Syllabus: ADC 300 OL Individual Addiction Counseling: Theory and Practice

Transcription

1 Syllabus: ADC 300 OL Individual Addiction Counseling: Theory and Practice Course Information Credit: 3.0 credit hours Professor: Richard L. Mason, Ph.D., CADC, Adjunct Professor Phone: Office hours: by appointment only Preferred method of contact: telephone or . Messages are normally returned within 24 hours. NO CALLS between 10:00 pm. And 7:00 am., please. Class meeting time and place: Wednesdays, 7:00-8:00 pm., on line only Course Description: This course focuses on presenting a general overview of the different theoretical orientations toward individual counseling with an emphasis on the ones used most often in addiction treatment. It also focuses on a skill development component, with opportunities for role playing of hypothetical therapy situations. Students will work on the counseling skills established as the national standard for alcoholism and drug abuse counselors. Prerequisites: In order to register for Individual Addiction Counseling, students must have completed PSY 105, PSY 200 and Addiction Counseling 250 or have permission of instructor. Relationship of Course to Degree Program Individual Addiction Counseling satisfies three (3) semester hours toward a major and minor subject requirement for the addiction counseling program. Special note: The Principles of Effective Drug Treatment informs Individual addiction counseling and all courses in the addiction program. The National Institute of Drug Abuse (NIDA) has delineated 13 principles of effective addiction treatment (NIDA, 1999). These research-based principles correspond with guidelines established by most treatment researchers and providers. Additional Notes: Students require access to computers equipped with a video camera and microphone. The instructor recommends a headset (I.e., headphones with a built-in microphone). When participating in the 100% online course, students should use Wi-Fi, broadband, or other means of securing high speed internet access. The professor recommends that students avoid dial-up access. Syllabus Page 1 of 10

2 Method of Instruction: Individual Addiction Counseling will include lectures and discussions; projects and presentations and learning experiences outside the classroom. Course Objectives: Upon successful completion of this course, students should be able to Describe addiction counseling competencies and levels of care. Describe and demonstrate individual counseling skills. Describe and demonstrate motivational interviewing skills. Describe the principles of recovery and relapse. Describe major family issues in addiction treatment. Describe the major issues and processes in treating co-occurring disorders. Explain the issues in treating special populations. Describe and demonstrate Cognitive Therapy theory and practice in Individual Addictions Counseling. Required texts: Myers,, P. L. and Salt, M. R. (2013). Becoming and Addiction Counselor: A Comprehensive Text, Burlington, MA: Jones and Barrett Learning. ISBN Beck, A. T., Wright, F. D., Newman, C. F. and Liese, B. S., (1993). Cognitive Therapy of Substance Abuse, New York, NY: Guilford. ISBN Course Policies Academic Integrity: The professor will not tolerate cheating, dishonesty or plagiarism. At the minimum, students committing such offenses may lose credit for the course. Also, the professor will report violations to the Academic Dean for appropriate action. Attendance: In order to succeed in Individual Addiction Counseling, students must attend class and participate. The professor expects students to participate in virtual chats as well as meaningful class discussions. Students must provide advance notice of all absences. In case of emergencies, students must notify the instructor as soon as possible The instructor encourages students to share information from outside sources with the class. Students who fail to attend 20% (2 classes) or more of the scheduled class meetings may not receive credit for the course. Absence means neglecting to log on to the class or not remaining logged on for 75% of the class or longer. See the Student Handbook for the attendance policy. Attendance and participation factor into the final grade. Syllabus Page 2 of 10

3 Extra Credit: At his discretion, the professor may offer extra credit opportunities based on current circumstances. It is not guaranteed. Late work: The professor will grade late work with a 10% penalty on the grade. However, if students submit work more than 1 week past due, the professor will not grade the assignment. Students with documented disabilities: Students with documented disabilities need to provide this documentation to the Coordinator of Disability Services located in room 254 in Administration prior to the beginning of the course. Students may call the the Coordinator of Disability services at (270) The Coordinator will facilitate required academic accommodations in partnership with the Office of the Academic Dean. The Office of Student Development will address nonacademic accommodations. Syllabus Page 3 of 10

4 Course Outline Week One (Oct 16-22) Text: Becoming an Addictions Counselor Chapter one: Introduction to Addictions Treatment OBJECTIVES: Upon successful completion of this chapter students will be able to: Describe the eight practice dimensions of addiction counselors according to the Center for Substance Abuse Treatment. Explain the importance of the therapeutic relationship. Describe the levels of care as outlined by the American Society of Addiction Medicine (ASAM). Differentiate services among detoxification, inpatient, outpatient, and intensive outpatient services. Describe the various approved medications used in pharmacotherapy of addictions. Describe the major influences and traditions in the addictions field including the Self-Help movement, the Minnesota Model of Treatment, and the Therapeutic Community Model. Chapter two: Individual Counseling Skills OBJECTIVES: Upon successful completion of this chapter students will be able to: Describe at least four qualities of an effective counselor. Demonstrate effective nonverbal skills. Demonstrate effective reflection skills. Demonstrate use of open-ended and probing responses. Demonstrate summarizing skills. Demonstrate self-disclosure skills. Demonstrate effective use of feedback. Describe the important emotional issues in the counseling relationship. Week Two (Oct 23-29) Text: Becoming an Addictions Counselor Chapter three: Facilitating Motivation for Recovery OBJECTIVES: Upon successful completion of this chapter, students should be able to Describe the five Stages of Change. Provide an example of a client's response appropriate to each State of Change. Describe each of the ten Processes of Change. Provide an example of an intervention for each Process of Change. Syllabus Page 4 of 10

5 List which Process of Change is most appropriate for each Stage of Change. Describe six motivational interviewing traps counselors need to avoid. Demonstrate in role-play OARS (open-ended questions, affirmations, reflections, and summaries) responses. Describe the use of an Importance Ruler, Confidence Ruler, and Readiness Ruler. Develop in a role-play a Decisional Balance Sheet. Elicit and identify in a role-play the change statements made by a client. Complete an appropriate change plan with a client. Chapter four: Recovery OBJECTIVES: Upon successful completion of this chapter students will be able to: Describe the new addiction recovery paradigms and how they differ from older approaches to addiction treatment and recovery. Describe the phenomenon of natural recovery and its implications for treatment of addictions. Describe four elements of lasting behavioral change. Identify operant conditioning techniques, including (1) positive reinforcement and (2) negative reinforcement and extinction, as they apply to recovery from addiction. Identify categories of erroneous automatic thoughts that clients often generate in response to certain situations, as they apply to facilitating and sustaining recovery. Describe tasks in managing emotional states in order to facilitate and sustain recovery from addiction. Describe Cognitive Behavioral Therapy (CBT) concepts of functional analysis, Socratic questioning, and cognitive restructuring. Week Three (Oct 30 Nov 5) Text: Becoming an Addictions Counselor Chapter six: Family OBJECTIVES: Upon successful completion of this chapter students will be able to: Describe the three major elements of a social system. Describe the roles of status, power, and authority in a family system. Define the terms enmeshment and disengagement as used in family therapy. Describe the dysfunctional patterns of communication found in addicted families. Describe at least four irrational belief systems in addictive families. Define and describe the concepts of codependency. Describe the roles often played by a codependent in an addicted family. Write out an accurate genogram for a family. Describe at least three traps counselors may fall into when working with family members. Describe a minimum of four major sober living tasks of a family in recovery. Syllabus Page 5 of 10

6 Chapter seven: Case management: From Screening to Discharge OBJECTIVES: Upon completion of this chapter the student will be able to: Describe the seven steps in managing a case. Define case management according to the International Certification Reciprocity Consortium (ICRC). Define the purpose of screening and list at least one screening tool. Describe the purpose of a biopsychosocial assessment. List at least six major life areas to be assessed in a biopsysocial assessment. Describe the six dimensions of the American Society for Addiction Medicine (ASAM) Patient Placement Criteria 2 (PPC2-R). List at least three variables to determining severity of dependency. Write a treatment plan based on needs and resources developed in collaboration with the client. Write a treatment objective using SMART (specific, measurable, attainable, realistic, and time limited) criteria. Use the SOAP (subjective, objective, assessment, and plan) approach to write a progress note. Week Four (Nov 6 Nov 12) Text: Becoming an Addictions Counselor Chapter nine: Co-Occurring Disorders OBJECTIVES: Upon successful completion of this chapter students will be able to: Describe the extent of mental illness within the substance abuse population. Describe the problems related to how clients' co-occurring disorders (COD) are often under served. List eight principles of Comprehensive Continuous Integrated System of Care (CCISC) of COD. Describe the four quadrant model of categorizing severity of care for COD clients. List at least eight of Mueser's twelve principles of care for COD clients. Describe the unique aspects of the Wellness Recovery Action Plan (WRAP) approach. List at least three psychiatric medications for treatment of mental illness in each category: antipsychotics, antidepressants, and antimanics. List at least three DSM-IV-TR Axis I criteria for the diagnosis of schizophrenia. List at least three DSM-IV-TR Axis I criteria for the diagnosis of major depression. List at least three DSM-IV-TR Axis I criteria for the diagnosis of bipolar illness. Describe at least five ways substance abuse and psychiatric symptoms can interact to cause diagnostic confusion and mislabeling. List at least two DSB-IV-TR Axis II criteria for the diagnosis of antisocial personality disorder. List at least two DSB-IV-TR Axis II criteria for the diagnosis of borderline personality disorder. List at least two DSB-IV-TR Axis II criteria for the diagnosis of post-traumatic stress Syllabus Page 6 of 10

7 disorder. List three major barriers to individuals with physical, cognitive, and sensory disabilities in receiving addiction treatment. Chapter ten: Culture and Other Special Populations OBJECTIVES: Upon successful completion of this chapter the student will be able to : Explain why being culturally competent is an ethical responsibility. Describe the importance of assessing the client's cultural identity and his or her mental maps. Provide at least two examples of how cultures evaluate and create myths about drugs. Provide at least two examples of how cultures differ in their rules about drug use. Explain how families label deviant behavior and its significance in counseling. Describe how bicultural identity can create significant issues for both clients and counselors. Describe at least two effects of acculturation stress on alcohol-and drug-abusing clients. Describe issues specific to the development of treatment of substance use disorders of women. Describe issues specific to the development and treatment of substance use disorders of adolescents. Explain issues specific to the development and treatment of substance use disorders of elderly clients. Name issues specific to the development and treatment of substance use disorders of gay, bisexual, lesbian, and transgendered clients. Chapter 11: Thinking About Addiction Treatment OBJECTIVES: Upon successful completion of this chapter the student will be able to: List and explain a minimum of five fallacies of thinking often heard in the addiction field. Explain the pros and cons of the disease model of addiction. Explain the pros and cons of the harm reduction model. Describe how attitudes often motivate and often bias behavior. Week Five (Nov 13-19) Text: Cognitive Therapy of Substance Abuse Chapter One: Overview of Substance Abuse OBJECTIVES: Upon successful completion of this chapter students should be able to: Describe the findings of the National Academy of Sciences on the treatment of alcoholism (page 18). Chapter two: Cognitive Model of of Addiction Syllabus Page 7 of 10

8 OBJECTIVES: Upon successful completion of this chapter students should be able to: Describe the Cognitive Model of Addiction and how it can help. Chapter three: Theory and Therapy of Addiction OBJECTIVES: Upon successful completion of this chapter students should be able to: Explain what is meant by layers of beliefs. Explain what is meant by sequence of belief. Explain what is meant by conflicting beliefs. Explain what is meant by activation of beliefs in stimulus situations. Explain what is meant by meaning, symbolism and rules. Explain what is meant by cognitive blockade. Week Six (Nov 20-26) Text: Cognitive Therapy of Substance Abuse Chapter Four: The Therapeutic Relationship and It's Problems OBJECTIVES: Upon successful completion of this chapter students should be able to: Recite eight reasons why the counseling relationship may be adversarial at first. Recite six guidelines for managing power struggles. Chapter Five: Formulation of a Case OBJECTIVES: Upon successful completion of this chapter students should be able to: List the 10 essential components of a case conceptualization. Describe the factors leading to use in table 5.1. Describe eight questionnaires and scales helpful in case conceptualization. Chapter Six: Structure of a Therapy Session OBJECTIVES: Upon successful completion of this chapter students should be able to: Describe eight important elements of the structure of a session. Week Seven (Nov 29 Dec 3) Text: Cognitive Therapy of Substance Abuse Chapter seven: Educating Patients in the Cognitive Model Syllabus Page 8 of 10

9 OBJECTIVES: Upon completion of this chapter students should be able to: Describe how to demonstrate the relationships among situations, cognitions, affect, cravings, behaviors and drug use. Chapter eight: Setting Goals OBJECTIVES: Upon completion of this chapter students should be able to: Recite three rules for goal setting (page 126). Chapter nine: Techniques of Cognitive Therapy OBJECTIVES: Upon completion of these chapters students should be able to: Describe the Socratic Method. Describe the importance of homework. Describe three of the six Cognitive Techniques. Describe three of the eight Behavioral Techniques. Week Eight (Dec 4 Sunday, Dec 8) Text: Dealing with Craving/Urges Chapter ten: Dealing with Craving/Urges Objectives: Upon completion of this chapter students should be able to: Describe two of the five techniques for coping with cravings. Chapter eleven: Focus on Beliefs OBJECTIVES: Upon completion of this chapter students should be able to: Describe the six methods to address drug-abusing patients' problematic belief systems. Chapter seventeen: Relapse Prevention in Cognitive Therapy of Substance Abuse OBJECTIVES: Upon completion of this chapter students should be able to: Describe the Cognitive Model of Relapse (Figure 17.1). Syllabus Page 9 of 10

10 Grading system and Course Requirements Tests: Students will take two tests (i.e., one at week four and another at week eight). Tests will have multiple-choice, short-answer and essay questions. Each test will be worth 100 points. Students have 100 minutes to take the tests and they are limited to one attempt. Homework requirements: 1. The professor posts written chapter assignments on Moodle. These are the heart of the learning experience and will count heavily toward students' grades. Each set is worth 75 points. (There will be no outside reading or viewing assignments as mastering the two texts for the course amounts to a full three semester hours worth of work.) 2. The final paper requires students to synthesize what they have learned about Individual Counseling of Addictions. In a page paper students will describe how to counsel an addict or alcoholic including the writing of a treatment plan. And methods they plan to use to treat an addicted person. It is worth 200 points. Grading system: Number of Points per Total Assessment Assessments Assessment Points Tests Written chapter assignments Final Paper Total = A = B = C = D less than 600 = F Syllabus Page 10 of 10