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

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

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

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

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

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

Varying Minimum Requirements Foundations of Addictions Counseling, 3e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved States surveyed 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.

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

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

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

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

Research Issues Foundations of Addictions Counseling, 3e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved 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).

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

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

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