers

    What is the Transtheoretical Model (Stages of Change) used for in the context of substance abuse treatment?

    <p>To guide the process of successfully changing behavior. (D)</p> Signup and view all the answers

    Why is it important to pair medication with counselling or a structured treatment program when treating addiction?

    <p>Comprehensive support addresses psychological and social factors alongside physical dependence. (B)</p> Signup and view all the answers

    What are the two main treatment approaches mentioned for substance abuse?

    <p>Abstinence and harm-reduction. (C)</p> Signup and view all the answers

    According to the information, what is relapse considered in the treatment process?

    <p>A natural part of the treatment process that may occur at any time. (C)</p> Signup and view all the answers

    Which medication is used to reduce cravings for alcohol in those who are alcohol dependent?

    <p>Naltrexone (Revia) (C)</p> Signup and view all the answers

    What combination of factors leads to people becoming addicted to drugs?

    <p>Genetic factors, environment, coping with thoughts, and how drugs interact with the brain (D)</p> Signup and view all the answers

    How does Disulfiram (Antabuse) aid in the treatment of alcohol dependence?

    <p>By causing unpleasant physical reactions when alcohol is consumed. (A)</p> Signup and view all the answers

    Which of the following is NOT a benefit typically offered within addiction treatment programs?

    <p>Cosmetic surgery (C)</p> Signup and view all the answers

    What is the primary goal of 'withdrawal management' in addiction treatment?

    <p>To manage the physical and psychological symptoms of ceasing substance use. (C)</p> Signup and view all the answers

    How can 'Adventure Therapy' improve people's lives in a substance abuse program?

    <p>By challenging people, building confidence, and promoting teamwork. (D)</p> Signup and view all the answers

    Which of the following is a physical benefit of Recreation Therapy (TR) for substance abuse?

    <p>Improved fitness (B)</p> Signup and view all the answers

    Why should recreation therapists be mindful of a client’s diagnosis and characteristics?

    <p>To ensure clients do not become addicted to alternative activities. (B)</p> Signup and view all the answers

    Which of the following best describes the core characteristics of a substance use disorder (SUD), based on the '4 Cs' model?

    <p>Craving, loss of Control, Compulsion to use, and use despite Consequences. (C)</p> Signup and view all the answers

    A person is experiencing difficulties attending work, has developed mental health issues, and continues to use substances despite negative effects, which of the following is this most indicative of?

    <p>A substance-related disorder. (B)</p> Signup and view all the answers

    Based on the information provided, how would you classify the use of prescription opioids to manage chronic pain?

    <p>Potentially dangerous, with risks similar to illegal opioids. (B)</p> Signup and view all the answers

    What is a key difference between opioid medications prescribed by a doctor and illegal opioid drugs, such as heroin?

    <p>Prescription opioids are regulated but can still be dangerous; illegal opioids are unregulated and pose significant risks. (D)</p> Signup and view all the answers

    Which factor is most indicative of the transition from substance use to substance abuse?

    <p>Experiencing negative impacts on daily life due to substance use. (A)</p> Signup and view all the answers

    Considering the statistics provided, what can be inferred about the prevalence of illegal drug use in Canada?

    <p>It is relatively common, with a significant percentage of Canadians reporting lifetime use. (B)</p> Signup and view all the answers

    What is the relationship between opioid prescriptions and the risk of developing a substance abuse disorder?

    <p>Opioid prescriptions can lead to dependence and potential abuse, even when taken as directed. (A)</p> Signup and view all the answers

    Which of the following scenarios BEST exemplifies 'loss of control' as it relates to substance use disorders?

    <p>An individual intending to use a small amount of a substance but consuming much more than planned. (C)</p> Signup and view all the answers

    What is the primary goal of harm reduction strategies related to drug use?

    <p>To minimize negative consequences associated with ongoing drug use without necessarily stopping use. (C)</p> Signup and view all the answers

    Which of the following is an example of a harm reduction service?

    <p>Needle and Syringe Programs that provide safe injection supplies and disposal. (B)</p> Signup and view all the answers

    Which of the following is a potential consequence affecting the nervous system from substance use?

    <p>Changes in temperament and personality functions. (C)</p> Signup and view all the answers

    According to the information, approximately what proportion of Canadians experience harm due to others' alcohol use?

    <p>1 in 3 Canadians (B)</p> Signup and view all the answers

    Which of the following is a potential 'secondary problem' related to substance use?

    <p>Feelings of shame. (D)</p> Signup and view all the answers

    How does the City of Hamilton support individuals who use drugs?

    <p>By providing needles, safe injection supplies, disposal options, support, and education. (A)</p> Signup and view all the answers

    When using a pros and cons chart with clients who have substance use disorders, what primary benefit does this activity provide?

    <p>It encourages clients to consider multiple facets of their substance use. (D)</p> Signup and view all the answers

    Which of the following is the MOST accurate regarding causes related to Substance Use Disorder?

    <p>Family, social, cultural, personality, cognitive, genetic, and biological factors all contribute to Substance Use Disorder. (A)</p> Signup and view all the answers

    What isn't typically directly addressed by harm reduction strategies?

    <p>Eliminating drug use entirely. (B)</p> Signup and view all the answers

    Which system in the human body is mentioned as being negatively impacted by substance abuse?

    <p>Respiratory system (C)</p> Signup and view all the answers

    In treating a client with Substance Use Disorder, which consideration is MOST comprehensive?

    <p>Being mindful of the diagnosis, safety, and deficits found during assessment. (A)</p> Signup and view all the answers

    Which of these is a potential consequence of impaired judgment resulting from substance use?

    <p>Strained Relationships (B)</p> Signup and view all the answers

    Which statement about recovery methods for Substance Use Disorder is MOST accurate?

    <p>Recovery methods should be tailored to the individual. (C)</p> Signup and view all the answers

    Considering the information, which approach would be most aligned with harm reduction principles when dealing with an individual struggling with opioid addiction?

    <p>Providing access to naloxone and training on overdose prevention. (C)</p> Signup and view all the answers

    What aspect is LEAST important to focus on when treating someone with Substance Use Disorder?

    <p>The client's favorite ice cream flavor (C)</p> Signup and view all the answers

    Which of the following statements is NOT true regarding substance use disorders?

    <p>Abstinence is the only way to recover (B)</p> Signup and view all the answers

    Besides the brain, which physiological system is MOST directly affected by Substance Use Disorder?

    <p>The respiratory system's function can be affected. (D)</p> Signup and view all the answers

    Given the understanding that celebrities are often open about their struggles, what can this openness potentially provide to the general public?

    <p>It reduces stigma associated with addiction. (B)</p> Signup and view all the answers

    What is the most appropriate initial response when a client relapses during their involvement in a leisure program?

    <p>Offer support and avoid judgment, understanding that relapse is a part of the recovery journey. (B)</p> Signup and view all the answers

    What is the primary focus when planning community outings for clients with substance use disorders?

    <p>Selecting activities that minimize potential triggers and promote a safe environment. (C)</p> Signup and view all the answers

    Which principle is most important when tailoring treatment plans for individuals with substance use disorders?

    <p>Addressing all significant deficits identified during the assessment process. (D)</p> Signup and view all the answers

    Why is it crucial to establish goals and plans with resources and backups for clients in recovery?

    <p>To provide a structured framework for the client's recovery journey and prepare for potential challenges. (C)</p> Signup and view all the answers

    What does the Hamilton Drug Strategy (HDS) aim to achieve regarding substance use disorders?

    <p>Promoting dynamic community collaboration to shift the approach to substance use disorders. (B)</p> Signup and view all the answers

    What is the main purpose of the resources provided by Public Health Ontario regarding substance use?

    <p>To provide resources for drug testing, statistics, health protocols, and education related to substance use. (B)</p> Signup and view all the answers

    What is the purpose of exploring a client's level of participation in leisure programs?

    <p>To understand their relationship with leisure and its impact on their substance use disorder. (D)</p> Signup and view all the answers

    According to the information, what role do recreation and recreational therapists play in the recovery of people with substance use disorders?

    <p>Assisting in the readjustment into a new lifestyle, connecting to previous identities, and promoting self-improvement. (E)</p> Signup and view all the answers

    Flashcards

    Opioid Misuse

    Using opioid drugs in a way not prescribed can lead to addiction and overdose.

    Alcohol Risks

    Your risk of alcohol-related issues increases with amount, frequency, and binge drinking.

    Cannabis

    A psychoactive substance derived from the hemp plant, containing THC.

    THC

    The chemical in cannabis responsible for its psychoactive effects.

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    Addiction Factors

    Addiction arises from genetics, environment, and mental health issues.

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    Abstinence

    A treatment goal where the aim is complete cessation of substance use.

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    Harm Reduction

    Treatment approach aimed at reducing negative consequences of drug use.

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    Transtheoretical Model

    A framework for understanding the stages of behavior change in treatment.

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    Substance Use Disorder

    A condition involving harmful use of substances that affects daily life.

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    4 Cs of Addiction

    Craving, loss of control, compulsion, and use despite consequences.

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    Opioids

    Medicines used for pain management, including prescription and illicit types.

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    Opioid Crisis in Canada

    An epidemic with rising overdoses and hospitalizations due to opioid use.

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    Substance-related Disorder Symptoms

    Symptoms include neglecting self-care and inability to manage daily activities.

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    Hallucinogens

    The most used illegal drugs in Canada, part of the substance use landscape.

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    Statistics on Drug Use

    18% of Canadians have used illegal drugs at least once in their lifetime.

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    Impact of Substance Use

    Includes physical and mental health issues, and ongoing use despite harm.

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    Community Outings

    Carefully planned activities to support client engagement and progress.

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    Support Client's Journey

    Assist clients in their individual recovery process without judgment, especially during relapses.

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    Leisure Ability Model

    A framework connecting recreational activities to client identity and improvement.

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    Treatment Deficits

    Address significant shortcomings identified during client assessments.

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    Safe Environment Promotion

    Ensure a secure setting for clients to express emotions and work toward goals.

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    Role of Recreational Therapists

    Facilitate the adjustment of individuals with substance use disorders into new lifestyles.

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    Support System Importance

    Emphasizes the need for support beyond family and friends, involving community resources.

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    Comparison of Leisure Programs

    Analyze participation in leisure activities among various substance use disorders.

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    Needle and Syringe Program

    A program that provides safe injection supplies to reduce harms.

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    Safer Drug Use Education

    Teaching methods to reduce risks associated with drug use.

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    Poor Nutrition

    Lack of proper dietary intake due to substance use.

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    Cognitive Health Concerns

    Issues related to thinking, learning, and judgment affected by drugs.

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    Social Isolation

    Feeling disconnected from others due to substance use.

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    Financial Instability

    Economic issues that arise from spending on drugs.

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    Disruption of Routines

    Changes in daily activities due to substance use.

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    Feelings of Shame

    Negative feelings about oneself caused by substance use impact.

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    Respiratory System Damage

    Health issues affecting breathing caused by drug use.

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    Medications for Smoking Cessation

    Includes nicotine patches, gum, inhalers, or bupropion (Zyban) to help quit smoking.

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    Opioid Dependence Treatments

    Medications like methadone and buprenorphine help individuals dependent on opioids.

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    Naltrexone Use

    Reduces cravings for alcohol and blocks effects of opioids in dependence treatment.

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    Disulfiram Effect

    Causes nausea if alcohol is consumed; used for treating alcohol dependence.

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    Withdrawal Management Services

    Includes support in stress, job skills, budgeting, and healthy living.

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    Recreation Therapy Benefits

    Improves fitness, coordination, strength, sleep, and energy through engaging activities.

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    Mindfulness in Therapy

    Involves being aware and present to support clients in therapy.

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    Risk of New Addictions

    Users may develop new addictions during recovery from initial substance use.

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    PROS of Substance Use

    Positive aspects or benefits associated with using a specific substance.

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    CONS of Substance Use

    Negative aspects or drawbacks associated with using a specific substance.

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    Substance Use Disorder Causes

    Factors contributing to the development of substance use disorder include genetic, social, and psychological factors.

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    Effective Recovery

    Recovery methods should be tailored as there is no single approach for everyone with substance use disorder.

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    Relapse in Recovery

    Relapse is common and can occur at any stage in the recovery process.

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    Community Support

    Community outings and social connections are crucial aspects of recovery from substance use disorder.

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    Role of Leisure

    Engaging in leisure activities is important for clients recovering from substance use disorder.

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    Debriefing After Activity

    Reviewing and discussing experiences after an activity can lead to valuable insights for clients.

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    Study Notes

    Substance Use Disorder

    • Substance use disorder involves using substances in harmful ways.
    • Examples of substances are cigarettes, vape products, alcohol, street drugs, opioids, and marijuana.
    • An 18% of Canadians report using illegal drugs at some point in their lives. Hallucinogens were the most commonly used illegal drug, followed by cocaine/crack and ecstasy. (Canada, 2025).
    • Canada is currently experiencing an opioid crisis with increased hospitalizations and deaths from heroin, fentanyl, and other opioids.
    • Opioid overdose death rates varied by Canadian province in 2022, with British Columbia having the highest rate (44.4 deaths per 100,000 population) and New Brunswick having the lowest rate (5.7 deaths per 100,000 population).
    • A substance use disorder may involve not being able to attend work, school or daily activities.
    • Physical or mental health issues are often the result of the substance abuse.
    • Ongoing use of substances even after experiencing negative effects is a sign of the disorder.
    • Symptoms such as higher agitation levels, neglecting self-care, theft to support substance use, lying about whereabouts and secretiveness can also be part of a substance use disorder.
    • A substance use disorder is a spectrum ranging from non-use to addiction.
    • Opioids include, prescription drugs like oxycodone, morphine, codeine, and fentanyl. Illicit substances such as fentanyl, carfentanil, and heroin are also considered opioids.
    • Misuse of opioid drugs can lead to addiction, overdose and death.
    • Hamilton Paramedic Services responded to nine incidents related to suspected opioid overdoses from January 1, 2025 to January 5, 2025.
    • Alcohol is the most commonly used substance in Hamilton.
    • Many factors contribute to substance use disorders: genetics, environment, mental health issues, how drugs interact with the brain, and coping strategies.
    • The transtheoretical or stages of change models describes how to change behaviors.

    Types of Substances

    • Cannabis (marijuana, pot, weed, grass, ganga) is a substance derived from the hemp plant. It can be smoked, vaped, or ingested in various forms (food, drink).
    • There are more than 400 chemicals in cannabis.
    • THC is the psychoactive chemical in cannabis.
    • Cannabis potency has increased over time, resulting in more harmful effects.

    Harm Reduction

    • Harm reduction strategies aim to reduce harmful effects of drug use without requiring cessation.
    • Harm reduction programs include, needle and syringe programs, safe injection supplies, needle disposal, education about safer drug use and referrals.
    • The City of Hamilton provides education, needles and safe injection supplies and disposal.

    Systems Affected

    • Substance use disorders can affect many systems in the body: lung damage, liver function, respiratory system, nervous system, temperament, personality, energy/drive, poor nutrition, strained relationships, cognitive health concerns, poor judgement, poor sleep.
    • Multiple other systems can be affected depending on the substance and duration of use.

    Secondary Problems

    • Substance abuse can lead to problems like relationship issues with friends, family, and coworkers, dissatisfaction, embarrassment, disruption of daily routines, social isolation, shame, physical health problems, financial instability.

    Treatment

    • Medications such as nicotine patches, gum, inhalers, bupropion for smoking cessation, methadone, and buprenorphine for opioid dependence, naltrexone, and disulfiram are examples of treatments.
    • Treatment also includes withdrawal management, stress/anger management, grief/trauma management, finding a job or going back to school, healthy eating, safe housing, social assistance, disability benefits, money management, and parenting skills.
    • Recreation therapy interventions are also effective.

    Recreation Therapy Interventions

    • Recreation therapy uses various interventions like animal-assisted therapy, adventure therapy, music/art/drama therapy, and mindfulness/social skills building to aid individuals.

    Physical Benefits of Recreation Therapy

    • Engagement in sports/activities increases cardiovascular health, muscle tone, and coordination.
    • Activities improve balance.
    • Therapy builds muscle strength.
    • Regular activity promotes better sleep, energy levels, and overall well-being.

    Implications For Recreation Therapists

    • Recreation therapists must understand individual needs and factors, and be mindful of the variety of recovery journeys for individuals.
    • Carefully plan community outings, and do not make assumptions, judge people when they relapse.
    • Prioritize considerations that include: significant deficits during assessment, a safe environment, goal setting and backup planning.

    Best Practice Research

    • Leisure participation is critical when dealing with substance use disorders.
    • Understanding client relationships with leisure activities, levels of participation, and comparing leisure programs across different types of disorders.
    • The role of recreation therapy in developing recovery-oriented identities.
    • Taking a deeper look at lifestyle readjustment.
    • Recreation Therapists role in connecting individuals to previous identities and self-improvement
    • Importance of support systems outside family and friends.

    Substance Use Disorder Organizations

    • Hamilton Drug Strategy aims to enhance community collaboration and approach substance use disorders.
    • Public Health Ontario offers resources for drug testing, labs, statistics, and health protocols..

    Government of Canada Website

    • Government of Canada website provides stats, resources, and prevention strategies for substance use disorders.

    Activities

    • Activity suggestions include forming groups of three people to assess pros and cons of substance use and non-use for specific substances.
    • Additional activities encourage reflection on the client chart for substance use.

    Debrief

    • Discussion questions are asked to analyze the pros and cons chart and assess the effectiveness of leisure activities for substance use education.

    Multiple Choice Questions

    • Provide multiple choice questions based on the material covered.

    Questions About Professionals

    • Questions about the role of recreational therapists in addressing substance use disorders.

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    Description

    Test your knowledge on substance abuse treatment, including concerns regarding THC content, opioid misuse, and the importance of pairing medication with counseling. This quiz also covers the Transtheoretical Model and various medications used for addiction treatment. Challenge yourself to understand the complexities of addiction and recovery.

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