COUN 5279 ETHICAL COUNSELING
PRACTICES REVIEW SHEET QUESTIONS
AND CORRECT SOLUTIONS
●● These clinics were required to provide five essential services:
Answer: − Inpatient counseling (short-term)
− Outpatient counseling
− Emergency services
− Crisis stabilization
− Consultation/education
●● These essential services gave rise to what is referred to as
Answer: the continuum of mental health care
●● How is homelessness defined?
Answer: persons who lack community ties and resources
●● Least Restrictive Treatment Principle
Answer: Interventions delivered in ways that places the minimum
restrictions on the client necessary in order to facilitate effective
treatment; in general, treatments that give clients the most freedom are
least expensive to society.
,●● Identification of specific mental health needs and interventions for
the homeless is hampered by several factors:
Answer: − How is homelessness defined?
− Is abuse of substances considered a mental illness?
− The homeless population can overlap with other populations
− Transient group
●● Homelessness and Mental Health barriers:
Answer: - Counselors mistakenly believe it is too difficult to help
- Difficulty connecting them to services
●● Place/Train psychiatric recovery model
Answer: assumes these clients have difficulty managing independent
living arrangements and that their clinical needs are best met when they
live in group transitional housing. In this approach, professional mental
health and substance abuse services are provided on-site; placement in
independent housing comes first and can be later augmented with an
appropriate level of professional and peer support; continuation and
advancement into less restrictive housing arrangements is contingent
upon psychiatric assessments and treatment status
●● Assertive Community Treatment (ACT)
,Answer: ACT takes a multidisciplinary team approach, often directed by
a psychiatrist; common characteristics of ACT include low client-staff
ratios (often as low as 15:1), caseloads shared among the team members,
24-hour availability, and community-based (rather than office-based)
contact.
●● Center for the Homeless (CFH) of South Bend, Indiana:
Answer: is a model program that provides shelter, food, and
comprehensive life-building services for as many as 200 guests each
day; their mission is to provide step-by-step activities assisting
participants to move to and sustain self-sufficiency; the program utilizes
a continuum-of-care model of integrated services ranging from crisis
treatment and assessment to education, job training, supportive housing,
and home ownership.
●● Persons with severe and persistent mental illness experience a two-
edged sword that has:
Answer: 1) profound consequences for one's personal functioning and
2) oppressive concurrent social repercussions as friends, families, and
communities respond to the person's problems
●● Comorbidity is:
Answer: The presence of both substance-related and psychiatric
conditions in clients, two conditions existing concurrently
, ●● The diagnostic process for Co-Occurring Mental Illness and
Substance Use Disorders:
Answer: A. Diagnosis of a substance use disorder and co-occurring
mental illness is established more by history than current presenting
symptoms
B. Always document prior diagnoses and gather information
C. Gather information when symptoms of substance use disorder
D. Identify client stage of change for each disorder
●● Treatment for Co-Occurring Mental Illness and Substance Use
Disorders:
Answer: − Inpatient dual-diagnosis programs in psychiatric hospitals
− Modified 12-step program
− Cognitive framework approach
− Integrated dual disorders treatment (IDDT)
●● The Integrated Dual Disorders Treatment (IDDT) model is:
Answer: registered by SAMHSA (Substance Abuse and Mental Health
Services Administration) as an evidence-based approach; this approach
involves the cross-training of practitioners in the provision of integrated,
comprehensive services that address both disorders concurrently in one
treatment setting; the goal is recovery from both conditions.
PRACTICES REVIEW SHEET QUESTIONS
AND CORRECT SOLUTIONS
●● These clinics were required to provide five essential services:
Answer: − Inpatient counseling (short-term)
− Outpatient counseling
− Emergency services
− Crisis stabilization
− Consultation/education
●● These essential services gave rise to what is referred to as
Answer: the continuum of mental health care
●● How is homelessness defined?
Answer: persons who lack community ties and resources
●● Least Restrictive Treatment Principle
Answer: Interventions delivered in ways that places the minimum
restrictions on the client necessary in order to facilitate effective
treatment; in general, treatments that give clients the most freedom are
least expensive to society.
,●● Identification of specific mental health needs and interventions for
the homeless is hampered by several factors:
Answer: − How is homelessness defined?
− Is abuse of substances considered a mental illness?
− The homeless population can overlap with other populations
− Transient group
●● Homelessness and Mental Health barriers:
Answer: - Counselors mistakenly believe it is too difficult to help
- Difficulty connecting them to services
●● Place/Train psychiatric recovery model
Answer: assumes these clients have difficulty managing independent
living arrangements and that their clinical needs are best met when they
live in group transitional housing. In this approach, professional mental
health and substance abuse services are provided on-site; placement in
independent housing comes first and can be later augmented with an
appropriate level of professional and peer support; continuation and
advancement into less restrictive housing arrangements is contingent
upon psychiatric assessments and treatment status
●● Assertive Community Treatment (ACT)
,Answer: ACT takes a multidisciplinary team approach, often directed by
a psychiatrist; common characteristics of ACT include low client-staff
ratios (often as low as 15:1), caseloads shared among the team members,
24-hour availability, and community-based (rather than office-based)
contact.
●● Center for the Homeless (CFH) of South Bend, Indiana:
Answer: is a model program that provides shelter, food, and
comprehensive life-building services for as many as 200 guests each
day; their mission is to provide step-by-step activities assisting
participants to move to and sustain self-sufficiency; the program utilizes
a continuum-of-care model of integrated services ranging from crisis
treatment and assessment to education, job training, supportive housing,
and home ownership.
●● Persons with severe and persistent mental illness experience a two-
edged sword that has:
Answer: 1) profound consequences for one's personal functioning and
2) oppressive concurrent social repercussions as friends, families, and
communities respond to the person's problems
●● Comorbidity is:
Answer: The presence of both substance-related and psychiatric
conditions in clients, two conditions existing concurrently
, ●● The diagnostic process for Co-Occurring Mental Illness and
Substance Use Disorders:
Answer: A. Diagnosis of a substance use disorder and co-occurring
mental illness is established more by history than current presenting
symptoms
B. Always document prior diagnoses and gather information
C. Gather information when symptoms of substance use disorder
D. Identify client stage of change for each disorder
●● Treatment for Co-Occurring Mental Illness and Substance Use
Disorders:
Answer: − Inpatient dual-diagnosis programs in psychiatric hospitals
− Modified 12-step program
− Cognitive framework approach
− Integrated dual disorders treatment (IDDT)
●● The Integrated Dual Disorders Treatment (IDDT) model is:
Answer: registered by SAMHSA (Substance Abuse and Mental Health
Services Administration) as an evidence-based approach; this approach
involves the cross-training of practitioners in the provision of integrated,
comprehensive services that address both disorders concurrently in one
treatment setting; the goal is recovery from both conditions.
