Substance Abuse

Substance Abuse



This is an open book, non-proctored, and non-timed examination. Material covered in this examination comes from your reading assignments for the final four weeks of this class.  You must make connections to and properly cite the textbook in each of your answers.

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Answers must be paraphrased (restated in your own words with no quoting permitted), properly APA format source credited – including within-answer citations and a list of references included at the end of each answer – and at least 600 words each, not counting source citations and references. Answers should be succinct, thorough, articulated in well-organized paragraphs (lists, sentence fragments and bulleted items are not permitted), and more substantive than just definitions of terms, procedures, or issues.


To complete this exam, save a copy of it on your hard drive, construct your answers below each question on a separate page per question, attach a cover page to the front and a reference list to the end (references must also be placed at the end of each question for which they were used) and attach it under the Final Exam assignment tab.


NOTEAnswers copy/pasted into a student comments box in the assignment tab cannot be graded; a Word document or Rich-Text File formatted as instructed above must be uploaded. 



1. Characterize the three specific factors you believe are most important for a basic understanding of each of the following “special populations”. Be sure to justify your choices using only about 150 words for each:

a. Clients with Co-Occurring Substance Use Disorders and Other Psychiatric Disorders

b. Minority populations

c. Older adults

d. Clients with HIV/AIDS

e. Women

f. Adolescents

2. Compare and contrast Individual Psychodynamic Psychotherapy with Cognitive Therapy. What are the strengths and weaknesses of each approach? Are there specific clients for whom one model might be more or less appropriate?

3. Part I: Discuss, in terms a layperson could understand, how psychopharmacological treatments for substance use disorders work, in general, for (a) acute withdrawal and (b) chronic maintenance. Part II: Choosing two specific substances of abuse, discuss the specific psychopharmacological interventions available as treatment.

4. In considering the use of Self-Help and 12-Step group therapy for substance use disorders, discuss the pros and cons of these types of interventions. What factors – of the groups themselves or of the clients – might influence treatment outcomes? Last, what concerns might a clinician have in referring a client to this type of treatment?

5. Evaluate the current state of the field with regard to treatment matching approaches. Where do we stand after two decades of work in this area? Do our current findings justify continued research in this area?