Substance Abuse Participant Workbook

Substance Abuse TrainingParticipant WorkbookBeginning the Web TrainingA. Access the Participant Workbook1.2.3.4.Go to the DCFS training website, http://hsemployees.utah.gov/dcfs/Click on Training.Click on Substance Abuse Training Participant Workbook.Print the Participant Workbook.B. Register for the Web Training1. Go to http://www.ncsacw.samhsa.gov/2. Select Online Tutorials and Training.3. Find Understanding Substance Use Disorders, Treatment and FamilyRecovery: A Guide for Child Welfare Professionals. Click on MOREINFORMATION.4. Click on “Register.”5. Enter the requested information.6. Select the course, Understanding Substance Abuse Disorders, Treatment andFamily Recovery: A Guide for Child Welfare Professionals and click on“Submit.”7. On the new page, “START A TUTORIAL,” click on the second tutorial,Understanding Substance Abuse Disorders, Treatment and FamilyRecovery: A Guide for Child Welfare Professionals.8. The new page will be titled, Why Should I Take This Course? This is theintroduction to the online training.C. Print the PDF Copy of the Tutorial (optional)1. After you have registered for the tutorial, go to the page that says Start aTutorial and Return to a Tutorial.2. Click on PDF copy of Understanding Substance Use Disorders, Treatmentand Family Recovery: A Guide for Child Welfare Professionals.3. Open, then print. The PDF copy is 204 pages.Utah Division of Child and Family ServicesDeveloped by the Professional Development Team10

Substance Abuse TrainingParticipant WorkbookD. Navigating the TutorialTo move forward or backward between pages in a module,click on the blue arrows.To move among sections of amodule, use the drop-downmenu.To move from one module to another, usethe blue menu bar.Utah Division of Child and Family ServicesDeveloped by the Professional Development TeamTo access and print the PDFversion of the tutorial, clickon Tutorial Home and seethe instructions on page 8.11

Substance Abuse TrainingParticipant WorkbookMaximizing the Benefits of Online LearningWe are excited to offer you the opportunity to learn about substance abuse throughonline training. Some benefits of online training for caseworkers are: Ability to self-schedule.Ability to self-pace.Convenience of taking the training in your own office.Immediate access to training and other online resources.Flexibility to balance your workload with the training.Portability to take the Participant Workbook with you, work on the ReadingQuestions, or do additional reading while you are supervising visits, waitingfor court hearings, etc.You may stop and resume the online tutorial at any time and the tutorial will holdyour page.Along with the benefits comes increased responsibility for you to manage yourown training. Because adults learn differently, online learning may involve somechallenges not normally present in classroom training. To complete the training ina timely way, you may need to: Limit distractions.o Set aside a particular time to work on the training.o Turn off the ringer on your phone.o Collaborate with your supervisor to schedule your online work. Schedule your training in a way that fits with the way you learn best.o On your own.o With a co-worker.o With a team.o One module at a time.o All at once. Translate learning into practice.o Evaluate how you can use some of the recommended strategiesand tools in your cases.o Use the charts and graphs provided with families andcommunity partners, when appropriate.o Discuss the information with your supervisor and co-workers.Utah Division of Child and Family ServicesDeveloped by the Professional Development Team12

Substance Abuse TrainingParticipant WorkbookAfter You Finish the Training Complete the Reading Questions and record your responses on the ReadingQuestions Answer Sheet on pages 32-34. Be sure to write your name on eachpage of the Answer Sheet. Enter your name on the Certificate of Completion, which is on page 35. Make a copy of your Reading Questions Answer Sheet and your Certificate foryour records. Complete the Course Evaluation on pages 36-37. Submit your Reading Questions Answer Sheet, signed certificate, andevaluation form to your Regional Training Manager or designee.Your Regional Training Manager or designee will correct your answer sheet,record your completion of the training, sign your certificate, and return these toyou.Utah Division of Child and Family ServicesDeveloped by the Professional Development Team13

Substance Abuse TrainingParticipant WorkbookParticipant Workbook Reading QuestionsReference Pages are provided to help you locate information pertaining to questions in the onlinetutorial or the PDF document. Please respond to the questions on the Reading Questions AnswerSheet, pages 32-34. Be sure to write your name on each page of the Answer Sheet before yousubmit it.Table of ContentsIntroduction: pages 14-15Module 1: page 16-17Module 2: page 18-21Module 3: page 22-25Module 4: page 26-29Module 5: page 30-31QuestionsIntroductionSelect the correct answer(s).1. Looking at the goals on page 4 ofthe tutorial (page 3 of the PDFdocument), which goal would youmost like to fulfill for yourselfthrough this training?ReferencePagesPage 4onlineORPage 3 PDF2. The Four Clocks represent fourdifferent timeframes that may affecta family member with a substanceuse disorder. Which of the followingstatements are true of the possibleconflict between the familymember’s treatment and recoverytime and the other Clocks? (morethan one answer)a.b.c.d.The child’s bonding with the parent does notdepend on age, so a parent may easily reattachwith a child of any age from whom they havebeen separated for a year.The parent may require more time to completetheir treatment than is permitted forreunification under the Adoption and SafeFamilies Act (ASFA).A child’s time in care will not affect thefamily’s eligibility for public assistance.Treatment spaces may not be available for acaregiver, creating a problem in meeting courttime requirements.Utah Division of Child and Family ServicesDeveloped by the Professional Development TeamPages 7-12onlineORPages 6-7PDF14

Substance Abuse TrainingQuestionsParticipant WorkbookIntroductionSelect the correct answer(s).3. Why is it important to the familythat the child welfare professionaland the treatment provider planjointly with the family?ReferencePagesPages 13-17onlineORPages 8-9PDF4. How can social workers helpfamilies to manage the Four Clocks?a.b.c.d.Help families understand what is being askedof them.Work with families to find the best way toachieve their desired goals.Help families understand the consequences ofnot actively working to achieve the goals oftheir plan.All of the above.Utah Division of Child and Family ServicesDeveloped by the Professional Development TeamPages 18-23onlineORPages 9-12PDF15

Substance Abuse TrainingQuestions1. According to the tutorial, which ofthe following are considered riskfactors for children to use substancesas they get older? (more than oneanswer)Participant WorkbookModule 1Select the correct answer(s).a.b.c.d.e.Early oppositional behaviorPoor social skillsLanguage delaysDivorced or unmarried parentsBeing a racial or ethnic minorityReferencePagesPages 1-6onlineORPages 13-19PDF2. According to the tutorial, whichof the following are considered to befactors that protect children fromusing substances as they get older?(more than one answer)a.b.c.d.e.Empathy for othersHaving a boyfriend/girlfriendEducation and career goalsCreative thinking and problem-solvingSmall classroom sizePages 1-6onlineORPages 13-19PDF3. According to the NIAAA, foursymptoms of alcohol dependence oralcoholism are craving, physicaldependence, tolerance, and.a.b.c.d.Inability to limit one’s own drinkingComplaints about the person’s drinkingFeelings of guiltNeglect of childrenPages 7-11onlineORPages 20-24PDF4. Substances of abuse causesignificant changes in brainchemistry. As a result, scientistsconsider substance use disorders tobe brain-based diseases. Which ofthe following statements are true?a.b.c.d.Substance-induced brain chemical imbalancesdisrupt normal communication betweenneurons, so people feel depressed, think poorly,behave in ways not normal to them, ormisperceive what others say or do.As the person continues to use the substance, thereward pathway—a part of the brain responsiblefor experiencing pleasure—becomes interruptedand the person cannot feel pleasure without thesubstance.Addiction means that the person engages in acompulsive behavior, even when faced withnegative consequences.The person's loss of control in limiting his or herintake of the addictive substance is a majorhallmark of addiction.Utah Division of Child and Family ServicesDeveloped by the Professional Development TeamPages 7-11onlineORPages 20-24PDF16

Substance Abuse TrainingParticipant Workbook5. Substance abuse is amanifestation of maladaptivepatterns of substance use leading toclinically significant impairment ordistress. Which of the following areindicators of substance abuse (notuse or dependence)? (more than oneanswer)a. Recurrent substance use in situations in whichit is physically hazardousb. Recurrent substance-related legal problemsc. Continued substance use despite havingpersistent or recurrent social or interpersonalproblems caused or exacerbated by the effectsof the substanced. Markedly diminished effect with continueduse of the same amount of the substancee. Recurrent substance use resulting in a failureto fulfill major role obligations at work,school, or homef. The substance is often taken in larger amountsor over a longer period than was intendedPages 12-17online6. Substance dependence is amanifestation of maladaptivepatterns of substance use leading toclinically significant impairment ordistress. Which of the followingbehaviors are indicators of substancedependence (not use or abuse)?(more than one answer)a. Failure to provide adequate food and nutritionfor childrenb. Continued substance use despite havingpersistent or recurrent social or interpersonalproblems caused or exacerbated by the effectsof the substancec. A need for markedly increased amounts of thesubstance to achieve intoxication or desiredeffectd. Markedly diminished effect with continueduse of the same amount of the substancee. Failure to provide adequate supervision forchildren, based on their ages anddevelopmental stagesf. There is a persistent desire or unsuccessfulefforts to cut down or control substance useg. The same (or a closely related) substance istaken to relieve or avoid withdrawalsymptomsh. The substance is often taken in larger amountsor over a longer period than was intendedPages 12-17onlineUtah Division of Child and Family ServicesDeveloped by the Professional Development TeamORPages 25-30PDFORPages 25-30PDF17

Substance Abuse TrainingQuestions1. According to the tutorial,caseworkers should conductsubstance abuse screenings forparents on which type of cases?2. According to the tutorial, whichof the following are in-homeindicators of potential substanceabuse?Participant WorkbookModule 2Select the correct answer(s).ReferencePagesa. When the allegation is substance-use related,such as fetal exposure/addictionb. When a child discloses substance use byparents or other primary caregiversc. When there is evidence of substance use by aparent who is not in the homed. When a parent says that s/he is concernedabout his/her own substance use or thesubstance use of another parent or caregivere. On all child maltreatment casesPages 1-12onlinea. A report of substance use was included in theintake reportb. The caseworker observes paraphernalia in thehome (syringe kit, pipes, charred spoon, foils,large number of liquor or beer bottles, etc.)c. A child reports use by parent(s) or otheradults in the homed. A parent exhibits physical behavior of beingunder the influence of alcohol or drugs(slurred speech, inability to mentally focus,physical balance affected, extremely lethargicor hyperactive, etc.)e. All of the abovePages 1-12online3. List 3 life problems commonlyexperienced by parents who abusesubstances.ORPages 31-42PDFORPages 31-42PDFPages 12-20onlineORPages 43-54PDF4. List 3 effects of substances onparenting that are common tomultiple substances.Pages 12-20onlineORPages 43-54PDFUtah Division of Child and Family ServicesDeveloped by the Professional Development Team18

Substance Abuse Training5. Prenatal substance abuse may beassociated with which problemsafter the child is born?6. Which abbreviation may be usedto describe the medical condition inwhich a child shows physical signsof prenatal exposure to alcohol?Participant Workbooka.b.c.d.e.f.Physical health consequencesBehavior problemsCognitive problemsPoor social/relation skillsAttachment problemsAll of the abovea.b.c.d.e.CAGEADHDFEFASSCFPages 12-20onlineORPages 43-54PDFPages 21- 24onlineORPages 55-59PDF7. Which of the following are waysthat caseworkers can involve fathersin child protection cases related tosubstance abuse, if the fathers do notreside with the child or have limitedcontact with the child?a.b.c.Notify fathers of the investigationScreen fathers for substance use disordersInform fathers of their obligations to protect thechild from abuse and neglectIdentify formal and informal supports for thefatherAll of the abovePages 21- 24onlineAt times, people may feel ambiguous about theirability to changeProgression may be slow and nonlinearParents who fail to recognize their problembehaviors early are unlikely to complete allstages of changeDuring the preparation/determination stage,individuals make a conscious decision to changePages 24-30onlinePages 24-30onlinec.d.Substance abuse clients often relapse as part oftheir recovery.Relapse demonstrates a parent’s lack ofmotivation.Relapse can be prevented.A child and family team can plan for relapse.10. Child welfare and treatmenta.professionals can use specificstrategies to enhance parents'b.motivation to begin and maintaintreatment and recovery efforts. They c.Continue to work toward meeting therequirements of the dependency courtMaintain the safety and well-being of theirchildrenDevelop the parenting skills needed to retain orPages 30-47onlined.e.8. Which of the following are trueabout the stages of change? (morethan one answer)a.b.c.d.9. Which of the following statements a.about relapse are true?b.Utah Division of Child and Family ServicesDeveloped by the Professional Development TeamORPages 55-59PDFORPages 60-65PDFORPage 60-65PDFOR19

Substance Abuse Trainingcan intervene with parents duringeach of the six stages of change tomotivate them to:Participant Workbookregain custody of their childrenAccess and follow through with servicesvoluntarilyAll of the abovePages sion to ages 30-47onlinePages 30-47onlinee.Help parent re-engage in the contemplation,preparation, and action stagesReduce the number of required drug tests perweekRequest that the child be returned to the parenton a trial home placementHelp parent to identify triggers and usestrategies to prevent relapseIncrease frequency of visitation with the childa.b.c.d.FRAMESUNCOPENIAAACAGEPages 30-47onlined.e.11. According to the tutorial, themotivational task for a child welfareworker to foster and evoke reasonsto change and the risks of notchanging is matched with whichstage?a.b.c.12. According to the tutorial, if theparent is in the maintenance stage ofchange, what would be thecorresponding motivational task forthe child welfare worker?a.d.e.f.b.c.d.13. Based on the stages of change,there are simple motivationalenhancement interventions that canbe easily incorporated into childwelfare services. While simple andpractical, these strategies wereidentified by research as beingcommon to effective briefmotivational enhancementinterventions. These briefmotivational interventions arerepresented in which of thefollowing acronyms?14. Caseworkers are encouraged touse motivational strategies with bothparents. However, fathers often needspecific interventions to foster theirengagement in child welfare servicesand treatment for their substance useORPage 66-82ORPages 66-82ORPages 66-82a. Request judges to order fathers into domesticviolence treatment, especially if they areabusing substancesb. Portray recovery as separate from the childwelfare case and stress that recovery does notautomatically result in reunificationUtah Division of Child and Family ServicesDeveloped by the Professional Development TeamPages 30-47onlineOR20

Substance Abuse Trainingdisorders. According to the tutorial,which of the following should acaseworker do as part of anintervention with fathers? (morethan one answer)Participant Workbookc. Explain to the father that regardless of aPages 66-82mother's case plan or her attempts to reunify,the father has responsibility for the childrend. If both parents are addicted, arrange for themto attend the same treatment center so theycan support each other and keep their childrenwith theme. Identify fathers-only groups and activities,provide opportunities to create social supportnetworks and encourage a positiverelationship between fathers and their childrenUtah Division of Child and Family ServicesDeveloped by the Professional Development Team21

Substance Abuse TrainingQuestions1. Limited local resources may causea temporary inability to secure atreatment space. According to thetutorial, which of the followingshould a caseworker do to help aparent with a substance abusedisorder? (more than one answer)Participant WorkbookModule 3Select the correct answer(s).a.b.c.d.e.ReferencePagesProvide the parent with lists of local 12-stepmeetings and encourage them to goHelp the parent develop a safety plan to abstainfrom use while waiting for treatmentRequest court-ordered supervisionMake random, unscheduled home visits to catchthe parent usingSuggest lower levels of care while waiting forthe optimal level of carePages 1-11onlineORPages 83-96PDF2. Treatment begins withassessments that identify treatmentneeds. Treatment needs change overtime and new treatment needsemerge. Which of the following areparts of the treatment process, asidentified in the tutorial? (more thanone answer)a.b.c.d.e.f.g.Treatment needs resolved; new needs emergeIdentify treatment needsInitiate treatment planningAssessmentMental health evaluationResolution of criminal chargesRespond to changing treatment needsPages 1-11online3. Which of the terms below refer tothe level of structure and supportoffer

your convenience, the Reading Questions in the Participant Workbook include page number references for both the online and PDF versions of the tutorial. Training Hours Based on a pilot test of the tutorial, participants may take 3.25 to 4.5 hours to complete the introduction, the five modules, and the Reading Questions in the Participant Workbook.