Cognitive-behavioral therapy
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Short-term focused approach helping indiv. w/ SUD become
abstinentAssumes that learning processes play a role in the development
of SUDs. Feelings and behaviors are caused by a person's thoughts not
outside stimuli like people, events.... The goal of CBT is to teach the client to
recognize & avoid situations where they are likely to use.
Areas of Expectation counselor should address w/ client
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1. Outcomes achieved?
2. What proportion of clients report that there initial problems have
improved by the end of treatment
3. What will treatment involve? ie. making regular appointments, enforcing
, start & end times, maintaining confidentiality, canseling session if client
shows up under the influence
4. What specific goals should the client expect to aim for
The counselor must continually evaluate, assess, & respond to
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the client's status to ensure personal safety, help to prevent or address
relapse, and anticipate and address crisis intervention as needed
nontraditional self help groups
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Rational recovery, women for sobriety
Family treatment models
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Brief strategic family therapy, structural/strategic family therapy,
Multidimensional family therapy, Multisystematic therapy, Behavioral &
Cognitive family therapy, Solution-Focused Brief Therapy
Recovery management involves
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Reduction/elimination of symptoms,, improvement of wellness,
Improvement of health, rebuilding community life
The primary responsibility for ethical practice & identifying ethical breaches rests with
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the addiction counselor and the clinical supervisor
Couples and Family Approaches
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Treat substance users in the context of the family. and social systems where
use may develop or be maintained. Engaging the social system is a
powerful predictor of change and may reduce attrition(gradually reducing
using thru sustained pressure of clients social network particularly w/ teens
Examples of EBPs
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Seeking Safety, MI, 12 step facilitation, CBT, DBT, Community Reinforcement
Approach w/ Vouchers
, Counselors help clients to
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1. Explore and enhance their motivation to chance behavior
2. Set appropriate treatment goals
3. understand the structure, expectations, purpose, and limitations of the
counseling process
Features of modern day treatment practices
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1. Focus on client competencies & strengths
2. Individualized client centered treatment
3. shift away from labeling "addict", "alcoholic"
4. Acceptance of new broad range of treatment goals. ie. reduction of use,
improvement of health, employment stability
5. Adoption of recovery paradigm- shift from problem focused acute care
model to solution-focused long-term model of recovery management
regaining wholeness & connection to community
6. Integration of substance Abuse Treatment w/ other disciplines. ie.
substance abuse treatment w/in criminal justice system, special services for
those w/ co-occurring disorders
7. Evidence-based practices-proven to be successful through research
methodology
8. Use of medication
9. Telehealth Technologies- continuing care by mobile phone, online chat
10. Technology-based care- multimedia...audio, video
Strategies based on 5 principles
Give this one a try later!
Short-term focused approach helping indiv. w/ SUD become
abstinentAssumes that learning processes play a role in the development
of SUDs. Feelings and behaviors are caused by a person's thoughts not
outside stimuli like people, events.... The goal of CBT is to teach the client to
recognize & avoid situations where they are likely to use.
Areas of Expectation counselor should address w/ client
Give this one a try later!
1. Outcomes achieved?
2. What proportion of clients report that there initial problems have
improved by the end of treatment
3. What will treatment involve? ie. making regular appointments, enforcing
, start & end times, maintaining confidentiality, canseling session if client
shows up under the influence
4. What specific goals should the client expect to aim for
The counselor must continually evaluate, assess, & respond to
Give this one a try later!
the client's status to ensure personal safety, help to prevent or address
relapse, and anticipate and address crisis intervention as needed
nontraditional self help groups
Give this one a try later!
Rational recovery, women for sobriety
Family treatment models
Give this one a try later!
Brief strategic family therapy, structural/strategic family therapy,
Multidimensional family therapy, Multisystematic therapy, Behavioral &
Cognitive family therapy, Solution-Focused Brief Therapy
Recovery management involves
,Give this one a try later!
Reduction/elimination of symptoms,, improvement of wellness,
Improvement of health, rebuilding community life
The primary responsibility for ethical practice & identifying ethical breaches rests with
Give this one a try later!
the addiction counselor and the clinical supervisor
Couples and Family Approaches
Give this one a try later!
Treat substance users in the context of the family. and social systems where
use may develop or be maintained. Engaging the social system is a
powerful predictor of change and may reduce attrition(gradually reducing
using thru sustained pressure of clients social network particularly w/ teens
Examples of EBPs
Give this one a try later!
Seeking Safety, MI, 12 step facilitation, CBT, DBT, Community Reinforcement
Approach w/ Vouchers
, Counselors help clients to
Give this one a try later!
1. Explore and enhance their motivation to chance behavior
2. Set appropriate treatment goals
3. understand the structure, expectations, purpose, and limitations of the
counseling process
Features of modern day treatment practices
Give this one a try later!
1. Focus on client competencies & strengths
2. Individualized client centered treatment
3. shift away from labeling "addict", "alcoholic"
4. Acceptance of new broad range of treatment goals. ie. reduction of use,
improvement of health, employment stability
5. Adoption of recovery paradigm- shift from problem focused acute care
model to solution-focused long-term model of recovery management
regaining wholeness & connection to community
6. Integration of substance Abuse Treatment w/ other disciplines. ie.
substance abuse treatment w/in criminal justice system, special services for
those w/ co-occurring disorders
7. Evidence-based practices-proven to be successful through research
methodology
8. Use of medication
9. Telehealth Technologies- continuing care by mobile phone, online chat
10. Technology-based care- multimedia...audio, video
Strategies based on 5 principles
