DRAFT Addiction Intervention Competency Framework AcompetencyframeworkforprofessionalsspecialisinginProblem GamblingIntervention,AlcoholandotherDrugInterventionandSmoking Cessation. June 2010 Consultation information You are invited to provide feedback on this Draft. The draft will be revised on the basis of feedback. A summary feedback report will be available on request on 30 th Sept 2010 (email your request to hsd@xtra.co.nz). The revised Framework will be completed by 1 Dec 2010. The deadline for feedback is Friday 20 August 2010. Options for providing feedback: Web-based: an on-line survey is available at: http://www.surveymonkey.com/s/x8b99gq Email: Send feedback via email to: Paula Parsonage: hsd@xtra.co.nz. You can use the survey format (provided in this document, page 32 or as a MS Word document available on websites alongside this document) or use the survey questions as a guide or use your own format. Post: Post feedback to: Health & Safety Developments, 22 Allen Rd Grey Lynn, Auckland 1021, Attn: Paula Parsonage. You can use the survey format or use the survey questions as a guide or write a submission in your own format. In person: at the PG National Provider Forum Wellington, 23 July 2010 and Addiction Leadership Day Auckland, 22 July 2010. Please contact Paula on 09 3781843 or hsd@xtra.co.nz for further information.
DRAFTAddictionInterventionCompetencyFrameworkJune2010 Table of Contents Introduction... 3 Glossaryofterms... 5 Overviewoftheframework... 6 Underpinningvaluesandattitudes... 7 Foundationcompetencies... 8 ProblemGamblingPractitionercompetencies... 20 AlcoholandotherDrugPractitionercompetencies... 22 SmokingCessationCompetencies... 24 AddictionSupportWorkerCompetencies... 26 AddictionPeerSupportWorkerCompetencies... 27 Yourfeedback... 32 CompetencyFrameworkReferences... 37 AddictionCompetenciesReview:Projectstructure... 38 Prepared for the Project Reference Group by: Paula Parsonage Project Manager (contractor) DAPAANZ hsd@xtra.co.nz 09 3781843 09 3606957 Sean Sullivan Director ABACUS Counselling, Training and Supervision sean@acts.co.nz 2
DRAFTAddictionInterventionCompetencyFrameworkJune2010 Introduction TheAddictionInterventionCompetencyFrameworkreflectsthebeliefs,knowledgeandskills required by professionals providing specialist interventions to assist people to address problemgambling,tobacco,alcoholand/orotherdrugaddiction. Thecompetenciescontainedintheframeworkaredesignedtobe: Generic: outlining the basic requirements for all of those working within the broadly specifiedroles. Accessible:supportedbyaneducation/trainingpathway. Assessable:itmustbepossibletodemonstrateorprovideevidenceofcompetency. AnoverviewoftheframeworkcomponentsisshowninFigure1. Peer Addiction Smoking PGPractitioner AODPractitioner Support SupportWorker CessationWorker Worker Foundation:EssentialandPractitionerLevels Figure1.AddictionInterventionCompetencyFramework Thecomponentsinclude: Foundationcompetencies: Foundationcompetenciesaredefinedattwolevels: Essential:theseapplytoallthoseworkingtoaddressgambling,alcohol,tobaccoand/or other drug addiction as the primary focus of their role, with the exception of Peer SupportWorkers(seebelow). Practitioner: these apply to those working in Problem Gambling (PG) and Alcohol and OtherDrug(AOD)Practitionerroles(theyareadditionaltotheessentialcompetencies). AddictionSupportworkercompetencies:thesecompetenciesareadditionaltoFoundation EssentialcompetenciesandapplytoAddictionSupportWorkers. Smoking Cessation competencies: these competencies are additional to Foundation Essentialcompetenciesandapplytothoseprovidingsmokingcessationinterventionasthe primaryfocusoftheirwork.theyarenotintendedforthosewhoprovidesmokingcessation as part of their role. Competencies for the latter group are outlined as generalist competencies insmokingcessationcompetenciesfornewzealand. 1 ProblemGamblingPractitionercompetencies:thesecompetenciesareadditionalto FoundationEssentialandPractitionercompetenciesandapplytothoseprovidingproblem gamblingintervention(suchascounselling). AlcoholandOtherDrugPractitionercompetencies:thesecompetenciesareadditionalto FoundationEssentialandPractitionercompetenciesandapplytothoseprovidingAOD treatment. 1 MinistryofHealth,2007. 3
DRAFTAddictionInterventionCompetencyFrameworkJune2010 AddictionPeer supportworkercompetencies:thesecompetenciesapplytoaddictionpeer Supportworkers. Competencystructure Eachcompetencywithintheframeworkcomprises: 1. Anoveralldefiningstatement 2. Elements:thesefurtherdefinethekeycomponentsthatmakeupthecompetency 3. Indicators: a limited number of key examples of the beliefs, knowledge and/or skills whichmakeupeachelement.theindicatorsarenotcomprehensiveorexhaustive;they provide some examples of evidence of competence. It is expected that professional judgmentisnecessaryinassessingtheattainmentofthecompetencies. Relationshiptootherframeworksandkeydocumentsguidingpractice Thereareanumberofcompetencyframeworksthatarerelevanttoaddictiontreatmentand support. 2 The Addiction Intervention Competency Framework has drawn on these frameworkstoprovideaoverallstatementofthecompetenciesthataddictionprofessionals mustdemonstrate.thepurposeistosupportpublicandprofessionalunderstandingofwhat itmeanstopracticeinthespecialisedaddictiontreatment/supportsector. Particular attention has been given to Let s Get Real: real skills for real people working in mental health and addiction (2008) (Let s Get Real) and the Real skills + competency frameworks. To support best possible services and provide manageable competency frameworksforthoseworkinginthebroadersector,theaddictioninterventioncompetency FrameworkisinclusiveofthevaluesandattitudesoutlinedinLet sgetrealandreflectsthe essentialskillstherein. The Addiction Intervention Competency Framework stands alongside relevant professional codes of ethics subscribed to by Addiction Practitioners and accepted professional guidelines. Registrationundertheframework An important consideration in the development of the Addiction Intervention Competency Framework has been the potential application of the framework to support professional registrationprocessesforthosewhowishtoberegisteredasaddictionprofessionalswithin theirscopeofpractice. Forthoseworkinginthesectorunderotherprofessionalregistrations(egRegisteredNurse) the framework provides a comprehensive outline of the beliefs, knowledge and skills requiredforpracticewithintheaddictionsectorandaguideforprofessionaldevelopment. 2 SeeReferences. 4
DRAFTAddictionInterventionCompetencyFrameworkJune2010 Glossaryofterms Keytermsasusedinthisframeworkaredefinedbelow. Appropriate Matchingthecircumstancesofasituationormeetingtheneedsofthe individualorgroup. 3 Client Anindividual,family,grouporcommunitythatisreceivinganaddictionrelatedinterventiontreatmentorsupportservice.Thistermisinclusiveof thefollowingterms:tangatawhaiora,consumer,serviceuser,tangata kaupapa,whānau,patient. Co existingproblems Acombinationofmentalhealthandaddictionrelatedproblems experiencedbyaperson. Othertermsforco existingproblemsinclude:dualdiagnosis,co existing disorders,co morbidity,concurrentdisorders. Family Relatives,whānau,partners,friendsorothersnominatedbytheclient. Effective Havingtheintendedoutcome. 4 Intervention Agenerictermincludingaddictiontreatment,supportandcare. Peersupportworker Anaddictionprofessionalwhoisexperientiallycredentialed(viatheirown livedexperienceofrecovery)providingsupportaimedatassistingpeopleto achieverecoveryfromaddiction.(nb.recoverydoesnotnecessarilymean abstinencefromusingsubstancesorfromgambling). Peersupportworkersassistothersininitiatingrecovery,maintaining recovery,andenhancingthequalityofpersonalandfamilylifeinrecovery. 5 Peer isdefinedbythepersonusingtheservice. Practitioner Anaddictionprofessionalwhoisqualifiedtoprovideinterventionand/or treatmentwithintheaddictionsector. Professional Anypersonemployedinthebroadaddictionsectortoprovidedirect intervention(includingsupportandtreatment)toclients. Recovery Recoveryisaprocessofbuildingasatisfyingandmeaningfullife,asdefined bytheclient.itinvolvestheaccrualofpositivebenefitsaswellasthe reductionofharms.recoveryincludesamovementawayfromaddiction andtheassociatedproblemstowardshealth,wellbeingandparticipationin society.aspirationsandhope,bothfromtheclient,theirfamiliesand whānauandthoseprovidingservicesandsupport,arevitaltorecovery. 6 Supportworker Whānau Anaddictionprofessionalprovidingsupportwork.Othertermsused interchangeablywithsupportworkerincludekai Tautoko,Kai Manaakiand Kai Awhina. Oftendefinedasfamilyandbirth,whānauhasbeenproposedasakey componentofmaoriidentityandthehealingprocess.whānaudescribes groupsinterconnectedbykinshipties.inmoderntimes,groupsusewhānau toencompasstheircommonpurpose,andtheyhaveadoptedwhānau values. 7 Whānauora Māorifamiliesachievingtheirmaximumhealthandwellbeing. 8 3 NursingCouncilofNewZealand,2007. 4 NursingCouncilofNewZealand,2007. 5 AdaptedfromWhite,2009. 6 UKDrugPolicyCommissionConsensusGroup.RetrievedJune2008.Developingavisionofrecovery aworkinprogress. Availableat:http://www.ukdpc.org.uk/ 7 MinistryofHealth,2008. 8 MinistryofHealth,2008. 5
DRAFTAddictionInterventionCompetencyFrameworkJune2010 Overviewoftheframework Underpinningvaluesandattitudes Thecompetenciesinthisframeworkareunderpinnedbythefundamentalvaluesand attitudesoutlinedinlet sgetreal. Foundationcompetencies:EssentialandPractitioner Competencies in this section provide the foundation for intervention to address gambling, tobacco,alcoholandotherdrugaddiction.essentialfoundationcompetenciesarecommon toallroles,withtheexceptionofpeersupportworker. PractitionerFoundationcompetenciesareapplicabletoAODandPGPractitioners. ProblemGamblingPractitionercompetencies Thesecompetenciesarespecifictopractitionersprovidinginterventiontoaddressproblem gambling. AODPractitionercompetencies Thesecompetenciesarespecifictopractitionersprovidinginterventiontoaddressalcohol andotherdrugaddiction. SmokingCessationcompetencies Thesecompetenciesarespecifictoprofessionalsprovidinginterventiontoaddressnicotine addiction. Supportworkercompetencies Thiscompetencyisspecifictothoseworkinginaddiction specificsupportworkroles. Peersupportworkercompetencies Thesecompetenciesarespecifictothoseworkinginaddiction relatedpeersupportwork roles. 6
DRAFTAddictionInterventionCompetencyFrameworkJune2010 Underpinningvaluesandattitudes ThesestatementsareoutlinedinLet sgetreal 9.Theyareintendedtoexpressthe fundamentalsharedvaluesandattitudesacrossallmentalhealthandaddictionservices. Values Respect Clientsarethefocusofourpractice.Werespectthediversityofvaluesofallclients.The valuesofeachclientandoftheircommunityarethestartingpointforallofourwork. Humanrights Westrivetoupholdthehumanrightsofclientsandtheirfamilies.Humanrightsinclude,but arenotlimitedto,therighttoautonomyandself determination,therighttobefreefrom coercion,therighttobetreatedinanon discriminatoryway,therighttoinformedconsent, andtherighttoreceivecareandsupportthatrespondstothephysical,psychological, spiritual,intellectualandculturalneedsoftheserviceuser. Service Wearecommittedtodeliveringanexcellentserviceforall.Thisincludesclientpartnerships atalllevelsandphasesofservicedelivery,includingthechoiceofservicesavailableaswell astheactualdeliveryofservice. Recovery Webelieveandhopethateveryclientcanliveafullandmeaningfullifeinthepresenceor absenceoftheirmentalillnessand/oraddiction.wealsounderstandthatrecoveryisnot onlyrelatedtothementalillnessand/oraddictionitself,butalsotoallofthelosses associatedwithit. Communities Wevaluecommunities,themanyplacesinwhichwealllive,moveandhaveourbeing,as pivotalresourcesfortheeffectivedeliveryofservicesandsupportforclientsandtheir families/whānau. Relationships Weseektofosterpositiveandauthenticrelationshipsinallspheresofactivity,including relationshipswithallpeoplewhoworkwithinmentalhealthandaddiction,wider communities,andclientsandtheirfamilies/whānau. Attitudes:Peopleworkinginaddictionservicesstrivetobe: Compassionateandcaring:sensitive,empathetic Genuine:warm,friendly,funandhavearohaandasenseofhumour Honest:haveintegrity Non judgemental:non discriminatory Open minded:culturallyaware,self aware, Innovative,creative,positiverisktakers Optimistic:positive,encouraging,enthusiastic Patient:tolerant,flexible Professional:accountable,reliableandresponsible Resilient Supportive:validating,empowering,accepting Understanding. 9 MinistryofHealth,2008 7
DRAFTAddictionInterventionCompetencyFrameworkJune2010 Foundationcompetencies 1. Workingwithclients A competent addiction professional engages and works in partnership with clients, family andwhānautosupportrecoveryandwell being. Element 1.1 Supporting recovery and promoting well being: Integrates principles of recovery into practiceandpromoteswell beingforclients,familyandwhānau. Indicatorexamples:Essential Indicatorexamples: Practitioner Demonstratesunderstandingoftheprinciplesof recoveryandintegratestheseprinciplesinpractice. Element1.2Respondingtodiversity:Respondseffectivelytoclients,familyandwhānauinrelationto theirgender,culture,age,abilityandsexualorientation. Indicatorexamples:Essential Indicatorexamples: Practitioner Demonstratesresponsivenesstoadiverserangeof clients,applyingage appropriateandculturally appropriateprotocolsandprocessesappropriateto theservicecontext. * 10 Demonstratespracticethatreflects culturalresponsivenessinarangeof contexts. Element 1.3 Engaging clients, family and whānau: Actively involves and supports the client, family andwhānautoengageininterventionprocesses. Indicatorexamples:Essential Indicatorexamples: Practitioner Establishesandmaintainspositiverelationshipswith clients,familyandwhānau,demonstratingempathy, respect,andgenuineness. Establishesandmaintainssafety,trust,role boundariesandconfidentialityinprofessional relationshipswithclients,familyandwhānauwithin thecontextoforganisationalandprofessionalcodes ofethicsandconduct. Providesessentialinformationregardingrightsof clients,familyandwhānauwithinthecontextofthe servicebeingprovided. Developsandmaintainseffective therapeuticrelationshipswithclients. Demonstratescommitmentandability toengageclientsirrespectiveoftheir readinesstoaddressaddictionrelated problems. 10 *Therearenoadditionalindicatorexamplesprovidedatthepractitionerlevel. 8
DRAFTAddictionInterventionCompetencyFrameworkJune2010 Element1.4Relatingandcommunicating:Relateswithempathyandcommunicateseffectivelywith clients,familyandwhānau. Indicatorexamples:Essential Indicatorexamples: Practitioner Useslanguage,terminologyandlisteningskills appropriatetotheneedsofclients,familyand whānau,respectingdiversity(egage,culture, gender)andappropriatetotheinterventionsetting. 11 Communicateseffectivelywith clients,family,whānau,colleagues andotherprofessionalsselecting appropriatelyfromarangeofverbal, non verbalandwritten communicationmethods,inarange ofprofessionalcontexts. Element 1.5 Screening and brief intervention: Assists clients, families and whānau to identify addiction and co existing problems and provides information, advice and support tailored to their needs. Indicatorexamples:Essential Indicatorexamples: Practitioner Demonstratesunderstandingof: Selects,appliesandinterprets o Thegamblingriskcontinuumandcommon indicatorsofproblemgambling screeningtoolstoassistinidentifying thepresenceandseverityofgambling, o ThecontinuumofAODuse. alcohol,tobaccoandotherdruguse problems,co existingmentalhealth problemsandriskofharmtoclientor others. Demonstratesknowledgeofbriefintervention approachestoaddressgambling,alcohol,tobacco andotherdruguseproblems. Asksscreeningquestionstoidentifythelikelihood ofproblemgambling,alcohol,tobaccoandother drugmisuseordependence.providesbriefadvice andsupportappropriatetotheclient spreferences andneedsandtheservicecontextincludingreferral toappropriatepractitionerorservicewherethisis indicated.activelysupportstheclienttoaccess otherservicesorprofessionalassistance. Appliesbasicunderstandingof: Theeffectsofkeypsychiatricmedicationson peopleandinteractionsofthesedrugswithother and/oralternativeremedies. Theeffectsofsmokingonthemetabolismof variousmedications(eg,medicationsformental healthdisorders),andthechangesseenwhen stoppingtobaccouse. 12 Identifiesclientswhomaybeatriskofharmtoself and/orothersandensuresappropriatefollow up occurse.g.referraltoappropriatepractitioneror service. 11 ProblemGamblingFoundationNZ,2009. Providesbriefinterventionforproblem gambling,alcohol,tobaccoandother drugproblemsappropriatetotheclient andservicecontext. Developsandcoordinates implementationofanappropriateriskmanagementplantoaddressriskof harmtoselforotherswithclients assessedtobeatriskofcausingharm toselforothers. 12 RefertoMinistryofHealth.2007.SmokingCessationGuidelines.Appendix9:EffectofSmokingAbstinenceon Medications 9
DRAFTAddictionInterventionCompetencyFrameworkJune2010 2.WorkingwithMāori 13 A competent addiction professional demonstrates ability to contribute to whānau ora for Māori. Element2.1Mihimihi:Understandsthesignificanceofmihimihitoupholdtikangaincommunication andappliesthisunderstandinginpractice. Indicatorexamples:Essential Indicatorexamples: Practitioner Demonstratesunderstandingofthesignificanceof mihimihiasaprocessofengagement,interaction andfinishing. Element2.2TereoMāori:PromotestheuseoftereoMāoriasanessentialcomponentofhealingfor Māori. Indicatorexamples:Essential Indicatorexamples: Practitioner UsesavailableresourcessuchastereoMāori speakersandinformationwritteninbothenglish andmāoriwhenappropriate. Demonstratescorrectpronunciationandusageof basictereomāoriwithclientsandwhānau. * 14 Isabletodemonstrateunderstanding offourkeymāoriculturalvaluesfor example: o manaaki o aroha o awhi o tautoko. Valuesareillustratedininterventionplans. Element2.3Whakawhanaunga:Demonstratesrecognitionofinterconnectednessandrelationships, particularlybetweenwhānau,hāpuandiwi. Indicatorexamples:Essential Indicatorexamples: Practitioner Acknowledgesthesignificanceofthe interconnectednesswithinwhānauasasenseof belongingandidentity.thisisrecognisedasan essentialcontributiontohealingandrecoveryfor clientsandwhānau. Acknowledgesandunderstandsthesignificanceof whakapapainthemakingsenseofselfandothers intherecoveryjourneyforclientsandwhānau. Supportsprovisionofanenvironment wherewhanaungatangacanoccur safelyandeffectivelyforclientsand whānau.thisincludes:mihi,pepeha, honohono. Casenotesidentifykeylinkagesand potentialsupports. 13 ThesecompetenciesareadaptedfromMatuaRaki.2009.TakarangiCompetencyFrameworkandMinistryof Health.2008.Let sgetreal.seethesedocumentsforfurtherindicatorexamples. 14 Therearenoadditionalindicatorexamplesprovidedatthepractitionerlevel. 10
DRAFTAddictionInterventionCompetencyFrameworkJune2010 Element2.4Manaaki:Demonstratescorevaluesofmanaakiintheirpractice. Indicatorexamples:Essential Indicatorexamples: Practitioner Demonstratescorevaluesofmanaakiinthecare andsupportprocessesforclientsandwhānau. Thesemayincludebutarenotnecessarilylimited to: o o o Hospitalityandstewardship Partnershipwithclientsandwhānauin interventionplanning Hostingclientsandwhānauwithcareand dignity. Practicestheprinciplesofmanaakiwith colleagues,clients,whānau. 11
DRAFTAddictionInterventionCompetencyFrameworkJune2010 3.WorkingwithPacificPeoples Acompetentaddictionprofessionaldemonstratesresponsivenessinprovidingtreatment andsupporttopacificpeoples. 15 Element 3.1 Family: Understands or acknowledges the various dimensions and context of Pacific people, providing their families (biological, adopted, nuclear and extended) with information, encouragement,educationandsupporttoengageinrecovery. Indicatorexamples:Essential Indicatorexamples: Practitioner RecognisesthateachPacificfamilybringswithita broadspectrumofcultural,historical,socialand politicaldiversity. RecognisesthateachPacificfamilybringswithita broadspectrumofcultural,historical,socialand politicaldiversity. Recognisestheconceptsoffamily,thestructural makeupofpacificfamiliesandtraditionalpacific authoritysystems.acknowledgestheexistenceof theextendedfamilyandissensitivetocrossculturalandintermarriagecontexts. Communicatesinawaythatrecognises theculturalstatusofapacificservice userwithintheirfamilyand community. Canundertakeassessmentsatabasiclevel inthefollowingareas: theculturaleffectofaserviceuser s addictionandassociatedissuesonthe immediatefamily immediateenvironmentaldynamics, includingthehouseholdandany realitiesofattainingfamilysupportfor aserviceuser whetheraserviceuserisdisconnected fromtheirfamily. Element3.2Language:Understandstheimportanceoflanguage,bothspokenandunspoken,across a variety of Pacific contexts, and is able to either personally apply appropriate communication techniquesinworkingwithpacificpeople,orknowwheresuchskillisavailable. Indicatorexamples:Essential Indicatorexamples: Practitioner Usesappropriateverbalandbodylanguage,which facilitatesthebuildingofrapportwithpacific serviceusersandtheirfamilies. Usessuitablyqualifiedinterpretersorcultural advisorstoassistwithsituationsthatrequirea higherlevelofpacificlanguagefluencyandcultural expertise,whereappropriate. * 16 15 NB:ThesecompetenciesarefullyoutlinedinLeVaPasifika.2009.RealSkillsPlusSeitapu.Thereadershould refertothisdocumentforfullinformationonindicatorsforthesecompetencies.theindicatorsprovidedare examplesonly.alsorecommended:pulotu Endemann,K.,Suaalii Sauni,S.,Lui,D.,McNicholas,T.,Milne,M,& Gibbs,T.(2007)SeitapuPacificMentalHealthandAddictionClinicalandCulturalCompetenciesFramework. Auckland:TePou. 16 *Therearenoadditionalindicatorexamplesprovidedatthepractitionerlevel. 12
DRAFTAddictionInterventionCompetencyFrameworkJune2010 Element 3.3 Pacific concepts of Tapu: Is open minded to the cultural, spiritual and relationship environmentsandbeliefsystemsthatmayaccompanypacificclientsandtheirfamilies. Indicatorexamples:Essential Indicatorexamples: Practitioner AcknowledgesthatthePacificconceptofselfand wellbeingislocatedinthecentreofthecollective, ratherthantheindividual.isalsoableto acknowledgethatthepacificconceptofselfis holisticandfluid,inthesensethatthepartsofthe personareinextricablylinked. Presentsoneself,verballyandphysicallyinaway thatgivesrespecttopacificvaluesoftapu,where necessary. 13
DRAFTAddictionInterventionCompetencyFrameworkJune2010 4.ApplyingprinciplesofSocialJusticeinaddictionpractice A competent addiction professional understands social justice perspectives and integrates principlesofsocialjusticeintotheirpractice. Element4.1Self determinationandempowerment:demonstratesunderstandingoftheimportance ofself determinationandactivelysupportsempowermentofclients,familiesandwhānau. Indicatorexamples:Essential Indicatorexamples: Practitioner AppliestheprinciplesoftheTreatyofWaitangi/Te TiritioWaitangiinprofessionalpractice. Describesownsocialvalues. Ensurespracticeisconsistentwithprinciplesof socialjustice. Managesownsocialvalueswithin professionalpractice. Element 4.2 Social connectedness: Actively supports clients, family and whānau to develop and maintainpositiverelationshipsandpositiverolesandwiththeircommunities. Indicatorexamples:Essential Indicatorexamples: Practitioner Activelysupportsclientstodevelopand/or strengthenpositiveconnectionswithfamily, whānau,friends,andcommunity. Demonstratesacomprehensiveknowledgeof communityservicesandresources. Activelysupportsclientstoparticipateinthelifeof theircommunity,accordingtoclientpreferences. Demonstratesandappliesa comprehensiveunderstandingofthe importanceofsocialconnectednessas integraltowell being. Maintainseffectiveworking relationshipswithkeysupportagencies inthecommunity,includinghapuand iwi 17. Element4.3Stigmaanddiscrimination:Usesstrategiestochallengestigma,discriminationandsocial exclusion. Indicatorexamples:Essential Indicatorexamples: Practitioner Demonstratesunderstandingoftheimpactof stigmaanddiscriminationonthewell beingof clients,familiesandwhānau,servicesand communities 18. Ensurespracticeisnon discriminatoryand challengesstigmaanddiscrimination. * 19 17 MinistryofHealth,2008. 18 AdaptedfromMinistryofHealth,2008. 19 Therearenoadditionalindicatorexamplesprovidedatthepractitionerlevel. 14
DRAFTAddictionInterventionCompetencyFrameworkJune2010 5.Professionalresponsibility A competent addiction professional upholds ethical, legal and professional practice standards. Addiction professionals practice effectively as team members and members of organisations; participate in ongoing professional development and support continuous serviceimprovement. Element 5.1 Ethics, law and policy: Practices in accordance with ethical, legal and professional practicestandards. Indicatorexamples:Essential Indicatorexamples: Practitioner Abidesbyanappropriateprofessionalcodeof ethicsandbelongstoarelevantprofessionalbody. Maintainspersonalsafetyandensuresthesafetyof clients,family,whānauandothersbyadheringto organisationalsafetyandsecuritypoliciesand procedures. Adherestolegislation,regulations,standards,codes andpoliciesrelevanttorole. Demonstratesbasicunderstandingofpolicy relevanttoaddictionpractice. Demonstratesethicaldecisionmaking inallaspectsofpractice. Reportsbreachesofethicaland/orlegal requirementstoanappropriate authority(eg,clinicalleader,manager, professionalbody). Element5.2Workingwithinteams,organisationsandsystems:Workseffectivelyasateammember andactivelycontributestowardsorganisationalandinter organisationaleffectiveness. Indicatorexamples:Essential Indicatorexamples: Practitioner Workseffectivelyinateam;understandsteamroles anddemonstratesrespectfordifferentprofessional rolesandworkingstyles. Demonstratesunderstandingofservicesand systemsforrespondingtoaddiction. Activelyfacilitatescollaborative workingwithotherteammembersand professionalsfromotherdisciplines 20. Understandsthegoals,language, operationalresponsibilitiesandkey rolesofrelevantagenciesandservices eg,primaryandsecondaryhealth services,addictionandmentalhealth services,criminaljusticeagencies, socialserviceagencies,education agencies. Element5.3Reflectivepracticeandprofessionaldevelopment:Activelyreflectsontheirprofessional practiceandparticipatesinongoingprofessionaldevelopment. Indicatorexamples:Essential Indicatorexamples: Practitioner Understandsandengagesinsupervision 21. Seeksandparticipatesinongoingprofessional developmentopportunities. Acknowledgeslimitsofownabilitiesandscopeof practice. 20 MinistryofHealth,2008. 21 MinistryofHealth,2008. 22 Therearenoadditionalindicatorexamplesprovidedatthepractitionerlevel. * 22 15
DRAFTAddictionInterventionCompetencyFrameworkJune2010 Element 5.4 Accountability, quality and research: Meets required standards of accountability and contributestotheoveralldevelopmentofaddictionpractice. Indicatorexamples:Essential Indicatorexamples: Practitioner Maintainsandstoresrecordsrelevanttoclientin accordancewithlegalandprofessionalstandards andorganisationalrequirements. Providesverbalandwrittenreportsappropriateto thescopeofprofessionalrole. Gathersandusesinformationtoinformdecisions relevanttorole. 24 Participatesinqualityimprovementactivitiesto monitorandimprovestandardsasrequired. Presentsbriefandcomprehensive verbalandwrittenreportsinarangeof practice relatedcontexts. Demonstratesunderstandingof outcomemeasuresinaddiction treatmentanddemonstratesabilityto collecttreatmentoutcomedata 23. Demonstratesstrategiestoreview appropriateresearch,interpretand criticallyreviewresearchfindings,and integratefindingsintopractice. 23 TheWerryCentre,2008. 24 MinistryofHealth,2008. 16
DRAFTAddictionInterventionCompetencyFrameworkJune2010 6.Workingwithfamiliesandwhānau Acompetentaddictionprofessionalworkseffectivelywithfamilies,whānauandsignificant otherstosupportrecoveryandwell being. Element6.1Involvingandsupportingfamilyandwhānau:Ensuresfamilyandwhānauareincluded in assessment and intervention processes and provides or actively links family and whānau to appropriatesupportsandresources. Indicatorexamples:Essential Indicatorexamples: Practitioner Worksinpartnershipwiththeclienttoidentifyand includefamily,whānau,significantpeopleand othernetworkstosupportrecovery 25. Engageswithfamilyandwhānauinawaythat matchesandisresponsivetotheirstrengths, preferencesandneeds. Providesrelevant,timelyandaccessible informationtofamilyandwhānau,activelylinking themtoservicesandsupportasrequired. Appliesunderstandingofthetheory, principlesandbenefitsoffamilyand whānauinclusivepractice. Appliesevidence basedinterventions toassistfamiliesandwhānauaffected byaddiction. 25 MinistryofHealth,2008. 17
DRAFTAddictionInterventionCompetencyFrameworkJune2010 7.Workingwithgroups Acompetentaddictionprofessionalworkseffectivelywithgroups. Element7.1Developingandfacilitatinggroups:Developsandfacilitatesgroups. Indicatorexamples:Essential Indicatorexamples: Practitioner Appliesbasicunderstandingofgroupprocessand groupdynamics. Appliesbasicunderstandingofarangeofprinciples andmethodsofgroupfacilitation. 26 Usesfacilitationandgroupprocessskillswhen workingwithagroup. Assistsinplanningandfacilitatinggroupswithinthe contextoforganisationalguidelinesandscopeof practice. Identifiessafetyconcernsandgainsassistanceto managetheseconcernsinsettingupandfacilitating groups. Integratesacomprehensive understandingofgroupprocessand groupdynamicsintoaddictionpractice. Designs,implementsandevaluatesa rangeofgroupsmatchedtothe strengths,needs,characteristics, preferencesandgoalsofparticipants. Managessafetyconcernsinsettingup andfacilitatinggroups. 26 CanadianCentreonSubstanceAbuse,2007. 18
DRAFTAddictionInterventionCompetencyFrameworkJune2010 8.Workingwithcommunities Acompetentaddictionprofessionalworkseffectivelywithcommunitiestosupportwellbeingandreduceharmrelatedtogambling,alcohol,tobaccoandotherdrugs. Element 8.1 Supporting communities: Supports community initiatives to promote well being and reduceharm. Indicatorexamples:Essential Indicatorexamples: Practitioner Demonstratesunderstandingoftheimpactof gambling,tobaccoandotherdrugusewithin communities. Maintainsworkingrelationshipswithrelevant communitygroupsandorganisations. Demonstratesunderstandingof communitydevelopmentapproaches tooneormoreofthefollowing (relevanttoservicecontext): o Problemgambling o Tobaccouse o AODrelatedharm. Accessesandcollaborateswithlocal networkseffectively,toreduceharm fromoneormoreofthefollowing: o Problemgambling o Tobacco o AOD. Element8.2Publiceducation:Providespubliceducationrelevanttotheirscopeofpractice. Indicatorexamples:Essential Indicatorexamples: Practitioner Demonstratesunderstandingoftheevidencebase foreffectiveeducationrelevanttooneormoreof thefollowing: Providesevidence basededucation relevanttoareaofpractice. o Problemgambling o Tobaccouse o AOD relatedharm. Element 8.3: Public health and health promotion: Understands, participates in and supports public healthandhealthpromotionactivities. Indicatorexamples:Essential Indicatorexamples: Practitioner Demonstratesunderstandingofpublichealth approachestoaddictioninrelationtooneormore ofthefollowing: o o o Problemgambling Tobacco relatedharm AOD relatedharm. Demonstratesunderstandingofkeyhealth promotionconceptsandtheoreticalmodels relevanttooneormoreofthefollowing: o o o Problemgambling Tobacco relatedharm AOD relatedharm. Demonstratesabilitytoparticipate effectivelyinrelevantpolicyprocesses. 19
DRAFTAddictionInterventionCompetencyFrameworkJune2010 ProblemGamblingPractitionercompetencies NB:Co requisitecompetenciesincludefoundation:essentialandpractitioner 9.Assessmentandintervention:PG AcompetentProblemGamblingPractitioner,incollaborationwithclientsandothers,applies theoryandknowledgeofproblemgamblingandco existingproblemstoassess,plan,apply andevaluateproblemgamblingintervention. Element 9.1 Understanding problem gambling and co existing problems: A competent Problem Gambling Practitioner applies the knowledge base required to carry out effective assessment and intervention. Indicatorexamples: DemonstratescomprehensiveknowledgeofmodesofgamblingandtheirdegreesofriskforPG, andfactorsattributabletoeachgamblingmodethatarerelevanttotheirdegreeofrisk. Demonstrates understanding of a range of addiction theories and models, including cultural approaches, age related approaches and public health approaches, and the evidence base underpinningthem. 27 Demonstrates understanding of theories and models of behaviour change e.g. transtheoretical stagesofchangemodel. Element 9.2 Problem Gambling assessment and intervention planning: A competent Problem Gambling Practitioner collaborates with clients, family, whānau and others to assess problem gambling related problems, negotiate appropriate goals and plan relevant interventions aimed at supportingrecoveryandwell being. Indicatorexamples: Selectsandcollaborateswiththeclienttoapply,screening,briefandcomprehensiveassessment processes appropriate to the client s age, gender, culture, other client characteristics and the interventioncontext. Withtheclient,reviewsandprovidesinformationandadviceoninterventionoptionsthatmatch theclient scharacteristics,hopes,goals,needs,preferencesandresources.collaborateswiththe clienttodevelopaninterventionplan. Assesses client s readiness to change and responds appropriately to support engagement and positivechange. Assesses immediate risk and safety concerns and provides tailored support, information and interventionstoassisttheclient.providesongoingriskscreeningandassessmentasneeded. 27 AdaptedfromCenterforSubstanceAbuseTreatment,2006. 20
DRAFTAddictionInterventionCompetencyFrameworkJune2010 Element9.3PGinterventionmanagement:AcompetentProblemGamblingPractitionerapplies effectiveinterventionstrategiestoassistclientstoaddressgamblingrelatedproblemsandsupport recoveryandwell being.thepractitionerworkswithintheirscopeofpracticeandwithinthe interventioncontext,involvingothersasrequired. Indicatorexamples: Demonstrates knowledge of the aims, philosophies, practices, policies, expected outcomes andavailabilityofaspectrumofpginterventionmodels,programmesandapproaches. Facilitatesclientaccesstotherangeofinterventionsrequired,byprovidingtheintervention orreferringappropriately.thisincludesbutisnotlimitedto: o pharmacologicalinterventionsforpgorcommoncoexistingproblems o culturalinterventions o interventionsforco existingtobaccosmoking,alcoholandotherdrugproblems o interventionsforco existingmentalhealthproblems o interventionstoaddresscriminaloffendingrelatedtopg o financialorbudgetingadviceandsupport. Appliesappropriatepsychosocialstrategiestoassistclientstoachieveagreedgoalsorrefers appropriately. Providesinformationandactivelyfacilitatesclientaccesstoavailablecommunityresources. 21
DRAFTAddictionInterventionCompetencyFrameworkJune2010 AlcoholandotherDrugPractitionercompetencies NB:Co requisitecompetenciesincludefoundation:essentialandpractitioner 10.Assessmentandintervention:AOD AcompetentAODpractitioner,incollaborationwithclientsandothers,appliestheoryand knowledgeofaodaddictionandco existingproblemstoassess,plan,provideandevaluate AODintervention. Element10.1UnderstandingAODaddictionandco existingproblems:appliestheknowledgebase requiredtocarryouteffectiveaodassessmentandintervention. Indicatorexamples: Demonstrates comprehensive knowledge of properties and effects of commonly misused drugs (includingalcoholandnicotine)andtheirinteractions. Demonstrates understanding of a range of addiction theories and models, including cultural approaches, age related approaches and public health approaches, and the evidence base underpinningthem. 28 Demonstrates understanding of theories and models of behaviour change e.g. transtheoretical stagesofchangemodel. Element10.2AODassessmentandinterventionplanning:Collaborateswithclients,family,whānau and others to assess AOD related problems, negotiate appropriate goals and plan relevant interventionsaimedatsupportingrecoveryandwell being. Indicatorexamples: Collaborateswiththeclienttoapply,screening,briefandcomprehensiveassessmentprocesses appropriatetotheclient sage,gender,culture,otherclientcharacteristicsandtheintervention context. Withtheclient,reviewsandprovidesinformationandadviceoninterventionoptionsthatmatch theclient scharacteristics,hopes,goals,needs,preferencesandresources.collaborateswiththe clienttodevelopaninterventionplan. Assessestheclient sreadinesstochangeandrespondsappropriatelytosupportengagementand positivechange. Assesses immediate risk and safety concerns and provides tailored support, information and interventionstoassisttheclient.providesongoingriskscreeningandassessmentasneeded. 28 AdaptedfromCenterforSubstanceAbuseTreatment,2006. 22
DRAFTAddictionInterventionCompetencyFrameworkJune2010 Element 10.3 AOD intervention management: Applies effective intervention strategies to assist clientstosupportrecoveryandwell beingandaddressaodrelatedproblems.thepractitionerworks withintheirscopeofpracticeandwithintheinterventioncontext,involvingothersasrequired. Indicatorexamples: Demonstrates knowledge of the aims, philosophies, practices, policies, expected outcomes and availabilityofaspectrumofaodinterventionmodels,programmesandapproaches. Facilitates client access to the range of addiction interventions required, by providing the interventionorreferringappropriately.thisincludesbutisnotlimitedto: o effectivewithdrawalmanagement o pharmacologicalinterventions o culturalinterventions o interventionsforco existingtobaccosmokingand/orproblemgambling o interventionsforco existingmentalhealthproblems o interventionstoaddresscriminaloffendingrelatedtoaoduse. Applies appropriate psychosocial strategies to assist clients to achieve agreed goals or refers appropriately. Providesinformationaboutandactivelyassistsclientstoaccessavailableservicesandcommunity resourcesasrequired. 23
DRAFTAddictionInterventionCompetencyFrameworkJune2010 SmokingCessationCompetencies Note:ThesecompetenciesareadaptedfromSmokingCessationCompetenciesforNew Zealand,MinistryofHealth,2007. Co requisitecompetenciesincludefoundation:essential 11.Assessmentandinterventionplanning:SmokingCessation AcompetentSmokingCessationprofessionalcollaborateswithclients,familyandwhānauto delivertailored,evidence basedsmokingcessationsupport/treatment. Element 11.1: Understanding nicotine addiction: A competent Smoking Cessation professional maintainsandappliestheknowledgebaserequiredtoassistclientstostopsmoking. Demonstratesunderstandingofnicotineaddictionasachronicrelapsingcondition. Demonstratesunderstandingofthemajorharmfulhealtheffectsofnicotineonindividuals, pregnantwomenandtheirbabies,families,whānauandthewidercommunity,andarticulates thehealthbenefitsofstoppingsmoking. Identifies: o commonsymptomsofnicotinewithdrawal o commoncuesthattriggerurgestosmoke o o commoncausesofrelapse commonsmokingcompensationbehaviours. DemonstratessoundknowledgeoftheABCapproachtosmokingcessation. 29 Demonstratescomprehensiveknowledgeofthecharacteristics(types,costs,sources,doses, actions,effectivenessandside effects)ofevidence basedstop smokingtreatmentsavailablein NewZealand. Identifiescomplementarytherapiesforstop smokingtreatmentandunderstandstheir effectiveness. Element11.2Smokingcessationassessmentandsupportplanning:AcompetentSmokingCessation professionalaccuratelyassessestobaccosmokingrelatedneeds,negotiatesgoalsandplanssupport withclients,inclusiveoffamily,whānauandothers. Collaborateswiththeclient(andothers)todevelopanunderstandingofclient sstrengths, resourcesandneedsinrelationtotobaccosmoking. Selectsappropriatescreeningand/orassessmentprocessestoassessthelevelofnicotine dependencefortheclient.processesarematchedtoclientneed(inrelationtotheculture, genderandage)andthescreening/assessmentcontext. Selects,appliesandinterpretsscreeningtoolsand/orprocessestoassistinidentifyingthe presenceandseverityofproblemgambling,alcohol,andotherdruguseproblemsandcommon co existingproblems. 29 RefertoSmokingCessationCompetenciesforNewZealand,MinistryofHealth,2007. 24
DRAFTAddictionInterventionCompetencyFrameworkJune2010 Assessesclient sinterestinreceivingsmokingcessationsupportandrespondsappropriately. Identifiesclientswhomaybeatriskforcausingharmtoselforothersandprovidesorarranges assistance. 30 Regularlyreviewsclientriskofharmtoselforothers. Providesadviceoninterventionoptionsthatmatchtheclient sstrengths,needs,characteristics, goals,andresourcesand,incollaborationwiththeclient,developsinterventionplan. 31 The interventionplanisbasedonclientgoals,strengths,needsandresourcesavailableandaccounts forclientpreferencesandpriorities. Providesbriefinterventionforproblemgambling,alcoholandotherdrugproblemsappropriate totheclientandservicecontextorrefersappropriately. Refersappropriatelyforotherinterventionsandservicesasneeded. Element 11.3 Providing cessation support: A competent Smoking Cessation professional applies effective strategies to assist clients to stop smoking. The professional works within their scope of practiceandwithintheservicecontext,involvingothersasrequired. Provideseffectivesmokingcessationsupporttailoredtothestrengthsandneedsoftheclient, includingprovisionofstop smokingmedicationsandprovisionofeffectivebehaviouralsupport. Providessmokingcessationsupportforclientswithcomplexneedseg,cardiovasculardisease, otherco existingmedicalconditions,pregnantwomen,clientswithcoexistingproblemssuchas mentalhealthand/orotheraddictions,and/orseeksexpertadviceand/orrefersappropriately. AcknowledgesthatMāorimayconsiderusingtraditionalhealingprocessesandpracticesthat supporthealthandwellbeing. Refersclientstoamedicalpractitionerforprescription onlymedicationssuchasnortriptyline, bupropionandvareniclineasrequired. Assistsclienttomonitorprogressandadjustsinterventionsasneeded. Coordinatesintervention,seekingexpertadviceasneeded,toassistclientswithcomplexissues, suchasco existingaddictionsandmentalhealthproblemsandco existingphysicalhealth problems. Identifiestheeffectsofsmokingonthemetabolismofvariousmedications(eg,medicationsfor mentalhealthdisorders),andthechangesseenwhenstoppingtobaccouse. 32 Provideslongtermintervention(eg,foratleastonemonth)asindicated. Workscollaborativelywithotherprofessionalsandservices(e.g.GPs,MaoriandPacificservices, mentalhealthservices,probationservices,problemgamblingservices,aodservices)toassistthe client. 30 CanadianCentreonSubstanceAbuse,2007 31 CenterforSubstanceAbuseTreatment,2006. 32 RefertoMinistryofHealth.2007.SmokingCessationGuidelinesforfurtherinformation. 25
DRAFTAddictionInterventionCompetencyFrameworkJune2010 AddictionSupportWorkerCompetencies Note:Co requisitecompetenciesincludefoundation:essential 12.Addictionsupportwork A competent Addiction Support Worker works in collaboration with clients, family and whānauprovidinginformation,education,skilldevelopmentandsupporttoassistclientsto managetheirrecoveryandwell being. Element12.1Understandingandprovidingsupportwork:Acompetentsupportworkerunderstands thephilosophies,principlesandprocessesthatcompriseaddictionsupportwork. Demonstrates understanding of the philosophy and principles of addiction support work approaches. Providesclearexplanationabouttheaddictionsupportworkerroletoclients,families,whānau, colleaguesandotherprofessionals. Acknowledges and supports the personal resourcefulness of clients, families and whānau as a startingpointforsupportwork. Acknowledges that Māori may consider using traditional healing processes and practices that supporthealthandwellbeing. Collaborates with the client, and others as appropriate, to identify support work needs and developatailoredsupportworkplansuitedtothestrengths,needs,prioritiesandpreferencesof theclientandaligningwiththeservicecontextandavailableresources.supportworkplanning reflectsanunderstandingofandcomplementsotheraddictioninterventionwhereappropriate. Providesprofessionalsupportworkaccordingtothenegotiatedsupportworkplan. Demonstratesabilitytoprovidesupportinarangeofcontextsandenvironmentsrelevanttothe clientandtheirfamilyandwhānau. Reviewssupportworkplanatagreedintervalswiththeclientandothersinvolved,adjustingplan asneeded. Identifies clients who may be at risk of harm to self and/or others and ensures appropriate follow up. Develops and maintains an extensive knowledge or community resources and draws on this as appropriateinprovidingsupportwork. Dealswithanddiffusesaggressiveandabusivebehaviourwhilemaintainingpersonalsafety. Takesstepstopreventviolence,abuseandneglectintheclient srelationships. 26
DRAFTAddictionInterventionCompetencyFrameworkJune2010 AddictionPeerSupportWorkerCompetencies Note:Foundationcompetenciesabovedonotapply. A. Working with clients: A competent peer support worker engages and works in partnershipwithclients,familyandwhānautosupportrecoveryandwell being. Element A.1 Supporting recovery and promoting well being: Integrates principles of recovery into practiceandpromoteswell beingforclients,familyandwhānau. Indicatorexamples: Demonstratesgenuineconcernforthewell beingofclients,familyandwhānau,acknowledging theirpersonal,physical,social,culturalandspiritualstrengthsandneeds. ElementA.2Respondingtodiversity:Respondseffectivelytoclients,familyandwhānauinrelationto theirgender,culture,age,abilityandsexualorientation. Indicatorexamples: Demonstratesresponsivenesstoadiverserangeofclients,applyingage appropriateand culturallyappropriateprotocolsandprocessesappropriatetotheservicecontext. Element A.3 Engaging clients, family and whānau: Actively involves and supports the client, family andwhānautoengageinpeer supportprocesses. Indicatorexamples: Establishesandmaintainssafety,trust,roleboundariesandconfidentialityinprofessional relationshipswithclients,familyandwhānauwithinthecontextoforganisationaland professionalcodesofethicsandconduct. ElementA.4Relatingandcommunicating:Relateswithempathyandcommunicateseffectivelywith clients,familyandwhānau. Indicatorexamples: Usesreflectivelisteningskills. Useslanguageandterminologyappropriatetotheneedsofclients,familyandwhānau. Respectsdiversityincommunication(eg,relatedtoage,culture,andgender). B. WorkingwithMāori:Acompetentpeersupportworkerdemonstratesabilityto contributetowhānauoraformāori. 33 ElementB.1TereoMāori:PromotestheuseoftereoMāoriasanessentialcomponentofhealingfor Māori. Indicatorexamples: DemonstratescorrectpronunciationandusageofbasictereoMāoriwithclientsandwhānau. DemonstratesrespectfortereoMāoriandtikanga. ElementB.2Whakawhanaunga:Demonstratesrecognitionofinterconnectednessandrelationships, particularlybetweenwhānau,hāpuandiwi. Indicatorexample: Acknowledgesthesignificanceoftheinterconnectednesswithinwhānauasasenseofbelonging andidentity.thisisrecognisedasanessentialcontributiontohealingandrecoveryforclientsand whānau. 33AdaptedfromTakarangiCompetencyFrameworkandLet sgetreal. 27
DRAFTAddictionInterventionCompetencyFrameworkJune2010 ElementB.3Manaaki:Demonstratescorevaluesofmanaakiintheirpractice. Indicatorexample: Acknowledgesthesignificanceofsupportandhospitalityascoreculturalconsiderationsinthe careandsupportofclientsandwhānau. ElementB.4HauoraMāori:DemonstratessupportforhauoraMāoriintheirwork. Indicatorexamples: DevelopsanunderstandingofMāorimodelsorperspectivesofhauorainservicedelivery. AcknowledgesthatMaorimayconsiderusingtraditionalhealingprocessesandpracticesthat supporthealthandwellbeing. C. WorkingwithPacificPeoples:Acompetentpeersupportworkerdemonstrates responsivenessinprovidingpeersupporttopacificpeoples. 34 ElementC.1Family:UnderstandsoracknowledgesthediversityofPacificfamilies. Indicatorexample: Recognises that each Pacific family brings with it a broad spectrum of cultural, historical, social andpoliticaldiversity. ElementC.2Language:AppliesappropriatecommunicationtechniquesinworkingwithPacificpeople, orknowwheresuchskillisavailable. Indicatorexamples: Usesappropriateverbalandbodylanguage,whichfacilitatesthebuildingofrapportwithPacific serviceusersandtheirfamilies. Usessuitablyqualifiedinterpretersorculturaladvisorstoassistwithsituationsthatrequirea higherlevelofpacificlanguagefluencyandculturalexpertise,whereappropriate. Element C.3 Pacific concepts of Tapu: Is open minded to the cultural, spiritual and relationship environmentsandbeliefsystemsthatmayaccompanypacificclientsandtheirfamilies. Indicatorexamples: AcknowledgesthatthePacificconceptofselfandwellbeingislocatedinthecentreofthe collective,ratherthantheindividual.isalsoabletoacknowledgethatthepacificconceptofselfis holisticandfluid,inthesensethatthepartsofthepersonareinextricablylinked. Recognisesthattheconceptoftapuisaboutensuringculturalsafetyandenablingculturallysafe practices. D. ApplyingprinciplesofSocialJusticeinaddictionpeersupportwork:Acompetentpeer supportworkerintegratesprinciplesofsocialjusticeintotheirpractice. ElementD.1Self determinationandempowerment:demonstratesunderstandingoftheimportance ofself determinationandactivelysupportsempowermentofclients,familiesandwhānau. Indicatorexamples: AppliestheprinciplesoftheTreatyofWaitangi/TeTiritioWaitangiinprofessionalpractice. Demonstratesunderstandingofownsocialvaluesandassumptionsandhowtheseimpacton peersupportpractice. Ensurespracticeisconsistentwithprinciplesofsocialjustice. 34AdaptedfromRealSkillsPlusSeitapu.ThereadershouldrefertoRealSkillsPlusSeitapu(2009)forfullinformationonthese competencies. 28
DRAFTAddictionInterventionCompetencyFrameworkJune2010 Element D.2 Social connectedness: Actively supports clients to develop and maintain positive relationshipsandpositiverolesandwiththeircommunities. Indicatorexample: Activelysupportsclientstodevelopand/orstrengthenpositiveconnectionswithfamily,whānau, friends,andcommunity. Element 4.3 Stigma and discrimination: A competent peer support worker uses strategies to challengestigma,discriminationandsocialexclusion. Indicatorexamples: Ensurespracticeisnon discriminatoryandchallengesstigmaanddiscrimination. Demonstratesunderstandingoftheimpactofinternalisedstigma. E. Professionalresponsibility:Acompetentpeersupportworkerdemonstrates professionalresponsibilityinallaspectsofpeersupportwork. Element E.1 Ethics, law and policy: Practices in accordance with ethical, legal and professional practicestandards. Indicatorexamples: Abidesbyaprofessionalcodeofethicsandbelongstoanappropriateprofessionalbody. Adherestoorganisationalsafetyandsecuritypoliciesandprocedures. Identifiesethicalchallengesandseeksassistanceandguidancetorespondappropriately. Identifiestherequirementsofandexceptionstodisclosureofconfidentialinformationunderthe PrivacyCodeasitappliestohealthprofessionals. Adherestolegislation,regulations,standards,codesandpoliciesrelevanttorole. ElementE.2Workingwithinteams,organisationsandsystems:Workseffectivelyasateammember andactivelycontributestowardsorganisationalandinter organisationaleffectiveness. Indicatorexamples: Demonstratesunderstandingofthevalueofaninterdisciplinaryapproachtoassistingpeoplein recoveryfromaddiction. 35 Workseffectivelyinateam;understandsteamrolesanddemonstratesrespectfordifferent workingstyles. ElementE.3Reflectivepracticeandprofessionaldevelopment:Activelyreflectsontheirpracticeand participatesinongoingprofessionaldevelopment. Indicatorexamples: Engageseffectivelyinsupervision. Seeksandparticipatesinongoingprofessionallearningopportunities. Element E.4 Accountability: A competent peer support worker meets required standards of accountability. Indicatorexamples: Maintainsandstoresrecordsinaccordancewithlegalandorganisationalrequirements. Gathersandusesinformationtoinformdecisionsrelevanttorole. 36 Participatesinorganisationalqualityinitiativesasrequired. 35CenterforSubstanceAbuseTreatment,2006. 36MinistryofHealth,2008. 29
DRAFTAddictionInterventionCompetencyFrameworkJune2010 F. Workingwithfamiliesandwhānau:Acompetentpeersupportworkerworkseffectively withfamilies,whānauandsignificantotherstosupportrecoveryandwell being. ElementF.1Involvingandsupportingfamilyandwhānau:Worksinafamilyinclusivemanner. Indicatorexample: Works in partnership with the client to identify and include family, whānau, significant people andothernetworkstosupportrecovery. G. Workingwithgroups:Acompetentpeersupportworkerworkseffectivelywithgroups tosupportrecoveryandwell being. Element G.1 Developing and facilitating groups: Works effectively with groups to provide support andeducation. Indicatorexamples: Appliesbasicunderstandingofgroupprocessandgroupdynamics. Appliesbasicunderstandingofarangeofprinciplesandmethodsofgroupfacilitation. 37 Appliesbasicunderstandingofsafetyconcernsandgainsassistancetomanagetheseconcernsin settingupandfacilitatinggroups. H. Workingwithcommunities:Acompetentpeersupportworkerworkseffectivelywith communitiestosupportrecoveryandwell being. ElementH.1Linkingwithcommunities:Activelylinkswithcommunitygroupsandorganizations. Indicatorexamples: Maintainsworkingrelationshipswithrelevantcommunitygroupsandorganisations. Demonstratesacomprehensiveknowledgeofcommunityservicesandresources. I. Providingpeersupport:Acompetentpeersupportworkerappliesbestpractice principlesandapproachesinprovidingpeersupport. Element I.1 Understanding peer support: Understands the philosophies, principles and processes thatcomprisepeersupportwork. Indicatorexamples: Describescorephilosophiesandapproachesunderpinningpeer supportworkegperson centred, well being,recoveryandstrengths based. Demonstratesunderstandingofandrespectfordiversepathwaysandstylesofrecovery. Demonstrateshighlevelofunderstandingof useofself asahelpinginstrumentinpeer support work. Demonstratesunderstandingoftheimportanceofself careandmanagingpersonalhealthin relationtothepeer supportroletoensuresafetyofpeer clients,selfandemploying organisation. ElementI.2Supportingclients:Supportspeer clientsintheirrecovery. 37CanadianCentreonSubstanceAbuse,2007. 30
DRAFTAddictionInterventionCompetencyFrameworkJune2010 Indicatorexamples: Developsrelationshipswithclientsthatarebasedonsharedlifeexperienceinrelationto addictionandrelatedproblems. Demonstratesabilitytomodelarecovery orientedlife stylewhilemaintainingidentificationwith theclient. Supportsclientstodevelop,implementandreviewtheirownrecoveryplan. Supportsclienttomakelifestylechangesselectedbytheminthecontextoftheirrecovery journey.offersabroadspectrumofsupportincluding:information,emotionalsupport,social support,andpracticalsupporttailoredtotheclient saspirations,preferencesstrengthsand needs. Providespeer supportinenvironmentspreferredandselectedbythepeer clientwhereversafely possible. Encouragesandsupportstheclienttostrengthenandusetheirnaturalsupportstoenhance recovery. Supportstheclienttoaccessavailablecommunityservicesandresources,includingaddiction services,inaccordancewithclientpreferencesandaspirations. Identifiesclientswhomaybeatriskofharmtoselfand/orothersandensuresappropriate follow upoccurse.g.referraltoappropriatepractitionerorservice. Supportsclientsincrisisand/orrelapse,seekingassistanceasappropriate. Advocatesforselfandothersonrecovery relatedissues. Acknowledgeslimitsofownabilitiesadscopeofpracticerefersclientasnecessary. Element I.3 Providing education: Informs and educates peers, families and whānau, other professionalsandthecommunityaboutaddictionrecovery. Indicatorexamples: Modelsandsupportsotherstouserecoveryorientedlanguage. Informsothersaboutdiversepathwaysandstylesofrecoveryfromaddiction. 31
DRAFTAddictionInterventionCompetencyFrameworkJune2010 Yourfeedback DRAFT Addiction Intervention Competency Framework June 2010 Consultation survey This is an opportunity to provide feedback on the DRAFT Addiction Intervention Competency Framework (June 2010). Your feedback is important. The DRAFT Framework will be revised on the basis of the feedback provided. A summary feedback report will be available on request (hsd@xtra.co.nz) by 30th September 2010. The revised Framework will be completed by the end of 2010. Please complete this survey by Friday 20 August 2010. Return via email: hsd@xtra.co.nz or post to Health & Safety Developments 22 Allen Rd Grey Lynn Auckland 1021. This survey is available on line at http://www.surveymonkey.com/s/x8b99gq Contact Paula Parsonage on 09 3781843 or hsd@xtra.co.nz for further information 1. Which of the following areas are you most involved in (please tick): Problem Gambling Intervention Smoking Cessation Treatment Alcohol and other Drug (AoD)Treatment Problem Gambling and AoD Intervention Consumer workforce (eg, peer support; consumer advisor, consumer rep) Education/Training/Workforce Development/Research Other (please specify) Structure, tone, language 2. Please indicate your responses to the following statements on a scale of: strongly disagree to strongly agree. The DRAFT Addiction Intervention Competency Framework (June 2010) 1 2 3 4 5 Strongly disagree Disagree Neutral Agree Strongly agree Don t know a) Is easy to follow (eg clear structure and format). b) Clearly shows which competencies apply to each role. c) Uses appropriate role titles. d) Uses key terms (such as client, addiction, intervention) that are broadly acceptable. e) Provides clear expectations of competency requirements. 32
DRAFTAddictionInterventionCompetencyFrameworkJune2010 f) Please comment on the structure, tone and language used in the DRAFT. Values, Attitudes and Foundation competencies 3. Please indicate your responses to the following statements about the Values and Foundation Competencies outlined in the DRAFT Framework, on a scale of: strongly disagree to strongly agree. 1 2 3 4 5 Strongly disagree Disagree Neutral Agree Strongly agree Don t know a) The values and attitudes that underpin the Framework are useful to support effective practice. b) The 8 Foundation Competencies are relevant to the roles included in the DRAFT Framework. c) The requirements on working with diversity and cultural competence in the DRAFT Framework are adequate to support effective practice. 4. Please indicate your responses to the following statements about the Values and Foundation Competencies outlined in the DRAFT Framework, on a scale of: way too much to not nearly enough. Way too much Too much About right Not enough Not nearly enough Don t know a) The emphasis on recovery and well-being in the DRAFT Framework is.. b) The emphasis on public health and health promotion requirements in the DRAFT Framework is... 33
DRAFTAddictionInterventionCompetencyFrameworkJune2010 c) Please comment on the values, attitudes and Foundation competencies in the DRAFT Framework. Role specific competencies 5. The DRAFT Framework outlines the following role specific competencies: Peer Support Worker; Support Worker; Smoking Cessation; Problem Gambling Practitioner; AoD Practitioner. Please provide comments below about these competencies as appropriate. 34
DRAFTAddictionInterventionCompetencyFrameworkJune2010 Training requirements 6. If applicable, please provide feedback on the areas in which you would need training in order to demonstrate competency across the DRAFT Framework as it applies to you. Overall comments 7. In your opinion what are the key strengths of the DRAFT framework? 8. In your opinion what are the key limitations of the DRAFT framework? 9. Please recommend changes to the DRAFT framework (Please be as specific as possible). 35
DRAFTAddictionInterventionCompetencyFrameworkJune2010 10. Please provide any other comments. Thanks for taking the time to complete this survey. Post to Health & Safety Developments 22 Allen Rd Grey Lynn Auckland 1021 by 20 August 2010. 36
DRAFTAddictionInterventionCompetencyFrameworkJune2010 CompetencyFrameworkReferences AlcoholandDrugTreatmentWorkforceDevelopmentAdvisoryGroup.2001.Practitioner CompetenciesforAlcohol&DrugWorkersinAotearoa NewZealand.ALACOccasional Publication:No13.Wellington:AlcoholAdvisoryCouncilofNewZealand. CanadianCentreonSubstanceAbuse.2007.CorecompetenciesforCanada ssubstance AbuseField.Version1.0.Ottawa:CanadianCentreonSubstanceAbuse. CenterforSubstanceAbuseTreatment.2006.AddictionCounselingCompetencies:The Knowledge,Skills,andAttitudesofProfessionalPractice.TechnicalAssistancePublication (TAP)Series21.Rockville,MD:SubstanceAbuseandMentalHealthServicesAdministration. DAPAANZ(DrugandAlcoholPractitionersAssociationAotearoaNewZealand).2008.ALAC AlcoholandDrugPractitionerCompetencies,Revised2008.Wellington:DAPAANZ. LeVaPasifika.2009.RealskillsplusSeitapu:workingwithPacificpeoples.Auckland:LeVa PasifikaTePouoTeWhakaaroNuiTheNationalCentreofMentalHealthResearch, InformationandWorkforceDevelopment. MatuaRaki.2009.TakarangiCompetencyFramework.Wellington:MatuaRakiNational AddictionWorkforceDevelopment. MinistryofHealth.2008.Let sgetreal:realskillsforpeopleworkinginmentalhealthand addiction. Wellington:MinistryofHealth. MinistryofHealth.2007.SmokingCessationCompetenciesforNewZealand.Wellington: MinistryofHealth. NursingCouncilofNewZealand.2007.Competenciesfornurseassistantsandenrolled nurses.wellington:nursingcouncilofnewzealand. NursingCouncilofNewZealand.2007.Competenciesforregisterednurses.Wellington: NursingCouncilofNewZealand. ProblemGamblingFoundationNZ.2009.ProblemGamblingFoundationCompetencies. Auckland:ProblemGamblingFoundationNZ. TheWerryCentre.2008.RealskillsplusCAMHS:Acompetencyframeworkfortheinfant, childandyouthmentalhealthandalcoholandotherdrugworkforce.auckland:thewerry CentreforChildandAdolescentMentalHealthWorkforceDevelopment. 37
DRAFTAddictionInterventionCompetencyFrameworkJune2010 38 AddictionCompetenciesReview:Projectstructure AProjectReferencegroupprovidesoveralladvicetotheproject;referencegroupmembers are: Name Expertiserelevanttotheproject CynthiaOrme Problemgamblingintervention;Competencydevelopmentand implementation TerryHuriwai Problemgamblingtreatment,AODtreatment,Competencydevelopment; Takarangicompetencyframework,kaupapaMaori JosephineGray ProblemGamblingintervention;AODtreatment,Pacificapproaches HaydnMcRobbie SmokingCessation;competencydevelopmentandimplementation TrishFraser SmokingCessation;competencydevelopmentandimplementation SueTaylor SmokingCessation;competencydevelopmentandimplementation VickiKiddell Recovery,consumeradvisory;AOD;tertiaryeducation FraserTodd AODtreatment,competencydevelopment,addictioneducation,provides linktodapaanzexecutive WolfgangTheuerkauf AODtreatment,addictioneducation,competency basedtraining development;provideslinktodapaanzexecutive AContractsmanagementgroupoverseescontractualrequirements;membersare: Name Role IanMacEwan ExecutiveDirector,Dapaanz AlisonPenfold Director,AbacusCounselling,TrainingandSupervisionLtd TerryHuriwai Advisor,MatuaRaki MariaBellringer ChiefExecutiveOfficer,ProblemGamblingHelpline Theprojectismanagedby: Name Role SeanSullivan Director,AbacusCounselling,TrainingandSupervisionLtd PaulaParsonage ProjectManager,Dapaanz(contractor)