Psychology Counseling homework help

  

APA Format : In a 5 page paper combining all prior reading and material, you will be assessing your personal and professional abilities as a group counselor and integrating the important aspect of cultural diversity. Also, using the case study of Beth M., an American Indian woman, you will demonstrate application of the ethical, legal, and socio-cultural appropriate practice within a group counseling setting.Identify the key components of the ethical, legal, and social-cultural practice that occur within group counseling.Apply the case study of Beth M. to demonstrate understanding of Ethical considerations, Legal implications and Socio-cultural practice suggestionsExplain how professional abilities as a group counselor may impact cultural diversity and the group process.Assess personal cultural competency by providing a quality reflection of own skills and abilities.Length: 5 pages including title and reference pages with a minimum of three references. tip_42.pdf
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Substance Abuse Treatment
For Persons With
Co-Occurring Disorders
A Treatment
Improvement
Protocol
TIP
42
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Center for Substance Abuse Treatment
www.samhsa.gov
CO-OCCURRING
DISORDERS
Substance Abuse Treatment
For Persons With
Co-Occurring Disorders
This TIP, Substance Abuse Treatment for Persons With
Co-Occurring Disorders, revises TIP 9, Assessment and Treatment
of Patients With Coexisting Mental Illness and Alcohol and Other
Drug Abuse. The revised TIP provides information about new
developments in the rapidly growing field of co-occurring
substance use and mental disorders and captures the state-ofthe-art in the treatment of people with co-occurring
disorders. The TIP focuses on what the substance abuse treatment clinician needs to know and provides that information in
an accessible manner. The TIP synthesizes knowledge and
grounds it in the practical realities of clinical cases and real situations so the reader will come away with increased knowledge,
encouragement, and resourcefulness in working with clients
with co-occurring disorders.
Collateral Products
Based on TIP 42
Quick Guide For Clinicians
KAP Keys For Clinicians
Quick Guide for Administrators
Quick Guide for Mental Health Providers
DHHS Publication No. (SMA) 05-3992
Printed 2005
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Center for Substance Abuse Treatment
CO-OCCURRING
DISORDER
Substance Abuse Treatment for Persons With Co-Occurring Disorders
TIP 42
Substance Abuse Treatment
for Persons With
Co-Occurring Disorders
Stanley Sacks, Ph.D.
Consensus Panel Chair
Richard K. Ries, M.D.
Consensus Panel Co-Chair
A Treatment
Improvement
Protocol
TIP
42
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Public Health Service
Substance Abuse and Mental Health Services Administration
Center for Substance Abuse Treatment
1 Choke Cherry Road
Rockville, MD 20857
Acknowledgments
Numerous people contributed to the development of this TIP (see pp. xi, xiii, and appendices L, M, and N). This publication was produced by The CDM Group, Inc. under the
Knowledge Application Program (KAP) contract, number 270-99-7072 with the Substance
Abuse and Mental Health Services
Administration (SAMHSA), U.S. Department
of Health and Human Services (DHHS). Karl
D. White, Ed.D., and Andrea Kopstein,
Ph.D., M.P.H., served as the Center for
Substance Abuse Treatment (CSAT)
Government Project Officers. Christina
Currier served as the CSAT TIPs Task Leader.
Rose M. Urban, M.S.W., J.D., LCSW, CCAC,
CSAC, served as the CDM KAP Executive
Deputy Project Director. Elizabeth Marsh
served as the CDM KAP Deputy Project
Director. Shel Weinberg, Ph.D., served as the
CDM KAP Senior Research/Applied
Psychologist. Other KAP personnel included
Raquel Witkin, M.S., Deputy Project
Manager; Susan Kimner, Managing Editor;
Deborah Steinbach, Senior Editor/Writer; and
Erica Flick, Editorial Assistant. In addition,
Sandra Clunies, M.S., I.C.A.D.C., served as
Content Advisor. Special thanks go to Susan
Hills, Ph.D., for serving as Co-Editor on this
TIP, and Doug Ziedonis, M.D., for his contribution to chapter 8. Jonathan Max Gilbert,
M.A., Margaret K. Hamer, M.P.A., Randi
Henderson, B.A., Susan Hills, Ph.D., and
David Shapiro, M.S., M.Ed., were writers.
Appendix K was prepared by Margaret
Brooks, J.D., and SAMHSA staff in consultation with the Office of the General Counsel, the
U.S. Department of Health and Human
Services, Washington, D.C.
Disclaimer
The opinions expressed herein are the views of
the Consensus Panel members and do not necessarily reflect the official position of CSAT,
SAMHSA, or DHHS. No official support of or
endorsement by CSAT, SAMHSA, or DHHS
for these opinions or for particular instruments, software, or resources described in this
ii
document are intended or should be inferred.
The guidelines in this document should not be
considered substitutes for individualized client
care and treatment decisions.
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/CSAT or the authors. Do not reproduce or distribute this publication for a fee
without specific, written authorization from
SAMHSA’s Office of Communications.
Electronic Access and Copies
of Publication
Copies may be obtained free of charge from
SAMHSA’s National Clearinghouse for Alcohol
and Drug Information (NCADI), (800) 7296686 or (301) 468-2600; TDD (for hearing
impaired), (800) 487-4889, or electronically
through the following Internet World Wide
Web site: www.ncadi.samhsa.gov.
Recommended Citation
Center for Substance Abuse Treatment.
Substance Abuse Treatment for Persons With
Co-Occurring Disorders. Treatment
Improvement Protocol (TIP) Series 42. DHHS
Publication No. (SMA) 05-3992. Rockville,
MD: Substance Abuse and Mental Health
Services Administration, 2005.
Originating Office
Practice Improvement Branch, Division of
Services Improvement, Center for Substance
Abuse Treatment, Substance Abuse and Mental
Health Services Administration, 1 Choke
Cherry Road, Rockville, MD 20857.
DHHS Publication No. (SMA) 05-3992
Printed 2005
Acknowledgments
Contents
What Is a TIP? ………………………………………………………………………………………………ix
Consensus Panel …………………………………………………………………………………………….xi
KAP Expert Panel and Federal Government Participants …………………………………………..xiii
Foreword …………………………………………………………………………………………………….xv
Executive Summary ………………………………………………………………………………………xvii
1 Introduction………………………………………………………………………………………………..1
Overview……………………………………………………………………………………………………….1
The Evolving Field of Co-Occurring Disorders …………………………………………………………….2
Important Developments That Led to This TIP ……………………………………………………………4
Organization of This TIP……………………………………………………………………………………16
2 Definitions, Terms, and Classification Systems for Co-Occurring Disorders…………………….21
Overview ……………………………………………………………………………………………………..21
Terms Related to Substance Use Disorders………………………………………………………………..22
Terms Related to Mental Disorders ………………………………………………………………………..23
Terms Related to Clients…………………………………………………………………………………….26
Terms Related to Treatment ………………………………………………………………………………..27
Terms Related to Programs …………………………………………………………………………………32
Terms Related to Systems …………………………………………………………………………………..33
3 Keys to Successful Programming ……………………………………………………………………..37
Overview ……………………………………………………………………………………………………..37
Guiding Principles …………………………………………………………………………………………..38
Delivery of Services………………………………………………………………………………………….41
Improving Substance Abuse Treatment Systems and Programs …………………………………………48
Workforce Development and Staff Support ……………………………………………………………….55
4 Assessment ………………………………………………………………………………………………..65
Overview ……………………………………………………………………………………………………..65
Screening and Basic Assessment for COD …………………………………………………………………66
The Assessment Process …………………………………………………………………………………….71
5 Strategies for Working With Clients With Co-Occurring Disorders …………………………….101
Overview…………………………………………………………………………………………………….101
Guidelines for a Successful Therapeutic Relationship With a Client Who Has COD ………………..102
Techniques for Working With Clients With COD ………………………………………………………..112
6 Traditional Settings and Models………………………………………………………………………137
Overview…………………………………………………………………………………………………….137
Essential Programming for Clients With COD …………………………………………………………..138
Outpatient Substance Abuse Treatment Programs for Clients With COD …………………………….143
Residential Substance Abuse Treatment Programs for Clients With COD …………………………….161
iii
7 Special Settings and Specific Populations …………………………………………………………..183
Overview…………………………………………………………………………………………………….183
Acute Care and Other Medical Settings…………………………………………………………………..184
Dual Recovery Mutual Self-Help Programs………………………………………………………………190
Specific Populations ……………………………………………………………………………………….197
8 A Brief Overview of Specific Mental Disorders and Cross-Cutting Issues………………………213
Overview…………………………………………………………………………………………………….213
Cross-Cutting Issues ……………………………………………………………………………………….214
Personality Disorders………………………………………………………………………………………220
Mood Disorders and Anxiety Disorders…………………………………………………………………..226
Schizophrenia and Other Psychotic Disorders …………………………………………………………..231
Attention-Deficit/Hyperactivity Disorder (AD/HD) ……………………………………………………..235
Posttraumatic Stress Disorder (PTSD) …………………………………………………………………..238
Eating Disorders ……………………………………………………………………………………………240
Pathological Gambling……………………………………………………………………………………..246
Conclusion…………………………………………………………………………………………………..248
9 Substance-Induced Disorders…………………………………………………………………………249
Overview…………………………………………………………………………………………………….249
Description ………………………………………………………………………………………………….249
Diagnostic Considerations …………………………………………………………………………………252
Case Studies: Identifying Disorders ………………………………………………………………………253
Appendix A: Bibliography ……………………………………………………………………………….255
Appendix B: Acronyms ………………………………………………………………………………….309
Appendix C: Glossary of Terms…………………………………………………………………………313
Appendix D: Specific Mental Disorders: Additional Guidance for the Counselor ……………….325
Overview…………………………………………………………………………………………………….325
Suicidality …………………………………………………………………………………………………..326
Nicotine Dependence……………………………………………………………………………………….333
Personality Disorders (Overview) …………………………………………………………………………348
Borderline Personality Disorder ………………………………………………………………………….353
Antisocial Personality Disorder …………………………………………………………………………..359
Mood and Anxiety Disorders ………………………………………………………………………………369
Schizophrenia and Other Psychotic Disorders …………………………………………………………..385
Attention Deficit-Hyperactivity Disorder (AD/HD) ……………………………………………………..402
Posttraumatic Stress Disorder …………………………………………………………………………….408
Eating Disorders ……………………………………………………………………………………………417
Pathological Gambling……………………………………………………………………………………..425
Appendix E: Emerging Models ………………………………………………………………………….437
Part I: Addresses for Models Referenced in the Text……………………………………………………437
Part II: Other Emerging Models…………………………………………………………………………..439
Programs ……………………………………………………………………………………………………457
iv
Contents
Appendix F: Common Medications for Disorders ……………………………………………………459
Pharmacologic Risk Factors……………………………………………………………………………….459
A Stepwise Treatment Model ………………………………………………………………………………461
Psychotherapeutic Medications 2004: What Every Counselor Should Know………………………….463
Appendix G: Screening and Assessment Instruments ………………………………………………..487
Addiction Severity Index (ASI) ……………………………………………………………………………487
The Alcohol Use Disorders Identification Test (AUDIT)………………………………………………..488
Beck Depression Inventory-II (BDI-II) …………………………………………………………………..488
CAGE Questionnaire……………………………………………………………………………………….489
Circumstances, Motivation, and Readiness Scales (CMR Scales) ………………………………………489
Clinical Institute Withdrawal Assessment (CIWA-Ar) …………………………………………………..490
The Drug Abuse Screening Test (DAST)………………………………………………………………….490
Global Appraisal of Individual Needs (GAIN) …………………………………………………………..491
Level of Care Utilization System (LOCUS)……………………………………………………………….491
Michigan Alcoholism Screening Test (MAST)…………………………………………………………….492
M.I.N.I. Plus ……………………………………………………………………………………………….492
Psychiatric Research Interview for Substance and Mental Disorders (PRISM) ………………………493
Readiness to Change Questionnaire ………………………………………………………………………493
Recovery Attitude and Treatment Evaluator (RAATE) …………………………………………………494
Structured Clinical Interview for DSM-IV Disorders (SCID-IV)……………………………………….494
Substance Abuse Treatment Scale (SATS) ……………………………………………………………….495
University of Rhode Island Change Assessment (URICA) ………………………………………………495
Appendix H: Sample Screening Instruments ………………………………………………………….497
Mental Health Screening Form-III………………………………………………………………………..498
Simple Screening Instrument for Substance Abuse ……………………………………………………..499
Appendix I: Selected Sources of Training …………………………………………………………….513
Sources of Training on Addiction Disorders ……………………………………………………………..513
Sources of Training on Mental Health ……………………………………………………………………515
Sources of Training on Co-Occurring Disorders …………………………………………………………515
Listservs and Discussion Groups on Co-Occurring Disorders …………………………………………516
Appendix J: Dual Recovery Mutual Self-Help Programs and
Other Resources for Consumers and Providers………………………………………………………519
Dual Recovery 12-Step Fellowships……………………………………………………………………….519
Supported Mutual Help for Dual Recovery………………………………………………………………520
Other Resources for Consumers and Providers………………………………………………………….521
Appendix K: Confidentiality …………………………………………………………………………….523
Federal Laws and the Right to Confidentiality…………………………………………………………..523
Appendix L: Resource Panel ……………………………………………………………………………527
Appendix M: Cultural Competency and Diversity Network Participants ………………………….531
Appendix N: Field Reviewers…………………………………………………………………………..533
Contents
v
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vi
Persons With Alcohol, Drug Abuse, or Mental Disorder in the Past Year ……………………….5
Rates of Antisocial Personality, Depression, and Anxiety Disorder by Drug Dependency ……..8
Substance Abuse Treatment Facilities Offering Special Programs for Clients With COD ……..11
Level of Care Quadrants…………………………………………………………………………….29
Six Guiding Principles in Treating Clients With COD…………………………………………….38

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