Course Form (revised 7-2008) I. Summary of Proposed Changes Dept / Program School of Social Work Course # Course Title Social Work Practice in the Field of Addictions SW 553 Short Title (max. 26 characters incl. spaces) Social Work Addictions Summarize the change(s) proposed New Course II. Endorsement/Approvals Complete the form and obtain signatures before submitting to Faculty Senate Office Please type / print name Signature Requestor: Dr. Timothy Conley Phone/ email : x5557/timothy.conley@umontana.edu Program Dr. Ryan Tolleson Knee Chair/Director: Other affected n/a programs: Dean: Dr. Dave Forbes Date 4/28/09 III: To Add a New Course Syllabus and assessment information is required (paste syllabus into section V or attach). Course should have internal coherence and clear focus. Exact entry to appear in the next catalog (Specify course abbreviation, level, number, title, credits, repeatability (if applicable), frequency of offering, prerequisites, and a brief description.) SW Prac in Field of Addictions/G or 500-level/SW 553/Social Work Practice in the Field of Addictions/3 credits/offered spring semester/admission to MSW program or by permission of instructor/This elective course affords participants an opportunity to develop knowledge in a specific area of social work practice: addictions. The course examines historical and contemporary models of direct practice, and current ideological, political, policy and systemic challenges to the practice of social work in the addictions. Justification: How does the course fit with the existing curriculum? Why is it needed? It is a graduate-level elective course in the MSW program with a consistent enrollment over the past three years that is has been offered as a “special topics” course. The program needs practice electives. Are there curricular adjustments to accommodate teaching this course? no Complete for UG courses. (UG courses should be assigned a 400 number). Describe graduate increment (Reference guidelines: http://www.umt.edu/facultysenate/Grad/UG.htm) Fees may be requested only for courses meeting specific conditions determined by the Board of Regents. Please indicate whether this course will be considered for a fee. If YES, what is the proposed amount of the fee? Justification: IV. To Delete or Change an Existing Course – check X all that apply Deletion Title Course Number From: Level U, UG, G Change To: Description Change Change in Credits From: To: Prerequisites 1. Current course information at it appears in catalog (http://www.umt.edu/catalog) YES From: To: Repeatability Cross Listing (primary program initiates form) Is there a fee associated with the course? 2. Full and exact entry (as proposed) NO X 3. If cross-listed course: secondary program & course number 4. Graduate increment if level of course is changed to UG. Reference guidelines at: http://www.umt.edu/facultysenate/Grad/UG.htm (syllabus required in section V) Have you reviewed the graduate increment guidelines? Please check (X) space provided. 5. Other programs affected by the change 6. Justification for proposed change V. Syllabus/Assessment Information Required for new courses and course change from U to UG. Paste syllabus in field below or attach and send digital copy with form. VI Department Summary (Required if several forms are submitted) In a separate document list course number, title, and proposed change for all proposals. VII Copies and Electronic Submission. After approval, submit original, one copy, summary of proposals and electronic file to the Faculty Senate Office, UH 221, camie.foos@mso.umt.edu. SW 595.00: Social Work Practice in the Field of Addictions January 28 through May 6, 2009 (3 graduate credits; 45 contact hours) Instructor: Associate Professor Timothy B. Conley, Ph.D., L.C.S.W., Certified Addiction Specialist: American Academy of Health Care Providers in the Addictive Disorders Office: University of Montana, Jeannette Rankin Hall 115 Telephone: 406-243-5557; 406-240-6617; E-mail: timothy.conley@umontana.edu Office Hours: TBA Prerequisites: Bachelors degree in a related field or enrollment in a human service related graduate program or related practice experience. Room: JRH 19 Course Description: This elective course affords participants an opportunity to develop knowledge in a specific area of social work practice: addictions. The course examines historical and contemporary models of direct practice, and current ideological, political, policy and systemic challenges to the practice of social work in the addictions in the new Millennium. It affords participants an opportunity to acquire an understanding of the social science theories which inform direct practice models including: assessment based on the Diagnostic and Statistical Manual, 4th Edition Text-Revised (DSM-IV TR), level of care dictated by the American Society of Addiction Medicine Patient Placement Criteria -Two (ASAM II-R), Stages of Change, Motivational Interviewing, Alcoholics Anonymous, Rational Recovery and others. Participants will also critically analyze how social injustice, oppression and poverty impact addictive disorders across the lifespan and identify the ethical dilemmas these pose to the practitioner. Assigned material will include recent publications concerning understanding and treatment of co-occurring mental health/substance abuse disorders (dual-diagnosis), neuro-biological models of addiction, methamphetamine dependence and other specific drugs of dependence. All class hours fill specific categories of knowledge required by the National Association of Alcohol and Drug Abuse Counselors (NAADAC) for certification, and will apply to the Licensed Addiction counselor (LAC) credential in the State of Montana. Many teaching modules draw directly from the recently developed National Institute on Alcohol Abuse and Alcoholism (NIAAA) training modules, approved by The National Association of Social Workers (NASW) and The Council on Social Work Education (CSWE) for inclusion in social work curriculum. Course Content: This course is designed in part to meet the educational requirements of the National Association of Alcohol and Drug Abuse Counselors (NAADAC) for credentialing. As such, readings and assignments will reflect the content areas of counseling, pharmacology, ethics, general chemical dependency studies, treatment planning and documentation and multi-cultural competency. The course will explore social work in the field of addiction and the necessity and challenges of integrating clinical skills into more macro-level practice arenas. Students will express increased knowledge of addictions topics through a series of two papers and interactive class discussions. Contemporary developments in the field such as drug screening for the vulnerable populations of Medicaid, TANF recipients and prisoners may be explored. Readings will cover principles of addiction as well as addiction to specific chemicals. Course objectives: 1. Identify historical and contemporary models of direct practice in the addictions. 2. Outline current ideological, political, policy and systemic challenges to the practice of social work in the addictions. 3. Demonstrate culturally competent, gender-sensitive understanding of communication and interactional skills with addicted individuals and multi-person systems. 4. Articulate a critical understanding of the dominant addiction practice paradigms (i.e. DSMIV, ASAM Criteria). 5. Utilize framework for ethical self-reflection and decision-making as a component of professional development. 6. Demonstrate effective written communication skills needed for professional practice. 7. Identify and utilize social science theories which inform direct practice models, processes and change action plans appropriate to addiction 8. Demonstrate knowledge of theory bases and evidence based practice models relevant to addiction assessment, intervention and outcome measurement. 9. Exhibit an understanding of the role, rules and regulations of professional organizations (i.e. NAADAC, NASW) and licensing boards (DPHHS, AMDD, LAC) for the addiction practitioner. 10. Identify strategies of practice evaluation for addiction clinic social work. 11. Recognize and identify the community’s unique resources in the planning and implementation of addiction work. 12. Describe implications of rural context of practice in the addictions. Evaluation of student course work: The student work assigned for this course is designed to measure achievement of the course objectives. This is a graduate level course and all work (research and writing) will reflect an understanding of root theories as well as practice models. A professionally critical tone is expected for all writing. APA style format for papers with particular attention to the "author, (date)" method of citation is required. The very specific criteria by which work will be graded is posted in the assignment section of the BlackBoard. Assignment One Students are expected to submit discussion postings to Blackboard weekly concerning the readings. Talking points are expected to respond to course readings, or to summarize related reading that you have done on the weekly topic. Discussions will center around your reactions opinions and questions concerning the readings, web-sites, NIAAA modules and other materials assigned for the week. They should also foster development of and opportunities for utilizing frameworks for ethical self-reflection and decision-making as a component of professional development. The contextual implication of rural and global perspectives and their implications on social work practice in the field of addictions will be explored (20% of grade). Assignment Two Completed by all students; page limit <15 not including reference page (40% of class grade). An outline of the proposed paper is due by February 11; the paper is due on March 11. Early submission is encouraged. Students will prepare a literature research/review paper, on a practice-related topic in their area of addictions interest. The paper is to outline current ideological, political, policy or systemic challenges to the practice of social work in this area of addictions. In so doing it will demonstrate effective written communication skills which are needed for professional practice. It should also demonstrate culturally competent, gender-sensitive understanding of the challenge, and reflect a minority as well as a dominant culture world view. For example, a student may be interested in the treatment of pregnant substance abusing women. You could start with the SAMHSA website: http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.part.22441 And link to the Treatment Improvement Protocol (TIP) #2 on exactly that topic. Starting from there she would read the TIP and then select articles from the bibliography for self assigned reading/review. All papers may be started using reading material assigned for the course. Also, the library may be accessed through the internet including full text articles to many major addictions related journals. Here is the link to the library: http://www.lib.umt.edu/research Assignment Three Students choose one of the following assignments, with a page limit of <15 pages (40% of course grade). An outline is due by March 11; assignment due by the fourteenth class. Early submission is encouraged, no late papers accepted. a) Prepare a literature search paper which reports on a specific model for the treatment of one addictive substance: cocaine, cannabis, methamphetamine, alcohol, inhalants. The work will expose popular inaccurate mythologies such as 'crack babies,' 'skid row bums,' etc. The paper will demonstrate knowledge of theories of addiction including biological, social, psychological, spiritual (the text is a good initial source). Cover pharmacology wherever possible: can addiction to this substance be treated with medication? Moreover, the work will exemplify a working knowledge of evidence based culturally sensitive practice models relevant to assessment, intervention and outcome measurement relative to the substance chosen. b) Students will prepare a paper exhibiting thorough knowledge of diagnosis and assessment of individuals afflicted with chemical dependency disorders. This will include DSM-IV diagnostic criteria as well as the SASSI, ASI, ASAM PPC-2-R and other multidimensional assessment schema. The paper will present a bio-psycho-social perspective and address strengths assessments as well as pathology. Students are encouraged to research and report on ethnic and culturally sensitive assessment schema. Do the dominant models work for Native Americans, African Americans, Hispanics, Asian Americans and/or immigrants? Again, the link to SAMHSA's TIPs is offered as a starting point for your research. http://tie.samhsa.gov/Externals/tips.html And the link to the library for on-line literature research: http://www.lib.umt.edu/research c) Students may conduct a 50 minute intake and 50 minute follow up session with a mock client, digital-record these and write a critical process record of the encounters. The write up will include a citation supported introduction on the particular counseling model and method used, written transcription and critical comments on specific segments of the interviews/sessions and a summary of how the experience advanced the students personal learning goals. Discuss this one with me before proceeding. Required Text: Doweiko, H.E. (2005) Concepts of Chemical Dependency. Brooks/Cole 6th Edition. This is available from several sources on-line and costs less than $80.00, though used ones may run much less than this. Teaching Process and Schedule: Below is a listing of all related teaching/learning sessions in order. Each session consists of required and (sometimes) suggested readings. All should be either in the text or located in the course documents section of the course BlackBoard web-site. There are also additional documents in this section of the BlackBoard. The syllabus itself provides links to some web-sites. Most sessions include reference to a separate NIAAA training module and these are located in the course materials section of the course BlackBoard web-site; they consist of a power-point presentation and notes. Moreover, all of these modules, including instructor notes, may be accessed directly online at NIAAA: http://pubs.niaaa.nih.gov/publications/Social/ContentsList.html I am augmenting this course materials section of the BlackBoard this semester to include selected most recent presentations from the National Institute on Drug Abuse Blending Conference I attended in Cincinnati last spring. Hot stuff: check them out! I will occasionally mail general comments, observations and instructions to all students. You may contact me by e-mail at any time. Any e-mails to me not specifically marked 'confidential' may be shared with all participants for learning purposes. Week One (January 28): Course overview; History of social work in the addictions. Through class discussion we will review course assignments and evaluative criteria. We also will participate in a discussion concerning participants interests and personal/professional motivation for participating in this course. For this week all participants will prepare a one to two paragraph dialog introducing themselves and sharing their interest in taking this course. All participants will subscribe (free) to the following list-servers: Subscribe to JTO direct weekly newsletter at: www.jointogether.org; Hot news releases from JTO are often the topic of discussion on class. Subscribe to NIDA Notes as well at: http://www.drugabuse.gov/NIDA_Notes/NNIndex.html Required Readings: Freeman, (2001) Substance Abuse Intervention, prevention, rehabilitation, and systems change strategies. Columbia university press. Chapter 3: The substance policy and funding subsystem: Sociopolitical and power issues. (This file is a little corrupt, but readable). Sun, A.P., (2001). Systemic barriers to the employment of social workers in alcohol and other drug treatment agencies: A statewide survey. Journal of Social Work Practice in the Addictions, 1 (1). 11-24. Rhodes, R., Johnson. A.D. (1996). Social work and substance –abuse treatment: A challenge for the profession. Families in Society: The Journal of Contemporary Human Services, 77 (3), 182-185. Suggested Readings: Magura, S. (1994). Social workers should be more involved in substance abuse treatment. National Association of Social Workers, 19 (1), 3-5. Week Two (February 4): The social context of addiction practice Required Readings: Burke, A.C., & Clapp, J.D. (1997) Ideology and social work practice in substance abuse settings. Social Work, 42 (6), 552-562. NIAAA Module 2: Etiology and natural history of alcoholism (BlackBoard course materials) Discrimination against Addicts: http://www.jointogether.org/news/headlines/communitystories/2002/discrimination-againstpeople.html Reefer Madness: the original http://video.google.com/videoplay?docid=-6696582420128930236 Familiarize yourself with the websites for the following governmental organizations: NIDA: http://www.drugabuse.gov/NIDAHome.html NIAAA: http://www.niaaa.nih.gov SAMHSA: http://www.samhsa.gov/index.aspx Suggested Readings: Drug abuse screening and welfare recipients http://www.aclu.org/drugpolicy/testing/10757res20030415.html (this would make a good paper topic for an assignment) Hall, M., Amodeo, M., Shaffer, H.J., & Vander Bilt, J. (2000). Social workers employed in substance abuse treatment agencies: a training needs assessment. Social Work, 45, (2) p. 141 155; (Course documents) Week Three (February 11): The organizational context of addiction practice Assignment Due: Outline of first paper Required Readings: Walker, S. (2001) Sense and nonsense about crime and drugs: A policy guide. Chapter 13, Pages 251 to 291: (course documents) NIAAA Module 7: Coordinated care systems (course materials) Suggested Readings: Enos, G. (2004). The future of addiction services: it's in the science. Addiction professional 2 (6) 17-21. Week Four (February 18): Models of screening, assessment and diagnosis - part one Required Readings: NIAAA Module 4: Screening for Alcohol Problems in Social Work Settings Doweiko, H.E. (2005) Concepts of Chemical Dependency. Brooks/Cole. Chapter 26: The Evaluation of Substance Abuse Problems; Appendix 1 & 2: Sample Assessments Mee Lee, D. American Society of Addiction Medicine Patient Placement Criteria -Two (ASAM PPC II-R), (Course documents). Cherpital: Screening (course documents) Briefly review these web-sites: http://pubs.niaaa.nih.gov/publications/Practitioner/PocketGuide/pocket_guide.htm http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.section.48618 Suggested Readings: Mattaini, M. and Kirk, S.A. (1991). Assessing assessment in social work. Social work, 36, 260 - 266. Mattaini, M. and Kirk, S.A. (1993). Points and viewpoints: Mis-diagnosing assessment. Stockwell, T., Murphy, D., Hodgson, R., (1983). The severity of alcohol dependence questionnaire: Its use reliability and validity. British Journal of Addiction. 78: 145-155. London. Week Five (February 25): Models of screening, assessment and diagnosis - part two Required Readings: NIAAA Module five: Diagnosis and Assessment of Alcohol Use Disorders (course materials) Doweiko, H.E. (2005) Concepts of Chemical Dependency. Brooks/Cole. Chapter 26: The Evaluation of Substance Abuse Problems; Ch. 4: Are people pre-destined to become addicted to chemicals? & chapter 5: Addiction as a disease of the human spirit. American Psychiatric Association (2000). Diagnostic & Statistical Manual of Mental Disorders 4th Edition, Text Revised. (DSM-IV-TR). Washington: APA Press. 191-212. Suggested Readings: American Psychiatric Association (2000). Diagnostic & Statistical Manual of Mental Disorders 4th Edition, Text Revised. (DSM-IV-TR). Washington: APA Press. 213-295 Cooper, M. & Lebo, R.A. (2001). Assessment and treatment of sexual compulsivity: A multi-modal perspective. Journal of social work practice in the addictions (1) 2: 61-74. Week Six (March 4): Assessment, evaluation and treatment planning in practice Simulated practice lab on assessment and evaluation Required Readings: Multiple Authors, (2004). Alcohol and Suicidal Behavior. Alcoholism: Clinical and Experimental Research, 28 (5) May 2004 Supplement. Choose one article regarding alcohol and suicide for discussion. Week Seven (March 11): Individual work with the addicted Assignment Due: First paper due; outline of second paper also due Motivational interviewing techniques and practice Required Readings: NIAAA Module 6: Motivation and Treatment Interventions (course materials) Additional readings in motivational interviewing as assigned Week Eight (March 18): Group work with addicted Required readings: Doweiko, H.E. (2005) Concepts of Chemical Dependency. Brooks/Cole. Chapter 28: The treatment of chemical dependency; Chapter 29: Treatment formats for chemical dependency rehabilitation; Chapter 34: Self-help groups. http://www.alcoholics-anonymous.org/ Rapin, L & Keel, L. (1998). Association for specialists in Groupwork best practice guidelines. Journal For Specialists In Groupwork, 23 (3), 237-244. Furr, S.R. (2000). Structuring the group experience: A format for designing psychoeducational groups. Journal For Specialists In Groupwork, 25 (1), 29-49. Suggested Readings: Staub, M.L. (2004). For Women Only: Making the Case for Gender Specific Treatment. Addiction Professional: 2 (5) 18-25. AND: Cunningham, W. (2004). The Myths of Manhood: Addressing Men's Addiction and Recovery Through Relational Therapy. Addiction Professional: 2 (5) 26-31; NIAAA Week Nine (March 25): Alcoholism (the ol’ granddaddy of addictions) (Guest speakers: Jim Beam, Jack Daniels, Johhny Walker Red, Jose Cuervo) Required Readings: Doweiko, H.E. (2005) Concepts of Chemical Dependency. Brooks/Cole. Chapter 7: An introduction to alcohol; Chapter 8: chronic alcohol abuse and addiction. Cloninger, C.R., Sigvardsson, S., Bohman, M., (1996). Type I and Type II Alcoholism: An update. Alcohol Health & Research World, 20 (1). NIAAA Module Two (course materials) Etiology and Natural History Alcohol and Disease Interactions, (2001). Alcohol Research & Health, 25 (4). NIAAA module 10K Fetal exposure to alcohol (course materials) Week Ten (April 1): SPRING BREAK Week Eleven (April 8): Alcoholism and special populations Required Readings: NIAAA Module 10B: Working with women (course materials). Women and Alcohol, an Update, (2002). Alcohol Research & Health, 26 (4). This is a special issue entirely devoted to alcohol related problems encountered by the female alcohol addict choose your own reading. Wechsler, H., Lee, J. E., Kuo, M., Lee, H., (2000). College Binge Drinking in the 1990’s: A continuing problem. Journal of American College Health. 48 (March). Behavioral Healthcare Tomorrow, (2003). The role of antabuse (disulfiram) in the treatment of alcohol use problems, Addiction Professional May/June, Supplement. Week Twelve (April 15): Addictions in corrections Required Readings: Doweiko, H.E. (2005) Concepts of Chemical Dependency. Brooks/Cole. Chapter 36: Crime and drug use (p. 474). Conley, T. Schantz, D., (2006). “Predicting and Reducing Recidivism: Factors Contributing to Recidivism in the State of Montana Pre-release Center Population & the Issue of Measurement: A report with recommendations for policy change.” On file with Montana Department of correction and the University of Montana School of Social Work. November 20th, 2006. p. 1-20. Drug Courts: Efficacy vs. Effectiveness http://www.jointogether.org/sa/news/features/reader/0,1854,574745,00.html Drug Courts & Rehab Justice: NY Times article (BlackBoard, course documents) Week Thirteen (April 22): Opiates and pharmaceuticals Required Readings: Doweiko, H.E. (2005) Concepts of Chemical Dependency. Brooks/Cole. Chapter 14: Opiate abuse and addiction ( p. 162-182); Chapters 17: The unrecognized problem of steroid abuse and addiction & 18: The over the counter analgesics…… (p. 198-228). Week Fourteen (April 29): Co-occurring substance abuse and mental health disorders Required Readings: Alcohol and Co-morbid Mental Health Disorders, (2002). Alcohol Research and Health, 2 (26). Doweiko, H.E. (2005) Concepts of Chemical Dependency. Brooks/Cole. Chapter 22: The dual-diagnosis client: chemical addiction and mental illness (p. 271-282). Chapter 6: An Introduction to Pharmacology (p. 55-68); Ch. 32: Pharmacological Intervention Tactics and Substance Abuse (p. 389-403). NIAAA Module 10E: co-morbidity and Module 10D Homelessness (course materials) http://www.jointogether.org/keyissues/medications/continuing-ed/role-of-medication/ Week Fifteen (May 6): Co-occurring substance abuse and mental health disorders Required Readings: U.S. Department of Health and Human Services, (2001). Mental Health: Culture, Race, and Ethnicity - A Supplement to Mental Health: A Report of the Surgeon General. Rockville, Maryland: U.S. Dept. of Health and Human Services, Public Health Service, Office of the Surgeon General. Chapter 2: Culture Counts: The Influence of Culture and Society on Mental Health (p. 23-49) (Course documents).