Module 5 lab Assignment Trans disciplinary Foundat

TAP 21 Addiction Counseling Competencies The Knowledge
 Skills, and Attitudes of Professional Practice (located under module notes in Module 5). Pay specific attention to the Trans-diciplinary Foundations. Look at the Attitudes listed under each of the areas under the Trans-diciplinary Foundations; where do you stand in developing those attitudes? Address each of the attitudes in this section.

THE FOUR TRANSDISCIPLINARY FOUNDATIONS

I. Understanding Addiction

II. Treatment Knowledge

III. Application to Practice

IV. Professional Readiness

Regardless of professional identity or discipline, each treatment providermust have a basic understanding of addiction that includes knowledge ofcurrent models and theories, appreciation of the multiple contexts withinwhich substance use occurs, and awareness of the effects of psychoactivedrug use. Each professional must be knowledgeable about the continuumof care and the social contexts affecting the treatment and recoveryprocess.
Each addiction specialist must be able to identify a variety of helping strategiesthat can be tailored to meet the needs of individual clients. Eachprofessional must be prepared to adapt to an ever-changing set of challengesand constraints.
Although specific skills and applications vary across disciplines, the attitudinalcomponents tend to remain constant. The development of effectivepractice in addiction counseling depends on the presence of attitudesreflecting openness to alternative approaches, appreciation of diversity,
and willingness to change.The following knowledge and attitudes are prerequisite to the development
of competency in the professional treatment of substance usedisorders. Such knowledge and attitudes form the basis of understandingon which discipline-specific proficiencies are built.

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TRANSDISCIPLINARY FOUNDATION I
UNDERSTANDING ADDICTION
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TF I. UNDERSTANDING ADDICTION
COMPETENCY 1:
Understand a variety of models and theories of addiction and other problems
related to substance use.

KNOWLEDGE

Terms and concepts related to theory,etiology, research, and practice.

Scientific and theoretical basis of modelfrom medicine, psychology, sociology,religious studies, and other disciplines.

Criteria and methods for evaluatingmodels and theories.

Appropriate applications of models.

How to access addiction-related literaturefrom multiple disciplines.
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ATTITUDES

Openness to information that may differfrom personally held views.

Appreciation of the complexity inherentin understanding addiction.

Valuing of diverse concepts, models,and theories.

Willingness to form personal conceptsthrough critical thinking.
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COMPETENCY 2:

Recognize the social, political, economic, and cultural context within which
addiction and substance abuse exist, including risk and resiliency factors that
characterize individuals and groups and their living environments.

KNOWLEDGE

Basic concepts of social, political,economic, and cultural systems and theirimpact on drug-taking activity.

The history of licit and illicit drug use.

Research reports and other literatureidentifying risk and resiliency factors forsubstance use.

Statistical information regarding theincidence and prevalence of substanceuse disorders in the general populationand major demographic groups.
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ATTITUDES

Recognition of the importance ofcontextual variables.

Appreciation for differences betweenand within cultures.
Addiction Counseling Competencies
COMPETENCY 3:

Describe the behavioral, psychological, physical health, and social effects of
psychoactive substances on the person using and significant others.

KNOWLEDGE

Fundamental concepts of pharmacologicalproperties and effects of all psychoactivesubstances.

The continuum of drug use, such asinitiation, intoxication, harmful use,abuse, dependence, withdrawal, craving,relapse, and recovery.

Behavioral, psychological, social, andhealth effects of psychoactive substances.

The effects of chronic substance useon clients, significant others, andcommunities within a social, political,cultural, and economic context.

The varying courses of addiction.

The relationship between infectiousdiseases and substance use.
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ATTITUDES
Sensitivity to multiple influences in thedevelopmental course of addiction.

Interest in scientific research findings.
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COMPETENCY 4:
Recognize the potential for substance use disorders to mimic a variety of
medical and mental health conditions and the potential for medical and
mental health conditions to coexist with addiction and substance abuse.

KNOWLEDGE

Normal human growth and development.

Symptoms of substance use disorders thatare similar to those of other medical and/or mental health conditions and howthese disorders interact.

The medical and mental health conditionsthat most commonly exist with addictionand substance use disorders.

Methods for differentiating substance usedisorders from other medical or mentalhealth conditions.
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ATTITUDES

Willingness to reserve judgment untilcompletion of a thorough clinicalevaluation.

Willingness to work with people whomight display and/or have mental healthconditions.

Willingness to refer for treating conditionsoutside one- expertise.

Appreciation of the contribution ofmultiple disciplines to the evaluationprocess.
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TF 1. Understanding Addiction
Addiction Counseling Competencies
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TRANSDISCIPLINARY FOUNDATION II
TREATMENT KNOWLEDGE
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TF II. TREATMENT KNOWLEDGE
COMPETENCY 5:
Describe the philosophies, practices, policies, and outcomes of the most
generally accepted and scientifically supported models of treatment,
recovery, relapse prevention, and continuing care for addiction and other
substance-related problems.

KNOWLEDGE

Generally accepted models, such asbut not limited to:
- pharmacotherapy
- mutual help and self-help
- behavioral self-control training
- mental health
- self-regulating community
- psychotherapeutic
- relapse prevention.

The philosophy, practices, policies, andoutcomes of the most generally accepted
therapeutic models.

Alternative therapeutic models thatdemonstrate potential.
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ATTITUDES

Acceptance of the validity of a varietyof approaches and models.

Openness to new, evidence-basedtreatment approaches, includingpharmacological interventions.
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COMPETENCY 6:
Recognize the importance of family, social networks, and community systems
in the treatment and recovery process.

KNOWLEDGE

The role of family, social networks, andcommunity systems as assets or obstaclesin treatment and recovery processes.

Methods for incorporating family andsocial dynamics in treatment and recoveryprocesses.
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ATTITUDES

Appreciation for the significance andcomplementary nature of various systemsin facilitating treatment and recovery.
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Addiction Counseling Competencies
COMPETENCY 7:
Understand the importance of research and outcome data and their
application in clinical practice.

KNOWLEDGE

Research methods in the social andbehavioral sciences.

Sources of research literature relevant tothe prevention and treatment of addiction.

Specific research on epidemiology,etiology, and treatment efficacy.

Benefits and limitations of research.
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ATTITUDES

Recognition of the importance of scientificresearch to the delivery of addictiontreatment.

Openness to new information.

COMPETENCY 8:
Understand the value of an interdisciplinary approach to addiction
treatment.

KNOWLEDGE

Roles and contributions of multipledisciplines to treatment efficacy.

Terms and concepts necessary to communicateeffectively across disciplines.

The importance of communication withother disciplines.
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ATTITUDES

Desire to collaborate.

Respect for the contribution of multipledisciplines to the recovery process.

Commitment to professionalism.
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TRANSDISCIPLINARY FOUNDATION III
APPLICATION TO PRACTICE
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TF III. APPLICATION TO PRACTICE
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COMPETENCY 9:
Understand the established diagnostic criteria for substance use disorders,
and describe treatment modalities and placement criteria within the
continuum of care.

KNOWLEDGE

Established diagnostic criteria,including but not limited to currentDiagnostic and Statistical Manual of
Mental Disorders (DSM) standards andcurrent International Classification ofDiseases (ICD) standards.

Established placement criteria developedby various States and professionalorganizations.

Strengths and limitations of variousdiagnostic and placement criteria.

Continuum of treatment services andactivities.
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ATTITUDES

Openness to a variety of treatment servicesbased on client need.

Recognition of the value of researchfindings.
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COMPETENCY 10:
Describe a variety of helping strategies for reducing the negative effects of
substance use, abuse, and dependence.

KNOWLEDGE

A variety of helping strategies, includingbut not limited to:
- evaluation methods and tools
- stage-appropriate interventions
- motivational interviewing
- involvement of family andsignificant others
- mutual-help and self-help programs
- coerced and voluntary care models
- brief and longer term interventions.
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ATTITUDES

Openness to various approaches torecovery.

Appreciation that different approacheswork for different people.
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Addiction Counseling Competencies
COMPETENCY 11:
Tailor helping strategies and treatment modalities to the client- stage of
dependence, change, or recovery.

KNOWLEDGE

Strategies appropriate to the variousstages of dependence, change,and recovery.
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ATTITUDES
Flexibility in choice of treatmentmodalities.

Respect for the client- racial, cultural,economic, and sociopolitical backgrounds.
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COMPETENCY 12:
Provide treatment services appropriate to the personal and cultural identity
and language of the client.

KNOWLEDGE

Various cultural norms, values, beliefs,and behaviors.

Cultural differences in verbal andnonverbal communication.

Resources to develop individualizedtreatment plans.
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ATTITUDES

Respect for individual differenceswithin cultures.

Respect for differences between cultures.
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COMPETENCY 13:
Adapt practice to the range of treatment settings and modalities.

KNOWLEDGE

The strengths and limitations ofavailable treatment settings andmodalities.

How to access and make referrals toavailable treatment settings andmodalities.
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ATTITUDES

Flexibility and creativity in practiceapplication.

COMPETENCY 14:
Be familiar with medical and pharmacological resources in the treatment of
substance use disorders.

KNOWLEDGE

Current literature regarding medicaland pharmacological interventions.

Assets and liabilities of medical andpharmacological interventions.

Health practitioners in the communitywho are knowledgeable about addictionand addiction treatment.

The role that medical problems andcomplications can play in the interventionand treatment of addiction.
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ATTITUDES

Open and flexible with respect tothe potential risks and benefits ofpharmacotherapies to the treatment
and recovery process.
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COMPETENCY 15:
Understand the variety of insurance and health maintenance options
available and the importance of helping clients access those benefits.

KNOWLEDGE

Existing public and private payment plansincluding treatment orientation andcoverage options.

Methods for gaining access to availablepayment plans.

Policies and procedures used by availablepayment plans.

Key personnel, roles, and positionswithin plans used by the clientpopulation.
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ATTITUDES

Willingness to cooperate withpayment providers.

Willingness to explore treatmentalternatives.

Interest in promoting the mostcost-effective, high-quality care.
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Addiction Counseling Competencies
COMPETENCY 16:
Recognize that crisis may indicate an underlying substance use disorder and
may be a window of opportunity for change.

KNOWLEDGE

􀁘The features of crisis, which mayinclude but are not limited to:
- family disruption
- social and legal consequences
- physical and psychological
- panic states
- physical dysfunction.

Substance use screening and assessmentmethods.

Prevention and intervention principlesand methods.
Principles of crisis case management.

Posttraumatic stress characteristics.

Critical incident debriefing methods.

Available resources for assistance in themanagement of crisis situations.
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ATTITUDES

Willingness to respond and follow throughin crisis situations.

Willingness to consult when necessary.
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COMPETENCY 17:
Understand the need for and the use of methods for measuring treatment
outcome.

KNOWLEDGE

Treatment outcome research literature.

Scientific process in applied research.

Appropriate measures of outcome.

Methods for measuring the multiplevariables of treatment outcome.
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ATTITUDES

Recognition of the importance ofcollecting and reporting on outcome data.

Interest in integrating research findingsinto ongoing treatment design.
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USES OF THE COMPETENCIES
The Competencies has been used in a number of different ways in Montana. It was incorporated
into the Montana certification and oral exam process. In higher education settings at colleges and
universities, The Competencies has been used to define behavioral expectations and objectives for
addiction counseling courses. Clinically, it has been used to establish “employment competencies”
for counselors working in a hospital-based setting with clients who abuse substances. These employment
competencies were also modified for use by substance abuse counseling programs on the
Crow Indian Reservation and the Rocky Boy Indian Reservation.
Addiction Counseling Competencies
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TRANSDISCIPLINARY FOUNDATION IV
PROFESSIONAL READINESS

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TF IV. PROFESSIONAL READINESS
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COMPETENCY 18:
Understand diverse cultures, and incorporate the relevant needs of culturally
diverse groups, as well as people with disabilities, into clinical practice.

KNOWLEDGE

Information and resources regardingracial and ethnic cultures, lifestyles,gender, and age as well as relevant needsof people with disabilities.

The unique influence the client- culture,lifestyle, gender, and other relevant factorsmay have on behavior.

The relationship between substance useand diverse cultures, values, and lifestyles.

Assessment and intervention methods thatare appropriate to culture and gender.

Counseling methods relevant to the needsof culturally diverse groups and peoplewith disabilities.

The Americans with Disabilities Act andother legislation related to human, civil,and clients’ rights.
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ATTITUDES

Willingness to explore and identify one-own cultural values.

Acceptance of other cultural values as validfor other individuals.
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COMPETENCY 19:
Understand the importance of self-awareness in one- personal, professional,
and cultural life.

KNOWLEDGE

Personal and professional strengthsand limitations.

Cultural, ethnic, or gender biases.
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ATTITUDES

Openness to constructive supervision.

Willingness to grow and change personallyand professionally.
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Addiction Counseling Competencies
COMPETENCY 20:
Understand the addiction professional- obligations to adhere to ethical and
behavioral standards of conduct in the helping relationship.

KNOWLEDGE

The features of crisis, which may includebut are not limited to:
- family disruption
- social and legal consequences
- physical and psychologicalpanic states
- physical dysfunction.

Substance use screening and assessmentmethods.

Intervention principles and methods.

Principles of crisis case management.

Posttraumatic stress characteristics.

Critical incident debriefing methods.

Available resources for assistance in themanagement of crisis situations.
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ATTITUDES

Willingness to conduct oneself inaccordance with the highest ethicalstandards.

Willingness to comply with regulatory andprofessional expectations.
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COMPETENCY 21:
Understand the importance of ongoing supervision and continuing education
in the delivery of client services.

KNOWLEDGE

Benefits of self-assessment and clinicalsupervision to professional growth anddevelopment.

The value of consultation to enhancepersonal and professional growth.

Resources available for continuingeducation.

Supervision principles and methods.
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ATTITUDES

Commitment to continuing professionaleducation.

Willingness to engage in a supervisoryrelationship.
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COMPETENCY 22:
Understand the obligation of the addiction professional to participate in
prevention and treatment activities.

KNOWLEDGE

Research-based prevention models andstrategies.

The relationship between prevention andtreatment.

Environmental strategies and preventioncampaigns.

Benefits of working with communitycoalitions.
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ATTITUDES

Appreciation of the inherent value ofprevention.

Openness to research-based preventionstrategies.
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COMPETENCY 23:
Understand and apply setting-specific policies and procedures for handling
crisis or dangerous situations, including safety measures for clients and staff.

KNOWLEDGE

Setting-specific policies and procedures.

What constitutes a crisis or danger to theclient and/or others.

The range of appropriate responses to acrisis or dangerous situation.

Universal precautions.

Legal implications of crisis response.

Exceptions to confidentiality rules in crisisor dangerous situations.
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ATTITUDES

Understanding of the potential seriousnessof crisis situations.

Awareness for the need for caution andself-control in the face of crisis or danger.

Willingness to request help in potentiallydangerous situations.