Curriculum Standards for the Education of Professional Substance Abuse Counselors.
TL;DR: Examination of the perceived need for CACREP-accredited counselor education programs to formalize curriculum standards for substance abuse counseling courses suggested that providing educational preparation for students aspiring to be substance abuse counselors should be implemented.
Abstract: The present study examined the perceived need for CACREP-accredited counselor education programs to formalize curriculum standards for substance abuse counseling courses. The participants were university professors who are CACREP liaisons for currently accredited counselor education programs. A survey was conducted using questions constructed from a review of literature and subsequent feedback from counselor educators with substance abuse counseling and CACREP expertise. Results suggested that providing educational preparation for students aspiring to be substance abuse counselors should be implemented. More than half of those surveyed (56.6%) indicated that the establishment of such curriculum standards by CACREP is “important” (23.3%), “very important” (14.4%), or “extremely important” (18.9%).
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TL;DR: This article investigated the extent to which students in programs accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP; 2001) are exposed to clients presenting with substance abuse issues and the relationship between state licensure or certification in substance abuse and the resulting perception of the need for substance abuse training in these programs.
Abstract: Professional counselors and counselors-in-training continue to serve clients who have substance abuse issues, yet systematic training in substance abuse counseling is not available to many counselors. The authors investigated the extent to which students in programs accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP; 2001) are exposed to clients presenting with substance abuse issues and the relationship between state licensure or certification in substance abuse and the resulting perception of the need for the inclusion of substance abuse training in these programs. Three methods are presented for possibly including substance abuse training in CACREP standards.
27 citations
TL;DR: In this article, the current state of training counseling and counseling psychology students in substance use disorders (SUDs) is described and the Implications for training and practice are provided.
Abstract: Professional counselors and counseling psychologists have much to offer in treating substance use disorders (SUDs). Yet, research consistently demonstrates that students are not receiving adequate training in SUDs. This study describes the current state of training counseling and counseling psychology students in SUDs. Results are consistent with previous studies. Implications for training and practice are provided.
22 citations
Cites background from "Curriculum Standards for the Educat..."
...Whittinghill, Carroll, and Morgan (2004 ) surveyed CACREP program directors and found that the majority of programs offered substance abuse courses; however, there was a decline in the percentage of programs that required one or more courses as part of the degree plan from the percentage found by Morgan and Toloczko (1997 )....
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TL;DR: It is found that most aspects of ECS are related to SUD counselor job performance and may indeed enhance counselors' task performance and performance within the supervisory relationship, and, as a consequence, offset limited formal SUD training.
Abstract: When mental health counselors have limited and/or inadequate training in substance use disorders (SUDs), effective clinical supervision (ECS) may advance their professional development. The purpose of the current study was to investigate whether ECS is related to the job performance of SUD counselors. Data were obtained in person via paper-and-pencil surveys from 392 matched SUD counselor-clinical supervisor dyads working in 27 SUD treatment organizations across the United States. ECS was rated by counselors and measured with five multi-item scales (i.e., sponsoring counselors' careers, providing challenging assignments, role modeling, accepting/confirming counselors' competence, overall supervisor task proficiency). Clinical supervisors rated counselors' job performance, which was measured with two multi-item scales (i.e., task performance, performance within supervisory relationship). Using mixed-effects models, we found that most aspects of ECS are related to SUD counselor job performance. Thus, ECS may indeed enhance counselors' task performance and performance within the supervisory relationship, and, as a consequence, offset limited formal SUD training.
21 citations
TL;DR: This study identified the preliminary curriculum components for the preparation of graduate-level addiction counselors by using the Delphi method to establish curriculum items from a list of 198 previously identified work behaviors associated with graduate- level addiction counseling.
Abstract: This study identified the preliminary curriculum components for the preparation of graduate-level addiction counselors. A review of the related literature revealed no agreed upon standards for post baccalaureate instruction of addiction counseling. The Delphi method was used to establish curriculum items from a list of 198 previously identified work behaviors associated with graduate-level addiction counseling. A panel of 28 addiction counseling experts responded to three administrations of an evolving questionnaire and reached consensus on a final list of 89 curriculum items. Consensus of expert judgments was corroborated by a post hoc multivariate of analysis of variance (MANOVA) that revealed no significant differences in ratings of importance among panelist subgroups.
17 citations
TL;DR: The Council for Accreditation of Counseling and Related Educational Programs (CACREP) as discussed by the authors developed the first set of accreditation and educational standards specific to addiction counseling for addiction counseling.
Abstract: In this article, the authors discuss the Council for Accreditation of Counseling and Related Educational Programs’ (CACREP) role in furthering the specialty of addiction counseling. After sharing a brief history and the role of counselor certification and licensure, the authors share the process whereby CACREP developed the first set of accreditation and educational standards specific to addiction counseling. The impact of CACREP on the practice of addiction counseling, quality control, and implications for the future are provided.
15 citations
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TL;DR: The picture emerging from this study replicates the high rate of substance abuse in persons with schizophrenia reported in North American studies but differs from the latter in finding a slightly different pattern of substances abused (i.e., absence of cocaine), reflecting relative differences in the availability of certain drugs.
Abstract: A structured interview and standardized rating scales were used to assess a sample of 194 outpatients with schizophrenia in a regional Australian mental health service for substance use, abuse, and dependence. Case manager assessments and urine drug screens were also used to determine substance use. Additional measurements included demographic information, history of criminal charges, symptom self-reports, personal hopefulness, and social support. The sample was predominantly male and showed relative instability in accommodations, and almost half had a history of criminal offenses, most frequently drug or alcohol related. The 6-month and lifetime prevalence of substance abuse or dependence was 26.8 and 59.8 percent, respectively, with alcohol, cannabis, and amphetamines being the most commonly abused substances. Current users of alcohol comprised 77.3 percent and current users of other nonprescribed substances (excluding tobacco and caffeine) comprised 29.9 percent of the sample. Rates of tobacco and caffeine consumption were high. There was a moderate degree of concordance between case manager determinations of a substance-use problem and research diagnoses. Subjects with current or lifetime diagnoses of substance abuse/dependence were predominantly young, single males with higher rates of criminal charges; however, there was no evidence of increased rates of suicide attempts, hospital admissions, or daily doses of antipsychotic drugs in these groups compared with subjects with no past or current diagnosis of substance abuse or dependence. Subjects with a current diagnosis of substance use were younger at first treatment and currently more symptomatic than those with no past or current substance use diagnosis. The picture emerging from this study replicates the high rate of substance abuse in persons with schizophrenia reported in North American studies but differs from the latter in finding a slightly different pattern of substances abused (i.e., absence of cocaine), reflecting relative differences in the availability of certain drugs.
365 citations
Book•
01 Jan 1988
TL;DR: A history of and trends in Counseling, and a review of current theories and practices, as well as some of the practices and techniques used in and around schools, are presented.
Abstract: I. HISTORICAL AND PROFESSIONAL FOUNDATIONS OF COUNSELING. 1. History of and Trends in Counseling. 2. Personal and Professional Aspects of Counseling. 3. Ethical and Legal Aspects of Counseling. 4. Counseling in a Multicultural and Diverse Society. II. COUNSELING PROCESS AND THEORIES. 5. Building a Counseling Relationship. 6. Working in a Counseling Relationship. 7. Termination of Counseling Relationships. 8. Psychoanalytic, Adlerian, and Humanistic Theories of Counseling. 9. Behavioral, Cognitive, Systemic, Brief, and Crisis Theories of Counseling. III. CORE COUNSELING ACTIVITIES IN VARIOUS SETTINGS. 10. Groups in Counseling. 11. Consultation. 12. Evaluation and Research. 13. Testing, Assessment, and Diagnosis in Counseling. IV. COUNSELING SPECIALTIES. 14. Career Counseling over the Life Span. 15. Marriage and Family Counseling. 16. Elementary, Middle, and Secondary School Counseling. 17. College Counseling and Student-Life Services. 18. Substance Abuse and Disability Counseling. 19. Mental Health and Community Counseling. Appendixes. A: Ethical Standards of the American Counseling Association. B: Ethics NBCC: The Practice of Internet Counseling. C: DSM-IV-TR Classification. D: Counseling-Related Organizations. Name Index. Subject Index.
309 citations
TL;DR: The authors reviewed interviews with senior contributors to the profession published in the Journal of Counseling & Development, identifying themes in their comments to suggest potential solutions to helping professional counselors find unity in diversity.
Abstract: The authors discuss how attaining various standards of professionalism has inadvertently resulted in challenges to professional counselors' collective identity. The authors reviewed interviews with senior contributors to the profession published in the Journal of Counseling & Development, identifying themes in their comments to suggest potential solutions to helping professional counselors find unity in diversity.
159 citations
TL;DR: Factors in the context of changing health care indicate that psychologists should play an increasing role in assessing and treating addictive behaviors.
Abstract: Because of the prevalence of substance abuse in general clinical populations, it is important for psychologists to have knowledge and skill in this area. Psychologists also have special expertise to offer in the assessment and treatment of alcohol/drug problems. Current evidence indicates that (a) alcohol/drug problems generally obey ordinary behavioral principles and processes, (b) substance abuse frequently occurs within a broader cluster of psychological problems, (c) the treatment approaches most strongly supported by outcome research are fundamentally psychological in nature, (d) cognitive-behavioral principles are of demonstrable value in motivating change in alcohol/drug use, and (e) clinical skills and styles (e.g., empathy) commonly included in the training of psychologists are important determinants of favorable treatment outcomes with substance use disorders. These factors in the context of changing health care indicate that psychologists should play an increasing role in assessing and treating addictive behaviors.
103 citations