1. The Alcohol and Substance Abuse Credential (CASAC) in New York Dr. Barry T. Hawkins, Ph.D. Director of Chemical Dependency Services, Orange County, N.Y. Chairman, NY CASAC Credentials Board.

2. History of the Credentialed Alcoholism and Substance Abuse Counselor Credential 1970’s Mental Health Technicians in State operated psychiatric hospitals develop specialization. NYFAC creates advocacy base (1976). 1980’s Credentialed Alcoholism Counselor (CAC) established. 1990’s Refinement of testing, standards, etc. Preliminary Credential for Substance Abuse Counseling (CSAC).

3. History of the Credentialed Alcoholism and Substance Abuse Counselor Credential (continued) Creation of CASAC, 1997 2000’s Creation of additional credentials in Prevention and Problem Gambling. 2010 – Development of Career Ladder/Scope of Practice.

4. To become a CASAC in New York State one must: 1. meet specific competency and ethical conduct requirements;competency and ethical conduct 2. meet specific work experience requirements;work experience 3. meet minimum education and training requirements; andeducation and training 4. pass the International Certification and Reciprocity Consortium (IC&RC) Examination for Alcohol and Drug Counselors.Examination

5. Evaluation of Competency and Ethical Conduct must sign an affidavit agreeing to abide by the Canon of Ethical Principles. Canon of Ethical Principles must arrange to have three individuals complete an Evaluation of Competency and Ethical Conduct.

6. Work experience must document a minimum of 6,000 hours (approximately three years) of supervised, full-time equivalent experience in an approved work setting as a provider or supervisor of direct patient services.

7. A Valid Work Setting is operated by OASAS; holds a valid Operating Certificate or Certificate of Approval to provide substance abuse or alcoholism services from the OASAS issued pursuant to Articles 19 or 32 of Mental Hygiene Law Other approved work setting.

8. CASAC - T CASAC Trainee Certification : Applicants may be considered for a CASAC Trainee certificate upon satisfying a minimum of: 350 clock hours of the required education and training; OR 4,000 hours of appropriate work experience and the 85 clock hours in Section 1 of the education and training related to knowledge of alcoholism and substance abuse

9. The Written Examination The International Certification & Reciprocity Consortium (IC&RC) examination for Alcohol and Drug Counselors is comprised of 150 multiple-choice questions derived from the counselor tasks identified in the 2008 IC&RC Job Task Analysis. 2008 IC&RC Job Task Analysis

10. The Exam is focused in eight domains: Clinical Evaluation Counseling – Individual and Group Treatment Planning Case management/Service Coordination Referral Documentation Client, Family, & Community Education Professional & Ethical Responsibilities.

11. Work Experience must 1. include a minimum of 2,000 hours during the five years prior to submission of the required paperwork; 2. include: diagnostic assessment; evaluation; intervention; referral; and alcoholism and/or substance abuse counseling in both individual and group settings; 3. have, at a minimum, weekly, on-site and documented clinical supervision by a QHP;QHP

12. 4. Be integrated with AOD services system for referral. 5. include practice in AOD counseling to establish and maintain recovery and prevent relapse; and 6. include a minimum of 300 hours of Supervised Practical Training. Each of the 12 Core Functions (areas of professional expertise) must have be been performed for a minimum of 10 hours, under the direct supervision of a QHP: QHP Work Experience must : (continued)

13. Academic degrees allow for some reduction in work experience. A Master's (or higher) Degree in an approved Human Services field from an accredited college or institution may be substituted for the remaining 4,000 hours of work experience. approved Human Services field A Bachelor's Degree in an approved Human Services field from an accredited college or institution may be substituted for 2,000 hours of work experience. approved Human Services field An Associate's Degree in an approved Human Services field from an accredited college or institution may be substituted for 1,000 hours of work experience. approved Human Services field

14. Core Competencies screening; intake; orientation; assessment, evaluation and intervention; referral; treatment planning; counseling; crisis Intervention; patient education; case management; reporting and record keeping; and consultation with other professionals.

15. Educational hours 85 clock hours related to Knowledge of Alcoholism and Substance Abuse; 150 clock hours related to Alcoholism and Substance Abuse Counseling (must include a minimum of 15 clock hours specific to cultural competence); 70 clock hours related to Assessment; Clinical Evaluation; Treatment Planning; Case Management; and Patient, Family and Community Education; and 45 clock hours related to Professional and Ethical Responsibilities

16. Providers of Education Academic Institutions College and university programs Education and Training organizations Community Alcohol Councils Other agencies holding OASAS training provider status. Pre-ApprovedTreatment agencies that provide some training components.

17. Trans-disciplinary Foundations Understanding Addiction Treatment Knowledge Application To Practice Professional Readiness

18. Evidence-Based Practices Stages of Change Motivational Enhancement Therapy Cognitive-Behavioral Therapy Group Counseling Modality Person-Centered Treatment

19. Current CASACs 7450 current CASACs in NY 4737 current CASAC-Ts in NY c. 40,000 USA Professionals credentialed under the ICRC

20. The ICRC International Certification and Reciprocity Consortium Originated in 1981 New York joined in 1996 75 Member Boards

21. Scope of Practice/ Career Ladder Master CASAC Advanced CASAC CASAC CASAC – T Addiction Counselor Assistant

22. QUESTIONS?

23. “Greetings to the Support Committee and participants in the Korean National Alcohol Project. We are happy to hear about your fine efforts to address the problems facing so many people struggling with alcoholism.. We are glad that we can offer consultation as you continue to develop a better addiction treatment system in Korea. Best wishes to you in this important effort.” …Arlene González-Sánchez, Commissioner, New York State Office of Alcoholism and Substance Abuse Services From New York State

24. From the County of Orange Greetings from the Orange County, New York, Department of Mental Health. We are pleased to participate in this conference in collaboration with the Korean National Alcohol Project. We’ve been working in this field for many, many years and know the importance of your commitment to the persons you serve.” …Chris Ashman, Commissioner, Orange County Department of Mental Health

25. Supplementary Slides

26. Stages of Change – Prochaska, DiClemente

27. CHANGING HOW WE SEE CHANGE CHANGE IS A PROCESS NOT A SINGLE EVENT CHANGE IS OFTEN ACCOMPANIED BY BEHAVIORAL REVIEW (RELAPSE) EACH STAGE PREPARES FOR THE NEXT, AND IS HELPFUL ACTION IS OFTEN LATE IN THE PROCESS RELAPSE IS A NATURAL PART OF THE PROCESS

29. Some CASAC References NYS CASAC Credential Application Packet. New York State Office of Alcoholism and Substance Abuse Services, 2010 NYS OASAS Website www.oasas.state.ny.us www.oasas.state.ny.us Addiction Counseling Competencies: The Knowledge, Skills, and Attitudes of Professional Practice U.S. Center for Substance Abuse Treatment Technical Assistance Publication # 21, 1998