1
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
School of Social Work
Course Number:
SoWo760.01
Course Title:
Alcohol, Tobacco, & Other Drugs (ATOD): Clinical Practice
Semester:
Fall 2015, Tuesdays 5:30pm - 8:30pm
L. Worth Bolton, ACSW, LCAS, CCS
Clinical Assistant Professor
UNC-CH School of Social Work – CB#3550
Office Suite 4th Floor - #465
325 Pittsboro Street
Chapel Hill, N.C. 27599-3550
Work: 919-389-9224 FAX: 919-962-6562 email: lwbolton@email.unc.edu
Office Hours:
Office Hours by appointment only, Mondays & Tuesdays through the semester.
Course Description:
Students develop knowledge, skills, and attitudes specific to clinical practice with adults who
have Substance-Related and Addictive Disorders. This will include effective interventions in a
variety of clinical settings utilizing evidence-based and evolving best-practice methodologies.
Course Objectives:
At the conclusion of this course, students should be able to:
1. Understand the process by which the social worker, client and appropriate significant others
determine the most effective course of action based on the client’s needs and characteristics,
as well as available community resources. (Screening)
2. Identify methods for assessing and responding to crisis needs of persons abusing or
dependent on substances, with particular concern for medical needs. For instance, the
likelihood of self harm, available resources and other agency-related conditions. (Crisis
Intervention)
3. Know how to use an ongoing assessment process that accents client strengths and is sensitive
to issues like age, gender, race, ethnicity, culture, sexual orientation, rurality, and disability.
(Assessment)
4. Identify effective ways to collaborate with clients to develop desired treatment outcomes and
to design short-term and long-term strategies for achieving these outcomes. (Treatment
Planning)
5. Discuss service coordination activities, such as referral, liaison, and collateral contacts. These
are necessary to bring services, agencies, resources, and clients together in a planned effort to
help achieve the established goals. (Case Management)
2
6. Articulate a knowledge of multiple approaches to counseling individuals, small groups, and
significant others that have demonstrated effectiveness with Substance-Related and Addictive
Disorders. (Counseling)
7. Provide culturally relevant formal and informal educational programs to individuals, small
groups, and significant others that raise awareness, identify risk and resiliency factors,
support the recovery process, and explain the impact of addiction on the family system.
(Client Education)
8. Know the requirements for clinical charting of assessment, treatment planning, progress
notes, discharge planning, written reports, and other client-related data. (Reports and
Recordkeeping)
Expanded Course Description:
As one of four courses offered in the Certificate in Substance Abuse Studies Program the primary
focus of this course is the methods of engaging clients with Substance-Related and Addictive
Disorders in a therapeutic relationship. It will build on knowledge gained in direct practice
foundation courses and SoWo 700 is a prerequisite for this course. Specifically, it will provide
students with a knowledge base on the clinical aspects of addiction treatment, and explain and
demonstrate assessment,treatment planning and client placement skills that are effective with this
practice population in avariety of clinical settings. Utilizing current research findings on effective
interventions anddefining clinical pathways for efficacious practice, the course works to develop
student awarenessof evidence-based practices in addictions counseling. Additionally, students
will be asked to examine attitudes that may help or hinder effective clinical practice to include
common ethical issues that arise with this client population.
Required Texts:
Fletcher, Anne M. (2013) Inside rehab: the suprising truth about addiction treatment: and how
to get help that works. First published by Viking Penguin, a member of Penguin Books
Group (USA) Inc.
(This text will be available in the student bookstore.)
White W.L, Kurtz, E., & Sanders, M. (2006) Recovery Management. Chicago, IL. Published by
the Great Lakes Addiction Technology Transfer Center.
(This text is provided by the Behavioral Healthcare Resource Program from your Course
Professor, to be returned at the end of the semester, or paid for if lost or damaged ($9.50).)
Recommended Readings:
 Copies of recommended readings will be passed out in class at various times during the
semester.
 These are not required however; some “Extra Credit” questions on exams will be taken
from “recommended readings”.
3
Teaching Methods:
Class sessions will involve Lecture, Question & Answer, Large & Small Group Discussion,
Clinical Case Studies, and the use of Audio-Visual Aids (LCD projector, VCR, dry erase board).
This mix of teaching methodologies will ensure cognitive, affective, and experiential stimulation
regarding clinical interactions with substance-abusing clients. Students are expected to have
completed required readings before coming to class, and are also expected to actively
participate in class discussions & activities. Clinical work with this population involves
examining issues from many points of view and the ability to listen to ideas and opinions that
differ from your own will enhance the development of a supportive learning environment. The
rapidly changing technologies related to clinical work with this population and the legal issues
related to illicit drug use will challenge the class to realistically examine “best practice” models
that reflect the values of the social work profession. It is appropriate to share materials from work
settings and internships, and personal experiences, comments, concerns and observations are also
welcome. Confidentiality is expected of all class members when personal sharing occurs. If
personal issues surface in class and students would like support to address their concerns, they
are encouraged to ask the instructor for referral information.
Assignments:
1) Written Assignment (*Optional)
09/01/15 - Topic Approved by Instructor
11/24/15 - Paper Due at Beginning of Class
Students should identify a concern or area of interest they have about clinical social work
services with substance-related problems. The focus of this paper can be related to practice
following a particular theory of addiction, addressing specific family issues, working with the
dually diagnosed or other diverse population clients, using a particular treatment modality or
counseling approach, structured by a specific policy issue, etc. The format of the paper should be
as follows:
Introduction (Explains why the student chose this topic, why it is of interest)
Key Points
(Discusses research findings about this topic.)
Conclusion (Synthesizes research with student’s ideas about the topic.)
References
(APA Format throughout the assignment.)
This 8-10-page paper should be typed and double-spaced, with 1-inch margins, a minimum of
three references per page, and the use of current APA style. The paper will be graded on clarity
of ideas expressed, use of resources, and correct format/grammar. Papers will be turned in at the
beginning of class on the due date unless prior arrangements have been made in advance with the
instructor. Students must remember to include citations in their paper for ideas that are not their
own, whether or not those ideas have been written down somewhere. For example, if another
student comes up with a brilliant example to illustrate a point and you use it in your paper, then
you must cite him/her in a citation,
(NOTE: Please refer to the APA Style Guide, The SSW Manual, and the SSW Writing Guide for
information on attribution of quotes, plagiarism and appropriate use of assistance in preparing
assignments.)
All written assignments should contain a signed pledge from you stating that;
“I have not given or received unauthorized aid in preparing/completing this written work.”
4
In keeping with the UNC Honor Code, if a reason exists to believe that academic dishonesty has
occurred, a referral will be made to the Office of the Student Attorney General for investigation
and further action, as required.
2) Examinations
There will be two (2) exams, a mid-semester and final exam. They will be in class, closed book
exams administered under the University Honor Code, and are designed to evaluate knowledge,
understanding, and application of the material covered in class and in the required readings.
Study groups are permissible and, in fact, can be excellent for preparation.
*Exam One – October 13, 2015 @ 5:30 – 8:30pm
The first exam will consist of multiple choice, matching, short answer, & fill-in-the-blanks
questions and will cover all lectures and reading assignments through October 06, 2015.
*Exam Two – December 08, 2015 @ 5:30 – 8:30pm
The second will be inclusive of all assignments since the Mid-Term Exam and consists of
multiple choice questions, matching, sentence completion, true/false and a case study requiring
short answers and written activities pertinent to clinical practice discussed during previous
classes.
Policy on Incomplete and Late Assignments:
Any deviation from announced deadlines for written assignments or examinations must be cleared
in advance with the Instructor. Make-up exams must be taken within one week of the announced
date and will require documentation of illness or family crisis to be scheduled. Assignments
received late will have three (3) points deducted commensurate with the number of days late they
were received but no assignment will be accepted if it is more than five (5) school days late.
Policy on Missed Classes (See attached “Substance Abuse Movies” listing)
If a class session is missed the student will have ample opportunity to make up the missed
hours. The School of Social Work has entered into an agreement with the NC Substance Abuse
Professional Practice Board regarding the Certificate of Substance Abuse Studies and
180 hours of required education. Therefore, each course represents 45 contact hours. Hours missed
are made up to stay consistent with the Board’s request that each course contain 45 contact hours.
(This is particularly important to those Students and Practitioners in the Certificate of
Substance Abuse Studies Program.)
Policy on Accommodations for Students with Disabilities:
Students with disabilities which affect their participation in the course may notify the instructor if
they wish to have special accommodations in instructional format, examination format, or other
issues considered and addressed.
Grading System:
Courses in the School of Social Work are graded as H or H- (High, indicating clear excellence),
P+, P, or P- (Pass, indicating entirely satisfactory work), L (Low Pass), and F (Fail, indicating
performance is not acceptable at the graduate level). Only the letter grades H, P, L, and F appear on
official transcripts, but it is customary within the School to use pluses and minuses to provide
students with more specific feedback.
5
MSW Student’s final grade for this course will be determined as follows:
First Examination
40% of final grade
Final Examination
40% of final grade
Class Participation/Attendance
20% of final grade
*NOTE: Students electing to write a paper will have a different % distribution.
First & Final Exams
40% each of final grade
Written Assignment
10% of final grade
Class Attendance/Participation
10% of final grade
MSW Practitioner’s will not receive a formal grade on official university records for this
course, however, a P (70%) or better is required to receive a certificate of completion for the
course. Successful completion of the course will be determined as follows:
First Examination
45% of final grade
Second Examination
45% of final grade
Class Participation/Attendance
10% of final grade
Class participation will include attendance and active participation in all phases of class
activities. Making relevant comments with regards to the assigned/recommended readings and
the ability to apply covered material to class discussions is an important part of the learning
process and will be considered in assigning a percentage of your grade from “Class
Participation/Attendance”.
Written assignment, examinations, and final grade will be based on the following percentage
scale:
H = 94 - 100
L = 70-79
P = 80 - 93
F = 69 and below
Evaluation of Student Performance:
The following factors are considered when determining the grade earned by each student in this
course:
- An “F” will be assigned for failing to complete any of the above-mentioned requirements
as set forth in this syllabus. Total score for all assignments completed that fall below a
grade of 70 also will result in a course grade of “F”.
- An “L” will be assigned when a student has excessive absences or tardiness from class
without justifiable reason and fails to participate in class discussions and activities. An
inability to produce written work that demonstrates graduate-level skills, (e.g. excessive
spelling, punctuation, grammatical, and citation errors) will also adversely affect a
student’s grade. Students are expected to use a 12-point font and the reference style of
the Publication Manual of the American Psychological Association, 5th edition.
- A “P” will be awarded for completion of all requirements as set forth in this syllabus and
with none of the deficiencies noted above. A “P” as defined by the Graduate School
signifies entirely satisfactory work.
6
- An “H” is awarded to students whose work reflects “clear excellence” as defined by the
Graduate School. “Clear excellence” means exceeding “P-level” requirements in two
ways: (a) analysis & evaluation of class practice, and (b) extensive use of scholarly
literature in written assignment.
(*NOTE: For a student to be eligible for a grade of “H”, all graded assignments must be
at the 94 & above grade level AND the “written assignment” must be completed when
due. You do not have to complete the written assignment to pass this course, however
if you do not complete the “written assignment” you will not be considered for the
“H” even though your exam grades may meet or exceed the 94 average).
Overview of Class Presentations and Required Readings
(NOTE: This overview gives a projected list+ of topics and readings for each class session.
Adjustments will be made and discussed at the conclusion of each class session determined by
pace and process of class discussions/activities and student learning needs.)
Date
Session # Topics______________
___________________________Readings
08/18/15
1
Introductions/Expectations & Course Overview
Class Activity – “The Effective Addiction Therapist”
“Principles of Effective Addiction Treatment”
“Clinical Guidelines for SA Psychosocial Treatments”
Syllabus
Handout
Handout
Handout
08/25/15
2
What’s Wrong Addiction Treatment? What Will Help?
Rehab Nation: THE QUESTIONS AND THE ISSUES
“Confrontation in Addiction Treatment”
Pgs. 1-4
Pgs. 5-42
09/01/15
3
Going Inside: WHAT IT’S LIKE TO BE IN REHAB
Pgs. 43-92
Intro to ASAM Criteria
Handout
Screening and Assessment Tools
Website
(*Topics due to Instructor for required “Honors” written assignment)
09/08/15
4
The Cost of Rehab: FROM THE WALLET TO THE HEART Pgs. 93-121
ASAM
Handout
09/15/15
5
Getting the Best for Your Buck: WHAT ADDICTION TREATMENT
SHOULD LOOK LIKE
Pgs. 122-178
Evidence-Based Practices in Addiction Treatment
Handout
“SAMHSA’s National Registry, Evidence-Based Practices” Website
09/22/15
6
Rehab Isn’t for Everyone: IN FACT, IT’S NOT FOR MOST PEOPLE
Pgs. 179-204
One Size Doesn’t Fit All: HOW COOKIE-CUTTER APPROACHES AT
REHAB GET IN THE WAY
Pgs. 205-245
7
09/29/15
7
When it comes to Rehab, Teens are Not Just Little Adults: MORE
QUESTIONS THAN ANSWERS
Pgs. 246-298
“Recovery Management” Text Assigned by Number
10/06/15
8
LCAS Graduate Panel
Exam Review Q & A
“Recovery Management” Text Assigned by Number
10/13/15
9
Mid-Term Exam
(Black Ink Pen or #2 Lead Pencil)
Mid-Term Course Evaluation
10/20/15
10
10/27/15
When it’s not” just” a Drug and Alcohol Problem: FROM DEPRESSION
TO SEX ADDICTION
Pgs. 299-335
“Recovery Management”
Class Text
Recovery Oriented Systems of Care
Handout
11
Helping People Stay the Course: ON USING IN REHAB, REPEAT
VISITS, SUCCESS, “SUCCESS” AND IMPROVING THE ODDS
Pgs. 335- 378
Intro to Motivational Interviewing
Handout
“OARS” and “Change Talk”
Handout
11/03/15
12
Getting What you Need: ADVICE FROM THE PROS AND A LOOK AT
“DREAM” TREATMENT
Pgs. 379-406
Intro to Motivational Interviewing
Handout
“Dealing with Client Discord”
11/10/15
13
MI Practice with Case Studies
Handout
11/17/15
14
Introduction to Cognitive Behavioral Therapy
“Functional Analysis” and “Social Skills Training”
Handout
11/24/15
15
Introduction to Twelve Step Facilitation Therapy
Therapist Role & Function”
(*Written Assignments due at the beginning of class)
Handout
12/08/15
16
Final Exam
Student Evaluations
8
Substance Abuse Movies
Activity
Choose any video you wish. Suggestion: Watch the video once without trying to catch every
detail, think about it for a while then watch it again with an eye to the guidelines. Make sure that
you follow the guidelines in writing your reaction paper after viewing the movie. You will get
additional points if you incorporate class reading assignments (cited) into your paper (2 pages) as
you address the points stressed in the guidelines.
GUIDELINES:
Indicate why you chose the movie that you chose.
What do you think is/was the main point of the movie?
What part did you like the most? What part the least?
Would you recommend this movie to someone? Why?
Would this be a good movie to show to a client group? Why or Why Not?
The List
1. A Streetcar Named Desire
2. Affliction
3. Angela’s Ashes
4. Basketball Diaries
5. Barfly
6. City by The Sea
7. Clean & Sober
8. Chasing the Dragon
9. Drugstore Cowboy
10. Days of Wine & Roses
11. Dazed & Confused
12. Ironweed
13. Jacob’s Ladder
14. Joe The King
15. Jungle Fever
16. Lady Sings the Blues
17. Leaving Las Vegas
18. Man with the Golden Arm
19. New Jack City
20. Pay It Forward
21. Radio Flyer
22. Requiem for a Dream ®
23. Rush
24. Traffic
25. Trainspotting
26. 28 Days
27. The Lost Weekend
28. Ulee’s Gold
(If you have a movie that is “substance abuse specific”
that is not listed here, I am open to other movies if
you let me know in advance – LWB)
29. When A Man Loves A Woman
30. The 25th Hour
31. SherryBaby ®