MHLTHSCI/COUN 545 FOUNDATIONS OF CHEMICAL DEPENDENCY Fall 2014

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1 MHLTHSCI/COUN 545 FOUNDATIONS OF CHEMICAL DEPENDENCY Fall 2014 Course and Instructor Instructor: Dr. Susan Esp, LCPC Office Hours: HSR, Room 110, Tuesdays 9-11 a.m., Wednesdays 1-3 p.m. (Please note there is u. in my address. I do not check that and will not receive messages if you them via that address). Course Number: COUN 545/MHLTHSCI545 Course Title: Foundations of Chemical Dependency Course Time: Tuesday 6-8:45pm Course Location: Riverfront Hall, Room 211 Semester: Fall 2014 Credits: 3 credits Course Objectives, Accreditation and Technology CACREP Addiction Standards Addressed in the Course Foundations A.1 Understands the history, philosophy, and trends in addiction counseling. A.2 Understands ethical and legal considerations specifically related to the practice of addiction counseling. A.3 Knows the roles, functions, and settings of addiction counselors, as well as the relationship between addiction counselors and other mental health professionals. A.4 Knows the professional organizations, competencies, preparation standards, and state credentials relevant to the practice of addiction counseling. A.5 Understands a variety of models and theories of addiction related to substance use and other addictions. A.6 Knows the behavioral, psychological, physical health, and social effects of psychoactive substances and addictive disorders on the user and significant others. A.7 Recognizes the potential for addictive disorders to mimic a variety of medical and psychological disorders and the potential for medical and psychological disorders to coexist with addiction and substance abuse. A.9 Understands the impact of crises, disasters, and other trauma-causing events on persons with addictions. A.10 Understands the operation of an emergency management system within addiction

2 agencies and in the community. Counseling, Prevention, and Intervention C.7 Understands professional issues relevant to the practice of addiction counseling, including recognition, reimbursement, and right to practice. C.8 Understands the principles of intervention for persons with addictions during times of crises, disasters, and other trauma-causing events. Diversity and Advocacy E.3 Knows public policies on local, state, and national levels that affect the quality and accessibility of addiction services. E.4 Understands effective strategies that support client advocacy and influence public policy and government relations on local, state, and national levels to enhance equity, increase funding, and promote programs that affect the practice of addiction counseling. Course Description This Graduate course provides a broad overview of the field of addictions and its impact on individuals and society, including an introduction to the problems associated with alcohol, tobacco, and other drug (ATOD) use and abuse in our society. Topics include an overview of drugs of abuse, basic pharmacology, causal factors of ATOD abuse, introduction to assessment and diagnosis, effects of substance abuse with special populations, as well as approaches/techniques recognized as effective in substance abuse prevention, intervention, and treatment. Course Objectives The purpose of this course is to provide students with an introduction to the field/foundations of chemical dependency, including theories of prevention, addiction, treatment approaches, the physiology and psychology of addiction, and an in-depth understanding of the effects of different drugs on the individual and society, including physiological, biological, spiritual, cultural, and behavioral effects. Upon completion of the course the student will demonstrate knowledge of: 1. The history, philosophy, and trends in addiction counseling (A.1). 2. Ethical and legal considerations in addiction counseling (A.2). 3. Roles, functions, and settings of addiction counselors, as well as the relationship between addiction counselors and other mental health professionals (A.3). 4. Professional issues relevant to the practice of addiction counseling (A.4). 5. Models and theories of addiction (A.5). 6. Behavioral, psychological, physical health, and social effects of psychoactive substances and addictive disorders on the user and significant others (A.6). 7. The potential for addictive disorders to mimic a variety of medical and psychological disorders and co-occurring disorders (A.7) 8. The impact of crises, disasters, and other trauma-causing events on persons with addictions.(a.9). 9. The operation of an emergency management system within addiction agencies and in the community (A.10). 10. Professional issues related to addiction counseling (C.7).

3 11. Principles of intervention for persons with addiction during times of crises, disasters, and other trauma-causing events. 12. Public policies on local, state, and national levels that affect the quality and accessibility of addiction services. (E.3). 13. Effective strategies that support client advocacy and influence public policy to enhance equity, increase funding, and promote programs that affect addiction counseling (E.4). Technology Skills Addressed in the Course Instructor Application Student Application Utilize Blackboard technology Word process, including APA formatting X X Use a spreadsheet and a statistical package Acquire graphics from the web, digital camera, scanner, or Microsoft media and insert them into a poster or presentation Create and deliver a power point presentation X X Find material on the Web and review Web sites X X Be able to use , including document attachments X X Be able to sign in and participate in listservs Be familiar with computerized testing Be able to use digital recording equipment X Student Learning Outcomes (SLOs) for Addiction Standards The student will demonstrate knowledge, skills, and practices necessary for success as a counselor educator and supervisor via his or her participation in key assessments in this course. SLOs for this course are as follows: Student Learning Outcomes CACREP Key Assessment Understands the history, philosophy, and trends in A.1 Foundations Paper addiction counseling. Understands ethical and legal considerations specifically A.2 Foundations Paper related to the practice of addiction counseling. Knows the roles, functions, and settings of addiction A.3 Foundations Paper counselors, as well as the relationship between addiction counselors and other mental health professionals. Knows the professional organizations, competencies, A.4 Foundations Paper preparation standards, and state credentials relevant to the practice of addiction counseling. Understands a variety of models and theories of A.5 Foundations Paper addiction related to substance use and other addictions. Knows the behavioral, psychological, physical health, and social effects of psychoactive substances and addictive disorders on the user and significant others. A.6 Exam

4 Recognizes the potential for addictive disorders to mimic a variety of medical and psychological disorders and the potential for medical and psychological disorders to coexist with addiction and substance abuse. Understands the impact of crises, disasters, and other trauma-causing events on persons with addictions. Understands the operation of an emergency management system within addiction agencies and in the community. Understands professional issues relevant to the practice of addiction counseling, including recognition, reimbursement, and right to practice. Understands the principles of intervention for persons with addictions during times of crises, disasters, and other trauma-causing events. Knows public policies on local, state, and national levels that affect the quality and accessibility of addiction services Understands effective strategies that support client advocacy and influence public policy and government relations on local, state, and national levels to enhance equity, increase funding, and promote programs that affect the practice of addiction counseling. A.7 Exam A.9 Exam A.10 Exam C.7 Foundations Paper C.8 Exam E.3 Foundations Paper E.4 Advocacy Assignment Methods of Instruction Instructional procedures will consist of lecture, video vignettes, case analyses, role-plays, and participant discussion regarding the issues and situations presented. Student discussion and participation is essential. Prerequisite Students must have been formally admitted into BSU s graduate college. Required Text: Concepts of Chemical Dependency, 8 th edition (Doweiko)

5 Grading/Evaluation: The following points are available for each of the required learning activities: 1. Attendance 10 points 2. Addiction Etiology Paper 10 points 3. Foundations of Addiction Paper 25 points 4. Advocacy Assignment 15 points points 6. Final Exam 15 points Total Possible Points = 100 points Grading system: Grades are based on the following point system: A A B B B C C C- Academic Requirements and Evaluation Points will be earned by completing the following assignments/tasks: Attendance: 0 1 absence = 10 points 2 absences = 5 points 3+ absences = 0 points Special Note on Attendance and Participation: Because much of the learning occurs in the classroom, a student simply cannot afford to miss class sessions. Attendance is vital. Attendance will be taken at the beginning of each class. Please note that it is possible to drop a letter grade in this class based upon attendance (or lack of). Addiction Etiology Perspective Paper/Refute or Support - 10 Points. Students will each write a free-style addiction etiology/treatment perspective paper that is at least two pages long. This paper should discuss your view of what causes addiction, what drugs are most prevalent in society right now, which drug(s) create the most problems in society and how we should treat addiction. This free writing paper will be written in the first class (10 points). Papers will be turned in to the instructor that day. Advocacy Assignment (E.4) 15 points

6 Write and submit a one-page letter to advocate for the addiction profession. You will submit a copy of the letter to me, and you will also send your letter to the appropriate body. Please remember to use formal letter writing skills and to include at least two professional references from our professional journals such as the ones listed below to support your perspective. Invest time so that your letter is professional and well-written. Remember you are not only completing this assignment for a grade, but you are also representing the counseling profession. Your voice matters! DUE 09/30 Potential Journals: Journal of Substance Abuse Treatment Journal of Studies on Alcohol and Drugs Addictive Behaviors Psychology of Addictive Behaviors Alcoholism: Clinical and Experimental Research Journal of Counseling and Development Journal of Addiction and Offender Counseling Journal of College Counseling The Journal for Social Action in Counseling and Psychology ( **Important Note: There are templates online that you can use as a guide to write your letter. For example, see: However, you must use your own words! If you copy and fill-in a template letter, for the purpose of this assignment, your work will count as plagiarism. Foundations of Addiction Paper (A.1 A.5; C.7; E.3) - 25 Please write a 3-4 page paper describing your understanding of the primary aspects of the foundations of the addictions field. This includes 1) the history, philosophy, and trends in addiction counseling, 2) primary models and theories of addiction, 3) the roles, functions, and settings of addiction counselors, as well as the relationship between addiction counselors and other mental health professionals, 4) professional organizations, competencies, preparation standards, and state credentials in addiction counseling, 5) ethical and legal considerations in addiction counseling, 6) professional issues relevant to the practice of addiction counseling, including recognition, reimbursement, and right to practice, and 7) public policies on local, state, and national levels that affect the quality and accessibility of addiction services. DUE 10/14 25 points Students will be assigned (9/23/14) a specific drug upon which they will present on the dates outlined in the tentative calendar. These presentations will be approximately an hour long. They will either be individual or in small groups depending on class size.

7 Presenters may use film clips, guest speakers, power point presentations, class activities, etc. These presentations must include at least five references beyond your textbook. Films - Films may comprise no more than 20 minutes of your total presentation. Guest speakers must be confined to a 15-minute presentation. Power point should be used to enhance your presentation. Do NOT simply read the slides to the class! Involve the class as much as possible. Pre/post tests, games, activities, etc. should include, but are not limited to: * Effects of the drug on the body * Effects of the drug on the brain * Effects of the drug on the fetus * What the drug looks like * How the drug is commonly used * Symptoms of use/misuse * Symptoms of withdrawal * DSM 5 criteria for addiction * Science-based treatments/interventions Final Exam (A.6 - A.7; A.9 A.10; C.8) 15 points The exam will be multiple-choice format and will cover topics including history of addiction counseling, ethical and legal issues, roles of addiction counselors, professional issues, including policies that impact services and advocacy strategies, theories of addiction, effects of substances and addiction, risk and protective factors, impact of crisis on addiction, and emergency management. Exams may also include information from guest speakers and. Disability and Academic Integrity Statements Disability Statement: If there is someone in the class who has a special need that may be the result of a disability or alternative learning style, I would appreciate hearing from you. I am reasonably certain that we can make the appropriate arrangements if necessary to assist you. The accommodations can take many forms, whether it is seating, testing, or the like. Please see me after class, or during my office hours. Academic Integrity Statement: Academic misconduct or dishonesty such as cheating and plagiarism is unacceptable and appropriate penalties will be imposed. This includes referencing material that has not been read by you, such as secondary references.

8 COURSE SCEHDULE Week Topic Reading Key Assessment Due Date 8/26 Introductions Overview/Expectations/Hopes/ Wishes/Conduct 9/2 History of Addiction Counseling Defining Addiction & Models of Addiction 9/9 The Nervous System, Pharmacology, and Pharmacological Interventions 9/16 Screening and Assessment/Intervention Process; ASAM 9/23 RADAR Center; Credentialing; Ethics and Self-Care; Public Policy 9/30 Treatment Models, Recovery, Relapse Prevention Chapters 1-2 (A.1, A.5) Chapters (A.2, A.3, A.4) Chapter 3, 33 (A.6, A.7, A.10) Chapters 28, 29, 38 (A.9, C.8) Chapter 25, 26, 34 (A.2, A.3, A.4, C.7, E.4) Chapters 30-32; Chapters 17 (A.3, A.5, A.7, A.9) Free Writing Addiction Etiology Paper assigned Advocacy Assignment Due (E.4) 10/7 Treatment Models, Recovery, Relapse Prevention; Neonate 10/14 Special Populations/Co-Occurring Disorders, Codependency, & Addiction and the Family Chapters 19-24, 34 (A.3, A.5, A.7, A.9) Chapters (A.1, A.2, A.3, A.6) Foundations Paper Due (A.1 A.5; C.7; E.3) 10/21 Alcohol Barbiturate & Benzodiazepines Chapters /28 Amphetamines CNS Stimulants Chapters 8-10

9 11/4 Cannabinoids & Spice Chapters /11 Opiods/Hallucinogens & Club Drugs Chapters /18 Inhalants Steroids Chapters /25 THANKSGIVING BREAK NO CLASS OTC Analgesics 12/2 Nicotine 12/9 Class Evals/Exam Exam (A.6 - A.7; A.9 A.10; C.8) GROUND RULES FOR CLASS Students will be expected to contribute their ideas to the class discussion, and many times this does include personal experiences. It is expected that students will deal with issues and material presented in class and in a highly confidential manner, however confidentiality cannot be guaranteed. In other words, while I expect what is discussed in of a personal nature to remain within the class, I cannot guarantee this. Students are also expected to behave in a caring fashion whenever providing critical comments. Students will be held to the Boise State University Code of Conduct. Respect class members and their opinions. This includes sharing time during class and engaging in a dialogue versus monologues. Students who do not respect other students or the instructor may be subjected to a lowered grade or dismissal from the class or the course. Please note: This is a university classroom and not a recovery, nor working environment. Please remember that personal experience is just that: personal experience, not research or science. While I am not discouraging students from sharing, please keep your sharing on your side of the street. In other words, use I messages and value the experiences of others. We are all equals in this journey regardless of our past/present experiences. Please focus on listening and learning from others. LATE POLICY No late assignments will be accepted unless prior arrangements have been made.

10 If there is an emergency that affects your work in the class, such as meeting a deadline, please let me know as soon as possible and I will consider working with you on making accommodations, depending upon the situation, as long as it s prior to the deadline. If the emergency precludes you from contacting me then I will be flexible. Contacting me after the deadline, or shortly prior, will not result in accommodations being made except in the case of the aforesaid emergency that precluded timely contact. Back up your assignments and keep copies until the semester is over! Computer problems do not constitute an emergency that allows for extensions. This includes printer problems. Hope for the best, plan for the worst. If you feel you have received a grade that is not representative of your work, me or speak with me as soon as possible about the situation. If you want to challenge the grade, me a copy of the assignment and a written rationale (based on the grading criteria provided) on why you believe you earned a higher grade. Cheating/Plagiarism Cheating is the actual or attempted practice of fraudulent or deceptive acts for the purpose of improving one s grade or obtaining course credit; such acts also include assisting another student to do so. It is the intent of this definition that the term cheating not be limited to examination situations only, but that it includes any and all actions by a student that are intended to gain an unearned academic advantage by fraudulent or captive means. Plagiarism is a specific form of cheating that consists of the misuse of the published and/or unpublished works (i.e., intellectual property) of others by misrepresenting the material used as one s own work. Penalties for cheating and plagiarism range from a zero or F on a particular assignment up to an F for the course. Students are warned to review work carefully and provide appropriate citations as required. Assistance with writing assignment may b obtained by working with the instructor and/or the Writing Center, located in the Liberal Arts Building, Room 200 ( ). No Cells/Texting: I understand that students have families and need to be available for emergencies. However, this is can be very disruptive so please place your phone on vibrate. If it is an emergency please quietly excuse yourself from class as not to interrupt the learning environment. The majority of calls/texts can wait until break.

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