Chapter 18: Severe mental illness and substance abuse Which of the following statements are correct with regard to smoking intervention studies? There are significant differences between new and chronically ill patients in their beliefs and attitudes about smoking There has been a large amount of research on the success rate of cessation programmes Most of the studies have taken place within the UK Interventions are difficult to apply due to impaired cognitive functioning Serial and parallel treatment programmes require which of the following? Seamless planning Assertive styles of engagement Unsupported living environment Time management Poorly integrated services Which of the following are parts of the five-stage scale determining the motivational level of the individual in terms of readiness to change? Contemplation Revision Action Realism Maintenance Studies on the complex interactions between psychiatric disorder, violence and substance misuse have found that … Risk of violence in patients with substance use and psychiatric disorder was increased fourfold Severe dependence on heroin was found to be associated with higher risk of psychosis Those who started abusing cannabis, amphetamine, cocaine or opiates after the age of 16 years were at greater risk of psychosis Violent behaviour is mediated by sociological, pharmacological and psychological factors within the individual Which of the following have been suggested to prevent cocaine addiction relapse? Acamprosate Varenicline Desipramine Amantadine Buprenorphine Which of the following statements are correct regarding cannabis use? It is decreasing It is increasing amongst young people In inpatients there are no specific treatment models It increases social functioning It worsens the extrapyramidal side-effects of antipsychotics Ziedonis and Trudeau (1997) found which of the following substances required higher motivational levels in order to quit? Cannabis Cocaine Alcohol Opiates LSD In an Australian National Survey (Chapple et al 2004) which of the following factors increased the odds of a patient with severe mental illness being a victim of violence? Being male Being homeless Being homosexual Having the first-episode of a psychotic illness Having a lifetime history of substance abuse Elbogen et al (2005) found which of the following factors to contribute to medication non-adherence? Depressive symptoms Sleep pattern Substance abuse Family circumstances Living stability The co-occurence of severe mental illness and use of substances is associated with which of the following? Late psychotic breakdown Decreased rate of victimisation Increased rate of hospitalisation Increased rate of suicide Homelessness There are no valid treatment models in substance abuse treatment applied to outpatients … True False Which of the following statements are true regarding a manualised group-based intervention aimed at helping outpatients reduce their substance abuse? It consists of monthly sessions over a year It is based on motivational enhancement It uses community reinforcement approaches It is based on cognitive behavioural principles It is tailored to the patient’s stage and motivational level Which of the following are true regarding alcohol use? It is more common amongst patients with bipolar and schizoaffective disorders than in the general population It is higher amongst younger age groups It is under reported It carries an increased risk of violence only when intoxicated It co-exists with the use of other substances The use of crack cocaine … Has decreased due to a lack of availability Causes extreme fatigue Increases risk of violence in alcohol-dependent patients Is not associated with paranoia Can cause formication Which of the following assessment of substance misuse scales are useful for patients with severe mental illness? Substance Abuse Treatment Scale Psychiatric Research Interview for Substance and Mental Disorders Scale Cannabis Use and Alcohol Dependence scale Stages of Change Readiness and Treatment Eagerness Scale Abusing Substances Index The estimated prevalence rates of substance abuse amongst the severely mentally ill in the UK range from … 10-30% 20-60% 40-70% 60-90% Clark et al (2004) found the prevalence of benzodiazepine use in people with bipolar disorder and substance abuse was? 45% 55% 65% 75% 85% Which of the following statements is correct regarding smoking cessation programmes for people with schizophrenia? There is a higher success rate compared to any other psychiatric condition A combination of behavioural programmes have showed promising results when used with nicotine replacement therapy Should include clozapine as an effective drug to help stop smoking Nicotine replacement should only be used in conjunction with behavioural programmes Atypical antipsychotics are favourable over nicotine replacement Which of the following are true regarding the use of clozapine? It is more effective than risperidone in producing abstinence from alcohol It is useful in bipolar affective disorder complicated by the use of cocaine It has anti-aggressive effects Response is negatively influenced by the history of substance abuse It is more effective than risperidone in producing abstinence from cannabis There is a high correlation between alcoholism and … Anxiety disorders Schizophrenia Learning disability Antisocial personality disorder Affective disorders Which of the following substances are among those most commonly used by people with severe mentally illness? Heroin Alcohol Cannabis LSD Amphetamines Green et al (2005) found the lifetime misuse of cannabis in people with psychosis was? 5% 18% 23% 42% 57% The percentage of under detection of substance use may be as high as? 40% 50% 60% 70% 80% Loading …
