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Formal relationship with the employer, Involve the
employer in the patient's treatment, Promote
Purpose of client
information to employer about the patient's disease,
advocate
Educate employer on the treatment process, Help
provide support for the patient in recovery
Community education Identify the major drug problems in the community
purpose
Role for local churches Start a self-help group that meets in the facility
and religious groups
Educating other agencies on effective ways to work
Counselor responsibilities
with specific cases relating to drugs/alcohol
Defense that is destructive to the newly sober client in
Two- Stepping which they help others with their alcoholism but do
not concentrate on their sobriety
Solitary drinking, Over permissive norms of drinking,
Lack of specific drinking norms, Tolerance of
Signs/symptoms of drunkenness, Adverse social behaviors, Utilitarian use
Alcoholism of alcohol to reduce tension/anxiety, Lack of
ritual/ceremonial use of alcohol, Alcohol use
separated from eating patterns
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Alcohol use separated from family, social functions,
Drinking with strangers, Alcohol not introduced in
Signs/symptoms of small amounts when a child, Drinking pursued as
Alcoholism recreation, Drinking concentrated in young males,
Culture that stresses individualism, self-reliance and
high achievement
Have a AA/NA person meet w/them and explain how
the group and recovery can work together, Not
proper to refer an atheist since it is built on a belief in
Referring to AA/NA
God, do not refer if it would seem to be disrespectful
of clients rights and views, Make sure the referral
meets the clients personality and background
Dual Diagnosis Sometimes appear as patients sober up
Identifying the needs of the client that cannot be met
by the counselor/agency and Assisting the client to
Referral processes
utilize the support system and community resources
available
Inpatient, aftercare, detox, half way houses, etc,
Communications from one agency to another and
Discharge summary is
increases accountability, Reports and record keeping
needed
tells the story of the client from beginning to end, No
universally accepted format for maintaining records
Explains various aspects of the assessment, treatment
Reports plans, and discharge to parties who need such
information to enhance the care of the client
Consent for treatment, Public aid, DASA, statistics,
Documents patient can Treatment plans, Release of information, To acquire
sign medical attention, Education/prevention, Client
education, Crisis intervention
Treatment costs they are liable for, When treatment
services are available, Types of counseling
Patient has a right to
approaches used, Opportunity to complain to
appropriate staff
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Only the clinical supervisor has unrestricted access to
Client files
client's files
Physiological dependence Psychological dependence, no loss of control,
for alcohol- Alpha reliance on alcohol to weather problems
Physiological dependence Psychological dependence, physical problems
for alcohol- Beta (cirrhosis) but no physical dependence
Physiological dependence Change in tolerance, physical withdrawal, loss of
for alcohol - Gamma control. Use for Jellinek Chart with 4 stages
Physiological dependence Same as Gamma but no loss of control but drinks
for alcohol - Delta
Physiological dependence Periodic alcoholism/binge drinking
for alcohol - Epsilon
Disulfiram/Antibuse - Most effect for binge drinkers
Aversive therapy and No alcohol for 2 weeks or severe allergy
reactions occur
Providing positive feedback and rewarding in a direct
Direct Reinforcement way and Introducing new and competing behaviors to
replace negative behaviors
Oriented toward achieving insight, identifying and
experiencing feelings, memories developing, in-depth
Analytic therapy self-understanding, re-experiencing, reconstructing
childhood experience, Not appropriate for first month
of counseling
Trust vs Mistrust; Autonomy vs Doubt; Initiative vs
Guilt; Industry vs Inferiority; Identity vs Role Diffusion
Erickson's Psychological
- Adolescent; Intimacy vs Isolation - Adult;
Theory
Generativity vs Stagnation - Adult; Integrity vs Despair
- Old age
Behavior learned through interaction with other
Social Learning
people, peer group, AA group, group therapy
Positive affirmations spoken to self to modify negative
Cognitive Restructuring
thoughts
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Reality What is going on "here and now", How a client can
Therapy/Transactional change old patterns, Client makes decisions based on
Therapy (Glasser 1960s) awareness
Maslow - Self- Teaches person to challenge old ideas and
actualization replace/internalize logic or science
Increase awareness of feelings, Persons are born
innately good, Focuses on unfinished business, Focus
on "what and how" and not "why". Client's are to be
Gestalt Therapy
aware of what they are doing, how they are doing it
and the gaining of self-esteem. No diagnosis or
interpretation
Persons need self-fulfillment rather than being
Carl Rogers
occupied with others
If body and breathing are relaxed it is impossible to
Relaxation Therapy
feel anxious, Tensing and then relaxing muscles
Systematic Desensitization Used w/relaxation for treating phobias
Concept of inferiority complex, Encouragement to
recognize strengths and weaknesses, Believes in
Adlerian Therapy
dignity and self-worth, Mainly used in family
counseling
Based on assumption that the client is in the best
Client Centered "Rogerian position to resolve their own problems, Safe
Therapy" atmosphere to feel/discuss and obtain insight is
provided
Developed the concept of collective unconscious
and archetypes, Goal is to have clients become
Jungian Therapy adequately adopted to reality allowing them to fulfill
their creative potential, Individuation is the ultimate
goal
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