Instructor; Dr. Dawn-Elise Snipes

Executive Director, AllCEUs Counselor Education and Training

Podcast Host: Counselor Toolbox, Addiction Counselor Exam Review & Happiness Isn’t Brain Surgery

Objectives

• Examine how Addiction Severity Index information can be used for clinical applications and assist in program evaluation activities.

• Identify differences between program-driven and individualized treatment planning processes.

• Gain a familiarization with the process of treatment planning including considerations in writing and prioritizing problem and goal statements and developing measurable, attainable, time-limited, realistic, and specific (M.A.T.R.S./SMART) objectives and interventions.

• Define basic guidelines and legal considerations in documenting client status.

• Medical Status

• Life interference

• Due to addiction

• Assessed need for medical intervention

• Education, Employment, Finances

• Level of education

• Occupational hx forever and last 30 days

• Drivers license/transportation

• Sources of financial support

• Dependents

• Perception of employment / financial issues

• Assessed need for employment counseling

ASI

• Alcohol/Drug Use

• Drugs (addictive behaviors) used, pattern and method

• Amount of money spent

• Which drugs (behaviors) most problematic

• Voluntary abstinence – When, for how long, how and what triggered relapse

• Hx of medical problems due to use

• Treatment Hx

• Perception of the need for treatment

• Assessed need for treatment

ASI

• Legal status

• Probation or parole

• Is treatment court mandated

• Are you awaiting trial / pending charges

• Catalog charges and frequency

• How many charges are addiction related

• How many charges resulted in convictions

• How many times have you been incarcerated?

• How many days in the last 30 have you been in jail

• Perception of legal problems

• Assessed need for legal services/counseling

• Family/Social History

• Identify history of addiction or psychiatric issues in 1st and 2nd degree family members

• Marital status and satisfaction

• Living arrangements and satisfaction (Recovery environment)

• Use of alcohol or drugs in the household

• With whom do you spend most of your time

• Who are your close friends

• Have you had serious difficulty getting along with any first degree family member, coworker or friend

• Trauma/abuse history

• Perception of interpersonal problems

• Assessed need for family/social counseling

• Psychiatric

• How many times hospitalized

• Number of times ever and 30 days you have experienced depression, anxiety, hallucinations, cognitive difficulties, suicidal ideation,

• Are you on or have you ever been on psychiatric medications

• Perception of psychiatric issues

• Assessed need for mental health counseling

Process Review

• An assessment is conducted.

• Data and information are collected from the client, collateral sources, and assessment scales.

• Problems are identified.

• Readiness for change for each problem is identified

• Problem statements are prioritized.

• Goals are created that address the problems.

• Objectives to meet the goals are defined

• Interventions are revised or changed based on client response to treatment

• Developed at admission and continually updated

• Individualized

• Problem statements are

• Nonjudgmental

• Not jargony “denial” “resistant” “Codependent”

• Goals must be

• Specific

• Measurable (as evidenced by)

• Achievable

• Relevant