ADCT Advisory Committee Meeting Minutes November 24, 2008 3:00 – 4:30, CR’s Eureka Downtown Site Members in Attendance Rhonda Lewis Fortuna Community Services/HART Kimberly Songer Fortuna Community Services/HART Neil Tarpey Self/former ADCT Associate Faculty Doug Walker United Indian Health Services Kenneth Powell ADCS Doug Rose‐Noble Humboldt County Mental Health Mike Goldsby CR ADCT Associate Faculty (non‐voting) Marcy Foster EOPS Counselor/ADCT Program Coordinator (non‐voting) Handouts ADCT Advisory Committee Meeting Agenda Guidelines for Addiction Studies Advisory Committee 2008‐2009 ADCT Class Offerings Fall 2008 ADCT Class Offerings Spring 2009 ADCT Curriculum Proposal Agenda topics and Discussion Asweworkonre‐writingourADCTcurriculumandlookatrevisingthecourseofferings, weneedtoknowwhatthecommunityneedsfromtheADCTprogram:a)Whatskills, emphases,andabilitiesshouldourprogramstress?b)Whatarewecurrentlyofferingthat isworkingwell?C)Whatdoweneedtochange,remove,oradd? TherewasaquestionofhowmanystudentscompletetheADCTprogrameachyear.Marcy Fosterreportedonthis.Followingisthedataforthedistrict:duringthe2004‐05academic year10graduates;2005‐06academicyear8graduates;2006‐07therewere8graduates;and 2007‐08therewere4graduates.Therewasadiscussionaboutpossiblereasonsthenumbers havedropped. MarcysaidonepossibilityisthatCRisnolongerofferingtheADCTprogramatthe MendocinoorKlamath‐Trinitybranches.TheprogramisstillofferedattheDelNorteand EurekaCampus. Rhonda&Kimberlysharedthatonereasonforthiscouldbethatpeoplearediscovering thattheywillnotbeemployableupongraduationfromtheprogram.Asof2005,state regulationsrequire2,080hoursofsupervisedworkpriortobeingeligibletositforthe certificationprocess.Thisequatesto1yearoffulltimesupervisedemploymenttomeet the2,080hourrequirement.CR’s2fieldexperiencecoursesaccountsforabout200hours ofthisrequirement.Studentshave5yearsafterregistering,toearntheir2,080hours. NeilTarpeysuggestedthatapersoncouldfulfillthose2,080hourovera3yearperiod ratherthanallin1year.HesaidthatCRoffers200hoursduringthetrainingphase.Then students’coulddo11hoursaweekfor3yearsandhavetheirhourscompleted.Thismay bemoredesirableforpeopleastheycanhavetheirjob,theirfamily,andvolunteerfor11 hoursaweekfor3yearsratherthanworkingfulltimeforfreeforayear.Thiswouldalso allowfortheformerstudenttomatureintheirliveswhilecompletingtherequiredhours. Thereisanotherfactorthatwillsoonaffectthenumberofpossiblefieldplacements availableinthefield.Beginningin2010,employerswillbeallowedtohavenomorethan 20%oftheirworkforcenon‐certified.Inotherwords,only20%ofanorganizationsstaff canbeinterns.Rhondastatedthatthisequatestoonly1non‐certifiedemployforher organization.DougRose‐Noblestatesthatallcountyemployeesnowhavetobecertified. ThereisacategorycalledAODCounselorTraineewhichisthecounties20%non‐certified employees. Thereusedtobeanumberofparticipants,workinginthefieldwhileattendingclassesin theevenings.Thishasprobablydiminishedduetothenewrequirements. Neilpointedoutthatmostlicensesrequiresomesortofinternshiphoursafterthe completionofthetrainingphase.Everyoneagreedthatthisrequiredinternshipisgoodfor thefield. Anotherfactorinthereductioncouldbethatsomestudentsbegintheprogramand discoverthereisnotalotofmoneyinthefield.Theymaydecidethatiftheyaregoingtogo tocollegetheymightaswellstudysomethingmorelucrative.Currently,therateofpayis $15–$17andFortunaCommunityServices.Therateisoftenloweratthenon‐profits.All agreedthatraisingthelevelofprofessionalismisimportant,buttherateofpayisnot raisingwiththecertificationrequirements. SomestudentsbegintheADCTprogrambecausetheyhavehadaddictionsissuesandfeel thatissomethingtheyunderstandandaccomplish.Oncetheydiscovertheycansucceedin college,manystudentschooseadifferentmajor.Theysay,“I’vedoneaddictionslong enough”. Anotherfactorcouldhavesomethingtodowiththesomestudentsseemtostartthe programasapartoftheirtherapeuticprocess.Theymaydropoutwhentheyfindthatitis notfillingthatpurpose(therewillbemorediscussionofthisissuebelow). CourseOfferingsRecommendations Allattendeesagreedthatreadingandwritingskillsarecriticaltothesuccessinthe programandintheworkingfield.Allagreedthatthisisanareawheremanyofour students,andevenourgraduates,areweak.NeilsuggestedwemakeEngl350a requirementtoevenbegintakingtheADCTclasses.Allagreedthereneedstobe PrerequisitesorattheleastRecommendedPreparationaddedtoallADCTcourses. Marcysharedthatsomepeoplefeelthattheprogramhastobeofferedinawaythat studentscancompleteitin3to4semesters.AddingtheprerequisiteofEnglish competencecouldslowthatprocessdown.KimberlySongersaidshecompletedthe programin3semestersandisnotsurethatwasenoughtime.Thisisespeciallytrueifthey comeatadeficit.Thegroupfeltthatpushingthemthroughisnotinthebestinterestofthe students. KenPowellsaid,andeveryoneelseagreed,thatitisaproblemfortheagenciestoget studentsforfieldplacementsbeforetheyhavedonetheirothercoursework.Thefield placementsneedtobetheverylastcourses. DougWalkerandBeverlySongersaidthatoneoftheclassestheytookwhileinthe program,includedfieldtripstodifferentagenciestoseethekindofserviceswereprovided ateach.Theyfounditespeciallyvaluabletohearhowtheclientsinthedifferent organizationsfeltabouttheservicestheywerereceiving. Takingthewholeclasstovisittheagenciescanbedifficultfortheorganizationsaswellas fortheinstructor(s).Acareerfairoraneventonceayear,oronceasemester,wherethe differentagenciescouldcomeandpresentwhatastudentmightgainfromworkingintheir agencycouldservethesamepurpose.AtHSU,SherrieJohnsoncoordinatesthefield experienceplacements.Sheschedulesthedifferentagenciestocomeandgivea10‐15 minutepresentationabouttheagencyandwhatastudentmightlearnthere.DougWalker saidhearingfromtheclientswasmorehelpfultohimthantoheartheagencydirectortalk. Itisimportanttofindwaystoinformstudents,earlyon,whatthefullpictureisofthefield. Thiscouldbeintheformofafair,abrochure,handouts,etc. Lookingatthedocument(seeAttachment“A”below)reflectingcurrentandproposedADCT curriculum,thefollowingthemessurfaced. Everyonethoughtacourseinprofessionalwritingwouldbeveryhelpful.Everyoneagreed thatprofessionalwritingwouldbeadifferentfocusthantheEnglishcurriculum. Professionalwritingwouldincludetopicssuchascaseplans,casenotes,and documentation.Theyfeltthatassessment&assessmenttools,treatmentplanning, diagnosticskills,includingtheDSMIV(asitrelatestoaddictions)wouldfitverywellinthis course.Thisisalottoputin1coursebutcouldbedoneifitislimitedtohowtheserelate toaddictions. ItwassuggestedthatweconsideraddingEnglish150or1Atothecurriculum.Ifthisisnot possible,theyrecommendweaddprerequisitesand/orrecommendedpreparationtoall courses. Thegrouplikedtheideaof2counselingskillsclassesandrecommendedthefirstonebe requiredpriortobeginningthefieldplacements.NeilTarpeysaidthathewould recommendkeepingFamilySystemsasaseparateclass.Hesaidthatwhenhetaught FamilySystems,therewerepeoplewhohadnointentionofcompletingthecertificate,took thefamilysystemsclassinanefforttounderstandtheseconcepts.Othersinthegroupsaid thatmadealotofsensetothem. CaseManagementisaveryimportantskillthatneedstobeincludedinthecurriculum.All agreedthatthisneedstobeaclass. WithintheCounselingSkillscurriculumthereneedstobetraininginclient centered/strengthbasedmodelssuchasMotivationalEnhancement,HarmReduction,and EvidenceBasedtraining.Theseskillsputthelocusofcontrolbackintheclient’shands. Thetopicofconfidentialityandmandatedreportingneedstobeaddressedthroughoutthe curriculum.Transferenceandcounter‐transferenceneedstobediscussedonaregular basisineverycourseaswell.Thisneedstoincludeethics,professionalism,self‐disclosure, andboundaries.Anotherimportanttopicisthedifferencebetweenconfidentialityand anonymity. MarcyFostersaidthatshehasheardsomepeoplesaythatweneedtoincludetrainingon co‐occurringdisordersandothershavesaidthatthisdoesnotneedtobeapartofthe ADCTprogram.Shehasalsoheardthatco‐occurringdisordersisnotincludedintheTAP 21.Everyoneinattendancesaidthatdefinitelyneedstobeincludedevenifitisnotapart ofTAP21ornot.Thiscouldalsoincludeinformationonbrainfunctions.Ourproposed curriculumbelowcombinesco‐occurringdisorderswithspecialpopulations.Thegroup feltstronglythatthespecialpopulations’curriculumneedstoincludeissuesrelatedto women,children,adolescents,seniors,differentcultures,domesticviolence,etc.Itneedsto beallinclusiveandmaynotbepossibletoincludetheco‐occurringdisorderspiece.Itwas theconsensusofthegroupthatweneeded2standalonecourseshere.Onefocusedon specialpopulationsandanotheronco‐occurringdisorders. NeilTarpeysuggestedwelookatthepossibilityofofferingsomeofthesetopicsas1or2 unitcoursesratherthanthetraditional3unitcourse.Hesuggestedthat2or3ofthese shortercoursescouldbeofferedonthesamenight,sametimeslot,withonebeginning whentheweekaftertheotheroneendsthroughoutthesemester.Topicscouldinclude womenandaddictions,adolescentsandaddictions,seniors,co‐occurringdisorders,etc. Wecouldalsoofferthemon1or2Saturdays.Thesecoursescouldbedesirablefor communitymemberstoearntheirCEUcredits. ItwassuggestedthatweoffercoursesattheEurekaDowntown(EDT)site.Marcysaidthat thereisanADCT10coursebeingofferedatEDTthisspringsemester. WearecurrentlyaccreditedwiththeCAADE.Isthereanotheraccreditationorganization wemaywanttoconsider?Ifso,whatwouldmakethatabetteroption? Therearearound10differentcertifyingbodiesinCalifornia.Thereisalotoffighting throughoutthestateamongtheseorganizations.RhondasaidthatitlooksliketheStateison thevergeofbecomingtheonlycertifyingbody.Inordertoapplyforcertification,astudent doesnotneedanaddictionstudiescertificate.However,allofthecertifyingorganizations requireaminimumnumberofaddictionstudycoursesfromanaccreditedtrainingfacility suchasCR.ThecourserequirementsareoutlinedintheTAP21whichistheguidethatallof thetestsarewrittento.TheTAP21competenciesarewhatCR’sADCTprogramisusingas ourguideforre‐writingthecurriculum.Inordertofacilitatethisprocess,Marcyhascreated anExcelspreadsheetwiththe123Competenciesdowntheleftsideandthetitleofthe coursesacrossthetop.Theinstructorsaredefiningwhichcompetenciesareaddressedin eachofthecoursestheyareplanningtore‐write. Somepeoplesaythatthecoursesattimesareusedastherapyfornewlyrecoveringaddicts. 1) Doyouseethisasanissueoraconcern?2)Howdoyourecommendweaddressthis? Mikesaidthattherearenotverymanypeoplewhowalkinthedoorthinkingthatthiswill substitutefortheirtherapyortheir“program”.However,VocRehabcounselorsoften encouragepeopletostarttheprogrambeforetheyareready.Thedropoffrateissohighin thebeginningofthesemesterthathewondersifpeoplesignedupforthewrongreasons. Maybeforthefinancialaidorthattheyhadunreasonableexpectations. Somepeoplesaytheybegintheprogramtounderstandtheirownaddictionissuesorthe issuesofsomeonetheycareabout.Somejusttake1or2classeswithnointentionof completingthewholeprogram.Thisisgoodforthestudentandgoodforthe program/courses. ThestudentsintheADCTprogramgetstereotypedasthosetroubledpeoplewithallthose issues. Therearestudentswhogettheirbachelorsormastersandreturntogettheinformationon addictions. Everyoneagreedthatthisdoeshappenattimesforavarietyofreasons.Peoplearenaturally drawntodowhattheyunderstandortowhattheywanttounderstand.Therefore,people whohaveexperiencedaddictionissuesarenaturallydrawntotheADCTprogramtobetter understandthemselvesandhowtohelpothersavoidthedifficultiestheyhadfaced.These studentsalsoenrollinthisprogrambecauseitisacertificateandcanbecompletedina shorteramountoftime.Manypeopleseethecertificatesasaneducationthattheycan complete.Oncetheyaresuccessful,theyoftencontinueontoanassociatedegreeand/orto transfer. Whilethestudentsparticipateinclassroomactivities,suchasmoviesandclassdiscussions, theinformationoftensurfacesstrongemotionsandreactions.NeilTarpeysaidthatwhenhe wasteachingheincludedastatementinhissyllabustoaddressthis.Healsoprovidedalistof communityresourcessotheycouldaccessthehelptheymayneed.Heprovidedcopiesofthis statementfortheparticipants.Marcyaskedhimtosendthistoherelectronicallysothatshe canforwarditontootherADCTinstructors. Thefollowingagendaitemswerenotdiscussedduetothelackoftime.Theywillbeaddedto theagendaforthenextmeetingwhichwillbescheduledinJanuary. Areyouawareofeducationalmaterialsthatcouldbeincorporatedintoourcurriculum (books,brochures,websites,etc.)? Thereisalwaysandneedforfundingtocoverthecostofthingslikeconferences/faculty development/stipendsforspecialprojects,etc. Doesanyonehaveideasofsourcesforthesesortsoffundingopportunities Attachment“A” ADCT Curriculum Proposal Per Group Discussion at Sept. 24th ADCT Team Meeting Current Course Requirements ADCT 10 Intro to Addiction Studies 3 ADCT 11 Pharmacology and Physiology of Addictions 3 ADCT 12 Substance Abuse: Law, Prevention & Education 3 ADCT 13 Substance Abuse in Special Populations 3 ADCT 14 Health, Nutrition, & Addiction 3 ADCT 15 Intro to Counseling Skills 3 ADCT 16 Family Systems 3 ADCT 17 Field Experience II 3 Soc 34 Intro to Social Work 3 Soc 38 Field Experience 3 Soc or Psych Elective 3 Total 33 Proposed Course Requirements (per discussion at ADCT team meeting 9/24/08) ADCT 10 Intro to Addiction Studies 3 ADCT 11 Pharmacology and Physiology of Addictions 3 ADCT 12 Ethics, Law, & Prevention 3 ADCT 13 Special Populations & Dual Diagnosis (Psych or Soc?) 3 ADCT 14 Health, Nutrition, & Addiction 3 delete course ADCT 15 Intro to Counseling & Family Systems I 3 ADCT 16 Intro to Counseling & Family Systems II 3 ADCT 17 Field Experience II 3 Soc 34 Intro to Social Work 3 Soc 38 Field Experience 3 ?? Case Management 3 add course ?? Professional Writing/DSM IV 3 add course ?? One More New Course 3 add course Total 36