TAP 21 Addiction Counceling Competencies: The Knowledge ...

Addiction Counseling Competencies

The Knowledge, Skills, and Attitudes of Professional Practice

TA2P 211 Technical Assistance Publication Series

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ADDICTION COUNSELING COMPETENCIES

The Knowledge, Skills, and Attitudes of Professional Practice

Technical Assistance Publication (TAP) Series

21

U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration Center for Substance Abuse Treatment 5600 Fishers Lane Rockville, MD 20857

Acknowledgments

A number of people deserve recognition for their tireless and dedicated work on this document. The publication was originally conceived and written by the National Addiction Technology Transfer Center (ATTC) Curriculum Committee. The Committee, one of six national committees designed to serve the ATTC Network, comprises representatives from several ATTC Regional Centers and the ATTC National Office. This group was responsible for the original 1998 publication and for the 2000 draft on which this updated edition is based (see page v). A second Committee convened in 2005 to update and finalize the current document (see page vi). Karl D. White, Ed.D., and Catherine D. Nugent, M.S., served as the Center for Substance Abuse Treatment (CSAT) ATTC Project Officers. Christina Currier served as the CSAT Government Project Officer. This publication was produced by JBS International, Inc. (JBS), under the Knowledge Application Program (KAP) contract number 270-04-7049.

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The views, opinions, and content of this publication are those of the authors and do not necessarily reflect the views, opinions, or policies of SAMHSA or HHS.

Public domAin notice

All materials appearing in this volume except those taken directly from copyrighted sources are in the public domain and may be reproduced or copied without permission from SAMHSA or the authors. Citation of the source is appreciated. However, this publication may not be reproduced or distributed for a fee without the specific, written authorization of the Office of Communications, SAMHSA, HHS.

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This publication may be ordered or downloaded from SAMHSA's Publications Ordering Web page at http:// store.. Or, please call SAMHSA at 1-877-SAMHSA-7 (1-877-726-4727) (English and Espa?ol).

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Center for Substance Abuse Treatment. Addiction Counseling Competencies: The Knowledge, Skills, and Attitudes of Professional Practice. Technical Assistance Publication (TAP) Series 21. HHS Publication No. (SMA) 15-4171. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2006.

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Quality Improvement and Workforce Development Branch, Division of Services Improvement, Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, 5600 Fishers Lane, Rockville, MD 20857.

HHS Publication No. (SMA) 15-4171 First Printed 2006 Revised 2007, 2008, 2009, 2011, 2012, 2013, 2014, 2015, and 2017

No substantive revisions have been made to this publication since its original printing.

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Curriculum Committees. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v 1998 National ATTC Curriculum Committee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v 2005 Update Committee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vi

Foreword. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii

Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Section 1: Transdisciplinary Foundations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 I. Understanding Addiction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 II. Treatment Knowledge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

III. Application to Practice. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 IV. Professional Readiness. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

Section 2: Practice Dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 I. Clinical Evaluation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 II. Treatment Planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53

III. Referral. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67 IV. Service Coordination. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77 V. Counseling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99 VI. Client, Family, and Community Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131 VII. Documentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141 VIII. Professional and Ethical Responsibilities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151

Section 3: Additional Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161 Cultural Competency. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 162 Internet Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163 Attitudes Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164 Recovery Bibliography. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166

Section 4: Appendices. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169 A. Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171 B. The Competencies: A Complete List. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177 C. National Validation Study: Defining and Measuring the Competence of Addiction Counselors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 189 D. Complete Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197 E. Other Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225

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1998 nAtionAl Attc curriculum committee

Affiliations indicated below are those at the time of the work.

David A. Deitch, Ph.D. (Chair) Pacific Southwest ATTC University of California San Diego La Jolla, California

G.E. Carrier, Ph.D. Representing the Texas ATTC Alvin Community College Alvin, Texas

Steven L. Gallon, Ph.D. Northwest Frontier ATTC Oregon Health and Science University Salem, Oregon

Paula K. Horvatich, Ph.D. Mid-Atlantic ATTC Virginia Commonwealth University Richmond, Virginia

Mary Beth Johnson, M.S.W. ATTC National Office University of Missouri?Kansas City Kansas City, Missouri

Hendi Crosby Kowal, M.P.H. DC/Delaware ATTC Danya International, Inc. Silver Spring, Maryland

Linda Nicholas Great Lakes ATTC University of Illinois?Chicago Jane Addams School of Social Work Chicago, Illinois

Alan M. Parsons, M.S.W., ACSW Northeastern States ATTC State University of New York at Albany Albany, New York

Nancy Roget, M.S., MFT, LADC Mountain West ATTC University of Nevada?Reno Reno, Nevada

Susanne R. Rohrer, RN, M.B.A. Center for Substance Abuse Treatment Substance Abuse and Mental Health

Services Administration Washington, D.C.

Anne Helene Skinstad, Psy.D. Prairielands ATTC University of Iowa Iowa City, Iowa

Patricia L. Stilen, LCSW, CADAC Mid-America ATTC University of Missouri?Kansas City Kansas City, Missouri

Susan A. Storti, RN, M.A. ATTC of New England Brown University Providence, Rhode Island

Elleen M. Yancey, Ph.D. Southeast ATTC Morehouse School of Medicine Atlanta, Georgia

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Addiction Counseling Competencies

2005 uPdAte committee

Paula K. Horvatich, Ph.D. (Chair) Mid-Atlantic ATTC Virginia Commonwealth University Richmond, Virginia

Carol Davidson, M.S.W., CDP Evergreen Treatment Services Seattle, Washington

Steven L. Gallon, Ph.D. Northwest Frontier ATTC Office of Alcohol and Drug Abuse Programs Salem, Oregon

Michael Hoge, Ph.D. Annapolis Coalition Yale University New Haven, Connecticut

James Holder, M.A., LPC-S, MAC National Association for Alcohol and

Drug Addiction Counselors McLeod Behavioral Health Florence, South Carolina

Mary Beth Johnson, M.S.W. ATTC National Office University of Missouri?Kansas City Kansas City, Missouri

Linda Kaplan, M.A. National Association for Children

of Alcoholics Rockville, Maryland

Captain Florentino (Tino) Merced-Galindez, M.S.N., RN

Center for Substance Abuse Prevention Substance Abuse and Mental Health

Services Administration Rockville, Maryland

Randolph Muck, M.Ed. Center for Substance Abuse Treatment Substance Abuse and Mental Health

Services Administration Rockville, Maryland

Paul D. Nagy, M.S., LCAS, LPC, CCS Duke Addictions Program Duke University Medical Center Durham, North Carolina

Nancy Roget, M.S., MFT, LADC Mountain West ATTC University of Nevada?Reno Reno, Nevada

Gerard J. Schmidt, M.A., LPC, MAC NAADAC?The Association for Addiction

Professionals Valley HealthCare System Morgantown, West Virginia

Michael Shafer, Ph.D. Pacific Southwest ATTC Tucson, Arizona

James L. Sorensen, Ph.D. San Francisco General Hospital University of California?San Francisco San Francisco, California

Patricia L. Stilen, LCSW, CADAC Mid-America ATTC University of Missouri?Kansas City Kansas City, Missouri

Deborah Stone, Ph.D. Center for Mental Health Services Substance Abuse and Mental Health

Services Administration Rockville, Maryland

Pamela Waters, M.Ed., CAPP Southern Coast ATTC Florida Certification Board Tallahassee, Florida

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