Prevalence
The existence of multiple diagnosable disorders or diseases that occur simultaneously or sequentially and influence the outcomes of the present illnesses
Comorbidity
What are some of the multicultural factors that contribute to the presence of substance use?
low socioeconomic status, lack of education, economical challenges (such as unemployment), and cultural attitudes toward substances.
requirements, education, and certification for substance use counseling may _____, contingent upon each state’s standards
vary/differ
In terms of counselors in recovery, there are two key issues impacting this population: ___ and self-disclosure
Countertransference
Any type of intervention aimed at the financing of health care and focused on elimination of unnecessary and inappropriate care and reduction of costs
Managed care
The use of multiple substances simultaneously or within a specific time frame (clients who seek an intoxicated state rather than a specific drug)
Polysubstance use or addiction
1. warmth 2. dependability 3. consistency 4. unconditional positive regard 5. empathy 6. nonjudgmental understanding 7. a belief that individuals strive towards self-actualization
Unlike certification, which can be granted nationally, state law establishes _____, and each state determines the requirements for ______.
Licensure
Any activity that relaxes, centers, or cares of oneself that can also prevent burnout and compassion fatigue
Self-care
This act strives to ensure access to services and better coordination of care
The Patient Protection and Affordable Care Act
Name one (or more) reason(s) why sexual minorities are more likely to have substance use disorders both as youths and adults?
Stigma, discrimination, bullying, less disinhibition, and gay community culture often being more accepting (and sometimes pressuring) for substance use
The most ________ method of training counselors for addictions-specific competencies is to incorporate training that includes both constructive methods for understanding addictions-related knowledge and experiential practice to solidify the ability to use the new skills
Effective
professional counselor licensures, marriage and family therapy licensures, and clinical social work licensures offer the holders the credentialing to treat clients with _________ without specialized licensure or credentialing.
Substance Use Disorders (SUD)
This can help expose addictions counselors to new concepts, deepen their knowledge for specializations, and help them meet requirements for continued licensure
Continuing education
Cognitive-behavioral therapy, community reinforcement approaches, motivational enhancement therapy, the 12-step approach, pharmacological interventions are all examples of
Evidence based treatment approaches
Of the 20.2 million adults above the age of 18 who were diagnosed with a substance use disorder, 39.1% were also diagnosed with a ___ within the past year.
Mental illness
What should a counselor do if they bring their own personal problems with addiction into the relationship or become too emotionally invested in the client?
Seek continued supervision; follow ethical decision-making process by ACA
What is the additional certification National Certified Counselor for counselors in substance use that is currently under review for certification?
Counselors who have never had an alcohol and other drug (AOD) history may unconsciously ___ clients by making assumptions based on media images and stereotypes
Stigmatize
This person-centered approach coordinates care and focuses on the multiple aspects of addiction recovery
Recovery-oriented system of care (ROSC)
What popular addiction theory has four components which are: 1. stages of change 2. processes of change 3. self-efficacy 4. decisional balance
Prochaska and DiClemente's transtheoretical model of change (TTM)
To be ethically competent, it is essential for the counselor to attend to facets beyond the substance addiction and inclusively consider language, cultural background, and treatments that include the client’s perceived ______ rather than the counselor’s perception of _____ and stereotypes
Culture
Though many accrediting bodies exist, _____ is the primary counseling accreditation and many states are using its standards as guidelines for state requirements.
Council for Accreditation of Counseling and Related Educational Programs (CACREP)
These types of counselors are more likely to diagnose substance use disorders, use a wider range of interventions and techniques, and report higher levels of commitment to their work
Counselors who are in recovery
___ means that third-party payers are required to provide both substance addiction and mental health services, just as they offer medical services
Parity