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 Dimensions
~ Acute Intoxication/Withdrawal Potential (consider protracted withdrawal (PAWS))
~ Opioids, methamphetamine, marijuana, benzodiazepines and cocaine
~ Biomedical Conditions
~ Emotional, Behavioral and Cognitive Conditions
~ Readiness for Change
~ Relapse and Continued Use Potential
~ Recovery Environment
Self- Help Approaches
~ Types
~ 12-Step (Emotions, Alcohol, Schizophrenics…)/Double Trouble
~ Admitting that one cannot control one's alcoholism, addiction or compulsion;
~ Recognizing a higher power that can give strength;
~ Examining past errors with the help of a sponsor (experienced member);
~ Making amends for these errors;
~ Learning to live a new life with a new code of behavior;
~ Helping others who suffer from the same alcoholism, addictions or compulsions.
~ Key Features of 12-Step Programs
~ Accessibility
~ Anonymity
~ Social support and mutual aid
~ Promotion of self-esteem and efficacy
~ Introspection and insight
~ Spiritual recovery
~ Advocacy to promote social and legal remediese
Self-Help AA
~ Founded by Bill W and Dr. Bob
~ 1 million people estimated to have achieved recovery through AA
~ Main purpose to stay sober and help others
~ Abstinence is the only treatment
~ 3 legacies of AA
~ Recovery
~ Unity
~ Service
Self-Help Al-Anon
~ For SOs of people with addictions
~ Lessons
~ Not to suffer because of the actions or reactions of others
~ Not to allow ourselves to be used or abused by others
~ Not to do for others what they can do for themselves
~ Not to cover up for other’s mistakes
~ Not to create a crisis not to prevent a crisis if it is the natural order of events
Self- Help Approaches
~ Types
~ Rational Recovery
~ The primary force driving an addict's predicament is what Trimpey calls the “addictive voice”. When the desires of this “voice” are not satiated, the addict experiences anxiety, depression, restlessness, irritability.
~ The RR method is to first make a commitment to planned, permanent abstinence from the undesirable substance or behavior, and then equip oneself with the mental tools to stick to that commitment
~ Types
~ Women for Sobriety
~ Positive reinforcement (approval and encouragement)
~ Cognitive strategies (positive thinking)
~ Letting the body help (relaxation techniques, meditation, diet and physical exercise)
~ Dynamic group involvement.
~ Types
~ SMART Recovery
~ Teaches self-empowerment and reliance by
~ Point 1: Building and Maintaining Motivation
~ Point 2: Coping with Urges
~ Point 3: Managing Thoughts, Feelings and Behaviors
~ Point 4: Living a Balanced Life
~ Types
~ Celebrate Recovery
~ Realize I’m not God; I admit that I am powerless to control my tendency to do the wrong thing and that my life is unmanageable. (Step 1)
~ Earnestly believe that God exists, that I matter to H