CE-1151 / Anger Management for Substance Abuse and Mental Health Clients

71 Pages·2011·1.62 MB·English

BREINING INSTITUTE
8894 Greenback Lane • Orangevale, California USA 95662-4019 • Telephone [phone] • Facsimile [phone]

On-line Continuing Education
Course Material and
Exam Questions Packet

Course No: CE-1151

Course Title: Anger Management for Substance Abuse and Mental Health Clients

Course Objective: Introduction to the use of a cognitive behavioral anger management group
treatment program. Includes examination of relaxation interventions,
cognitive interventions, communication skills interventions and combined
interventions. Designed for use by qualified substance abuse and mental
health clinicians.

CE Credit Hours: 3.0 hours

Course Material: Reilly, P.M. and Shopshire, M.S. (2002). Anger Management for Substance
Abuse and Mental Health Clients: A Cognitive Behavioral Therapy Manual
DHHS Pub. No. (SMA) 08-4213. Rockville, MD: Center for Substance
Abuse Treatment, Substance Abuse and Mental Health Services
Administration (most recent reprint in 2008).

Exam Questions: Eleven (11) multiple-choice questions.

Answer Sheet: We recommend that you use the on-line Answer Sheet for automatic
grading of your exam, and to automatically receive your Certificate of
Completion by e-mail.

If you mail or fax us the attached Answer Sheet, please allow ten days for
us to receive and grade your answers, and to send you the Completion
Certificate by postal mail.

Recommendation: Review the exam questions before you view the course material. The Exam
Questions are based upon the information presented in the course material.
You should choose the best answer based upon the information contained
within the course material.

GOOD LUCK!
CE-1151 w www.breining.edu 2011 © Breining Institute (1104300930)
BREINING INSTITUTE
8894 Greenback Lane • Orangevale, California USA 95662-4019 • Telephone [phone] • Facsimile [phone]

CE-1151: Course Exam Questions
These Exam Questions are based upon the information presented in the course material. You
should choose the best answer based upon the information contained within the course
material. A score of at least 70% correct answers is required to receive Course credit. GOOD
LUCK!

1. Cognitive behavioral therapy (CBT) treatments have been found to be effective,
time-limited treatments for anger problems. Four types of CBT interventions,
theoretically unified by principles of social learning theory, are most often used
when treating anger disorders, including all of the following, EXCEPT:
a. Relaxation interventions.
b. Cognitive interventions.
c. Psychosocial interventions.
d. Communication skills intervention.

2. People often confuse anger with aggression. “Aggression” is:
a. Behavior.
b. Emotion.
c. Both A and B.
d. Neither A nor B.

3. Anger becomes a problem when:
a. It is felt too intensely.
b. It is felt too frequently.
c. It is expressed inappropriately.
d. All of the above.

4. The inappropriate expression of anger initially has many “apparent” payoffs,
which, in the long term, tend to lead to negative consequences. Which of the
following “apparent” payoffs were identified in the course material?
a. Being able to manipulate and control others through aggressive and
intimidating behavior.
b. The release of tension that occurs when one loses his or her temper and
acts aggressively.
c. Both A and B.
d. Neither A nor B.

5. Session One identifies four myths about anger, which include all of the following,
EXCEPT:
a. Anger is learned by observing others.
b. Anger automatically leads to aggression.
c. People must be aggressive to get what they want.
d. Venting anger is always desirable.

CE-1151 w www.breining.edu 2011 © Breining Institute (1104300930)
BREINING INSTITUTE
8894 Greenback Lane • Orangevale, California USA 95662-4019 • Telephone [phone] • Facsimile [phone]

6. Strategies for controlling anger can be used to stop the escalation of anger
before you lose control and experience negative consequences. All of the
following strategies were identified in the course material, EXCEPT:
a. Taking a time out.
b. Deep-breathing exercises.
c. Thought stopping.
d. Punch an inanimate object, such as a pillow.

7. An important aspect of anger monitoring is to identify the cues that occur in
response to the anger-provoking event. These cues serve as warning signs that
you have become angry and that your anger is continuing to escalate. They can
be broken down into four cue categories: physical, behavioral, emotional, and
cognitive (or thought) cues. Which of the following describes “Behavioral” cues?
a. Involves the way our bodies respond when we become angry. For
example, our heart rates may increase, we may feel tightness in our
chests, or we may feel hot and flushed.
b. Involves the behaviors we display when we get angry, which are observed
by other people around us.
c. Involves other feelings that may occur concurrently with our anger.
d. Refers to the thoughts that occur in response to the anger-provoking
event.

8. An important aspect of anger monitoring is to identify the cues that occur in
response to the anger-provoking event. These cues serve as warning signs that
you have become angry and that your anger is continuing to escalate. They can
be broken down into four cue categories: physical, behavioral, emotional, and
cognitive (or thought) cues. Which of the following describes “Cognitive” cues?
a. Involves the way our bodies respond when we become angry. For
example, our heart rates may increase, we may feel tightness in our
chests, or we may feel hot and flushed.
b. Involves the behaviors we display when we get angry, which are observed
by other people around us.
c. Involves other feelings that may occur concurrently with our anger.
d. Refers to the thoughts that occur in response to the anger-provoking
event.

9. From an anger management perspective, an episode of anger can be viewed as
consisting of three phases, which include all of the following, EXCEPT:
a. Escalation.
b. Pre-explosion.
c. Explosion.
d. Post-explosion.

CE-1151 w www.breining.edu 2011 © Breining Institute (1104300930)
BREINING INSTITUTE
8894 Greenback Lane • Orangevale, California USA 95662-4019 • Telephone [phone] • Facsimile [phone]

10. “Therapeutic From an anger management perspective, the best way to deal with
a person who has violated your rights is to act assertively. Acting assertively
involves standing up for your rights in a way that is respectful of other people.
One method of acting assertively is to use the Conflict Resolution Model, which
involves five steps, and includes all of the following, EXCEPT:
a. Identify the problem that is causing the conflict.
b. Identify the feelings that are associated with the conflict.
c. Decide whether to resolve the conflict.
d. Aggressively act to resolve the conflict.

11. In the final session of this twelve-session program, what should the Group
Leader get the participants to do?
a. Review their respective anger control plans.
b. Rate the treatment components for their usefulness and familiarity.
c. Complete a closing exercise.
d. All of the above.

This is an eleven-question examination.
Answer Questions 1 through 11 for full CE credit in this course.
Questions 12 through 21 have been omitted.

CE-1151 w www.breining.edu 2011 © Breining Institute (1104300930)
BREINING INSTITUTE
8894 Greenback Lane • Orangevale, California USA 95662-4019 • Telephone [phone] • Facsimile [phone]

Course No. CE-1151: Answer Sheet
SECTION 1. Please use this sheet only if you have not already submitted your answers on-line.

First Name

Middle Name

Last Name

Address (Number, Street, Apt or Suite No.)

City

State (or Province) USA Zip Code

Country (other than USA) Country Code

Primary Telephone Number (including Area Code) Facsimile Number (including Area Code)

E-mail Address

SECTION 2. Credit Card Payment information if paying by credit card: Circle which card used - VISA or MasterCard

Credit card number Expiration date

Full name on credit card. Breining Institute is authorized to charge Twenty-nine dollars ($29.00) to this card.

_____________________________________________________________ _______________________________
Authorized signature Date
SECTION 3. Course Title: CE-1151 / Anger Management for Substance Abuse / Mental Health Clients – Circle correct answer

Signature:__________________________________________________________ Date:___________________________
Return Answer Sheet, with $29 Course examination fee, by mail or facsimile to:
BREINING INSTITUTE w 8894 Greenback Lane, Orangevale, California USA 95662-4019 w Facsimile [phone]
CE-1151 w www.breining.edu 2011 © Breining Institute (1104300930)

AAnnggeerr MMaannaaggeemmeenntt
for Substance Abuse and
Mental Health Clients
A Cognitive Behavioral Therapy Manual

Patrick M. Reilly, Ph.D.
Michael S. Shopshire, Ph.D.
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Center for Substance Abuse Treatment
1 Choke Cherry Road
Rockville, MD 20857
AAnnggeerr MMaannaaggeemmeenntt for Substance Abuse and Mental Health Clients
Acknowledgments
Numerous people contributed to the development of this manual (see appendix). The docu­
ment was written by Patrick M. Reilly, Ph.D., and Michael S. Shopshire, Ph.D., of the San
Francisco Treatment Research Center. Sharon Hall, Ph.D., was the Treatment Research
Center’s Principal Investigator.
Disclaimer
This document is, in part, a product of research conducted with support from the National
Institute on Drug Abuse, Grant DA 09253, and the Department of Veterans Affairs to the San
Francisco VA Medical Center, San Francisco Treatment Research Center, Department of
Psychiatry, University of California, San Francisco. The document was produced by Johnson,
Bassin & Shaw, Inc., under Contract No. 270-99-7072 with the Substance Abuse and Mental
Health Services Administration (SAMHSA), U.S. Department of Health and Human Services
(DHHS). Karl White, Ed.D., served as the Center for Substance Abuse Treatment (CSAT)
Knowledge Application Program (KAP) Project Officer. The content of this publication does not
necessarily reflect the views or policies of CSAT, SAMHSA, or DHHS.
Public Domain Notice
All material appearing in this report is in the public domain and may be reproduced or copied
without permission from SAMHSA or CSAT. Citation of the source is appreciated. However, this
publication may not be reproduced or distributed for a fee without the specific, written authori­
zation of the Office of Communications, SAMHSA, DHHS.
Electronic Access and Copies of Publication
This publication can be accessed electronically through the following Internet World Wide Web
connection: www.kap.samhsa.gov. For additional free copies of this document, please call
SAMHSA’s National Clearinghouse for Alcohol and Drug Information at 1-800-729-6686
or 1-800-487-4889 (TDD).
Recommended Citation
Reilly PM and Shopshire MS. Anger Management for Substance Abuse and Mental Health
Clients: A Cognitive Behavioral Therapy Manual. DHHS Pub. No. (SMA) 08-4213. Rockville, MD:
Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services
Administration, 2002, reprinted 2003, 2005, 2006, 2007, and 2008.
Originating Office
Quality Improvement and Workforce Development Branch, Division of Services Improvement,
Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services
Administration, 1 Choke Cherry Road, Rockville, MD 20857.
DHHS Publication No. (SMA) 08-4213
Printed 2002
Reprinted 2003, 2005, 2006, 2007, and 2008
FFoorreewwoorrdd

Substance use and abuse often coexist with anger and violence. Data from the Substance
Abuse and Mental Health Services Administration’s National Household Survey on Drug Abuse,
for example, indicated that 40 percent of frequent cocaine users reported engaging in some
form of violent behavior. Anger and violence often can have a causal role in the initiation of
drug and alcohol use and can also be a consequence associated with substance abuse.
Individuals who experience traumatic events, for example, often experience anger and act vio­
lently, as well as abuse drugs or alcohol.
Clinicians often see how anger and violence and substance use are linked.
Many substance abuse and mental health clients are victims of traumatic life events, which,
in turn, lead to substance use, anger, and violence.
Despite the connection of anger and violence to substance abuse, few treatments have been
developed to address anger and violence problems among people who abuse substances.
Clinicians have found the dearth of treatment approaches for this important issue disheartening.
To provide clinicians with tools to help deal with this important issue, the Center for Substance
Abuse Treatment of the Substance Abuse and Mental Health Services Administration is
pleased to present Anger Management for Substance Abuse and Mental Health Clients:
A Cognitive Behavioral Therapy Manual and its companion book Anger Management for
Substance Abuse and Mental Health Clients: Participant Workbook.
The anger management treatment design in this manual, which has been delivered to hun­
dreds of clients over the past 8 years, has been popular with both clinicians and clients. This
treatment design can be used in a variety of clinical settings and will be beneficial to the field.
Terry L. Cline, Ph.D.
Administrator
Substance Abuse and Mental Health Services Administration
H. Westley Clark, M.D., J.D., M.P.H., CAS, FASAM
Director
Center for Substance Abuse Treatment
Washington, D.C.
iii