Foundations of Addictions Counseling 3E David Capuzzi Mark

Foundations of Addictions Counseling, 3/E David Capuzzi & Mark D. Stauffer Chapter 4 Important Professional Issues in Addictions Counseling Updated by Melinda Haley, Walden University Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Professional Issues n n Ethical, legal, competent treatment of substance abuse clients Differences in n Professional Affiliation Ethical Codes Laws n State n Federal Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Counselor Competence n n Comorbidity of psychiatric issues and substance abuse Special populations (i. e. minors) Polysubstance abuse and dependence Knowledge of theory, treatment, and recovery models n n Therapeutic Relationship n n Transtheoretical Theory of Change Boundary violation issues Multiculturalism Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Counselor Competence, n Education n n What is enough? When to refer? Counselors in recovery n n (continued) Dual relationships Counselors who have never been users n Assumptions about clients Self-care n Research-based practice n Continuing education n Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Credentialing n Required for practice in many states n n n Licensure Certification Accreditation No national standard Many agencies – perhaps merging Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Goals of Credentialing n Three common goals n n Define core tasks Define core skills and knowledge Assess competency Widely differing interpretations, requirements Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Varying Minimum Requirements n States surveyed n n In general, to be licensed as an addiction counselor a person must pass an exam of competency and then engage in a certain number of hours of postgraduate supervised practice. Different states have different requirements for licensure. Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Core Tasks and Skills n n n Assessment Treatment planning Client orientation Case consultation Confidentiality Counseling (individual, family, group) Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer n n n Crisis intervention Discharge planning Follow-up activities Referral Client advocacy Personal and professional growth Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Licensure n n State law States determine requirements n n Exam Postgraduate supervised practice Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Accreditation n Applies to education programs within colleges n n Intended to insure quality and standardization of education Professional organizations specify standards and criteria such as: n n Student to faculty ratio Critical content and experiential components Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Treatment Issues in Managed care n n n Lower short term costs Long term consequences? Ethical Concerns n n n n DSM Diagnosis Required Session Limits Restricting Provider Availability Confidentiality Client Abandonment Federal Patient Protection and Affordable Care Act Recovery-Oriented System of Care (ROSC) Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Research Issues n n n Push for empirical support and evidenced based treatments. Guidelines and algorithms. Concern about the implementation of evidenced based practices. Disconnect between research and practice. National Drug Abuse Treatment Clinical Trials Network (CTN). Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Recent Research n n Problems with multisite collaborative studies. More research needed. Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Future Trends n n n Positive psychology Unity among self-help groups Dissolution of NIAA and NIDA Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Useful Web Sites n Ethical Decision-Making and Dual Relationships n n http: //kspope. com/dual/younggren. php Avoiding Exploitive Dual Relationships: A Decision-Making Model n http: //kspope. com/dual/gottlieb. php Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved