Becoming an addictions counselor : a comprehensive text

Cover
Title Page
Copyright Page
Contents
Preface
Acknowledgments
About the Authors
Chapter 1 Introduction to the Treatment of Substance Use Disorders
	Basic Characteristics
		The Focus
			The Client
			Practice Dimensions
			The Counseling Relationship
			Effectiveness of Treatment
	Uniqueness of the Field
	Treatment Settings
		Recent Changes in Treatment Settings
		Types of Treatment Facilities
		Pharmacologic Treatments or Medication-Assisted Recovery
	Major Influences and Traditions in Substance Use Disorder Treatment
		Self-Help Movements
	Non-Twelve-Step Recovery Organizations
		Inpatient Rehabilitation Emerges from Self-Help
		Therapeutic Community Model
	Counseling Approaches
	Critical Thinking
		Paradigm Shifts in Initiating and Sustaining Recovery
	References
Chapter 2 Ethics, Confidentiality, and Professional Responsibility
	Introduction
	Gray Areas
	Supervision and Consultation
	Boundaries
	Sexual Relations
	New Roles
	Legal Issues
		Confidentiality
	Financial Ethics
	Representation of Services
		Unethical Marketing of Services
	Competence
		Impairment
		Lack of Preparedness
		Lack of Responsibility
	Professional Growth
	Collaboration
	Nondiscrimination
	Objectivity
	An Ethical Treatment System
	Unethical practices in post-treatment housing
	References
Chapter 3 Individual Counseling Skills
	Individual Substance Use Disorder Counseling Skills
	Counseling Formats
	Tailoring Counseling Skills for Clients with SUD
		Engagement Skills
		Active Listening Skills
		Simplifying
		Leading Skills
	Counselor Self-Disclosure
		Influencing Skills
		Timing
	Miscellaneous Techniques to Elicit “Change Talk”
		Process Recording
	Emotional Issues of the Counseling Relationship
		Countertransference (Counselor Transference)
	Setting Limits and Boundaries
	Physical Contact
		Skills in Setting Limits
	Crisis Intervention
	References
Chapter 4 Initiating Recovery
	Natural Recovery Motives
	Desperation
	Compulsory Treatment
	Brief Interventions
		Stigma
	The New Paradigm about Motivation
	Stages of Change Model
		Processes of Change
	Motivational Interviewing
		Approaching and Avoiding Treatment
		Counselor Traps
		Principles of Motivational Interviewing
		MI Core Skills: OARS
	Merging Motivational Interviewing and Stages of Change
		Precontemplation
	Listening for “Change Talk”
	Preparation Stage Strategies
	Creating a Change Plan
	Action and Maintenance Stage Strategies
	Shortcomings of Motivational Interviewing
	Summary
	References
	Answer Keys
Chapter 5 Sustaining Recovery
	Overview of Recovery Concepts
		Distinguishing Recovery from Treatment
	New Recovery Paradigms
		Introducing the Dimensions of Recovery
		Emotion (Affect) Management
		Behavioral Change
		Changing Ways of Thinking (Cognition)
	Cognitive Restructuring
		Interpersonal Skills
	Interpersonal Styles
	Assertive Thinking
		Elements of Assertive Skills
		Integration of Affect, Behavior, and Cognition
	Relapse Prevention Management
		Risky Situations
	Trauma-Informed Care
	References
Chapter 6 Group Treatment
	Introduction
		Interpersonal (Interactive) vs Other Kinds of Groups
		Phases of Treatment and Placement in Groups
	Group Culture
	Developing Awareness of the Group Process
	Intervening in the Group Process
		Involving Marginal Members
		Encouraging Peer Leadership in the Group
		Helping the Group Understand the Group Process
	Developing Group Intimacy
	Keeping the Group on Task
		Staying on the Issue
		Staying in Routine
	Helping Group Members Explore Roles
		Personal Roles Enacted in Groups
		Roles That Facilitate the Group’s Work
	Helping Group Members Translate What They Have Learned in Group into Life
	Defense Against Emotion
	Formulating Treatment Plans for Group Members
		Planning Formats
		Impediments to Change
		Roles
		Process
		Defenses
	Group Recording
	References
Chapter 7 Family
	Family Treatment
	Family Definitions
	The Family as a System
	Status, Power, and Authority
		Elements of the System
		Definitions of Relationships
		Conflict
		Styles of Communication
		Family Belief System
		Harm to Family Members Not Having SUD
		Expectations of Treatment
		Engaging the Family
		Privacy and Boundaries
	Substance Abusers and their Satellites
		Family Roles
		Scapegoating
		Other Disorders
		Cultural Patterns
		Assessment of Family Roles in a Family Living with SUD
	Charting the Family
		The Genogram
		The Family Map
	Helping Families
		Sober Family Living Skills
	References
Chapter 8 Case Management: From Screening to Discharge
	Introduction
	The Marriage of Case Management and Counseling
		Screening
		Engaging
		Screening Tools
		Assessment
		Intake
		Diagnosis
	Assessment of Readiness to Change
	Assessment Instruments
		Biopsychosocial Assessment
	Treatment Plans
		Treatment Planning Process
	Affirmative Focus
	Monitoring Outcomes
	Progress Notes
	Resources and Services
	Impediments to Treatment
		Physical and Mental Abuse
		Ethnicity and Social Class
		Self-Assessment
		Criminal Offenses
	Community Linkages
	References
Chapter 9 Co-Occurring Disorders
	Introduction
		Integrated, Comprehensive Care Models
			Wellness Recovery Action Plan
			Myriads of Dual Diagnoses
			Issues of Medication
			Diagnostic Issues
			Schizophrenia
			Mood Disorders
	Personality Disorders
		Antisocial Personality Disorder
		Borderline Personality Disorder
		Post-Traumatic Stress Disorder (PTSD)
		Attention-Deficit Hyperactivity Disorder
	References
Chapter 10 Special Populations
	Introduction
	Cultural Groups and Cultural Competence
		Research
		Cultural Competence
		Ethnic Subgroups and Acculturation
	Biculturalism and Triculturalism
		Acculturative Stress
	Other Dimensions of Cultural Competency
	Age Groups
		Childhood
		Adolescence
		The Middle-Aged and the Elderly
	Sexuality
		Gender
		Lesbian, Gay, Bisexual, Transgender, and Queer Clients (LGBTQ)
	Disabilities and SUD
	References
Index