Mindful Continuing Education

1. Culture is a primary force in the creation of a person's identity, and professionals who are culturally competent are better able to understand and respect their clients' identities and related cultural ways of life.

2. In most African-American communities, significant alcohol or drug use may be socially unacceptable or seen as a:

3. When comparing African Americans with other racial and ethnic groups, recent data suggest that they have an incidence of alcohol and drug use disorders that is very different to that seen in White Americans.

4. Each of the following is an accurate statement about mental health diagnosis among African-Americans EXCEPT:

5. Although most major studies have found that race is not a significant factor in receiving treatment, African Americans report lengthier waiting periods, less initiation of treatment, shorter lengths of stay in treatment, and __________________________ than do White Americans.

6. African Americans are significantly more likely than other groups to perceive the healthcare system as poor or fair, and significantly more likely to believe that they have been discriminated against in healthcare settings.

7. Supportive expressive psychotherapy may be particularly effective in treating African Americans because it prioritizes fostering a collaborative relationship and recognizes that clients are experts on their problems.

8. Which of the following are NOT individual strengths of African American family life that the authors suggest may benefit clients during the treatment process?

9. In general, African Americans clients who leave substance abuse treatment seem to be able to anticipate the difficulties they will face after treatment, and as a result are willing to participate in sober leisure activities and avoid exposure to substance use more than other groups.

10. In some Asian cultural groups, alcohol is believed to have curative, ceremonial, or beneficial value, and other substances such as marijuana have been used medically by some Asians for many years.

11. Data suggests that the longer Asian Americans reside in the United States, the more their substance use resembles that of other Americans.

12. Asian Americans are more likely to present with somatic complaints and less likely to disclose psychological distress and impairment, probably because of the __________ they often associate with mental disorders.

13. While Asian Americans tend to enter treatment with more severe substance abuse problems than members of other ethnic/racial groups, for those involved in the criminal justice system, there seems to be a less pronounced relationship between crime and drug abuse than for other groups.

14. Since Asian American clients tend to have better treatment outcomes when given information, they should receive education about the role of the counselor/therapist, the purpose of therapeutic interventions, and:

15. Although some Asian American clients prefer individual therapy because of the privacy, professionals can assure clients that discussing problems with loved ones is a step toward resuming their full share of responsibility in their families and removing some of the stress their families have been feeling.

16. Asian Americans are twice as likely as other Americans to report making use of acupuncture and traditional healers, and highly regard such culturally specific interventions as a means of restoring:

17. Each of the following is an accurate statement about substance abuse among Latina Women EXCEPT:

18. Although Latino youth appear to start using illicit drugs at a later age than do members of other major ethic/racial groups, by grade 12, use rates tend to become more similar.

19. Among Latinos with co-occurring disorders, substance abuse disorders tend to precede the development of a mental health disorder in the majority of cases.

20. In general, Latino attitudes toward health care are shaped by:

21. Which of the following is NOT one of the major themes that experts highlight when providing health treatment to Latinos?

22. In addition to CBT, which is recommended for Latinos with mental health or substance use disorders because of its action-oriented, problem-focused, and didactic approaches, contingency management and motivational interviewing are effective interventions for this population.

23. When working with Latino families, suggested strategies include:

24. Native American recovery movements have often viewed substance abuse as a result of cultural conflict between Native and Western cultures, seeing substances of abuse as weapons that have caused further loss of traditions.

25. In addition to alcohol, methamphetamine and inhalant abuse are major concerns for a number of Native American communities, although among those entering treatment in 2010, alcohol use disorders alone or in conjunction with ________________________ use were the most common primary substances of abuse.

26. Research has found that Native Americans were somewhat more likely than the general treatment-seeking population to enter residential programs, and were more likely to enter treatment as a result of criminal justice referrals than were White Americans or African Americans.

27. When working with Native Americans clients, clinicians should be careful not to create extended periods of silence during sessions, as this is perceived as showing a lack of interest and an unwillingness to direct the client.

28. Although researchers and providers once viewed group therapy as effective for American Indian clients because of their involvement in communities, opinion has shifted to recognize that most members of the population find group therapy invasive and unproductive.

29. Many Native Americans believe that culture is the primary avenue of healing, and that connecting with one's culture is not only a means of prevention but also a healing treatment, although not all healing practices are necessarily appropriate to adapt to behavioral health treatment settings.

30. Despite illicit drug use now being as common among White Americans as people of color, White Americans still tend to perceive drug use as an activity that occurs outside their families and communities.

31. According to 2012 NSDUH past-year data, substance use disorders were higher for White Americans than for Native Hawaiians, other Pacific Islanders, and Asian Americans, and rates of current alcohol use were higher than for every other major ethic/racial group.

32. White Americans have better access to health care and are more likely to use services than people of color, but this varies widely based on socioeconomic status and:

33. Overall, the optimum treatment approach with White Americans is _______________ one, which will offer the greatest chance of success.

34. In White American families, individuals are generally expected to be independent and self-reliant, and as a result, families in therapy can have trouble adjusting to work that focuses more on __________________ than specific problems or content.

35. Some research suggests that since White Americans are more likely to use coping skills and have higher levels of self-efficacy than other ethnic groups upon leaving treatment, emphasis should be placed on practicing the use of one specific skill during treatment that will provide the greatest benefit to recovery.