Alcoholism 2.0 P.O. Box 739 Forest, VA

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1 P.O. Box 739 Forest, VA

2 Welcome to Light University and the program of study. Our prayer is that you will be blessed by your studies and increase your effectiveness in reaching out to others. We believe you will find this program to be academically sound, clinically excellent and biblically-based. Our faculty represents some of the best in their field including professors, counselors and ministers who provide students with current, practical instruction relevant to the needs of today s generations. We have also worked hard to provide you with a program that is convenient and flexible giving you the advantage of classroom instruction online and allowing you to complete your training on your own time and schedule in the comfort of your home or office. The test material can be found at and may be taken open book. Once you have successfully completed the test, which covers the units within this course, you will be awarded a certificate of completion signifying you have completed this program of study. Thank you for your interest in this program of study. Our prayer is that you will grow in knowledge, discernment, and people-skills throughout this course of study. Sincerely, Ron Hawkins Dean, Light University Light University 2

3 The American Association of Christian Counselors Represents the largest organized membership (nearly 50,000) of Christian counselors and caregivers in the world, having just celebrated its 25 th anniversary in Known for its top-tier publications (Christian Counseling Today, the Christian Counseling Connection and Christian Coaching Today), professional credentialing opportunities offered through the International Board of Christian Care (IBCC), excellence in Christian counseling education, an array of broad-based conferences and live training events, radio programs, regulatory and advocacy efforts on behalf of Christian professionals, a peer-reviewed Ethics Code, and collaborative partnerships such as Compassion International, the National Hispanic Christian Leadership Conference and Care Net (to name a few), the AACC has become the face of Christian counseling today. With the needed vision and practical support necessary, the AACC helped launch the International Christian Coaching Association (ICCA) in 2011, which now represents the largest Christian life coaching organization in the world with over 2,000 members and growing. Our Mission The AACC is committed to assisting Christian counselors, the entire community of care, licensed professionals, pastors, and lay church members with little or no formal training. It is our intention to equip clinical, pastoral, and lay caregivers with biblical truth and psychosocial insights that minister to hurting persons and helps them move to personal wholeness, interpersonal competence, mental stability, and spiritual maturity. Light University 3

4 Our Vision The AACC s vision has two critical dimensions: First, we desire to serve the worldwide Christian Church by helping foster maturity in Christ. Secondly, we aim to serve, educate, and equip 1,000,000 professional clinicians, pastoral counselors, and lay helpers throughout the next decade. We are committed to helping the Church equip God s people to love and care for one another. We recognize Christian counseling as a unique form of Christian discipleship, assisting the church in its call to bring believers to maturity in the lifelong process of sanctification of growing to maturity in Christ and experiencing abundant life. We recognize some are gifted to do so in the context of a clinical, professional and/or pastoral manner. We also believe selected lay people are called to care for others and that they need the appropriate training and mentoring to do so. We believe the role of the helping ministry in the Church must be supported by three strong cords: the pastor, the lay helper, and the clinical professional. It is to these three roles that the AACC is dedicated to serve (Ephesians 4: 11-13). Our Core Values In the name of Christ, the American Association of Christian Counselors abides by the following values: VALUE 1: OUR SOURCE We are committed to honor Jesus Christ and glorify God, remaining flexible and responsive to the Holy Spirit in all that He has called us to be and do. VALUE 2: OUR STRENGTH We are committed to biblical truths, and to clinical excellence and unity in the delivery of all our resources, services, training and benefits. VALUE 3: OUR SERVICE We are committed to effectively and competently serve the community of care worldwide both our membership and the church at large with excellence and timeliness, and by overdelivery on our promises. VALUE 4: OUR STAFF We are committed to value and invest in our people as partners in our mission to help others effectively provide Christ-centered counseling and soul care for hurting people. VALUE 5: OUR STEWARDSHIP We are committed to profitably steward the resources God gives to us in order to continue serving the needs of hurting people. Light University 4

5 Light University Established in 1999 under the leadership of Dr. Tim Clinton has now seen nearly 200,000 students from around the world (including lay caregivers, pastors and chaplains, crisis responders, life coaches, and licensed mental health practitioners) enroll in courses that are delivered via multiple formats (live conference and webinar presentations, video-based certification training, and a state-of-the art online distance teaching platform). These presentations, courses, and certificate and diploma programs, offer one of the most comprehensive orientations to Christian counseling anywhere. The strength of Light University is partially determined by its world-class faculty over 150 of the leading Christian educators, authors, mental health clinicians and life coaching experts in the United States. This core group of faculty members represents a literal Who s Who in Christian counseling. No other university in the world has pulled together such a diverse and comprehensive group of professionals. Educational and training materials cover over 40 relevant core areas in Christian counseling, life coaching, mediation, and crisis response equipping competent caregivers and ministry leaders who are making a difference in their churches, communities, and organizations. Our Mission Statement To train one million Biblical Counselors, Christian Life Coaches, and Christian Crisis Responders by educating, equipping, and serving today s Christian leaders. Academically Sound Clinically Excellent Distinctively Christian Light University 5

6 Video-based Curriculum Utilizes DVD presentations that incorporate over 150 of the leading Christian educators, authors, mental health clinicians, and life coaching experts in the United States. Each presentation is approximately minutes in length and most are accompanied by a corresponding text (in outline format) and a 10-question examination to measure learning outcomes. There are nearly 1,000 unique presentations that are available and organized in various course offerings. Learning is self-directed and pacing is determined according to the individual time parameters/schedule of each participant. With the successful completion of each program course, participants receive an official Certificate of Completion. In addition to the normal Certificate of Completion that each participant receives, Regular and Advanced Diplomas in Biblical Counseling are also available. Ø The Regular Diploma is awarded by taking Caring For People God s Way, Breaking Free and one additional Elective among the available Core Courses. Ø The Advanced Diploma is awarded by taking Caring For People God s Way, Breaking Free, and any three Electives among the available Core Courses. Credentialing Light University courses, programs, certificates and diplomas are recognized and endorsed by the International Board of Christian Care (IBCC) and its three affiliate Boards: the Board of Christian Professional & Pastoral Counselors (BCPPC); the Board of Christian Life Coaching (BCLC); and the Board of Christian Crisis & Trauma Response (BCCTR). Credentialing is a separate process from certificate or diploma completion. However, the IBCC accepts Light University and Light University Online programs as meeting the academic requirements for credentialing purposes. Graduates are eligible to apply for credentialing in most cases. Ø Credentialing involves an application, attestation, and personal references. Ø Credential renewals include Continuing Education requirements, re-attestation, and occur either annually or biennially depending on the specific Board. Light University 6

7 Online Testing The URL for taking all quizzes for this course is: TO LOGIN TO YOUR ACCOUNT Ø You should have received an upon checkout that included your username, password, and a link to login to your account online. MY DASHBOARD PAGE QUIZZES Ø Once registered, you will see the My DVD Course Dashboard link by placing your mouse pointer over the My Account menu in the top bar of the website. This page will include student PROFILE information and the REGISTERED COURSES for which you are registered. The LOG-OUT and MY DASHBOARD tabs will be in the top right of each screen. Clicking on the > next to the course will take you to the course page containing the quizzes. Ø Simply click on the first quiz to begin. PRINT CERTIFICATE After all quizzes are successfully completed, a Print Your Certificate button will appear near the top of the course page. You will now be able to print out a Certificate of Completion. Your name and the course information are pre-populated. Continuing Education The AACC is approved by the American Psychological Association (APA) to offer continuing education for psychologists. The AACC is a co-sponsor of this training curriculum and a National Board of Certified Counselors (NBCC) Approved Continuing Education Provider (ACEP TM ). The AACC may award NBCC approved clock hours for events or programs that meet NBCC requirements. The AACC maintains responsibility for the content of this training curriculum. The AACC also offers continuing education credit for play therapists through the Association for Play Therapy (APT Approved Provider #14-373), so long as the training element is specifically applicable to the practice of play therapy. It remains the responsibility of each individual to be aware of his/her state licensure and Continuing Education requirements. A letter certifying participation will be mailed to those individuals who submit a Continuing Education request and have successfully completed all course requirements. Light University 7

8 Presenters for Light University 8

9 Presenter Biographies John Baker, M.B.A., is the founder of Celebrate Recovery, a ministry born out of the heart of Saddleback Church. Over the last 23 years, nearly 27,000 individuals have gone through this Christ-centered recovery program at Saddleback. The Celebrate Recovery program is now being used in thousands of churches nationwide. Mr. Baker is both an ordained Elder of Saddleback Church and a nationally known speaker and author of The Celebrate Recovery curriculum, the Life s Healing Choices curriculum, the General Editor of the Celebrate Recovery Bible. He has been married to Cheryl for 45 years and they have two adult children and five grandchildren. David Jenkins, Psy.D, is a licensed psychologist and serves as an Associate Professor of Counseling and the Coordinator of Clinical Training in the Center for Counseling and Family Studies at Liberty University in Lynchburg, Virginia. He serves on the Executive Board of the Society for Christian Psychology and as a clinical director of the International Board of Christian Counselors of the American Association of Christian Counselors. He has worked extensively with addictive, mood, and anxiety disorders in the context of individual, marital, family, and group therapy. Eric Scalise, Ph.D., is the former Vice President for Professional Development with the American Association of Christian Counselors, as well as a current consultant and their Senior Editor. He is also the President of LIV Enterprises & Consulting, LLC, and a Licensed Professional Counselor and Licensed Marriage & Family Therapist with more than 35 years of clinical and professional experience in the mental health field. Specialty areas include professional/pastoral stress and burnout, combat trauma and PTSD, marriage and family issues, leadership development, addictions, and lay counselor training. He is an author, a national and international conference speaker, and frequently consults with organizations, clinicians, ministry leaders, and churches on a variety of issues. Light University 9

10 Table of Contents: ALCO 101: The Addictive Cycle Eric Scalise, Ph.D. ALCO 102: Alcoholism David Jenkins, Psy.D ALCO 103: Step-Based Approaches and Relapse Prevention John Baker, MBA Light University 10

11 ALCO 101: The Addictive Cycle Eric Scalise, Ph.D. Light University 11

12 Abstract Dr. Eric Scalise provides a broad survey of addiction and related factors culminating in an explanation of the addictive cycle. He discusses various terms, as well as factors that lead to the development of addictive behaviors. This includes unmet needs and the various categories of addiction and drug abuse. The addiction cycle offers counselors a model of understanding for the addictive process and how those who wrestle with addiction can begin to find healing and recovery. Learning Objectives 1. Participants will be able to list and discuss the various factors that lead to addictive behavior. 2. Participants will be able to identify and describe the unmet needs that result in addictive behavior. 3. Participants will be able to develop and explain the various phases of the addiction cycle. Light University 12

13 I. Clarification of Common Terms in Addiction A. Substance 1. Drug of Abuse 2. Medication 3. Toxin 4. Fathers, mothers, and grandparents are found to give blessings in OT B. Drugs C. Drug Misuse D. Drug Abuse E. Drug Dependence II. Factors that Lead to Addictive Behaviors A. Dysfunctional or Disordered Family of Origin B. Genetic Factors Light University 13

14 C. Excessive Peer Pressure D. Curiosity/Experimentation E. Low Self-Esteem F. Parental Role Models for Addictive Behavior G. Cultural Influences H. Strong Aggressive Behavior with Deficient Self-Control and/or Social Skills I. Low Moral or Spiritual Value Center J. Low Frustration Tolerance K. History of Abuse or Trauma L. Emotional Disorders Light University 14

15 III. Unmet Needs that Lead to Self-Medicating Behaviors A. Need to Escape from Worry or Anxiety B. Need to Reduce Guilt Feelings C. Need for Approval and Acceptance D. Need to Avoid Pain E. Need to Avoid Disorder and Confusion IV. Categories of Addictions and Drug Abuse A. Addictions that Stimulate B. Addictions that Tranquilize C. Addictions that Serve a Psychological Need D. Addictions that Satisfy Unique Appetites Light University 15

16 V. Stages of Addictive Behavior A. Experimentation B. Occasional Use or Activity C. Regular Use or Activity D. Dependence/Addiction E. Who has woe? Who has sorrow? Who has contentions? Who has complaining? Who has wounds without cause? Who has redness of eyes? Those who linger long over wine, those who go to taste mixed wine. Do not look on the wine when it sparkles in the cup, when it goes down smoothly; at the last it bites like a serpent and stings like a viper. Your eyes will see strange things and your mind will utter perverse things. And you will be like one who lies down in the middle of the sea, or the one who lies down on the top of a mast. They struck me, but I did not become ill; they beat me, but I did not know it. When shall I awake? I will seek another drink. Proverbs 23:29-35 (NASB) VI. Common Traits of Addictions A. They Provide a False Form of Escape. B. They Totally Control the Addicted Person in a Way that Transcends Logic and Reason. Light University 16

17 C. They Involve Pleasure. D. Over Time, They are Destructive and Unhealthy. E. They Take Priority Over All of Life s Other Issues. F. They Involve Psychological or Emotional Components of Dependence. G. They are About Body Chemistry. VII. The Addiction Cycle A. Pain B. Hit Bottom C. Seek Relief D. Use or Do Light University 17

18 E. Feel Good F. Crash G. Cycles Back to Pain H. Tolerance I. Romans 7:14-25 Light University 18

19 ALCO 102: Alcoholism David Jenkins, Psy.D Light University 19

20 Abstract Alcoholism is one of the most common and costly of all addictions. This presentation is intended to help those who struggle with alcoholism, as well as to understand the signs and symptoms, its characteristics and effects, and, more importantly, treatment considerations. Recovery for you or your loved one is possible with God s help and making the right choices. Learning Objectives 1. Participants will be able to identify the signs and process of alcohol addiction. 2. Participants will gain a greater understanding of how alcohol addiction can affect an individual. 3. Participants will evaluate the process of change an individual struggling with alcohol addiction can walk through in order to become free of the addiction. Light University 20

21 I. Introduction A. Levels of Use 1. Roughly 70% of U.S. adults drink alcohol at some point in any given year. 2. Roughly 10-15% of those who drink will struggle with their alcohol use at some point in life (mild problems affect about 25% of individuals). B. Terms 1. Alcohol misuse (no alcohol patterns are apparent; just occasional drunkenness) 2. Alcohol abuse 3. Alcohol dependency C. Alcohol Addiction II. Safe Drinking Limits A. Daily Limits (for healthy men up to 65 years of age) 1. No more than four drinks per day 2. No more than fourteen drinks per week Light University 21

22 B. Daily Limits (for healthy women up to 65 years of age) 1. No more than three drinks per day 2. No more than seven drinks per week C. Unhealthy Adults 1. These limits change according to health limits III. The Process of Addiction A. Experimentation 1. Usually refers to using alcohol 1-3 times 2. A decision must be made to continue using alcohol or not B. Social Use 1. Using alcohol at events or socially 2. There is still no pattern to alcohol use 3. There are no consequences to using alcohol at this level C. Medicinal Use 1. When reasons for using alcohol become present 2. When consequences for using alcohol become present Light University 22

23 3. The experience of drinking alcohol overtakes one s life 4. Constriction of Lifestyle When drinking becomes more about an individuals time spent drinking, regardless of others being present or any special events taking place D. Addictive Use 1. Tolerance to the amount of alcohol consumed 2. Withdrawals when not drinking 3. Loss of Control over consumption IV. Risk Factors A. Genetics 1. Studies have been performed on twins to help us understand how genetics affect addiction. 2. Consider family members that have struggled with alcoholism (aunts, grandparents, siblings, etc.). B. Personality 1. Sensationalism, Risk-takers, Novelty seeking, etc. 2. Heightened stress response 3. Negative Emotionality Light University 23

24 C. Consequences 1. Physical alcohol is an inflammatory cirrhosis of the liver increased rates of cancer can produce high blood pressure can irritate the heart muscles numbness elevated cholesterol levels V. Diagnosis A. Criteria 1. Is alcohol often taken in larger amounts/a longer period than intended? 2. Have you ever had a persistent desire to cut down, but you ve been unsuccessful? 3. How much time is spent obtaining alcohol or recovering from its effects? 4. A craving or strong desire to use alcohol 5. Recurrent use of alcohol resulting in a failure to maintain responsibilities 6. Do you keep using even though you know you ve experienced difficulties? 7. Constriction of Lifestyle how many activities have you given up to be around alcohol? Light University 24

25 8. Do you use alcohol in situations where it has been physically dangerous (driving while intoxicated)? 9. Do you have a physical or psychological difficulty that is made worse by the alcohol? 10. Tolerance a need for more alcohol 11. Withdrawal symptoms B. Screening Cage 1. C Concerned 2. A Annoyed 3. G Guilty 4. E Eye-opener C. Screening Tweak 1. T Tolerance 2. W Worry 3. E Eye-opener 4. A Amnesia 5. K Kut-down Light University 25

26 VI. Recovery A. Process of Change 1. Pre-contemplation 2. Contemplation 3. Preparation 4. Action 5. Maintenance B. Relapse C. Self-Help Strategies 1. Make decisions about your alcohol use 2. Set attainable, monitor-able goals 3. Identify challenges and triggers 4. Mobilize the support needed D. Professional-Help Strategies 1. Get in touch with a doctor 2. Motivational Enhancement Therapy Light University 26

27 3. Cognitive Behavioral Therapy 4. Group Therapy 5. Family Therapy E. Take Care of Yourself 1. Biological 2. Psychological 3. Sociological 4. Spiritual Light University 27

28 ALCO 103: Step-Based Approaches and Relapse Prevention John Baker, MBA Light University 28

29 Abstract This lesson provides participants with a thorough understanding of the rationale and concepts of the Celebrate Recovery program from founder, John Baker. Baker describes the Christian heritage of the Alcoholics Anonymous program, develops a Christ-centered step-based alcoholic recovery program, and discusses various issues that lead to relapse and intentional relapse prevention. Learning Objectives 1. Participants will be able to describe the Christ-centered step-based treatment approach. 2. Participants will be able to understand the various issues leading to addict relapse. 3. Participants will be able to coach addicts in fighting the tendency for relapse. Light University 29

30 I. History of the 12-Step Model and Significance of Self-Help Recovery Groups A. History of Alcoholics Anonymous and the 12 Steps 1. Bill Wilson 2. Oxford Group 3. Sam Shoemaker 4. Alcoholics Anonymous II. Understanding the Christ-Centered 12 Steps A. We Admitted We Were Powerless over our addictions and compulsive behaviors, that our lives had become unmanageable. 1. Romans 7:18 For I know that nothing good dwells in me, that is, in my flesh; for the wishing is present in me, but the doing of the good is not. 2. Many identify pride and fear as blocks to entering the program B. We Came to Believe that a Power Greater Than Ourselves Could Restore Us to Sanity. 1. Philippians 2:13 For it is God who is at work in you, both to will and to work for His good pleasure. C. We Made a Decision to Turn Our Wills and Our Lives Over to the Care of God. 1. Romans 12:1 I urge you, therefore, brethren by the mercies of God, to present your bodies a living and holy sacrifice, acceptable to God, which is your spiritual service of worship. Surrender Light University 30

31 D. We Made a Searching and Fearless Moral Inventory of Ourselves 1. Lamentations 3:40 Let us examine and probe our ways, and let us return to the Lord. E. We Admitted to God, to Ourselves, and to Another Human Being that Exact Nature of Our Wrongs. 1. James 5:16- Therefore, confess your sins to one another, and pray for one another, so that you may be healed. 2. Confession F. We Were Entirely Ready to Have God to Remove All These Defects of Character. 1. James 4:10 Humble yourselves in the presence of the Lord, and He will exalt you. G. We Humbly Ask God to Remove All Our Shortcomings 1. 1 John 1:9 If we confess our sins, He is faithful and righteous to forgive us our sins and to cleanse us from all unrighteousness. H. Make A List of All Persons We Had Harmed and Became Willing to Make Amends with Them All. 1. Luke 6:31 And just as you want men to treat you, treat them in the same way. I. We Made Direct Amends to Such People Whenever Possible, except when to do so would injure them or others. Light University 31

32 1. Matthew 5:23-24 If therefore, you are presenting your offering at the altar, and there remember that your brother has something against you, leave your offering there before the altar, and go your way; first be reconciled to your brother, and then come and present your offering. 2. In making our amends, we need to be only concerned with our part of the damaged relationship. J. We Continued to Take Personal Inventory and when we were wrong, promptly admitted it Corinthians 10:12 Therefore, let him who thinks he stands take heed lest he fail. 2. Growth K. We Sought Through Prayer and Meditation to Improve Our Conscious Contact With God, praying only for knowledge of His will for us and power to carry that out. 1. Colossians 3:16 Let the Word of Christ richly dwell in you. 2. Daily Quiet Time L. Having had a spiritual experience as the result of these steps, We Tried to Carry This Message to Others, and Practice These Principles In All Our Affairs. 1. Galatians 6:1 Brethren, even if a man is caught in any trespass, you who are spiritual restore such a one in a spirit of gentleness; looking to yourselves, lest you too be tempted. Light University 32

33 Key Headings of the 12 Steps Step 1 Step 2 Step 3 Steps 4-5 Steps 6-7 Steps 8-9 Step 10 Step 11 Step 12 RECEIVED CONVICTION SOUGHT CONVERSION SURRENDER TO CHRIST CONFESSED SINS PRAYED FOR SANCTIFICATION OFFERED FORGIVENESS AND MADE AMMENDS COMPLETED DAILY INVENTORY DAILY QUIET TIME GAVE BACK TIME IN SERVICE III. Theoretical Models of Relapse Prevention Understanding and Addressing Relapse Triggers in Self-Management and Self-Control A. Predictable Patterns of Relapse 1. Complacency 2. Confusion 3. Compromise 4. Catastrophe B. The Causes of Relapse 1. We revert to our own willpower 2. We ignore one of the steps of recovery Light University 33

34 3. We try to recover without support 4. We become prideful IV. Recovery as a Process A. Reserve a Daily Quiet Time B. Evaluate C. Listen to Jesus D. Alone and Quiet Time E. Plug into God s Power F. Slow Down G. Enjoy Your Growth V. Heart Check A. H Hurting B. E Exhausted Light University 34

35 C. A Angry D. R Resentful E. T Tense VI. Preventing Relapse A. Pray and Read Your Bible Daily. B. Make Attending Your Recovery Meetings a Priority. C. Spend Time with Your Family if They Are Safe. D. Get Involved in Service. Light University 35

36 Copyright 2016 Light University All Rights Reserved. No part of this publication may be reproduced in any form without the expressed written permission of Light University or the American Association of Christian Counselors. Light University PO Box 739 VA Member Services: Light University 36