Chemical Dependency Counseling

Preface Ch 1. The First Contact Treatment Works The Motivational Interview How to Develop the Therapeutic Alliance Questions to ask the Adult Client Questions to ask the Adolescent Client Questions to ask the Parent/Caregiver What to do if There are One or More Red Flags Natural History of Addiction How to Diagnose an Addiction Problem How to Intervene How to Assess Motivation Motivating Strategies Ch 2. The Drugs CNS Depressants The Hallucinogens The Reinforcing Properties of Drugs Tolerance and Dependence Cross-tolerance Alcohol Alcohol-Induced Organic Mental Disorders Sedatives, Hypnotics and Anxiolytics Opioids Cocaine and Amphetamines Cannabis Inhalants Nicotine Polysubstances Treatment Outcome Ch 3. The First Few Hours of Treatment The First Few Hours How to Greet Clients Examples How to Handle Family Members Beginning the Therapeutic Alliance The Importance of Trust Dealing with Early Denial Example of an Initial Contact The Initial Assessment Referral How to Conduct a Crisis Intervention Diagnostic and Statistical Manual Diagnosis: Drug Abuse Diagnosis: Chemical Dependency Pathological Gambling How to Determine the Level of Care Needed Criteria for Inpatient Treatment (Adults) Criteria for Outpatient Treatment (Adolescents) Treatment of Inpatient Treatment (Adolescents) The Client's Reaction to Intoxication What to do with an Intoxicated Client Detoxification How Clients React to Detoxification The AMA Threat How to use the AMA Team How to use the In-House Intervention How to respond to Clients who Leave AMA Ch 4. The Biopsychosocial Interview How to Conduct the Interview A Sample Biopsychosocial Interview Ch 5. The Treatment Plan How to Build a Treatment Plan The Diagnostic Summary The Problem List How to Develop a Problem List Goals and Objectives How to Develop Goals How to Develop Objectives How to Select Goals, Objectives and Interventions Treatment Plan Review Documentation How to Write Progress Notes Formal Treatment Plan Review Ch 6. Individual Treatment The Therapeutic Alliance How to Develop a Therapeutic Alliance How to be Reinforcing How to Use Empathy Transference and Countertransference How to be Confrontive Behavior Therapy How Clients Learn Habits Changing a Habit What is Reinforcement? What is Punishment? The Behavior Chain The Importance of Reinforcement How to Use Punishment When a Client Breaks a Rule Why we Concentrate on Behavior Therapy Cognitive Therapy How Chemically Dependent People Think Defense Mechanisms Applying Cognitive Therapy Automatic Thoughts How to Correct Inaccurate Thoughts Uncover the Thoughts and Feelings Score the Inaccurate Feelings Getting the Thoughts Accurate Score the Accurate Feelings Compare Inaccurate and Accurate Thoughts and Feelings Uncovering the Themes Solidifying Accurate Thinking Interpersonal Therapy How to Develop Healthy Relationships Building a Relationship with a Higher Power Developing a Relationship with Self Building Relationships with Others How Clients Use Feelings Inappropriately How Clients Learn Relationship Skills How to Change Relationships How to Handle Grief How to Choose the Therapeutic Modality Ch 7. Group Therapy Benefits of the Group Process The Preparation Statement The Agenda Group How to Choose the Order of the Agenda How to Give Good Feedback How to Receive Feedback How to Run the Group How to Know Which Therapy to Use The Honesty Group The Euphoric Recall Group How to Uncover Euphoric Recall How to Help the Clients See the Truth The Reading Group The Relapse Prevention Group The Spirituality Group The Childhood Group How to Explore Early Parental Relationships The Men and Women's Group The Community Group The Personal Inventory Group Ch 8. The Contracts The Chemical Use History Honesty Love, Trust and Commitment Feelings Relationship Skills Addictive Relationships Communication Skills Self-Discipline Impulse Control Relapse Prevention Stress Management Ch 9. The Steps The Committee Step One Step Two Step Three Step Four Step Five Ch 10. The Lectures The Disease Concept Defense Mechanisms The Great Lie Normal Development Physical Addiction and Recovery Alcoholics Anonymous Feelings Ch 11. Special Problems The Psychiatric/Psychological Assessment How to Develop the Treatment Plan The Depressed Client The Angry Client Personality The Antisocial Personality The Borderline Client The Narcissistic Client The Anxious Client The Psychotic Client Acquired Immune Deficiency Syndrome The Client with Low Intellectual Functioning The Elderly Client The Client with Early Childhood Trauma Love in the Treatment Center The Pathological Gambler Ch 12. Adolescent Treatment The Normal Adolescent The Chemically Dependent Adolescent The Adolescent Chemical Dependency Counselor The Primary Elements in Adolescent Treatment The Phases of Adolescent Treatment Ch 13. The Family Program The First Contact How to Handle the Early AMA Risk The Family Problems Codependency Guilt Loss of Control Shame Caretaking Enabling Inability to Know Feelings Inability to Know Wants Lack of Trust People Pleasing Feelings of Worthlessness Dependency Poor Communication Skills How to Treat Family Members The Family Program Schedule The Conjoint Session Ch 14. The Clinical Staff The Physician The Psychologist/Psychiatrist The Nurse The Clinical Director The Clinical Supervisor The Chemical Dependency Counselor The Rehabilitation Technician or Aide The Activities Coordinator Clinical Staffing How to Present a Client Team Building Commitment to Co-Workers Boundaries Staff-Client Problems What to do When a Client Does Not Like a Counselor What to do When a Client Complains About a Rule The Work Environment Ch 15. The Good Counselor Being Loving Loving Counselors Enjoy Their Work Loving Counselors do Not Become Overly Involved Loving Counselors do Not Lie Loving Counselors are Gentle Good Counselors Love Themselves Good Counselors are Sensitive Good Counselors Have a Sixth Sense Good Counselors do Not Become Overly Emotional Active Listening Good Counselors do Not Talk Too Much Good Counselors Maintain Boundaries Good Counselors are Patient Good Counselors Have Effective Interpersonal Relationship Skills Ch 16. Discharge Summary and Continuing Care Outpatient Discharge Criteria Inpatient Discharge Criteria How to Develop a Discharge Summary The Discharge Summary Saying Good-Bye Appendix 1 Cognitive Capacity Screening Examination Appendix 2 Short Michigan Alcoholism Screening Test Appendix 3 CAGE Questionnaire Appendix 4 Psychoactive Substance Use Disorder Appendix 5 Clinical Institute Withdrawal Assessment of Alcohol Scale Appendix 6 Narcotic Withdrawal Scale Appendix 7 Sample Biopsychosocial Appendix 8 Chemical use History Appendix 9 Honesty Appendix 10 Love, Trust and Commitment Appendix 11 Feelings Appendix 12 Relationship Skills Appendix 13 Addictive Relationships Appendix 14 Communication Skills Appendix 15 Self-Discipline Appendix 16 Impulse Control Appendix 17 Relapse Prevention Appendix 18 Step One Appendix 19 Step Two Appendix 20 Step Three Appendix 21 Step Four Appendix 22 Step Five Appendix 23 Adolescent Unit Level System Appendix 24 Peer Pressure Appendix 25 The Behavioral Contract Appendix 26 Family Questionnaire Appendix 27 Codependency Appendix 28 Personal Recovery Plan Appendix 29 Sample Discharge Summary Appendix 30 Stress Management Appendix 31 Hamilton Depression Rating Scale Appendix 32 Biopsychosocial Assessment Appendix 33 Anger Management Appendix 34 Narcissism Appendix 35 Honesty for Gamblers Appendix 36 Step One for Gamblers Appendix 37 Step Two for Gamblers Appendix 38 Step Three for Gamblers Appendix 39 Step Four for Gamblers Appendix 40 Step Five for Gamblers Appendix 41 Relapse Prevention for Gamblers Appendix 42 Adolescent Unit Point System Appendix 43 Results from the 2005 National Survey on Drug Use and Health Appendix 44 Drug Categories Appendix 45 Adult Inpatient Program Schedule Appendix 46 Adolescent Inpatient Program Schedule Appendix 47 Adult Outpatient Program Schedule Appendix 48 Adolescent Outpatient Program Schedule Appendix 49 Gambling Inpatient Program Schedule Appendix 50 Gambling Outpatient Program Schedule Appendix 51 Day Treatment Program Schedule Appendix 52 Pressure Relief Group Meeting and Budget Forms Appendix 53 Heroin Appendix 54 South Oaks Gambling Screen Appendix 55 Barriers in Thinking Appendix 56 Psychiatric Medications Appendix 57 Drug Abuse Screening Test Appendix 58 Clinical Opiate Withdrawal Scale Appendix 59 Nurse's Intake Appendix 60 Nurse's Intake for Adolescents References