Federal Substance Abuse Agencies

The following agencies provide a wealth of information useful to AOD counselors. Substance Abuse and Mental Health Services Administration (SAMHSA) U.S. Department of Health and Human Services (DHHS) Established by Congress in 1992, SAMHSA seeks to strengthen the nation's health care capacity in prevention, diagnosis, and treatment services for substance abuse and mental illness by working in partnership with states, communities, and private organizations. With annual budgets of more than 2.5...

The Brain And Addictive Behaviors

Until recently, researchers and clinicians limited the term addiction to chemical (alcohol and other drugs) dependence. But neuroadaptation, the technical term for the biological processes of tolerance and withdrawal, also occur when substance-free individuals become addicted to pathological gambling, pornography, forms of sexual excess, eating excesses, overwork, compulsive buying, and other compulsive excesses (Coombs, 2004). New studies of the brain's reward system, using PET brain scan...

Basic Knowledge Skills And Attitudes Expected Of Addiction Counselors

In 1993, the Center for Substance Abuse Treatment (CSAT) created the Addiction Technology Transfer Center (ATTC) Program to foster improvements in the preparation of addiction treatment professionals. Comprising 11 geographically dispersed centers in 24 states and Puerto Rico, the ATTC National Curriculum Committee defined the competencies essential to the effective practice of counseling for psychoactive substance use disorders. Addiction Counselor Competencies (DHHS Pub. No. SMA 00-3468,...

Mental Health Dual Diagnosis Assessments

Adult Suicidal Ideation Questionnaire (ASIQ) A 25-item, self-reporting questionnaire created by William Reynolds, the ASIQ screens college students and adults in general for suicidal ideation. Used during intake interviews or during treatment, this test alerts professionals of a possible suicide risk. The test takes approximately 10 minutes to complete and training is required. Reynolds (1990) reports a consistency reliability coefficient of .95. See www.sigmaassessmentsystems.com asiq.htm. A...

Info

Affect How an individual's mood appears to others. affirmations Statements of recognition about client strengths. aftercare The continuing rehabilitation treatment and support provided for a patient following release from an institution. agonist A drug that increases the activity of another drug. agonist substitution A treatment for substance abuse that replaces the abused drug with one that has similar pharmacological action for example, nicotine chewing gum for tobacco dependence or methadone...

Autism and Aspergers Disorder

Autism and Asperger's Disorder are childhood disorders usually diagnosed before age three and marked by striking and enduring impairment in interpersonal and social interactions. Autism symptoms include social interaction deficits (e.g., impairment in such nonverbal behavior as eye contact, facial expression, posture, and gesture, or meaningful peer relationships, sharing with others, and lack of reciprocity), communication deficits (e.g., absence or delay of language development, odd and...

Selecting A Training Program

When selecting a training program, look for one that teaches the knowledge, skills, and attitudes just mentioned. Some junior colleges, such as the Nova Scotia Community College (Annapolis Valley Campus), offer training programs in addiction counseling services. Graduates of the Human Services program who, during their second year complete a concentration in addictions counseling, graduate with an Addictions Counseling Diploma and find employment in crisis centers, hospitals, addiction centers,...

Assessment Resources

Adolescent Alcohol Involvement Scale (AAIS) 75 Adolescent Drinking Index (ADI) 76 Alcadd Test Revised (AT) 76 Alcohol Abstinence Self-Efficacy Scale (AASES) 76 Alcohol Clinical Index (ACI) 76 Alcohol Dependence Scale (ADS) 76 Alcohol Effects Questionnaire (AEQ) 77 Adolescent Expectancy Questionnaire (AEQ-A) 77 Alcohol Use Disorders Identification Test (AUDIT) 77 Alcohol Use Inventory (AUI) 77 CAGE Questionnaire 78 Drinking Refusal Self-Efficacy Questionnaire (DRSEQ) 78 Drinking Related Locus of...

Additional Resources

For a review of the most current research and thinking on various addictive disorders, see Coombs, R. H. (Ed.). (2004). Handbook on addictive disorders A practical guide to diagnosis and treatment. Hoboken, NJ Wiley. For additional information on the Dopamine Reward System, see The brain's drug reward system (1996, September October). National Institute on Drug Abuse Notes. Addictions Neurological Biochemical aspects. Available from www.aizan.net families npsy_substance_abuse.htm. Also see The...

Certification And Licensing

Although certification standards for alcohol counselors were established in the 1970s, it was not until the following decade that addiction specialists began to define alcoholism as a chemical addiction. At that time, AOD counseling began to be considered under a single set of standards, and various professional boards were created to establish and maintain standards for assessing clinical competencies. Prior to the 1970s, alcoholism and other drug dependencies were considered separate...

State Substance Abuse Agencies

Each state has an easily accessible office that deals with AOD issues. The following alphabetic list provides relevant contact information Dept. of Mental Health and Retardation Web site Division of Alcoholism and Drug Abuse Web site www.health.hss.state.ak.us dada Div. of Substance Abuse General Mental Health 2122 East Highland Street, Suite 100 Bureau of Alcohol and Drug Abuse Prevention Dept. of Alcohol and Drug Programs 1700 K Street Sacramento, CA 95814-4037 Telephone (800) 879-2772 Fax...

Other Drug Assessments Addiction Severity Index ASI

Developed by Thomas McLellan, the ASI examines seven potential areas of concern for substance-abusing patients medical, employment, family and social relationships, drug and alcohol use, legal, and psychological status. It explores approximately 200 questions during the interview, which takes one hour to complete. Training is required to administer. ASI's consistency reliability coefficients range between 83 and 89 (McLellan & Luborsky, 1985). See www.uwm Adolescent Drug Abuse Diagnosis...