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. Learn more about your ad choices. Visit megaphone.fm/adchoices

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 Learn more about your ad choices. Visit megaphone.fm/adchoices

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 Learn more about your ad choices. Visit megaphone.fm/adchoices

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 Learn more about your ad choices. Visit megaphone.fm/adchoices

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 Learn more about your ad choices. Visit megaphone.fm/adchoices

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 Learn more about your ad choices. Visit megaphone.fm/adchoices

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 Learn more about your ad choices. Visit megaphone.fm/adchoices

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 Learn more about your ad choices. Visit megaphone.fm/adchoices

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 Learn more about your ad choices. Visit megaphone.fm/adchoices

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 Learn more about your ad choices. Visit megaphone.fm/adchoices

Objectives • Examine the counselors function in providing client, family and community education • Identify the benefits of outreach and education • Identify qualities of effective education efforts Client, family and community education • Learning is defined as a change in behavior that can occur at any time or in any place as a result of exposure to environmental stimuli Summary • Counselors function in providing client, family and community education to aid in prevention, early intervention and post-treatment transition. • Outreach and education are cost effective and can be provided in a variety of places within the community. • Effective education efforts are developmentally appropriate, culturally responsive, presented continuously throughout the continuum of services and designed to provide practical information to clients, their significant others and community members Learn more about your ad choices. Visit megaphone.fm/adchoices

Addiction Counselor Exam Review Models of Treatment Objectives Models of Treatment • Psychological (self-medication) Model • Addiction and mental health issues result from deficits in learning, thinking or emotion regulation • Treatments • Behavioral self-control • Individual and group counseling (Multiple EBPs) • Pharmacotherapy for mental health issues Learn more about your ad choices. Visit megaphone.fm/adchoices

Review for the Alcohol and Drug Counselor Exam Intake and Orientation Screening and Assessment • Demonstrate verbal and nonverbal skills to establish rapport and promote engagement • Discuss with clients the rationale, purpose and procedures associated with screening and assessment • Assess clients immediate needs including detoxification • Administer evidence based screening and assessment instruments to determine client strengths and needs • Obtain relevant history to establish eligibility and appropriateness of services • Screen for physical needs, medical conditions, co-occurring mental health issues • Interpret results of screening and assessment and integrate information to formulate a diagnostic impression and determine appropriate course of action • Develop a written integrated summary to support diagnostic impressions Learn more about your ad choices. Visit megaphone.fm/adchoices

• Past 30 Day statistics, According to the 2012 National Survey on Drug Use and Health, • 6.5% of the population over 12 reported heavy drinking • 9.2% reported illicit drug use • The majority of people who use recreationally will not need treatment • Addiction is characterized by compulsive craving for the substance and using that substance despite negative consequences • Cravings and compulsive behavior are caused in large part as a consequence of substance use or addictive behaviors on the brain causing • Emotional • Cognitive • Physical • Behavioral changes Definition of Addiction • Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. • Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations reflected in pathological pursuit of a reward and/or relief by a substance. • Without treatment and/or engagement, addiction is progressive and can result in disability or premature death. (ASAM 2011, NIDA 2007) Characteristics of Chronic Disease • Disrupts normal functioning • Have serious, harmful consequences • Are preventable and treatable • Can last a lifetime • May be fatal if untreated Addiction—A description, not a Diagnosis • Addiction is a description, not a diagnostic term. • Addiction erodes a person’s self-control and ability to make sound decisions • Learn more about your ad choices. Visit megaphone.fm/adchoices

Tips for Individual and Group Counseling Instructor: Dr. Dawn-Elise Snipes LPC-MHSP, LMHC Podcast Host: Counselor Toolbox and Addiction Counselor Exam Review Objectives • Review techniques to start and facilitate individual sessions • Learn ways to facilitate • Process groups • Random and planned psychoeducational groups General • How you start and manage individual and group sessions depends largely on • the counselor’s theoretical approach • the personal characteristics of the client (age, cognitive functioning, distracting factors, presenting issue) Summary • Translating everything learned in class to working with clients can be a daunting task Learn more about your ad choices. Visit megaphone.fm/adchoices

Models of Treatment for Co-Occurring Disorders Dr. Dawn-Elise Snipes PhD, LMHC Executive Director, AllCEUs.com Learner Objectives ~ Identify the most common settings for co-occurring disorders treatment ~ Differentiate between the levels of treatment from intervention to residential level IV. ~ Identify specific characteristics of treatment in problem solving Summary ~ Consumers should be placed in the least restrictive environment ~ There are benefits and drawbacks to all levels of care ~ Outpatient ~ Intensive outpatient ~ Short term residential ~ Long term residential ~ Problem solving courts have demonstrated much success Learn more about your ad choices. Visit megaphone.fm/adchoices

Life Skills Instructor; Dr. Dawn-Elise Snipes, PhD, LPC-MHSP Objectives ~ Review common life skills Communication Skills ~ Types ~ Written ~ Nonverbal ~ Oral Communication Skills ~ Assertiveness ~ Summary ~ There are a variety of skills people need to succeed independently ~ Without safe housing, nutritious meals, proper healthcare and a job people will not be independent for long. ~ These skills help them get their basic needs met. Learn more about your ad choices. Visit megaphone.fm/adchoices

Recovery Oriented System of Care and Service Coordination Recovery Oriented Systems of Care ~ Affirms the real potential for permanent resolution of behavioral health problems ~ Offers solutions to behavioral health problems on a community and cultural level ~ Shift away from risk management and relapse prevention toward encouraging clients to self-define goals and take responsibility for achieving them ~ A shift from emergency room/acute care model to one of sustained recovery management which include wrap-around recovery support services Recovery Oriented Systems of Care ~ Emphasis on ~ Post-treatment monitoring ~ Stage-appropriate recovery education ~ Peer recovery coaching ~ Assertive linkages to recovery communities ~ Early re-intervention ~ Maintaining functional ability in all life activities ~ Recovery in illness instead of recovery from illness Recovery Oriented Systems of Care Learn more about your ad choices. Visit megaphone.fm/adchoices

Documentation Review Dr. Dawn-Elise Snipes PhD, LPC-MHSP Podcast Host: Counselor Toolbox and Addiction Counselor Exam Review Addiction Counselor Certification Training (400 Hours) $149 Documenting the Treatment Process ~ The client record is the most important tool to ensure continuity of care ~ Documentation contributes to service delivery by: ~ Reducing replication of services ~ Presenting a cohesive longitudinal record of clinically meaningful information ~ Ensuring reimbursement for services ~ Assists in guarding against malpractice Learn more about your ad choices. Visit megaphone.fm/adchoices

Diagnosis Dr. Dawn-Elise Snipes PhD, LPC-MHSP Podcast Host: Addiction Counselor Exam Review and Counselor Toolbox Objectives ~ Review the criteria for substance use disorder ~ Discuss substance induced disorders ~ Learn mnemonics to identify signs of intoxication and withdrawal as well as mental health symptoms Diagnosis and the DSM Learn more about your ad choices. Visit megaphone.fm/adchoices