28 episódios

Podcast review for persons preparing for the Addiction Counselor Certification Exam. To include: IC&RC, NCAC, MCAP, LADC, LADAC, CADC, LAC, CADAC exam reviews, exam preparation, addiction counselor certification

Get your addiction counselor career started right!

Addiction Counselor Exam Review Dr. Dawn-Elise Snipes

    • Educação

Podcast review for persons preparing for the Addiction Counselor Certification Exam. To include: IC&RC, NCAC, MCAP, LADC, LADAC, CADC, LAC, CADAC exam reviews, exam preparation, addiction counselor certification

Get your addiction counselor career started right!

    23 -Case Management | Addiction Counselor Exam Review

    23 -Case Management | Addiction Counselor Exam Review

    Addiction Counselor
    Exam Review
    Case Management and
    Service Coordination
    Instructor: Dr. Dawn-Elise Snipes
    Podcast Host: Counselor Toolbox, Happiness Isn’t Brain Surgery & The Addiction Counselor Exam Review
    ~ Define referral and service coordination within the context of case management
    ~ Explore why CM is necessary
    ~ Identify the different approaches to case management
    ~ Identify the CM role in service coordination
    ~ Define service planning
    ~ Identify challenges and solutions to collaboration
    Service Coordination: Case Management
    ~ A client-level collaborative process designed to:
    ~ Help individuals access needed services
    ~ Select the most appropriate services
    ~ Facilitate linkage with those services
    ~ Promote continued retention in services by monitoring participation
    ~ Coordination of multiple services when necessary
    ~ Advocate for continued participation
    Service Coordination: Case Management
    ~ Objectives of case management
    ~ Continuity of care
    ~ Accessibility:
    ~ Establish relationships with “gatekeepers”
    ~ Develop contracts or MOUs which specify
    ~ Available “slots”
    ~ Consequences for failure to implement specified activities/procedures
    ~ Accountability
    ~ Following up on the referral with client and referral resource
    ~ Measuring outcomes with
    ~ Client satisfaction
    ~ Client outcomes
    ~ Service system outcomes (i.e. reduction in cost to treat)
    ~ Efficiency “Know the system and make it work”
    Service Coordination: Case Management
    ~ Necessary because of poor service coordination, lack of service continuity and difficulty of clients negotiating the gap between services
    ~ Structure
    ~ Case manager who acts as the human link between the client and service providers
    ~ Core agency
    ~ Develops contracts with providers for identified services
    ~ Controls case management funds
    ~ Acts as a single point of entry for clients
    ~ Develops missing service elements
    Service Coordination: Case Management
    ~ Approaches
    ~ Intensive/Assertive Community Treatment
    ~ Comprehensive, multidisciplinary, community based
    ~ Growth
    ~ Paternalism
    ~ Clinical
    ~ Case manager provides many services including counseling
    ~ Stabilization
    ~ Strengths based
    ~ Focus on strengths and empowerment
    ~ Growth
    ~ Empowerment
    Service Coordination: Case Management
    ~ Approaches
    ~ Brokerage
    ~ Coordinates services and provides few, if any services
    ~ Stabilization
    ~ Empowerment
    ~ Integrated
    ~ Family-focused, strength-based program that uses an independent facilitator to coordinate all relevant people, including providers, family and natural supports.
    ~ This team then works in partnership with the family to create a safety-based comprehensive plan addressing the needs of all family members.
    ~ Growth
    Service Coordination: Case Management Principles
    ~ Offers a single point of contact for clients
    ~ Client-driven and strengths based
    ~ Involves advocacy
    ~ Between services with seemingly contradictory requirements to serve the best interests of the client
    ~ With agencies, families, legal systems and legislative bodies
    ~ May involve the recommendation of sanctions to encourage client compliance and motivation
    ~ Community based
    ~ Pragmatic “Where the client is”
    ~ Anticipatory based on the natural course of the client’s presenting issues
    ~ Flexible to individual needs
    ~ Culturally sensitive
    Service Coordination: Case Manager’s Role
    ~ To coordinate, manage, link, advocate and support clients in their quest to maximize their quality of life and achieve as much independence as possible
    ~ Basic Prerequisites and Competencies
    ~ Ability to establish rapport
    ~ Awareness of how to maintain boundaries
    ~ Willingness to be nonjudgmental
    ~ Recognize the importance of family, social networks and community in the process
    ~ Understand the variety of insurance and payment options available
    ~ Understand culture and respond in a culturally sensitive manner
    ~ Understand the value of

    • 45 min
    22 -Pharmacology | Addiction Counselor Exam Review

    22 -Pharmacology | Addiction Counselor Exam Review

    Addiction Counselor Exam Review Podcast
    Episode 22
    Instructor: Dr. Dawn-Elise Snipes, PhD
    Executive Director: AllCEUs.com, Counselor Education and Training
    Podcast Host: Counselor Toolbox & Addiction Counselor Exam Review
    AllCEUs offers Addiction Counselor Precertification Training for $149 for 400+ hours of multimedia education.  We also are there for you when you need CEUs for as low as $59 for unlimited CEUs.
    ~ Review symptoms of intoxication and withdrawal of drugs of abuse
    ~ Learn about Post Acute Withdrawal Syndrome (PAWS)
    ~ Identify factors that impact symptomatology
    ~ Purity of the drug, hydration levels, route of administration and usage patterns all can impact
    ~ Speed of the effect
    ~ Intensity of the effect
    ~ Range and intensity of negative consequences/side effects
    ~ Injecting can result in blood infections, collapsed veins, kidney and heart problems (Fastest)
    ~ Inhaling can result in ulcerated nasal passages
    ~ Oral ingestion must be filtered through the liver and kidneys and often also irritates the GI tract (Slowest)
    Drugs of Abuse
    ~ Alcohol
    ~ Classified as a sedative-hypnotic, CNS depressant
    ~ Ethanol/Ethyl alcohol 8 stages of effect as BAC increases
    ~ Subclinical
    ~ Euphoria
    ~ Excitement
    ~ Excitement/confusion
    ~ Confusion stupor
    ~ Coma
    ~ Death
    Drugs of Abuse
    ~ Alcohol
    ~ Men drink more
    ~ Women more likely to
    ~ Develop drinking problems
    ~ Experience alcohol related organ damage at lower levels
    ~ Women’s BAC reaches higher levels with same amounts of alcohol as men
    ~ Alcohol mixes with water and men tend to have more body water
    Drugs of Abuse
    ~ Alcohol related medical conditions
    ~ Loss of control of eye muscles
    ~ Hypoglycemia
    ~ Gastritis / Pancreatitis
    ~ Reduced immunity
    ~ Cardiac arrhythmia
    ~ Anemia
    ~ Constant flushing
    ~ Peripheral neuritis
    ~ Fatty liver
    ~ Cirrhosis
    ~ Blood pressure increases
    ~ Wernicke/Korsakoff’s syndrome / Alcohol related dementia
    Drugs of Abuse
    ~ Cannabis
    ~ As of 2016, still considered a schedule 1 by the DEA
    ~ Schedule 1 substances have no medicinal use and high risk of abuse
    ~ Legal in 29 states for medical use and in 8 of those states for recreational use
    ~ 9-17% of occasional users become addicted
    ~ 25-50% of daily users become addicted
    ~ Methods of administration
    ~ Smoked (pipes, bongs, blunts, Dabs) – rapid action
    ~ Consumed (tea, brownies) –slower action
    ~ Acts on cannabinoid receptors which influence memory, pleasure, concentration, sensory perception
    Drugs of Abuse
    ~ Cannabis
    ~ Dabs
    ~ Concentrated doses of cannabis that are made by extracting THC and other cannabinoids using a solvent like butane or carbon dioxide, resulting in sticky oils
    ~ Even when home extraction goes well, there’s no way to know the quality or purity of your finished product. “Dirty” oil may contain chemical contaminants or excessive amounts of residual solvents that could present health hazards
    ~ Cannabis extracts often test between 60-90% THC, which means it doesn’t take much to become profoundly high
    ~ Can be inhaled using a dab-pen or a e-cig with attachments
    ~ Besides coughing like a maniac, the second most common side-effect associated with dabbing is sweating like you ran a marathon
    Drugs of Abuse
    ~ Cannabis
    ~ Effects
    ~ Respiratory illness
    ~ Heightened heart attack risk
    ~ Neurobehavioral effects on fetus
    ~ Increased depression, anxiety and suicidal thoughts, esp. in adolescents
    ~ Loss of motivation
    ~ Exacerbation of schizophrenia
    ~ Impaired judgement
    ~ Impaired motor coordination
    ~ Reduced life satisfaction
    ~ Lower academic/career success
    Drugs of Abuse
    ~ Synthetic Marijuana (Spice/K2)
    ~ Synthetic cannabinoids refer to a growing number of man-made mind-altering chemicals sprayed on dried, shredded plant material or vaporized to get high.
    ~ Synthetic cannabinoids are sometimes misleadingly called “synthetic marijuana” (or “fake weed”) because they act

    • 46 min
    21 Ethics and Professional Development | Addictions Counselor Exam Review

    21 Ethics and Professional Development | Addictions Counselor Exam Review

    Addiction Counselor Exam Review Podcast
    Episode 21
    Host: Dr. Dawn-Elise Snipes
    Executive Director: AllCEUs Counselor Education
    Podcast Host: Counselor Toolbox and Addiction Counselor Exam Review
    ~ Define ethics
    ~ Review the rationale for ethics
    ~ Explore ethical issues that counselors need to be aware of
    ~ Learn a model of ethical decision making.
    Professional and ethical responsibility
    ~ Ethics is designed for the protection of four distinct groups:
    ~ The client
    ~ The clinician
    ~ The profession
    ~ The community
    ~ When they are unclear or conflicting needs between the four groups ethical conflicts arise
    ~ The primary responsibility for ethical practice and for identifying ethical breaches rests with the addiction counselor in the clinical supervisor
    ~ Scope of Practice
    ~ Activities and procedures that can be performed legally by members of a licensed or certified profession
    Professional and ethical responsibility
    ~ Addiction professionals have a responsibility for self governance
    ~ Many questions of professional ethics rely on subjective interpretation
    ~ Clear communication is essential in the counseling relationship to avoid ethical problems
    ~ Ethical standards both prescribed and prohibit specific behaviors on the part of a professional
    ~ Often more attention is paid to the ethical breaches that deal with prohibited behavior than to prescribe behaviors
    ~ Counselors have a professional responsibility to seek in utilize appropriate supervision and complete continuing professional education
    Ethics continued
    ~ The code of ethics defines a standard of expected behavior
    ~ Codes are helpful for giving clients and the public in a sense of the level of professional behavior
    ~ Codes may not provide a practical or detailed guidance needed
    ~ Simply following a list of specific rules of conduct is not ensure that a counselor will practice and ethical manner
    Ethics continued
    ~ Contracts defined provider duties and responsibilities
    ~ Negligence is a failure to uphold ones contractual duties
    ~ Requirements must be treated in the following order of precedence:
    ~ Law
    ~ Precedent by case law
    ~ Reasonable person test
    ~ Regulations or administrative rules
    ~ Contracts
    ~ Use of public funds creates an obligation to fulfill the public trust and result in higher standards than those required in private industry
    Ethics continued
    ~ Ethics can be thought of as a set of principles that define our actions
    ~ Seven criteria for defining ethics
    ~ Require other people, they’re about relationships
    ~ Intense makes a difference
    ~ Ethics and result the lemons
    ~ Thinking is necessary for ethics and morality
    ~ Ethics ask you to be impartial
    ~ Ethics require us to care about the suffering of others
    ~ Ethics judge human behavior
    ~ Columns reflect what most members of the profession have agreed on in some kind of formal process rather than reflecting ideal standards
    Ethics Principles
    ~ Autonomy
    ~ Fidelity
    ~ Justice
    ~ Beneficence
    ~ Including efficiency and effectiveness
    ~ Nonmalfesience
    Personal Qualities
    ~ Empathy
    ~ Sincerity
    ~ Integrity
    ~ Resilience
    ~ Respect
    ~ Humility
    ~ Competence
    ~ Fairness
    ~ Wisdom
    ~ Courage
    ~ Commitment
    ~ Concern
    Ethics continued
    ~ Published codes of ethics may lag behind the needs and demands of dated a practice this is why it’s important for professionals to understand the principles that lie behind their respective codes
    ~ Most code to general in nature and reflect the consensus of professionals in a given field and a single point in time
    ~ There may be inconsistencies within code of ethics or between codes of ethics that govern the same profession
    ~ While there is no universally accepted code of ethics for the addiction field clinician should be familiar with the ethics codes from his or her state territory or tribe
    Ethics continued
    ~ Foundations of ethics
    ~ Ethics are based on moral values, a sense of what is r

    • 56 min
    20 – Counseling Special Populations | Addiction Counselor Exam Review Podcast

    20 – Counseling Special Populations | Addiction Counselor Exam Review Podcast

    Addiction Counselor Exam Review
    Episode 20
    Dr. Dawn-Elise Snipes, PhD, LPC-MHSP, LMHC
    Executive Director: AllCEUs Counselor Education
    Podcast Host: Addiction Counselor Exam Review, Counselor Toolbox and Happiness Isn’t Brain Surgery
    Specific population considerations
    ~ Aspects of the client’s identity may influence the client’s substance using behavior, the responsiveness to treatment, and the recovery process
    ~ These factors include race, ethnicity, age, sexual orientation, and the presence of co-occurring disorders including trauma
    ~ Rather than placing a person and established treatment slot treatment providers are learning the importance of modifying in adapting services to meet an individual client’s needs
    ~ SAMHSA has produced multiple publications that dealt in depth into the treatment needs and recommended practices for specific types of disorders and or populations
    Specific populations continued
    ~ Substance abuse treatment programs typically reported 50 to 75% of their clients have co-occurring disorders
    ~ Medical settings site proportions of 20 to 50%
    ~ The term co-occurring disorders replaces the terms dual disorder or dual diagnosis
    ~ Co-occurring disorders refers to co-occurring substance use and mental disorders
    ~ A diagnoses of a co-occurring disorder occurs when at least one disorder of each type can be established independent of the other
    ~ Review SAMHSA TIP 42 for more information
    Specific populations continued
    ~ Criminal justice
    ~ For many people in need of substance abuse treatment contact with a criminal justice system is the first acknowledgment of the need for treatment or opportune did you receive services
    ~ Longstanding patterns of poor coping skills, criminal values and beliefs, lack of education, and minimal job skills may require an intensive treatment approach particularly among offenders with a prolonged history of substance abuse and crime
    ~ Addiction professionals must be able to communicate effectively with judges, probation officers, and other criminal justice system personnel functioning as a community treatment team
    ~ Leaders in both criminal justice and treatment systems need to develop shared goals and clear systems of care for addicted offenders both while they are incarcerated in after their release
    Specific populations continued
    ~ HIV and AIDS
    ~ HIV is most efficiently transmitted through the exposure to contaminated blood
    ~ injection drug users represent the largest HIV infected substance abusing population in the United States
    ~ Sexual contact is another route of HIV transmission
    ~ Substance use treatment can play an important role in helping individuals reduce risk taking behavior
    ~ Substance use treatment serves as a HIV prevention
    ~ HIV and AIDS, substance abuse disorders, and mental disorders interact in a complex fashion, each acting as a potential catalyst or obstacle in the treatment of the other two
    ~ Treatment goals include living substance free, slowing or halting the progression of the disease, and reducing risk taking behavior
    Specific populations continued
    ~ HIV and AIDS
    ~ Treating HIV and AIDS is extremely complex
    ~ Individuals with substance use disorders whether or not they are HIV infected are subject to the higher rates of mental disorders than the rest of the population
    ~ Counseling is an important part of treatment
    ~ Risk reduction allows for a comprehensive approach to HIV and AIDS prevention which promotes changing the substance-related and such related behaviors
    ~ Substance use treatment programs can help reduce the spread of other blood borne infections including hepatitis B and C viruses
    ~ Counselor should be familiar with Federal and state laws protecting information about client and substance abuse treatment, and state laws protecting HIV and AIDS related information
    Specific populations continued
    ~ Physical and cognitive disabilities
    ~ People with

    • 52 min
    19 -Therapeutic Approaches

    19 -Therapeutic Approaches

    Addiction Counselor
    Exam Review
    Episode 19
    Therapeutic Approaches
    Dr. Dawn-Elise Snipes, PhD, LPC-MHSP, LMHC
    Executive Director: AllCEUs Counselor Education
    Podcast Host: Addiction Counselor exam review, Counselor Toolbox and Happiness Isn’t Brain Surgery
    ~ Review different therapeutic approaches including CBT, MET, Contingency Management and Trauma Informed
    ~ Types of treatment (individual, group, family) and benefits and drawbacks of each
    ~ Culturally appropriate strategies
    ~ Family Engagement
    ~ Overview of Crisis Intervention
    ~ Relapse Prevention
    Therapeutic Approaches
    ~ Behavioral and cognitive behavioral approaches are grounded in social learning theories and principles of operant conditioning
    ~ Emphasis is on
    ~ Functional analysis of behaviors to understand them within the context of their antecedents and consequences
    ~ Skills training through which people recognize the situations or states in which they are most vulnerable and how to avoid high-risk situations
    ~ Using a range of behavioral and cognitive strategies to cope effectively with those situations if they cannot be avoided
    ~ Cognitive behavior therapy is based on the idea that feelings and behaviors are caused by a person’s thoughts
    ~ People may not be able to change their circumstances but they can change how they think about them and therefore change how they feel and behave
    ~ The goal of cognitive behavioral therapies to teach the person to recognize situations with their most likely to use, avoid these circumstances if possible, and cope with other problems and behaviors which may be to use
    Therapeutic approaches continued
    ~ Contingency management therapy uses motivational incentives to facilitate behavior change and has improved treatment retention and abstinence rates
    ~ Motivational enhancement therapy is a client centered counseling approach for initiating behavior change and has successfully been used with people with alcohol and marijuana use disorders
    Therapeutic approaches continued
    ~ Trauma Specific
    ~ Trauma Specific Models are an essential part of treatment as misidentified or misdiagnosed trauma related symptoms interfere with help seeking and hamper engagement in treatment, lead to early drop out, and make a relapse more likely
    ~ Trauma-Informed and Trauma specific approaches take into account knowledge about the trauma, its impact, interpersonal dynamics, and relation to recovery.
    ~ The primary goals of trauma specific services are focused to address directly the impact of trauma on people’s lives and to facilitate trauma recovery and healing
    ~ The Addictions and Trauma Recovery Integration Model or ATRIUM, seeking safety, and trauma recovery and empowerment model are all examples
    Therapeutic approaches continued
    ~ Couples and family approaches
    ~ The defining feature couples and families treatments is that they’re treating substance using individuals in the context of the family and social systems in which the substance use may develop or be maintained
    ~ Prevailing models:
    ~ Brief strategic family therapy
    ~ Structural or strategic family therapy
    ~ Multidimensional family therapy
    ~ Multi systemic therapy
    ~ Behavioral and cognitive behavioral family therapy
    ~ Solution focused brief therapy
    Culturally appropriate strategies
    ~ Two areas of concern with regard to cultural competence in addiction counseling are
    ~ the competence of the individual practitioner
    ~ the cultural appropriateness of specific intervention strategies
    ~ Culture includes much more than race and ethnicity
    ~ Culturally appropriate treatment can include the language used, the format of the program, the goals set for produce events, and specific program activities
    ~ Additionally, risk in protective factors may not be relevant for all cultural groups
    Culturally appropriate strategies
    ~ Programs and practices that have been tested and found effective with one cultura

    • 1h 2 min
    18 -Counseling Skills | Addiction Counselor Exam Review

    18 -Counseling Skills | Addiction Counselor Exam Review

    Review for the Alcohol and Drug Counselor Exam
    Episode 18: Counseling Skills
    ~ Identify the purpose and function of counseling
    ~ Define skills a counselor needs
    ~ Identify necessary attitudes for counselors
    ~ Explore how to develop the therapeutic alliance
    ~ Discuss motivation and how to increase it
    Counseling—Purpose & Functions
    ~ Develop therapeutic relationship with clients, families and significant others to facilitate transition into the recovery process
    ~ Provide information regarding the structure, expectations and purpose of counseling
    ~ Continually evaluate the client’s safety, relapse potential and need for crisis intervention
    ~ Apply ebps to facilitate progress
    ~ Document counseling activity and progress
    ~ Provide information on issues of identity, ethnic background, age etc as they influence behavior, prevention and recovery
    ~ Provide information about addiction and related health and psychosocial consequences
    Counseling —Purpose & Functions
    ~ Counseling is a collaborative, professional relationship that empowers diverse individuals, families and groups to accomplish mental health, wellness, education and career goals
    ~ Competence is built on understanding various models of treatment, an ability to implement appropriate EBPs with individuals, families, and SOs
    ~ Counselors facilitate self-exploration, disclosure, problem solving and behavioral change
    ~ Counselors help clients
    ~ Explore and enhance motivation
    ~ Set appropriate treatment goals
    ~ Understand structure, expectations, purpose and limitations of the counseling process
    ~ Mobilize resources to resolve problems and modify attitudes
    ~ Counselors respond to crisis situations by identifying and practicing ways to avoid and cope with high risk situations
    Therapeutic Allicance
    ~ Strength of the TA depends on the facilitative qualities of the counselor and the strategies used to create a positive environment for exploration and change
    ~ Facilitative qualities
    ~ Empathy
    ~ Genuineness
    ~ Respect
    ~ Self-Disclosure
    ~ Warmth
    ~ Immediacy “Focus on the here and now”
    ~ Concreteness: Identify specific problems and interventions
    ~ Cultural Sensitivity
    Counseling: Therapeutic Alliance
    ~ Components of the Therapeutic Alliance
    ~ Bond between therapist and client characterized by warmth, genuineness and respect
    ~ Consensus between counselor and client regarding
    ~ Treatment approaches
    ~ Goals of treatment
    ~ Primary responsibility for developing and maintaining the TA rests with the counselor
    ~ 80% of positive outcomes are due to TA
    ~ TA must be continually monitored and nurtured to prevent premature discharge and enhance treatment effectiveness
    ~ Adapting the relationship to several patient characteristics, not just dx, enhances the TA
    Counselor Skills
    ~ Engage the client
    ~ Develop and individualize treatment and recovery plans
    ~ Effectively describe and negotiate access to the continuum of care
    ~ Adapt counseling strategies
    ~ Apply culturally and linguistically responsive communication styles
    ~ Provide nonjudgmental, respectful acceptance of cultural, behavioral and value differences
    ~ Elicit client’s perspectives on progress
    ~ Maintain contact with referral services
    ~ Assist the client in monitoring and maintaining motivation
    ~ Document all relevant aspects of treatment clearly and concisely
    ~ Provide education regarding how to change risk behaviors, adopt protective, healthy practices and make appropriate use of service systems
    Counseling Skills—Active listening
    ~ Helps the client and counselor clarify what is going on
    ~ Clear listening—listen without judgement and without immediately trying to correct the client’s thoughts
    ~ Reflecting—Summarizing and repeating
    ~ Asking open-ended questions
    ~ Using effective body language (SOLER)
    ~ Watching for nonverbal cues
    Counselor Attitudes
    ~ Appreciation of strengths-based approaches which emphasize clien

    • 48 min

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