HLTH 451 Drug Use & Abuse

Dr. Martin Turnauer    mturnaue@radford.edu       Office-Davis 29    831.5315

Class held in Davis 142

Office Hours: 3pm MW        No classes October 1 and November 26

Text: Annual Editions: Drugs Society & Behavior 02/03 

All papers are to be typewritten, turned in stapled and on the day due. Under no conditions will papers be accepted late! (I loose the late papers and you get No Credit). Attendance is required due to in class written and oral reactions to readings/videos. Participation will be an integral part of your grade. PERFECT ATTENDANCE WILL ADD 1/2 GRADE TO FINAL! EACH UNEXCUSED ABSENCE RESULTS IN A WHOLE GRADE REDUCTION MAKE CHOICES NOT EXCUSES!!

Assignments 

1. Read these - all students calculate your Blood Alcohol Level for each time you drink until next class     Due August 27 along with 1 nighter paper
http://www.insure.com/auto/baccalc.html
http://www.ou.edu/oupd/bac.htm
http://www.guardianangel.com

party schools

http://www.abcnews.go.com/sections/scitech/DailyNews/daterape_detection021006.html

2. Report on any link from http://www.nlm.nih.gov/medlineplus/alcoholconsumption.html   

Due September 3  10 points use article review form

3. DO A or B         DUE  Sept 10    50 points

A. Attend an AA/NA/CoA/ Alanon (check phone book) meeting.  Identify first what you think will happen, then what you found, learned and how this participation affected you, family and friends. While listening, identify the difference in patterns the way males and females talk about drug their addiction. What was your thinking before/after?   One-two pages

OR

B.  Do all 3 websites using article review form found on this site respond to these websites:
    http://www.unhooked.com/
         read 2  links on left side and book review
    http://abcnews.go.com/onair/2020/2020_000607_alcohol_feature.html
    http://www.womenforsobriety.org/
         read 2 articles - current or in archives

total of 5 readings

DO C or D         DUE  Sept 17   100 points

C. Alcohol Survey using the attached form. Survey 10 fellow students/workers and tabulate and evaluate the results. Describe findings in descriptive terms using commonalties and numerical terms/percentages such as range, mean, median and mode for significant data. Identify and cite the conclusions/findings you derive from you data.

RADFORD UNIVERSITY- ALCOHOL SURVEY
Class Standing______ Major________GPA______ Race______ Religion_________ Age__________Sex_____
Do you have smoke? yes_____no______Do you have a fake ID?yes_____no______What do you drink most of the time?__How often?____per day/week/month/year Where?_________________
How many drinks do I have in an average evening?_________________
Age of first regular use of alcohol?_______ Do you drink to get drunk? ___yes _____no
Do your parents drink? ________yes _________no
Does either parent have a problem with alcohol? _________yes ___________no
Member of Fraternity/Sorority? ___yes___no
After drinking have you ever:
A. Had a hangover _______yes ______no
B. Driven a motor vehicle _______yes ______no
C. Been arrested ______yes ______no
D. Missed class ______yes ______no
E. Damaged University property ______yes ______no
F. Ever had sex after using alcohol? ______yes ______no
G. Did you use protection?___yes ______no
H. Would you have had sex w/o alcohol? ______yes ______no
I. Am I a binge drinker? ______yes ______no (drinks 4+/event)
J. Do I think that I have a problem with alcohol? ______yes ______no

OR

D. Keep an alcohol/drug (prescription, over the counter, caffeine, nicotine etc…) diary. Include what you were using, where you were using, when you were using, how you felt before and after using, day/time of use and the amount you were using. The diary will be for 7 days/week for 3 weeks.

Drug Diary Questions

1. Did you notice any patterns in your use of drugs?  If so, what patterns
were evident?
2. Were you surprised about anything you noticed in your drug diary?
3. Are you concerned about your use of any specific drug or drugs?  If
So, what concerns you about it?
4. Do you consider your use of any particular drug to be excessive?  If
so, which one(s), and why do you think it is excessive?
5. What, if any, effect did your mood have on your drug use?
6. What, if any, effect did your stress level have on your drug use?
7. Are any of your drug-taking behaviors in need of modification?  If so,
which ones?
8. How might you modify these drug-taking behaviors?

women who marry alcoholics

4. Do 2 of the following:

E. Drug Therapy & Treatment        use review form

http://consumer.pdr.net/consumer/index.htm

http://rxlist.com/   http://www.drkoop.com/drugstore/pharmacy/interactions-entry.asp
http://www.vitaminbuzz.com/    http://pharminfo.com/drugdb/db_mnu.html
http://www.fda.gov/cder/drug.htm        http://www.pdr.net/
http://www.homepharmacy.com    http://www.rx.com     http://www.cvs.com/http://www.drugemporium.com/  http://www.walgreens.com/hm.html http://www.merckhomeedition.com/

or

F. Take Pharmacy Care Quiz and identify in a one page paper what you don't know about prescription medicines

http://meetings.nacds.org/conferences/nacds_main.cfm?page_id=537#

or

G. Use review form and listen to People's Pharmacy program and write a one page personal review of the program. The program is on 7am Saturday on 89.1 FM
   http://www.healthcentral.com/peoplespharmacy/peoplespharmacy.cfm

or

H. Read 5 articles from the Roanoke Times written by Joe & Terry Graedon appearing on Tuesday & Sunday. Identify what you learned from each reading - use review form.

Due October 8   20 points

RX errors

5. For each of the topic areas, class groups, will read section articles from the text and report on the information with an additional article from the news (see text pages 4 & 5) about the topic material. A one page review will be written about the reading. Use topic headings for ideas.  Format found at end of syllabus.

Groups will be assigned the text topics to present material and give a 20 point quiz. Topics are found on pages xii & xiii in text.            120 points
                         Due                                                                     
1. Alcoholism    8/20-9/24                 

2. OTC/Addiction/Race/Drug Use    10/8          articles 6/9/11/12/27/47/46/47
3. Amphetamines/Marijuana/Heroin   10/15       articles 10/17/1921/24/38/45

4. Treatment/Research          10/22    articles 1/7/20/31/32/35/42/49/50/51/52/53
5. Cocaine/Epidemology /Nicotine      10/29   articles   3/8/14/18/28/34  

6. Economy/Law Enforcement  11/5    articles 4/5/30/36/37/39/43/44

7. Legalization/Drug Policy  11/12        articles 2/22/27/40/41/48

6. Develop an open-ended transparency using the attached form. DUE  Dec 3    100 points
This form is to be turned in with the transparency on presentation date.
NAME_____________________________
                                                     TRANSPARENCY PRESENTATION
1. Title
2. Synopsis of situation (What is occurring or dialogue)
3. Identify important factual information relative to transparency
4. Describe your personal feelings from this situation.
5. Questions you would ask to increase understanding of drug concepts
    a.
    b.
    c.
6. Describe a written project/assignment to go with transparency.
7. Reference sources for transparency. 

7. On page 223 rate all the articles.
Due November 19      20 points
Final Exam on based on text and  student presentations.

Grades based on assignments plus in class writings and in-class video responses.

EXTRA CREDIT:

Individual extra credit is available by videotaping programs on alcohol/drugs from news sources- 20/20/Dateline/60 minutes. 5-10 points for videos of alcohol/drug commercials or news magazine programs about drugs/alcohol.  25  maximum points 

Extra credit view any of these videos in class - Angela's Ashes,  Requiem for a Dream, When a Man Loves a Woman, Leaving Las Vegas, Traffic, Blow, Insider, or other drug/alcohol films in last 2 years. 20 points

Response:

How did this media influence me on my view and use of drugs?

Identify how these media forms impacted your thinking about drugs and family and the American public.

Cite ways in which the USA should or could alter the fight on drugs. Identify better methods to to fight drugs.

Read Angela's Ashes, Tis by Frank McCourt, The Prize Winner of Defiance, Ohio by Terry Ryan, A Drinking Life by Pete Hamill    100 points

ARTICLE REVIEW FORM  - newspaper/internet
Name:___________________________Date:___________________________________
Title of article:__________________________________________________
Briefly state the main idea of this article:_______________________________________ ________________________________________________________________________________________________________________________________________________
List 3 important facts that the author uses to support the main idea:__________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
List any examples of bias or faulty reasoning that you found in the article:____________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
List any new terms/concepts that were discussed in the article, and write a short definition:_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Group exam - only 1 paper needs to be turned in /group

Essay    With the 3 three prongs of reducing drugs - education/law enforcement/treatment identify specifically where and what efforts should be emphasized.

 Final Exam

 

Multiple Choice:

1.  According to “The Perils of Pills,” the last choice of help for a young, troubled child is:

a.       exposure therapy

b.      behavior therapy

c.       psychothropic drug use

d.      relaxation techniques

 

2.  As noted in “The Perils of Pills,” Clonidine is prescribed for children as a tranquilizer, although it is actually a:

a.       diabetes medication

b.      blood-pressure medication

c.       cholesterol-reducing medication

d.      thyroid medication

 

3.  As reported in “The Perils of Pills,” amphetamines are prescribed to treat all of the following, except:

a.       bed-wetting

b.      narcolepsy

c.       hyperactivity in children

d.      obesity

 

4.  Ecstasy, as explained in “E-commerce,” was first widely used in the 1970’s:

a.       to control withdrawal symptoms from other drugs

b.      as a pain medication after surgical procedures

c.       by psychiatrists to help their patients open up during therapy

d.      by soldiers returning from the Vietnam War

 

5.  U.S. banks, as asserted in “American Banks and the War on Drugs,” play a large role in the illegal drug trade by:

a.       reaping the profits of money laundering

b.      helping the federal government track suspicious financial activity

c.       helping clients involved in the drug trade increase their earnings through legal investments

d.      lending money to drug traffickers to make their initial investments in drugs.

 

6.  The smallest portion of the billions of dollars spent by the United States each year on the drug war, as described in “America’s War on Drugs,” is allotted to:

a.       research into the root cause of addiction

b.      preventing illegal drugs from coming into the country

c.       prosecuting people for illegal drug offenses

d.      preventing and treating drug addiction

 

7.  General Barry McCaffrey, former President Clinton’s drug czar, as explained in “America’s War on Drugs,” say that drug addiction should be approached as a:

a.       crime

b.      moral falling

c.       disease

d.      consequence of poverty

 

8.  According to “America’s War on Drugs,” one sign that the general public is ahead of U.S. politicians in their thinking about illegal drugs can be seen in the public’s support for:

a.       funding for overseas efforts to stop the drug trade

b.      legalization of marijuana for medical uses

c.       enhanced school education about illegal drugs

d.      decriminalizing possession of most currently illegal drugs

 

9.  In the opinion of Dave Matthews, as cited in “America’s War on Drugs,” the drug war has been maintained because of the financial gain realized from:

a.       consultant fees to discuss new policy projects

b.      criminal fines

c.       fees paid to lawyers for defending drug clients

d.      building new prisons

 

10.  From a true, moral perspective, as maintained in “Stumbling in the Dark,” the government should respond to illegal drug use by:

a.       prosecuting only those who sell or supply drugs

b.      trying to stop the entry of illegal drugs into the country

c.       appealing to people’s reason and convincing them not to use them

d.      providing safe havens where people can legally and safely use drugs

 

11.  Researchers surmise that drug addiction causes stable changes in the brain, as explained in “Learning About Addiction From the Genome,” because:

a.       former addicts remain at risk of relapse even after years of recovery

b.      drug addiction causes life-long effects such as memory loss

c.       drug addiction can place people at heightened risk of mental illness

d.      many recovering addicts are no longer able to enjoy activities that were once pleasurable

 

12.  Besides a ready supply of drugs of abuse, as asserted in “Addiction and the Brain-Part II,” in order for a person to become an addict it is likely that he or she must:

a.       suffer from a pre-existing mental disorder

b.      have experienced a recent trauma

c.       lack adequate other means of satisfaction and support

d.      have a generic predisposition to addiction

 

 

13.  One of the early signs of a vulnerability to alcoholism, as described in “Addiction and the Brain-Part II,” is an:

a.       ability to drink more than average before feeling intoxicated

b.      weakened immune system

c.       intolerance for common prescription drugs

d.      tendency to indulge in risky behavior

 

14.  Recent studies involving brain-imaging techniques, as reported in “How It All Starts Inside Your Brain,” suggest that for drug addicts, even those in recovery, drug-related cues can:

a.       trigger intense cravings

b.      produce a mild “high”

c.       produce minor withdrawal symptoms

d.      accelerate the damage to the brain caused by use of the drug itself

 

15.  At the most basic level, as stated in “How Addictive Is Cigarette Smoking?” people become addicted to:

a.       the definition of addiction used in asking the question

b.      whether or not daily use of the substance is one of the signs of addiction

c.       attitudes towards the legal status of cigarettes in spite of their harmful properties

d.      the likelihood of relapse after trying to stop using the substance

 

16.  One of the most powerful effects of alcohol, as maintained in “Alcohol, the Brain, and Behavior:  Mechanisms of Addiction,” is its capacity to:

a.       decrease the immune system

b.      interfere with perception of social situations

c.       reduce the pace of brain activity

d.      initiate the reinforcing pattern of behavior

 

17. Long-term, heavy alcohol uses, as presented in “Medical Consequences of Alcohol Abuse,” is the lading cause in the United State of death from:

a.       heart disease

b.      malnutrition

c.       liver disease

d.      bone cancer

 

18.   As noted in “Drinking to Get Drunk,” heavy drinkers on campus usually describe themselves as:

a.       blowing off steam

b.      bingers

c.       moderate drinkers

d.      the life of the party

 

 

19.  As identified in “Drinking to Get Drunk,” alternatives to drinking that schools provide include all of the following, except:

a.       alcohol-free “family zones” at campus festivals

b.      free movies every night

c.       no-drinking dorms and fraternities

d.      free taxi service from bars

 

20.  In Missouri and Wisconsin, as noted in “The Drug That Pretends It Isn’t,” the excise tax on beer is only six cents a gallon because:

a.       they have a high rate of poverty

b.      their populations are largely elderly

c.       they are homes to major beer companies

d.      they have the lowest rate of DWI’s in the country

 

21.  As reported in “The Drug That Pretends It Isn’t,” Mothers Against Drunk Driving faces the opposition from principals and parents who think that:

a.       illegal drugs should be given greater priority

b.      kids will be kids

c.       drinking and driving do not mix

d.      schools do a better job of getting the message across

 

22.  One of the most dangerous aspects of trying to eliminate the illegal production of methamphetamine, as reported in “Welcome to Meth Country,” is that:

a.       the chemicals used in its production are highly toxic

b.      undercover law-enforcement officials are often persuaded to try the drug and frequently become addicted

c.       the producers are often users themselves and can react violently when on the drug

d.      profits from meth sales are high, and producers are often heavily armed

 

23.  Methamphetamine, as explained in “Welcome to Meth Country,” is one of the few controlled substances:

a.       available at low cost

b.      capable of addicting people with only a few uses

c.       that can be produced by people with little chemical knowledge

d.      that requires only a few ingredients to produce

 

24.  As presented in “Playing With Pain Killers,” the growing problem of addiction to prescription pain killers has increased, along with:

a.       greater access to pain killers now sold over the counter

b.      law enforcement crackdowns on illegal drugs such as cocaine and heroin

c.       efforts by the medical establishment to provide effective pain relief for patients

d.      the availability of increasingly potent pain medication

 

25.  The most powerful prescription painkiller available today, as identified “Playing With Pain Killers,” is:

a.       Xanex

b.      Darvon

c.       Percodan

d.      OxyContin

 

26.  Among college students, as reported in “Scouting a Dry Campus,” the largest percentage:

a.       abstain from alcohol

b.      frequently engage in binge drinking

c.       occasionally engage in binge drinking

d.      drink alcohol without bingeing

 

27.  Dextromethorphan, as described in “Convenience-Store High:  How Ordinary Cough Medicine Is Being Abused for Its Mind-Altering Effects,” is a semi-synthetic substance related to:

a.       cocaine

b.      alcohol

c.       cannabis

d.      opium

 

28.  Many of the people using dietary supplements, as noted in “Natural Hazards,” are trying to:

a.       lower their blood pressure

b.      lose weight

c.       improve coordination

d.      prevent osteoporosis

 

29.  According to “Natural Hazards,” researchers and physicians often know very little about the pharmacology of dietary supplements because:

a.       companies are reluctant to share data from their efficacy studies

b.      the federal government is not interested in funding studies of common supplements

c.       pharmaceutical companies do not want to study naturally occurring substances because they will not be able to patent them

d.      the Food and Drug Administration does not require scientific studies on safety and effectiveness before these drugs can be marketed

 

30.  As identified in “Organized Crime in Narcotics Trafficking,” the ideal transport methodology for the drug smuggler who often uses hijacking and theft to complete the delivery is:

a.       airplane cargo

b.      truck cargo

c.       train cargo

d.      ship cargo

 

31.  As asserted in “Drugs, Crime, Prison, and Treatment,” the most innovative treatment programs for substance abuse have been:

a.       in institutional settings

b.      voluntary

c.       based on the concept of coerced abstinence

d.      those that incorporate transitional support services upon release from prison

 

32.  As explained in “Drugs, Crime, Prison, and Treatment,” drug courts:

a.       do not offer treatment but do engage testing

b.      rely only on positive incentives

c.       use graduated sanctions to punish offenders

d.      are a good option for violent offenders

 

33.  Drug courts, as stated in “Drug Courts:  Making Prison Sentences a  Thing of the Past?” appear to be more effective than traditional judicial proceedings in:

a.       preventing the criminal recidivism associated with drug abuse

b.      encouraging drug users to take life-skills training courses in addiction to their drug treatment

c.       ensuring that drug users make reparations for their crimes

d.      convincing defendants to offer any information they have regarding drug dealers and others engaged in criminal activity

 

34.  According to “Addressing the Threats of MDMA (Ecstasy):  Implications for School Health Professionals, Parents, and Community Members,” deaths from MDMA overdose have been tied to the drug’s tendency to:

a.       create feelings of recklessness and invulnerability.

b.      elevate blood pressure and respiration

c.       cause extreme depression as the effects wear off

d.      elevate core body temperature

 

35.  According to “Science and Drug Abuse Control Policy,” the ideology shaping the position of the National Institute on Drug Abuse is part of the reason why there have been no valid scientific studies to determine:

a.       ways to prevent addiction in segments of the population that will use drugs of abuse

b.      whether or not someone who has entered an alcoholic-abuse-recovery program can ever consume alcohol safely

c.       the exact rate at which people are likely to move from infrequent use of marijuana to consistent use of “harder” drugs

d.      the efficacy of medicinal marijuana compared to its active ingredient given in pill form

 

 

 

36.  Current U.S. drug policy, as maintained in “The Case for Legalisation,”  is based on the overwhelming fear that drug use:

a.       cannot be separated from violence

b.      is not a problem affecting all segments of society

c.       would spread to ever-younger children if laws were relaxed

d.      always leads to increasing frequency of use and eventual addiction

 

37.  In Arizona, as explained in “The War Against the War On Drugs,” people convicted of a first offense of possessing drugs for personal use:

a.       must undergo drug testing for at least two years once they are released from prison

b.      are offered treatment as an alternative to prison

c.       are able to obtain treatment if they help law enforcement identify higher-level drug dealers

d.      cannot be sentenced to prison under current law

 

38.  For someone who is trying to overcome a drug addiction, as noted in “Hollywood High,” one of the most dangerous attitudes is to believe that:

a.       they are special and always right in their actions

b.      recovery will be impossible

c.       taking drugs just once in a while will be safe

d.      they can hide both their addiction and their recovery efforts

 

39.  When a major celebrity has a problem like drug-addiction, as explained in “Hollywood High,” other’s opinions about what should be done are often motivated by:

a.       concern for the celebrity’s reputation

b.      the public’s attitude towards drug addiction

c.       economic considerations

d.      fear that they will lose their own status if they are associated with a known drug addict

 

40.  Many people believe that treatment for drug addiction is ineffective, as explained in “Principles of Drug Addiction Treatment:  A Research-Based Guide,” in part because they:

a.       do not accept that addiction is more than a failure of willpower

b.      have unrealistic expectations of recovery treatments

c.       have witnessed too many programs that are inadequate

d.      do not know anyone who has successfully recovered from an addiction

 

41.  According to “Issues in the Treatment of Native Americans With Alcohol Problems,” standard treatments for alcohol abuse are generally aimed at helping:

a.       working-class alcohol abusers

b.      people who have severely damaged their health through alcohol use.

c.       the general, middle-class U.S. population

d.      any member of the population needing help

 

42.  The Alkali Lake Band of the Shuswap tribe, as descried in “Issues in the Treatment of Native Americans With Alcohol Problems,” was able to successfully address its alcoholism problem through a combination of all of the following except:

a.       creation of a community attitude that no longer tolerated alcoholism

b.      reviving traditional ceremonies

c.       improving education for young people, with efforts to teach drug-prevention strategies

d.      getting rid of bootleggers in the community

 

True & False:

 

43.  As suggested in “The Perils of Pills,” most psychiatric drugs are not approved by the Food and Drug Administration (FDA) for pediatric use.

a.       True

b.      False

 

44.  Ecstasy, as pointed out in “E-commerce,” is a physically non-addictive drug.

a.       True

b.      False

 

45.  The marijuana available today, as noted in “America’s War on Drugs,” is far less potent than it was in the 1960’s and 1970’s, which may explain why there is a push to legalize or decriminalize its use.

a.       True

b.      False

 

46.   As reported in “Drugs That Flip Your Switches:  Top to Toe,” successful treatment requires management not just of the addiction but also of the side effects.

a.       True

b.      False

 

47.  As claimed in “Drugs That Flip Your Switches:  Top to Toe,” the basic mechanism of drug addiction may be similar for drugs ranging from alcohol to heroin.

a.       True

b.      False

 

48.   As claimed in “The Andean Coca Wars:  A Crop That Refuses to Die,” the supply of cocaine remains more than adequate to meet demand.

a.       True

b.      False

 

49.   As claimed in “The Drug That Pretends It Isn’t,” members of Congress passes legislation that made alcohol part of the purview of the nation’s drug czar.

a.       True

b.      False

 

50.  Until recently, as reported in “The Changing face of Marijuana Research,” there were very few controlled trials to evaluate various marijuana-addiction treatments

a.       True

b.      False

 

51.  Overweight men, as described in “Are You Man Enough?” tend to have lower testosterone levels than other men at any age.

a.       True

b.      False

 

52.  Most people, as noted in “Natural Hazards,” tell their doctors when they are taking dietary supplements as part of routine questioning about health habits.

a.       True

b.      False

 

53.  The author of “Drugs, Crime, Prison, and Treatment” maintains that substance-abuse treatment of offenders will be very expensive.

a.       True

b.      False

 

54.  Over the past two decades, as cited in “Women in Jail:  Is Substance Abuse Treatment Enough?” the number of women in prison has risen steadily.

a.       True

b.      False

 

55.  In spite of the growing number of women arrested, as reported in “Women in Jail:  Is Substance Abuse Treatment Enough?” men are still more likely than women to test positive for drugs at the time of their arrest.

a.       True

b.      False

 

56.  As pointed out in “Cracking Down on Ecstasy,” researchers have yet to determine whether or not there are any lasting, long-term ill effects of Ecstasy use.

a.       True

b.      False

 

57.  Drug court options, as noted in “Drug Courts:  Making Prison Sentences a Thing of the Past?” are far less expensive than traditional incarceration.

a.       True

b.      False

 

58.  More than half of all men and women arrested test positive for illegal drug use at the time of their arrest, as reported in “Drug Courts:  Making Prison Sentences a Thing of the Past?”.

a.       True

b.      False

 

59.  The prison rate for drug offenses in the United States, as reported in “The Case for Legalisation,” is greater than that for all crimes in most West European countries.

a.       True

b.      False

 

60.  Attorney General John Ashcroft, as cited in “What’s Your Anti-Drug?” is in favor of reducing the sentencing disparity between crack and powder cocaine by increasing criminal penalties for powder-cocaine possession.

a.       True

b.      False

 

61.  As claimed in “Deep Cravings,” a very small percentage of those who experiment with a drug actually become compulsive users or abusers.

a.       True

b.      False

 

62.  Drug addiction, as noted in “Principles of Drug Addiction Treatment: A Research-Based Guide,” can place people at risk or a number of serious illnesses apart from their substance abuse.

a.       True

b.      False

 

63.  Social-influence theories of drug education, as explained in “Prevention:  Still a Young Field” assume that students engage in dangerous behaviors because they lack the skills to say no.

a.       True

b.      False

 

64.  One problem with the use of an Alcoholics Anonymous-style alcohol treatment program among Native Americans, as pointed out in “Issues in the Treatment of Native Americans With Alcohol Problems,” is that its public confessional style is counter to private, family-oriented traditions for dealing with problems.

a.       True

b.      False

 

65.  A crisis in any single area of family life, as noted in “Substance Abuse Treatment for Women With Children,” can often motivate women with children to drop out of substance-abuse treatment.

a.       True

b.      False