Vulnerabilities Dr. Dawn-Elise Snipes Objectives • Define vulnerabilities • Identify some of the most common vulnerabilities • Their effects • Ways to prevent them - Note: Each of the vulnerabilities has its own presentation. This section is designed to give you an overview and get you thinking about possible small changes that might have a big impact. Summary - Addressing vulnerabilities frees up energy so you can deal with other “stuff” that comes your way - Eliminating vulnerabilities can help you feel less stressed, exhausted and overwhelmed all the time - Persistent vulnerabilities are the first relapse warning sign (HALT) - Being mindful of when you are vulnerable and taking positive steps to address it are crucial to recovery success.

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Addiction Counselor Exam Review Case Management and Service Coordination Instructor: Dr. Dawn-Elise Snipes Podcast Host: Counselor Toolbox, Happiness Isn’t Brain Surgery & The Addiction Counselor Exam Review Objectives ~ Define referral and service coordination within the context of case management ~ Explore why CM is necessary ~ Identify the different approaches to case management ~ Identify the CM role in service coordination ~ Define service planning ~ Identify challenges and solutions to collaboration Service Coordination: Case Management Summary ~ Case management is necessary because of poor service coordination, lack of service continuity and difficulty of clients negotiating the gap between services ~ There are many CM models ranging from brokerage to clinical ~ Case managers are charged with developing the comprehensive service plan to ensure client needs are met ~ Collaboration challenges can often be addressed through effective communication, creativity and negotiation

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Addiction Counselor Exam Review Podcast Episode 22 Pharmacology Instructor: Dr. Dawn-Elise Snipes, PhD Executive Director: AllCEUs.com, Counselor Education and Training Podcast Host: Counselor Toolbox & Addiction Counselor Exam Review AllCEUs offers Addiction Counselor Precertification Training for $149 for 400+ hours of multimedia education. We also are there for you when you need CEUs for as low as $59 for unlimited CEUs. Objectives ~ Review symptoms of intoxication and withdrawal of drugs of abuse ~ Learn about Post Acute Withdrawal Syndrome (PAWS) ~ Identify factors that impact symptomatology

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Addiction Counselor Exam Review Podcast Episode 21 Ethics Host: Dr. Dawn-Elise Snipes Executive Director: AllCEUs Counselor Education Podcast Host: Counselor Toolbox and Addiction Counselor Exam Review Objectives ~ Define ethics ~ Review the rationale for ethics ~ Explore ethical issues that counselors need to be aware of ~ Learn a model of ethical decision making. Summary ~ Ethics is aspirational and encourages clinicians to reach beyond legal mandates ~ Ethics helps ensure counselors are doing things in the best interest of the client ~ Ethical violations can lead to fines, suspensions or license revocation by the board ~ It is imperative for counselors to observe the principles of: Beneficence, nonmalfesience, fidelity, justice, and autonomy

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Addiction Counselor Exam Review Episode 20 Dr. Dawn-Elise Snipes, PhD, LPC-MHSP, LMHC Executive Director: AllCEUs Counselor Education Podcast Host: Addiction Counselor Exam Review, Counselor Toolbox and Happiness Isn’t Brain Surgery Specific population considerations ~ Aspects of the client’s identity may influence the client’s substance using behavior, the responsiveness to treatment, and the recovery process ~ These factors include race, ethnicity, age, sexual orientation, and the presence of co-occurring disorders including trauma ~ Rather than placing a person and established treatment slot treatment providers are learning the importance of modifying in adapting services to meet an individual client’s needs ~ SAMHSA has produced multiple publications that dealt in depth into the treatment needs and recommended practices for specific types of disorders and or populations Summary ~ Just like it is vital to be aware of the special needs of persons from different races and ethnicities, it is also vital to recognize that there are other factors that require specialized skills. ~ Gender and age differences themselves produce a range of special issues that need to be considered in ~ Prevention ~ Assessment ~ Engagement ~ Treatment setting recommendations ~ Treatment approaches More Resources ~ AllCEUs.com/YouTube ~ Adolescents ~ Older Adults ~ Pregnant and Postpartum ~ Cultural Competence

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Addiction Counselor Exam Review Episode 19 Therapeutic Approaches Dr. Dawn-Elise Snipes, PhD, LPC-MHSP, LMHC Executive Director: AllCEUs Counselor Education Podcast Host: Addiction Counselor exam review, Counselor Toolbox and Happiness Isn’t Brain Surgery Objectives ~ Review different therapeutic approaches including CBT, MET, Contingency Management and Trauma Informed ~ Types of treatment (individual, group, family) and benefits and drawbacks of each ~ Culturally appropriate strategies ~ Family Engagement ~ Overview of Crisis Intervention ~ Relapse Prevention Therapeutic Approaches ~ Behavioral and cognitive behavioral approaches are grounded in social learning theories and principles of operant conditioning Summary ~ There are many approaches to treatment including cognitive, behavioral, motivational, trauma informed, relapse prevention and family approaches. ~ These approaches can be applied in individual, group or family settings ~ Counselors must constantly remain aware of the impact on culture in choosing treatment settings and interventions ~ Family engagement is crucial in the recovery process ~ Crisis has 5 components and what causes a crisis can be different for each person, but counselors need to be aware of the 7 steps in crisis intervention ~ Most relapse prevention theories address relapse triggers, unpleasant emotions, interpersonal conflict, and social pressure. ~ These triggers account for almost ¾ relapses. ~ Antecedents to relapse can be found within an individual such as a person’s mood or coping style, or may be triggered by interpersonal events Counselor Toolbox Podcast ~ Stay up to date with our current episodes and get notified about live broadcasts by subscribing to our youtube channel at AllCEUS.com/youtube, or by joining our Facebook group: Facebook.com/groups/CounselorToolbox/ ~ If you prefer the podcast, you can subscribe to the Counselor Toolbox Podcast on your favorite podcast player

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Review for the Alcohol and Drug Counselor Exam Episode 18: Counseling Skills Objectives ~ Identify the purpose and function of counseling ~ Define skills a counselor needs ~ Identify necessary attitudes for counselors ~ Explore how to develop the therapeutic alliance ~ Discuss motivation and how to increase it Counseling—Purpose & Functions ~ Develop therapeutic relationship with clients, families and significant others to facilitate transition into the recovery process ~ Provide information regarding the structure, expectations and purpose of counseling ~ Continually evaluate the client’s safety, relapse potential and need for crisis intervention - 5 Motivational Principles • Express Empathy • Develop Discrepancy • Avoid Argument • Roll with Resistnace • Support Self-Efficacy and Optimism Counseling Motivational Elements ~ Partnership/collaboration ~ Avoid the expert role ~ Acceptance/Autonomy ~ Respect client autonomy and strengths ~ Compassion ~ Keeping the client’s best interests in mind ~ Evocation ~ Best ideas come from the client ~ MI techniques are designed to “get at” internal ambivalence providing a place for discussion of the pros and cons of change Counseling Motivational Strategies ~ OARS ~ Open ended questions ~ Affirmation ~ Reflective Listening ~ Summarize ~ Elicit self-motivational statements Other Videos ~ Motivational Interviewing ~ Counseling Skills Summary

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Addiction Counselor Exam Review Treatment Approaches & Settings Instructor: Dr. Dawn-Elise Snipes Executive Director AllCEUs.com Podcast Host: Addiction Counselor Exam Review, Counselor Toolbox and Happiness Isn’t Brain Surgery ~ This presentation is available on our youtube channel at allceus.com/youtube or you can subscribe to the Addiction Counselor Exam Review Podcast on your favorite podcast app. Objectives ~ Learn ASAM Dimensions ~Review Self help approaches ~ Identify different approaches to and levels of treatment ~ Define evidence based practices and clinical guidelines and identify where you can find them ASAM Summary ~ Treatment serves are available in a range of settings from outpatient to full hospitalization based on client’s ASAM ratings ~ Self help provides a network of support outside of treatment ~ Evidence Based Practices are research based approaches designed to translate theory into practice. ~ Clinical Guidelines are freely available through SAMHSA, the APA and other professional associations

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WRITING EFFECTIVE TREATMENT PLANS: The Pennsylvania CASSP Model Instructor: Dr. Dawn-Elise Snipes PhD, LPC-MHSP Executive Director: AllCEUs.com Podcast Host: Counselor Toolbox, Happiness Isn’t Brain Surgery and Addiction Counselor Exam Review Objectives • Learn the principles of the CASSP model • Review the difference between goals, objectives and interventions • Identify qualities of good goals, objectives and interventions • Services are planned to meet the individual needs of the child, rather than to fit the child into an existing service. • Services • Consider the child’s family and community contexts • Summary • Treatment plans are like recipes • Goals must be stated in positive terms (what are you going to achieve (make) • Objectives are like the steps in a recipe. • Objectives identify what each step is (combine all wet ingredients) • Interventions identify who, what, when, where, why, how and how often something is to be done (1/2 t. vanilla, 3 eggs, ½ c. milk, ¼ c. coconut oil and blend on medium for 1 minute) • Goals, objectives and interventions must be specific, observable, measurable, achievable, time limited and clearly related to the overall goal for treatment

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Treatment Planning with the MATRS and ASI 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. Summary • Addiction Severity Index can be used for clinical applications and assist in program evaluation activities because it assesses multiple domains of functioning which can be linked to Maslow’s heirarchy • Program-driven plans fit the patient into services. • Individualized plans fit the services to the patient • Treatment plan goals and objectives should be positive, Specific, Measurable, Attainable, Relevant and Time Limited • It is important to tie the treatment plan to the assessment and the interventions and client progress to the plans. • Why is the action being taken • How does it benefit the client in achieving goals • What was done this past week (include client activities and referral contacts) • What was the client response to those activities • What are the plans for next week • What referrals were made (if any) and why Additional Videos • Treatment Planning • Using Clinical History to Identify Motivation and Reinforcers • Goal Setting and Motivation • Behavior Modification

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