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Course Description
Domains and Percentage on Exam
Domain I: Scientific Principles of Substance Use and Co-Occurring Disorders - 25%
Domain II: Evidence-Based Screening and Assessment - 20%
Domain III: Evidence-Based Treatment, Counseling, and Referral - 30%
Domain IV: Professional, Ethical, and Legal Responsibilities - 25%
Learning Objectives
Domain I: Scientific Principles of Substance Use and Co-Occurring Disorders
- Recognize how addiction effects the brain (e.g., disease model, reward pathways, tolerance, and cravings)
- Identify risk factors for developing substance use disorders (e.g., trauma, family history)
- Identify behavior, patterns, and progressive stages of substance use disorders
- Differentiate among common substances of abuse and their characteristics
- Pharmacology (e.g., drug classifications, interactions, cross-tolerance)
- Signs and symptoms of intoxication and overdose
- Stages and symptoms of withdrawal
- Physiological, psychological, and social effects
- Identify signs and symptoms of co-occurring mental health conditions
- Identify signs and symptoms of co-occurring medical conditions (e.g., cirrhosis, respiratory deficits, sexually transmitted infections)
Domain II: SCREENING, ASSESSMENT, AND ENGAGEMENT
- Utilize established interviewing techniques (e.g., Motivational interviewing, probing, questioning)
- Utilize established screening and assessment methods and instruments (e.g., ASI, ACE, SASSI)
- Identify methods and interpret results from drug and alcohol testing
- Utilize established diagnostic criteria for evaluating substance use (i.e., DSM)
- Assemble a comprehensive client biopsychosocial history (e.g., health, family, employment, collateral sources)
- Determine the course of action to meet the individual's immediate and ongoing needs
- Determine level of care based on placement criteria
Domain III: COUNSELING, COLLABORATION, AND REFERRAL
- Demonstrate practicing and responding to verbal and non-verbal communication skills
- Learning styles
- Communication styles(e.g.,person-centered language)
- Recognize methods and opportunities to build rapport with clients
- Review client's patterns and methods of use
- Recognize and respond to emergency/crisis events (e.g., de-escalation)
- Recognize when to utilize and how to facilitate referrals for clients (e.g., case management, follow up)
- Identify and respond to concerns related to specific populations (e.g., LGBTQ+, pregnancy, youth, justice-involved, housing insecure)
- Collaborate with multidisciplinary team, other professionals, and client supports (e.g., family) to determine and provide care
- Recognize the relationship between substance use and trauma
- Effect on client (e.g., adverse childhood experiences, domestic violence)
- Effect on counselor (e.g., vicarious trauma, burnout)
- Utilize methods to address client ambivalence or resistance to change
- Utilize best practices in developing and updating a treatment plan
- Goals and objectives
- Strategies and interventions (e.g., relapse prevention, coping skills)
- Identify available resources to meet client needs
- Utilize counseling approaches specific to group sessions
- Structured curriculum and process
- Group dynamics and cohesiveness
- Recognize elements of discharge planning
- Explore multiple pathways of recovery (e.g., MAT, holistic health, support groups)
- Utilize methods and techniques for providing feedback (e.g., reflection, reframing, clarification)
- Recognize when to terminate the counseling process
- Adhere to established professional codes of ethics and standards to uphold client rights.
- Provide culturally-sensitive services that recognize the uniqueness of the individual.
- Continue professional development through education, selfâevaluation, clinical
- Identify and evaluate client needs that are outside of the counselor's ethical scope
- Uphold client's rights to privacy and confidentiality according to best
- Obtain written consent to release information from the client and/or legal
- Prepare concise, clinically accurate, and objective reports and records.
Domain IV: PROFESSIONAL AND ETHICAL RESPONSIBILITIES
Measure of Performance
Upon completion of this course,students should be able to:
- Apply the knowledge in each domain to direct practice situations
- In small groups, evaluate and answer sample test questions
- Identify the key areas of study that apply to the CADC test.
- Develop test taking skills that apply to Clinical Skills test
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