A Home Within At Home Series

Substance Misuse Among Foster Youth: Incorporating Readiness For Change To Elicit And Increase Engagement

Lisa Carlson, LMFT

2 CE Credits

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1. Approximately how many youth in 2016-2017 had parental alcohol and substance use listed as a contribution to removal from the home?

1 in 10

1 in 20

1 in 5

1 in 3

2. True or False: There is abundant research on foster youth and substance use and abuse.

True

False

3. Which is NOT a step in the Transtheoretical Model?

Pre-contemplation

Preparation

Renewal

Maintenance

4. The preparation phase is when the person:

Is interested in quitting but not doing anything to achieve it

Has completely stopped using the substance

Has taken concrete steps towards quitting

Has gone back to using after stopping

5. Which of the following is a possible sign of a red flag of readiness mismatch?

Clinician feels tired or dread before the session

Clinician feels giddy

Clinician feels motivated to take next steps with the client

Clinician offers solution with permission from client first

6. Which of the following is NOT a possible sign of readiness mismatch?

Clinician or client frustration

Clinician feels hopeful

Clinician has firm ideas around what the “client needs to do” or “should do”

Clinician feels stuck

7. True or False: The idea of “helper” messaging can lead to avoidance as a therapist:

True

False

8. Where should you start?

With the door

With the roof

With the floor

With the open window

9. Which of the following is appropriate to do during the earlier stages of treatment?

Tell the client they need to go to inpatient care

Suggest the client go cold turkey

Tell the client you don’t want to work with them

Identify triggers and alternate coping skills

10. True or False: When working with foster youth, it is not important to be aware of the potential power differential between you and your client.

True

False

11. Motivational interviewing does NOT entail:

Rolling with resistance

Rejection

Honoring autonomy

Non-judgmental stance

12. True or False: It is not okay to acknowledge potential benefits of a substance.

True

False

13. True or False: Addiction and substance use is typically a “helper” with a protective quality.

True

False

14. Which of the following is NOT a way in which substances can be protective?

Can be fun

Numb the pain from trauma, loss, or grief

Help with peer connections and ease social anxiety

Silence critical or harsh internal voices

15. True or False: It is a bad idea to use universal screening measures.

True

False