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ILLINOIS VALLEY COMMUNITY COLLEGE

Course Syllabus

 Humanities, Fine Arts and Social Sciences Division

 HSR 1204 – Addictive Disorders

Date: Spring Instructor(s): To Be Announced
Semester Hours: 3 Lecture hours per week: 3
Prerequisite: None Lab hours per week: 0
  Seminar hours per week: 0
  Other hours: 0
  Semester offered: Spring
I.      CATALOG DESCRIPTION:

Utilizing a holistic client-centered approach to addictions treatment, this course will present historical and contemporary understandings of the nature of addiction, substance misuse and dependence, addiction across the life span, and diverse modalities for effective treatment of addiction disorders.  In addition to alcohol and other drug use, attention will be given to eating disorders, compulsive gambling, sex addiction, computer obsessions, and other addictive behaviors.  The disease model of chemical dependency will be thoroughly examined as the foundation for treatment of alcohol and other drug use.  In addition, emphasis will be placed on the strengths perspective for direct intervention with persons who are addicted; this model builds on clients’ strengths and resources while fostering an empowering treatment environment that emphasizes personal control and choice, a sense of purpose, and a hope-based sense of achievement.


GENERAL EDUCATION GOALS:
The purpose of general education at IVCC is to enhance students’ abilities to think and act responsibly as citizens in a changing world.  Specific General Education goals that are included in this course are:
1. To apply analytical and problem solving skills to personal, social and professional issues and situations.
2. To communicate orally and in writing, socially and interpersonally.
5. To work and study effectively both individually and in collaboration with others.
6. To understand what it means to act ethically and responsibly as an individual in one’s career and as a member of society.
7.

To develop and maintain a healthy lifestyle physically, mentally and spiritually.

8.

To appreciate the ongoing value of learning, self-improvement and career planning.


II.    
EXPECTED LEARNING OUTCOMES
Upon completion of the course, the student will be able to…..
1.

1.     Demonstrate understanding of the impact of alcohol and other drug use on the individual.

2. Comprehend historical and contemporary approaches to addictions treatment.
3. Demonstrate how bio-psycho-social-spiritual aspects work synergistically in treating individuals with addictions.
4. Evaluate the significance of holistic, client-centered treatment modalities for successful intervention with individuals with addictions.
5. Identify and discuss the core functions of an Alcohol and Drug Abuse Counselor.
6. Identify and apply a variety of addictions treatment approaches to design effective intervention strategies for individuals with diverse needs.

III.
      
EXPECTED LEARNING OUTCOMES AND COMPETENCIES:
Outcome #1 – Demonstrate understanding of the impact of alcohol and other drug use on the individual.
Competency 1.1 – Students will be able to summarize what is meant by alcohol and drug dependence as officially defined by DSM-IV-TR (Diagnostic and Statistical Manual of Mental Disorders, Text Revised) (American Psychiatric Association, 2000).
Competency 1.2 – Students will be able to recognize and know the signs and symptoms associated with the different classifications of psychoactive chemicals.  Students will be able to distinguish the differences between use, misuse, abuse, dependency, withdrawal, and overdose/toxicity.
Competency 1.3 – Students will be able to define and recognize the actions of the following classifications of psychoactive drugs as they affect the body: depressants, narcotics, inhalants, hallucinogens, stimulants, marijuana, psychotropic drugs, designer drugs, look alikes (caffeine, etc.), and commonly-abused over the counter drugs.
Competency 1.4 – Students will be able to comprehend and describe the disease of chemical dependency, including the predictable and progressive course of the disease and its primary and chronic nature.  Also, students will comprehend the terminal nature of the disease if left untreated.  Students will understand that the disease of chemical dependency is treatable.
   
Outcome #2 – Comprehend historical and contemporary approaches to addictions treatment.
Competency 2.1 – Students will be able to summarize how, when and why chemical usage evolved in the United States.
Competency 2.2 – Students will be able to summarize how, when, and why various treatment modalities for alcohol and other drug abuse developed.
Competency 2.3 – be able to demonstrate their understanding of the relationship of the Alcohol and Other Drug Abuse field to legal, fiscal, educational and occupational fields and the community at large.
Competency 2.4 – Students will be able to identify a variety of strengths-based helping strategies for individuals with addiction behaviors.
   
Outcome #3 – Demonstrate how bio-psycho-social-spiritual aspects work synergistically in treating individuals with addictions.
Competency 3.1 – Students will be able to understand biological components of chemical addiction, including organic and genetic effects of physiological addiction.
Competency 3..2 – Students will be able to identify and explain a variety of interventions designed to impact high drug tolerance and relentless craving, resulting from ongoing damage to the brain from prolonged drug exposure.
Competency 3.3 – Students will be able to demonstrate an understanding of the significance of a developmental approach in dealing with alcohol and other drug abuse problems.  In particular, students will be able to comprehend psychological risk factors and vulnerability for psychiatric disorders in certain age groups.
Competency 3.4 – Students will be able to summarize social aspects of addiction, including family risks and resiliencies, racial, ethnic, and cultural issues, and gender and sexual orientation differences.
Competency 3.5 – Students will be able to demonstrate an understanding of the spiritual aspects inherent in the addiction recovery process.
Competency 3.7 – Students will be able to discuss how the biological, psychological, social, and spiritual aspects of addictions recovery influence one another.
   
Outcome #4 – Evaluate the significance of holistic, client-centered treatment modalities for successful intervention with individuals with addictions.
Competency 4.1 – Students will be able to evaluate the value of the strengths perspective for the helping professions, which focuses on empowerment of individuals and communities, healing and wholeness, dialogue and collaboration, and suspension of disbelief in what the client says.
Competency 4.2 – Students will be able to discuss the meaning of choice for strengths-based intervention with individuals with alcohol and other drug abuse dependence issues.  From this perspective, change is seen as a process on a continuum that moves from a position of unwillingness to even consider making the change to acting on behaviors that will maintain the change.
Competency 4.3 –

Students will be able to demonstrate the application of client-centered modalities, including motivational interviewing, solution-focused therapy, and narrative therapy.

   
Outcome #5 – Identify and discuss the core functions of an Alcohol and Other Drug Abuse Counselor.
Competency 5.1 – Students will be able to identify factors relevant to admission of a potential client for alcohol and other drug abuse treatment, including focus, target population, funding requirements of the program/agency, and other pertinent eligibility criteria.
Competency 5.2 – Students will be able to understand and apply appropriate diagnostic criteria to determine whether the applicant’s alcohol or other drug “use” constitutes “abuse” or “dependence”; knowledge of relevant diagnostic screening methods, including DSM-IV criteria, will be considered criteria of the screening process.
Competency 5.3 – Students will be able to identify and apply administrative and initial assessment procedures for AODA program admission; this intake process includes interviewing for completion of intake forms, which include documentation of initial assessment, release of information, financial data forms, and consent for treatment with assignment of the primary counselor.
Competency 5.4 – Students will be able to comprehend the process of program orientation; this process involves describing the following to the client:
1. general nature and goals of the program
2. rules governing client conduct and infractions that can lead to disciplinary action or discharge from the program
3. hours during which services are available (in nonresidential programs)
4. treatment costs to be borne by the client, if any
5.

client’s rights

Competency 5.5 – Students will be able to understand assessment, the procedure by which a counselor or program identifies and evaluate an individual’s strengths, weaknesses, problems, and needs for the development of the treatment plan.  Utilizing a combination of focused interview, testing, and/or record review, the counselor conducting the assessment assesses the extent to which alcohol or drug use has interfered with the client’s functioning in the following areas: physical health, vocational development, social adaptation, legal involvement, and psychological functioning.
Competency 5.6 – Students will be able to understand the process by which a treatment contract is established and reviewed to measure client progress; this process involves identification and ranking of problems needing resolution, establishment of agreed-upon immediate and long-term goals that are concise and expressed in behavioral terms, and decision on a treatment process and the resources to be used.
Competency 5.7 – Students will be able to comprehend and explain the counseling/therapy relationship, which involves the utilization of special skills to assist individuals, families, or groups in achieving objectives through: exploration of a problem and its ramifications; examination of attitudes and feelings; consideration of alternative solutions; and decision-making.  Students will be able to demonstrate a working knowledge of at least three counseling approaches, including Reality Therapy, Rational Emotive Therapy, Behavior Therapy, Systemic Counseling, Transactional Analysis, Strategic Family Therapy, Client-centered Therapy, etc.
Competency 5.8 – Students will be able to identify the components of AODA case management, which include the activities which bring services, agencies, resources, or people together within a planned framework of action toward the achievement of established goals.  Critical to the case management process is ongoing communication with all personnel involved in treatment.
Competency 5.9 – Students will be able to understand the function of crisis intervention, which is the provision of services which respond to an alcohol and/or drug abuser’s needs during acute and/or physical distress.
Competency 5.10 – Students will be able to identify the relevance of the function of client education, which provides information to individuals and groups concerning alcohol and other drug abuse and the available services and resources.  In addition to alcohol and drug information, client education includes other relevant areas (self-help groups, health issues, etc.)
Competency 5.11 – Students will be able to demonstrate understanding of the referral process, identifying the needs of the client that cannot be met by the counselor or agency and assisting the client in accessing the support systems and community resources available.  Referral assistance requires familiarity of community resources, both alcohol/drug and other, awareness of service limitations, and a working knowledge of confidentiality requirements, etc.
Competency 5.12 – Students will be able to understand the function of record-keeping, which includes charting assessments, treatment plans, reports, progress notes, discharge summaries and other client-related data.  Accurate reporting and record-keeping involves awareness of documentation requirements of the program, as well as state and federal laws regarding confidentiality.
Competency 5.13 – Students will be able to comprehend the function of consultation with other professionals which involves communicating and establishing ongoing relationships with professionals involved in the treatment process to assure comprehensive, quality care for the client.
Competency 5.14 – Students will be able to describe the function of intervention, the formalized process of attempting to interrupt the progression of alcohol and other drug abuse/dependence.  The certified AODA counselor must be familiar with, and when appropriate, involved in a partnership/relationship with the systems through which the intervention takes place, including Employee Assistance Programs, legal systems, and schools.
Competency 5.15 – Students will be able to demonstrate and understanding of the function of clinical supervision, the process of assuring that each AODA counselor is provided with monitoring and feedback to assure that quality AODA services are being delivered.
   
Outcome #6 – Identify and apply a variety of addictions treatment approaches to design effective intervention strategies for individuals with diverse needs.
Competency 6.1 – Students will be able to identify eligibility requirements and criteria for specific delivery models of service, including out patient, detoxification, residential facilities, and self-help groups.  Students shall understand what services are offered in each modality and when it is appropriate to make referrals.
Competency 6.2 – Students will be able to demonstrate a beginning understanding of interventions related to biology, including cognitive approaches to altering brain chemistry, pharmaceutical interventions, natural, holistic remedies, and group-work for early-phase treatment.
Competency 6.3 – Students will be able to describe motivational enhancement strategies effective for teens and the elderly.
Competency 6.4 – Students will be able to comprehend the relevance of cognitive-behavioral therapy, in combination with pharmaceutical interventions, for treating persons with eating disorders.
Competency 6.5 – Students will be able to describe how a Strengths-based perspective utilizing motivational interviewing can be effective with compulsive gamblers, persons with shopping addictions, individuals with computer addiction and online obsession, and persons with sex addiction.
Competency 6.6 – Students will be able to identify integrated team approaches and strategies for treating substance misuse with a coexisting disorder or disability.
Competency 6.7 – Students will be able to describe the value of multidimensional family systems therapy in understanding and treating addictions.
Competency 6.8 – Students will be able to describe various methods and purposes of mutual-help groups, including Twelve-Step organizations, Women for Sobriety, SMART Recovery, and Moderation Management.

IV.
       COURSE CONTENT:
 
Topic 1: The Nature of Addiction
Topic 2: Historical Perspectives
Topic 3: Strengths-Based Helping Strategies
Topic 4: Substance Misuse, Dependency, and the Body
Topic 5: Interventions Related to Biology
Topic 6: Addiction Across the Life Span
Topic 7: Eating Disorders and Gambling, Shopping, and other Behavioral Addictions
Topic 8: Substance Misuse with a Coexisting Disorder or Disability
Topic 9:

Family Risks and Resiliences

Topic 10: Racial, Ethnic, and Cultural Issues
Topic 11: Gender and Sexual Orientation Differences
Topic 12: Mutual-Help Groups: A Strengths Perspective
Topic 13: Public Policy
Topic 14: Core Functions of an Alcohol and Other Drug Abuse Counselor
Topic 15: Bio-Psycho-Social-Spiritual Aspects of Treating Addictive Disorders

 

V.    INSTRUCTIONAL METHOD:

Lectures

Class and group discussions

Small group discussions

Simulated exercises: role-playing

Written assignments and projects

Guest speakers

Audio-Visuals

 

VI.   STUDENT REQUIREMENTS AND METHOD OF EVALUATION:

Regular class attendance

Active participation in class

Group discussions and peer reports

Comprehensive application exam

Completion of assignments

Oral Presentations: group and individual

VII.  TEXTBOOK:

Addiction Treatment: A Strengths Perspective. Katherine Van Wormer and Diane Rae Davis: Thompson Brookes/Cole. 2003.