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THE BASICS OF ADDICTION COUNSELING DESK REFERENCETHE BASICS OFADDICTION COUNSELING:DESK REFERENCEMODULE II:ADDICTION COUNSELING THEORIES,PRACTICES AND SKILLS- Eleventh Edition January 2017NAADAC, the Association for Addiction Professionals44 Canal Center Plaza, Suite 301 Alexandria, VA 22314Ph. 703.741.7686 800.548.0497 Fax: 703.741.7698 800.377.1136Email: [email protected] Web: www.naadac.orgModule II: Addiction Counseling Theories, Practices and Skills[1]

THE BASICS OF ADDICTION COUNSELING DESK REFERENCEPublished in 2017 byNAADAC, the Association for Addiction Professionals44 Canal Center Plaza, Suite 301, Alexandria, VA 22314This publication was prepared by NAADAC, the Association for AddictionProfessionals. All material appearing in this publication, except that taken directlyfrom the public domain, is copyrighted and may not be reproduced or copiedwithout permission from NAADAC. For more information on obtaining additionalcopies of this publication, call 1.800.548.0497 or visit www.naadac.org.Printed February 2017.[2]Module II: Addiction Counseling Theories, Practices and Skills

THE BASICS OF ADDICTION COUNSELING DESK REFERENCEA SPECIAL THANK YOUNAADAC, the Association for Addiction Professionals, understands the need forcontinuous education and strives to help addiction professionals remain knowledgeableand to pursue best practices for the clients we serve. The addiction profession is constantlychanging to reflect new research and understanding of the connection between the brainand addiction, and new approaches to treatment are continually being developed. As aresult, the need to remain current of advancements in research and the profession growsincreasingly important. This edition of the Basics of Addiction Counseling: Desk Referencereflects these advancements and serves as a valuable reference tool for addictionprofessionals and other helping professionals at all experience levels.Many writers and consultants volunteered their time and knowledge during thedevelopment of this, as well as previous, editions of the Basics of Addiction Counseling:Desk Reference. NAADAC would like to extend its sincerest appreciation to the contributorsto this manual: Kathryn Benson, Thomas Durham, Arthur Freeman, Sharon MorgilloFreeman, Lindsay Freese, Jim Holder, Rosalie Holder, Donovan Kuehn, Shirley BeckettMikell, Frances Patterson, Misti Storie, Roberta Taggart, Diane Thompson, Sarah Toenesand Cynthia Moreno Tuohy.The Basics of Addiction Counseling: Desk Reference is only one of many plannededucational projects geared at providing comprehensive and unbiased education tothe addiction and other helping professions. NAADAC recognizes professionals have achoice in education providers, and we are delighted you have chosen to take part in thiseducational opportunity and build your toolbox of clinical resources. For more resources,continuing education opportunities and information regarding the addiction profession,please visit the NAADAC website at www.naadac.org. Thank you for your dedication to theaddiction profession!Together, we can and are making a difference!Sincerely,Kirk Bowden, PhD, MACPresident of NAADAC, the Association for Addiction ProfessionalsModule II: Addiction Counseling Theories, Practices and Skills[3]

THE BASICS OF ADDICTION COUNSELING DESK REFERENCENational Certification Commission for AddictionProfessionals (NCC AP) – Examination GuidelinesStudying any of the NAADAC Basics of Addiction does not guarantee that the persontaking the NCC AP examinations will pass the test. Each level of testing has specificpercentages from content areas and these are listed below. There are eight Skill Groups thatthe test taker must be educated and skilled at in order to pass any one of the examinations.The NAADAC Basics of Addiction series will support your overall education. Please findbelow the eight Skill Groups and the specific percentages of test questions per contentarea and level of testing. If you are planning to take one of the NCC AP tests, we wish youthe best!The written national credentialing examination is tailored to test the applicant on his orher projected knowledge based on experience, education, and training. The following skillgroups are evaluated in the examination, and an applicant for national certification shouldbe well versed in each of these topic areas:1.2.3.4.5.6.7.8.treatment admission (screening, intake and orientation);clinical assessment;ongoing treatment planning;counseling services (individual, group, family, crisis intervention and clienteducation);documentation;case management;discharge and continuing care;legal, ethical and professional growth issues;The National Certified Addiction Counselor, Level I (NCAC I) written examinationconsists of 200 multiple-choice, objective questions with a total testing time of three hours.The examination tests candidates’ knowledge in the areas of counseling practice (40%),pharmacology of psychoactive substances (30%), the theoretical base of counseling (15%)and professional issues related to Substance Use Disorder treatment (15%).The National Certified Addiction Counselor, Level II (NCAC II) written examinationconsists of 200 multiple-choice, objective questions with a total testing time of three hours.The examination tests candidates’ knowledge in the areas of counseling practice (25%),pharmacology of psychoactive substances (25%), the theoretical base of counseling (25%)and professional issues related to Substance Use Disorder treatment (25%).The Master Addiction Counselor (MAC) written examination consists of 200 multiplechoice, objective questions with a total testing time of three hours. The examination testscandidates’ knowledge in the areas of pharmacology of psychoactive substances (28%),professional issues related to Substance Use Disorder treatment (28%), counseling practice(24%), and co-occurring disorders (20%).[4]Module II: Addiction Counseling Theories, Practices and Skills

THE BASICS OF ADDICTION COUNSELING DESK REFERENCECONTENTSTHEORETICALLY-BASED APPROACHES TO ADDICTION COUNSELINGINTRODUCTION .8MARIA - A CASE STUDY .9ADLERIAN PSYCHOLOGY/ INDIVIDUAL PSYCHOLOGY .10BEHAVIOR THERAPY .12COGNITIVE-BEHAVIOR THERAPY (CBT) . 15DIALECTICAL BEHAVIOR THERAPY (DBT) .17FAMILY SYSTEMS COUNSELING . 19GESTALT THERAPY . 23MEDICATION-ASSISTED TREATMENT . 25PERSON-CENTERED THERAPY . 27PSYCHOANALYTICAL THERAPY . 29RATIONAL-EMOTIVE-BEHAVIOR THERAPY (REBT) .32REALITY THERAPY/CHOICE THEORY . 34SOLUTION-FOCUSED THERAPY . 36ADDICTION COUNSELING PRACTICES MODALITES, AND SKILLSINTRODUCTION . 39ADDICTION COUNSELING PRACTICES . 40EVALUATION . 40INDIVIDUALIZED TREATMENT PLAN. 46DOCUMENTATION . 48REFERRAL . 49COORDINATION OF CARE .51ADDICTION TREATMENT MODALITIES . 53BRIEF THERAPY . 55ADDRESSING RELAPSE . 56MOTIVATIONAL INTERVIEWING . 59COUNSELING CLIENTS WITH CO-OCCURRING DISORDERS . 62INTERVENTION . 66CRISIS COUNSELING . 69SUICIDE INTERVENTION AND PREVENTION .71GROUP COUNSELING . 73MUTUAL SUPPORT GROUPS . 78TERMINATION AND CONTINUING CARE .Module II: Addiction Counseling Theories, Practices and Skills81[5]

THE BASICS OF ADDICTION COUNSELING DESK REFERENCECLIENT, FAMILY AND COMMUNITY EDUCATION .83ADDICTION COUNSELING SKILLS .84ADDICTION COUNSELOR QUALITIES .84LISTENING AND ATTENDING RESPONSES .85ACTION RESPONSES .87NONVERBAL RESPONSES .89COUNSELOR/CLIENT RELATIONSHIP .90SPECIAL POPULATION CONSIDERATIONS OF ADDICTION COUNSELINGINTRODUCTION .93COUNSELING DIVERSE POPULATIONS .94COUNSELING ADOLESCENTS .97COUNSELING OLDER ADULTS .101COUNSELING WOMEN .103COUNSELING MEMBERS OF THE LESBIAN, GAY, BISEXUALAND TRANSGENDER COMMUNITY .106COUNSELING CLIENTS WITH INFECTIOUS DISEASES .110COUNSELING MINORITIES .115ACQUIRING CULTURAL COMPETENCIES .117CONTINUOUS QUALITY IMROVEMENT .118SUBSTANCE ABUSE PROFESSIONAL (SAP) .120APPENDICES .122GLOSSARY .159REFERENCES .166DISCLAIMERThe purpose of