James Madison University Department of Graduate Psychology PSYC : Substance Abuse Counseling Sample Syllabus

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1 James Madison University Department of Graduate Psychology PSYC : Substance Abuse Counseling Sample Syllabus Inclement Weather: The University may close or limit its services based on inclement weather. Please consult JMU s cancellation policy ( Cancellation of classes will be announced on the university homepage and Weather Line (540) Course Description: This course serves as an introduction to the field of substance abuse counseling. The primary goals for the course are to deepen students understanding of substance use disorders, to facilitate the development of addiction counseling competencies that are associated with positive treatment outcomes, and to increase the student s level of confidence relative to providing substance abuse evaluation, education and treatment services. Emphasis will be placed on developing and practicing substance abuse counseling skills. Students will be introduced to different theoretical models of alcohol and other drug abuse and will explore a variety of treatment approaches including the Transtheoretical Model of Change and Motivational Interviewing. Required Texts: **Note: textbooks required by individual professors may differ from this list Doweiko, H. E. (2007). Concepts of Chemical Dependency (7 th ed.). Pacific Grove, CA: Brooks/Cole. (ISBN-10: ) Prochaska, James O., Norcross, John C., and DiClemente, Carlo C. (1994). Changing For Good. New York: Avon Books. (ISBN: X) SAMHSA (1999). Treatment improvement protocol series #35: Enhancing motivation for change in substance abuse treatment. Rockville, MD: Substance Abuse and Mental Health Services Administration. (Available on-line at: Milam, J. R. & Ketcham, K. (1988). Under the influence: A guide to the myths and realities of alcoholism. New York: Bantam Books. (ISBN: Essential Reference Materials: American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders DSM IV-TR (4 th ed.). Washington, D.C.: American Psychiatric Press. 1

2 American Psychological Association (2010). Publication Manual of the American Psychological Association (5 th ed.). Washington, D.C.: American Psychological Association. Additional readings will be assigned by the instructor. Course Objectives: The learning objectives for each student in this course are to: 1) Develop an understanding of and ability to articulate the behavioral, psychological, physical, and social effects of psychoactive substances on the user and significant others; 2) Demonstrate a familiarity with a variety of models and theories for conceptualizing substance abuse and dependence; 3) Demonstrate the ability to assess and diagnosis the continuum of substance use disorders using the DSM IV-TR; 4) Demonstrate a familiarity with both the range of substance abuse treatment services available and client placement criteria; 5) Identify strategies for engaging and retaining the substance abuser and significant others in treatment; 6) Practice effective cross-cultural substance abuse counseling skills; 7) Increase confidence in one s ability to assess and treat substance use disorders. Methods of Instruction: This course will combine lectures, discussion, experiential exercises, video presentations and guest speakers.. All students are expected to complete assigned reading prior to each class. Class attendance, participation in classroom discussions and activities and completion of reading assignments are required. Honor Code: Students are expected to follow the JMU Honor Code, which appears in the university catalogue. Accordingly, students are expected to observe complete honesty in all academic matters and to report instances where another student has violated the Honor System. The student handbook describes the honor system in great detail. If you are unsure about what conduct is authorized or unauthorized, please consult the course instructor. The website for the Honor Council is: Students are also expected to follow the American Counseling Association (ACA) Code of Ethics. Violation of the JMU Honor System or the ACA Code of Ethics is grounds for course failure and expulsion from the counseling program. Course Requirements: Detailed descriptions of course requirements 3, 4, and 5 appear at the end of the syllabus. Please read these descriptions carefully. 1. Class attendance. Students are expected to attend every class. If you are unable to attend class due to an unforeseen emergency, contact the professor immediately. 2. Required reading. Students are expected to complete the reading assignments outlined in the schedule prior to class. 2

3 3. Attendance at a minimum of two open meetings of Alcoholics Anonymous/Narcotics Anonymous (or other 12-Step group) meetings and submission of a 4 page reaction paper (double-spaced). 4. Assessment and treatment planning narrative. Students will complete a substance abuse assessment assignment in a clinical setting. Requirements include: observing a clinician conducting two screening/assessment interviews, completing a substance abuse evaluation under the supervision of the clinician, and submitting a written report that includes a narrative description of the client, diagnostic impressions and treatment recommendations. Sites will be selected with assistance from the instructor. 5. A nine to ten page research paper that explores the impact of addiction on special populations (APA format). 6. Three quizzes 7. Two case studies All written assignments must be turned in at the beginning of class on the due date indicated on the syllabus. Students will lose one point per day on assignments that are turned in late unless an extension has been granted by the instructor. Evaluation: 1. AA/NA attendance and reaction paper: 10 points 2. Assessment and treatment planning narrative: 15 points 3. Research paper: 25 points 4. Quizzes (10 points each) 30 points 5. Case studies (10 points each) 20 points Grading will be completed on the following scale: =A = A = B = B Class Schedule: Date Topic Required Reading Week 1 Introduction and Course Overview Doweiko, chapter 1 Syllabus Review Continuum of Substance Use Disorders (intro) Week 2 Continuum of Substance Use Disorders (cont.) Doweiko, chapters 2, 3 Medical Model Week 3 DSM IV-TR Diagnostic Categories DSM IV-TR, pp Models of Addiction Doweiko, chapters 4, 5 Week 4 Classifying Drugs of Abuse handouts The Science of Addiction: Addiction is a Brain Disease Guest speaker: Jennifer Johnson 3

4 Week 5 Quiz #1 Introduction to Pharmacology Doweiko, Chapter 6 Classification of Drugs of Abuse (continued) Week 6 Alcohol Abuse & Alcoholism Doweiko, chapters 7, 8 Milam & Ketcham, pp Week 7 Addiction and the Family Doweiko, chapters 25, 26 Codependency and Enabling Due: Research paper topic and a paragraph outlining your reasons for choosing this topic. CASE STUDY #1: DUE NEXT CLASS PERIOD Week 8 Introduction to Evaluation, Assessment, and Doweiko, chapter 27 Diagnosis of Substance Use Disorders Transtheoretical Model of Change Changing for Good, pp Motivational Interviewing Case study #1 due. Week 9 Intervention Doweiko, Chapter 28 Introduction to Treatment: Minnesota Model Doweiko, pp Treatment Formats Doweiko, Chapter 31 Week 10 Motivational Interviewing TIP #35 Chapters 1& 2 Guest speaker: Sandy Downey Quiz #2 Week 11 Process of Recovery Doweiko, Chapter 30 Marijuana Abuse Doweiko, chapter 13 Week 12 Week 13 Self Help Programs Guest Speakers Due: AA/NA/Al-Anon Reaction Paper Doweiko, Chapter 35 Class will not meet Week 14 Special populations Doweiko, Chapter 22 Opiate Abuse Doweiko, Chapter 14 Stimulant Abuse Doweiko, Chapters 11 & 12 Week 15 Quiz #3 Assessment Narrative Due Second case study due by noon Final Exam Class period If you have specific needs as addressed by the Americans with Disabilities Act (ADA) and need course materials in alternative formats, notify me immediately. Reasonable efforts will be made to accommodate your needs. 4

5 Course requirement #1: Attendance at a minimum of two open meetings of Alcoholics Anonymous, Narcotics Anonymous, Al-Anon, Overeaters Anonymous, or other Twelve- Step group and submission of a 4 page reaction paper. This assignment is designed to provide students with an opportunity to demonstrate an understanding of the role that self-help groups play in recovery from substance use/addictive disorders. Please complete the following reading prior to completing the written assignment: Concepts of Chemical Dependency, Chapter 35 Choose one of the following: 1) The Big Book, the Basic Text for Alcoholics Anonymous, Chapter 5: How it Works. Available by visiting: 2) Narcotics Anonymous Basic Text, 6 th edition, Chapters 1-3. Available by visiting: In your paper, indicate what meetings you attended, specifying the dates, location and types of meetings (A.A., N.A., Al-Anon, etc.). Briefly summarize and explain the key points in Chapter 5 of the Big Book or Chapters 1-3 in the NA Basic Text (two pages) and describe your reactions to the meetings (two pages). Course requirement #2: Conduct a face-to-face substance abuse assessment and complete a written assessment that identifies the severity of alcohol and other drug abuse (AOD), factors that contribute or relate to AOD abuse, treatment needs, and treatment recommendations. Sample formats appear in the Doweiko text (pages ). Specific guidelines: 1) Identify an assessment site (instructor will assist); 2) Identify a substance abuse clinician who will serve as the advisor for this assignment; 3) Ask the site advisor to describe the agency requirements relative to students observing and providing clinical assessments and the process for obtaining client s consent for student participation in the evaluation; 4) Review and sign site confidentiality agreements and volunteer agreements as applicable; 5) Discuss the agency s process for conducting substance abuse evaluations with the assignment advisor. What type of assessments do they do? What instruments do they use? 6) Observe the clinician conducting at one or two substance abuse evaluations; 7) Conduct a substance abuse evaluation that is observed by the site advisor; 8) Complete a 2-3 page assessment report (refer to the sample assessments in the Appendix). Screening and assessment of substance use disorders will be covered in class. We will review a variety of screening and evaluation tools that are used with adolescents and adults. 5

6 Course requirement #3: 9-10 page research paper, double-spaced In chapter twenty-two of the text, Doweiko outlines the hidden faces of chemical dependency. He explores alcoholism/drug addiction in special populations, including: women, the elderly, African Americans, Native Americans, and gay, lesbian, and bisexual individuals.. Write a nine-ten page research paper that demonstrates an awareness of and ability to articulate the impact of substance use disorders in a special population. You may use the text, additional required readings and other material distributed in class as resources, however you must demonstrate that you conducted outside research to complete this assignment. A minimum of five outside references must be cited. All sources used as a reference or referred to must be cited according to APA guidelines. Papers must include, at a minimum, the following information related to addiction and special populations: 1) Scope of the problem. Statistical information about the prevalence of substance use disorders for this population 2) Substance use patterns and signs/symptoms of addiction that are specific to this population 3) Factors that influence the rate of substance use disorders in this population 4) Barriers to identification and treatment of substance use disorders 5) Special treatment needs 6) Strategies for engaging and retaining the substance abuser in treatment You will be asked to summarize the key points in your paper during class. Here s a great resource for APA format questions: 6