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TAP 21 Addiction Counceling Competencies: The Knowledge ...

AddictionCounselingCompetenciesThe Knowledge , Skills, and Attitudes of Professional PracticeAddictionCounselingCompetenciesT he Knowledge , Skills, and Attitudes of Professional Practice21 TAP 21 Technical Assistance Publication SeriesThis page intentionally left blankADDICTION COUNSELINGCOMPETENCIESThe Knowledge , Skills, and Attitudes of Professional PracticeTechnical Assistance Publication (TAP) Department of Health and Human ServicesSubstance Abuse and Mental Health Services AdministrationCenter for Substance Abuse Treatment5600 Fishers LaneRockville, MD 20857 AcknowledgmentsA number of people deserve recognition for their tireless and dedicated work on this document.

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 ...

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Transcription of TAP 21 Addiction Counceling Competencies: The Knowledge ...

1 AddictionCounselingCompetenciesThe Knowledge , Skills, and Attitudes of Professional PracticeAddictionCounselingCompetenciesT he Knowledge , Skills, and Attitudes of Professional Practice21 TAP 21 Technical Assistance Publication SeriesThis page intentionally left blankADDICTION COUNSELINGCOMPETENCIESThe Knowledge , Skills, and Attitudes of Professional PracticeTechnical Assistance Publication (TAP) Department of Health and Human ServicesSubstance Abuse and Mental Health Services AdministrationCenter for Substance Abuse Treatment5600 Fishers LaneRockville, MD 20857 AcknowledgmentsA number of people deserve recognition for their tireless and dedicated work on this document.

2 The pub-lication 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, , and Catherine D. Nugent, , served as the Center for Substance Abuse Treatment (CSAT) ATTC Project Officers.

3 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 views, opinions, and content of this publication are those of the authors and do not necessarilyreflect the views, opinions, or policies of SAMHSA or domAin noticeAll 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, Access And Printed coPiesThis publication may be ordered or downloaded from SAMHSA s Publications Ordering Web page at Or, please call SAMHSA at 1-877-SAMHSA-7 (1-877-726-4727) (English and Espa ol).

4 Recommended citAtionCenter 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, officeQuality 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 Publication No. (SMA) 15-4171 First Printed 2006 Revised 2007, 2008, 2009, 2011, 2012, 2013, 2014, 2015, and 2017No substantive revisions have been made to this publication since its original Committees.

5 V1998 National ATTC Curriculum Committee ..v2005 Update Committee ..viForeword ..viiIntroduction ..1 Section 1: Transdisciplinary Foundations ..5I. Understanding Addiction ..7II. Treatment Knowledge ..13 III. Application to Practice ..19I V. Professional Readiness ..27 Section 2: Practice Dimensions ..35I. Clinical Evaluation ..37II. Treatment Planning ..53 III. Referral ..67I V. Service Coordination ..77V. Counseling ..99VI. 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.

6 164 Recovery Bibliography ..166 Section 4: Appendices ..169A. Glossary ..171B. The Competencies: A Complete List ..177C. National Validation Study: Defining and Measuring the Competenceof Addiction Counselors ..189D. Complete Bibliography ..197E. Other Contributors ..225 This page intentionally left blankvcurriculum committees1998 nAtionAl Attc curriculum committeeAffiliations indicated below are those at the time of the A. Deitch, (Chair)Pacific Southwest ATTCU niversity of California San DiegoLa Jolla, Carrier, the Texas ATTCA lvin Community CollegeAlvin, TexasSteven L. Gallon, Frontier ATTCO regon Health and Science UniversitySalem, OregonPaula K.

7 Horvatich, ATTCV irginia Commonwealth UniversityRichmond, VirginiaMary Beth Johnson, National OfficeUniversity of Missouri Kansas CityKansas City, MissouriHendi Crosby Kowal, ATTCD anya International, Spring, MarylandLinda NicholasGreat Lakes ATTCU niversity of Illinois ChicagoJane Addams School of Social WorkChicago, IllinoisAlan M. Parsons, , ACSWN ortheastern States ATTCS tate University of New York at AlbanyAlbany, New YorkNancy Roget, , MFT, LADCM ountain West ATTCU niversity of Nevada RenoReno, NevadaSusanne R. Rohrer, RN, for Substance Abuse TreatmentSubstance Abuse and Mental Health Services AdministrationWashington, Helene Skinstad, ATTCU niversity of IowaIowa City, IowaPatricia L.

8 Stilen, LCSW, CADACMid-America ATTCU niversity of Missouri Kansas CityKansas City, MissouriSusan A. Storti, RN, of New EnglandBrown UniversityProvidence, Rhode IslandElleen M. Yancey, ATTCM orehouse School of MedicineAtlanta, GeorgiaviAddiction Counseling Competencies2005 uPdAte committeePaula K. Horvatich, (Chair)Mid-Atlantic ATTCV irginia Commonwealth University Richmond, VirginiaCarol Davidson, , CDPE vergreen Treatment ServicesSeattle, WashingtonSteven L. Gallon, Frontier ATTCO ffice of Alcohol and Drug Abuse ProgramsSalem, OregonMichael Hoge, CoalitionYale UniversityNew Haven, ConnecticutJames Holder, , LPC-S, MACN ational Association for Alcohol and Drug Addiction CounselorsMcLeod Behavioral HealthFlorence, South Carolina Mary Beth Johnson, National OfficeUniversity of Missouri Kansas CityKansas City, MissouriLinda Kaplan, Association for Children of AlcoholicsRockville, MarylandCaptain Florentino (Tino)

9 Merced-Galindez, , RNCenter for Substance Abuse PreventionSubstance Abuse and Mental Health Services AdministrationRockville, MarylandRandolph Muck, for Substance Abuse TreatmentSubstance Abuse and Mental Health Services AdministrationRockville, MarylandPaul D. Nagy, , LCAS, LPC, CCSDuke Addictions ProgramDuke University Medical CenterDurham, North CarolinaNancy Roget, , MFT, LADCM ountain West ATTCU niversity of Nevada RenoReno, NevadaGerard J. Schmidt, , LPC, MACNAADAC The Association for Addiction ProfessionalsValley HealthCare SystemMorgantown, West VirginiaMichael Shafer, Southwest ATTCT ucson, ArizonaJames L. Sorensen, Francisco General HospitalUniversity of California San FranciscoSan Francisco, CaliforniaPatricia L.

10 Stilen, LCSW, CADACMid-America ATTCU niversity of Missouri Kansas CityKansas City, MissouriDeborah Stone, for Mental Health ServicesSubstance Abuse and Mental Health Services AdministrationRockville, MarylandPamela Waters, , CAPPS outhern Coast ATTCF lorida Certification BoardTallahassee, FloridaviiforewordCounselors who treat people with substance use disorders do life-changing work on a daily basis, amid difficult circumstances that include staff shortages, high turnover, low salaries, and scant program funding. Counselors come to this important work by various paths and with vastly different skills and experience. The diversity of backgrounds and types of preparation can be a strength, provided there is a common foundation from which counselors work.


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