EAST CAROLINA UNIVERSITY
SCHOOL OF ALLIED HEALTH SCIENCES
DEPARTMENT OF REHABILITATION STUDIES
REHB 6330 - 3 credit hrs.
Substance Abuse Counseling
Lloyd Goodwin, Ph.D., LPC, CRC-MAC
Office: 312F Belk
Phone: 328-4428
ECU weather and emergency information:
Severe weather: www.ecu.edu/oehs/emergency/SEVERE.HTM
Emergency notices (including closings): www.ecu.edu/services/weatherpage.html
East Carolina University seeks to fully comply with the Americans with Disabilities Act
(ADA). Students requesting accommodations based on a covered disability must go to
the Dept. for Disability Support Services, located in Brewster A-114, to verify the
disability before any accommodations can occur. The telephone number is 252-3286799.
Course Description
Substance abuse etiology, assessment, diagnosis and treatment planning. Special
counseling issues and concerns will be covered related to various aspects of substance
abuse counseling.
Course Objectives
Each student should gain a basic understanding of:
1.
2.
3.
4.
5.
The addiction and recovery process.
Diagnosis and assessment of substance abuse in individuals.
Individualized counseling and rehabilitation planning for substance abusers.
Specialized rehabilitation needs for substance abusers including:
A) Multiple disabilities (e.g. mental illness and substance abuse).
B) Special populations such as teenagers, women and the elderly.
C) Stress management skill training.
D) Relapse prevention.
E) The substance abuser in the criminal justice system.
Early signs, symptoms and recovery strategies for counselor burnout.
Course Plan
Lectures, discussion, experiential activities, videos, and assigned readings.
Course Requirements
1. The reading of the texts and other assigned readings.
2. Participation in class discussions. Each student is to read the assigned readings prior
to class and be prepared to discuss them in class.
Revised Fall 2004
3.
4.
Term paper or book report (6 - 10 typed pages with minimum of three references).
Check out topic or book with instructor before you start your paper.
Addiction Severity Index (ASI) 2-3 page reaction paper.
Evaluation/Grades
1. Two examinations. Each exam will cover separate material and will be of equal
weight.
2. Term paper or book report will count the same as an exam grade.
3. Addiction Severity Index (ASI) reaction paper will count one grade of final grade if
not completed satisfactorily.
4. Attendance and participation in class.
Textbooks
1. Washton, A.M. (Ed.) (1995). Psychotherapy and substance abuse: A
practitioner’s handbook. N.Y.: The Guilford Press.
2.
Charlesworth, E.A. & Nathan, R.G. (1984). Stress Management: A
Comprehensive Guide to Wellness. New York: Ballantine.
3.
Supplemental Reading Packet located in Rehab. Dept.
4.
National Clearinghouse on Alcohol and Drug Abuse Information (800) 729-6686.
TIP, TAP and MATCH series.
Recommended Books (*Highly recommended)
1.
Alcoholics Anonymous (3rd ed.) (1976). New York: Alcoholics Anonymous
World Services, Inc.
2.
Beattie, M. (1987) Codependent No More. New York: Harper & Row/Hazelden.
3.
Beck,. A.T., Wright, F.D., Newman, C.F. & Liese, B.S. (1993). Cognitive Therapy
of Substance Abuse. N.Y.: The Guilford Press.
4.
Berg, I.K. & Miller, S.D. (1992). Working with the Problem Drinker: A
Solution-Focused Approach. N.Y.: W.W. Norton & Co.
5.
Lewis, J., Dana, R. & Blevins, G. (1994). Substance Abuse Counseling: An
Individualized Approach. (2nd ed). Pacific Grove, GA: Brooks/Cole.
6.
Evans, K. & Sullivan, J.M. (1990). Dual Diagnosis: Counseling the Mentally Ill
Substance Abuser. New York: The Guilford Press.
7.
Buelow, G.D. & Beulow, S.A. (1998). Psychotherapy in Chemical Dependence
Treatment. Pacific Grove, CA: Brooks/Cole.
Revised Fall 2004
8.
*Bradshaw, J. (1990). Homecoming: Reclaiming and Championing Your Inner
Child. N.Y.: Bantam Books.
9.
Capacchione, L. (1991). Recovery of Your Inner Child. N.Y.: Fireside/Simon &
Schuster.
10. Corthell, D.W. (Ed.) (1991). Substance Abuse As A Coexisting Disability.
Eighteenth Institute on Rehabilitation Issues. Research and Training Center,
University of Wisconsin-Stout, Stout Vocational Rehabilitation Institute,
Menomonie, WI.
11. Daley, D. (1988). Surviving Addiction: A Guide for Alcoholics, Drug Addicts and
Their Families. NY: Gardner Press.
12. Dorsman, J. (1991). How to Quit Drinking Without A.A.: A Complete Self-Help
Guide. Newark, DE: New Dawn.
13. Daley, D.C., Moss, H. & Campbell, F. (1987). Dual Disorders: Counseling Clients
with Chemical Dependency and Mental Illness Center City, MN: Hazelden.
14. Elliott, C.E. (1992). Clean, Sober and Unemployed: Strategies for the PostRehabilitation Job-Seeker. Blue Ridge Summit, PA: TAB Books.
15. Forest, G. G. (1994). Chemical Dependency and Antisocial Personality Disorder:
Psychotherapy and Assessment Strategies. N.Y.: Haworth Press.
16. Frances, R.J. & Franklin, J.E. (1989). Treatment of Alcoholism and addictions.
Washington, DC: American Psychiatric Press.
17. Frances, R.J. & Miller, S.I. (Eds.) (1991). Clinical Textbook of Addictive
Disorders. N.Y.: The Guilford Press.
18. Geller, A. & Territo, M.J. (1991). Restore Your Life: A Living Plan for Sober
People. NY: Bantam.
19. George, R.L. (1990) Counseling the Chemically Dependent: Theory and Practice.
Englewood Cliffs, N.J.: Prentice-Hall.
20. *Gorski, T. (1989) Passages Through Recovery: An Action Plan for Preventing
Relapse. New York: Harper & Row/Hazelden.
21. Heinemann, A.W. (Ed.) (1993). Substance Abuse and Physical Disability. NY: The
Haworth Press.
Revised Fall 2004
22. Hester, R. & Miller, W. (Eds.). (1989). Handbook of Alcoholism Treatment
Approaches: Effective Alternatives. New York: Pergamon Press.
23. Johnson, V. (1990). Everything You Need to Know About Chemical Dependence:
Vernon Johnson’s Complete Guide for Families. Minneapolis,
MN: Johnson
Institute.
24. *Johnson, V.E. (1990). I’ll Quit Tomorow: A Practical Guide to Alcoholism
Treatment. (Rev. Ed.). NY: Harper & Row.
25. Kaufman, E. (1985). Substance Abuse and Family Therapy. New York: Grune &
Stratton.
26. Kinney, J. & Leaton, G. (1991) Loosening the Grip: A Handbook of Alcohol
Information. (4th ed.) St. Louis, MO: The C.V. Mosby Co./Times Mirror.
27. Lawson, G., Ellis, D. & Rivers, P.C. (1984). Essentials of Chemical Dependency
Counseling. Rockville, MD: Aspen.
28. Lawson, G.W. & Lawson, A.W. (1989) Alcoholism & Substance Abuse in Special
Populations. Rockville, MD: Aspen.
29. L’Abate, L., Farrar, J.E. & Serritella, D.A. (Eds.) (1992). Handbook of
Differential Treatments for Addictions. Boston, MA: Allyn and Bacon.
30. McAuliffe, W.E. & Albert, J. (1992). Clean Start: An Outpatient Program for
Initiating cocaine Recovery. NY: The Guilford Press.
31. Miller, G.A.(1999). Learning the Language of Addiction Counseling. Boston: Allyn
& Bacon.
32. Miller, N.S. (1995). Addiction Psychiatry: Current Diagnosis and Treatment.
NY:Wiley-LISS.
33. Miller, W.R. & Rollnick S. (1991). Motivational Interviewing: Preparing People
to Change Addictive Behavior. NY: The Guilford Press.
34. Mooney, A.J., Eisenberg, A. & Eisenberg, H. (1992). The Recovery Book. NY:
Workman Publishing.
35. Norwood R. (1986). Women Who Love Too Much New York: Pocket Books.
36. Nowinski, J. (1990). Substance Abuse in Adolescents and Young Adults: A
Guide to Treatment. NY: W.W. Norton & Co.
Revised Fall 2004
37. *Peele, S., Brodsky, A. & Arnold, M. (1991). The Truth About Addiction and
Recovery: the Life Process Program for Outgrowing Destructive Habits. NY:
Simon & Schuster.
38. Pita, D.D. (1992). Addictions Counseling: A Practical guide to Counseling People
with Chemical and Other Addictions. NY: Continuum.
39. Plagenhoef, R.L. & Adler, C. (1992). Why Am I Still Addicted? A Holistic
Approach to Recovery. Blue Ridge Summit, PA: RAB Books.
40. Robertson, B.E. (1993). Alcohol Disabilities Primer: A Guide to Physical and
Psychosocial Disabilities Caused by Alcohol Use. Boca Raton, FL: CRC Press.
41. Seeburger, F.F. (1993). Addiction and Responsibility: An Inquiry into the Addictie
Mind. NY: Crossroad.
42. Seixas, J.S. & Youcha, G. (1985). Children of Alcoholism: A Survivors Manual.
New York: Perennial (Harper & Row)
43. Smith, C.C. (1990). Recovery at Work: A Clean and Sober Career Guide. NY:
Harper & Row/Hazelden.
44. Smith, D.E. & Wesson, D.R. (Eds.) (1985). Treating the Cocaine Abuser. Center
City, MN: Hazelden.
45. Smith, D.E., Wesson, D.R. & Tusel, D.J. (1989). Treating Opiate Dependency.
Center City, MN: Hazeldon.
46. Sobell, M.B. & Sobell, L.C. (1993). Problem Drinkers: Guided Self-Change
Treatment. N.Y.: The Guilford Press.
47. Twelve Steps and Twelve Traditions. (1981). New York: Alcoholics Anonymous
World Services, Inc.
48. Twerski, A.J. (1990). Addictive Thinking. Center City, MN: Hazelden.
49. Wallace, B.C. (1991). Crack Cocaine: A Practical Treatment Approach for the
Chemically Dependent. NY: Brunner/Mazel.
50. *Wallace, B.C. (1992). The Chemically Dependent: Phases of Treatment and
Recovery. NY: Brunner/Mazel.
51. Walsh, A. (1988). Understanding Assessing & Counseling the Criminal Justice
Client. Pacific Grove, CA:Brooks/Cole.
Revised Fall 2004
52. Washton, A.M. (1989). Cocaine Addiction: Treatment, Recovery, & Relapse
Prevention. NY: W.W. Norton & Co.
53. *Washton, A.M. & Boudy, D. (1990). Willpower’s Not Enough: Understanding
and Recovering from Addictions of Every Kind. NY: Harper Perennial.
54. *Yoder, B. (1990). The Recovery Resource Book. NY: Fireside/Simon &
Schuster.
55. York, P., York, D. & Wachtel, T. (1983). Toughlove. NY: Bantam.
56. Zackon, F., McAuliffe, W.E. & Ch’ien, J.M.N. (1993). Recovery Training and SelfHelp: Relapse Prevention and Aftercare for Drug Addicts. NIH Pub. No. 93-3521,
NIDA.
Course Outline and Assigned Readings
Units
I.
Introduction to Substance Abuse Counseling
A. General guidelines for substance abuse counseling
B. Counselor roles and settings
Assigned Readings
1. None. Lecture
II. Assessment and Diagnosis of Substance Abuse Disorders
A. Multicultural Aspects
B. Assessment guidelines
C. Assessment instruments
D. Diagnosis (DSM-IV)
E. Comprehensive rehabilitation assessment including psychological,
medical, social, educational and vocational aspects.
Assigned Readings
1. Text: Chapter 2 - Clinical Assessment of Psychoactive Substance Use Arnold Washton
III. Clinical Counseling Strategies and Techniques
A. Psychological Defense Mechanisms
B. Developing a rehabilitation plan
C. Counseling techniques and skills
D. Working with AA and NA
E. Counseling the resistant and involuntary client
Revised Fall 2004
F.
G.
H.
I.
Vocational services
Employee assistance programs
Case Management practices
Ongoing Supervision (including peer)
Assigned Readings
1. Text: Ch. 1 - Overcoming Countertransference and Other Attitudinal
Barriers in the Treatment of Substance Abuse - John Imhof
2. Text: Ch. 3 - Is Psychotherapy Effective for Substance Abusers? Richard Rawson
3. Text: Ch. 5 - Psychotherapy for Addictive Behavior: A Stage-Change
Approach to Meaning Making - Howard Shaffer & Melissa Robbins.
4. Text: Ch. 6 - Integrating Psychotherapy and 12 Step Approaches - Joan
Ellen Zweben.
5. Text: Ch. 7 - Rational-Emotive Behavior Therapy and Two Self-Help
Alternatives to the 12-Step Model - F. Michler Bishop.
6. Text: Ch. 9 - Motivational Interviewing: Increasing Readiness for
Change - Stephen Rollnick & Michelle Morgan.
7. Text: Ch. 10 - working With Addicts in Private Practice: Overcoming
Initial Resistance - Debra Rothschild.
8. Text: Ch. 11 - Bright Treatment - Reid Hester & Thomas Bien.
9. Text: Ch. 12 - Solution - Focused Brief Therapy with Substance Abusers
- Insoo Kim Berg.
10. Text: Ch. 14 - Psychotherapy in Later-Stage Recovery - Jerome Levin
11. Text: Ch. 15 - Structured Outpatient Treatment - Ruby Malik, Arnold
Washton & Nannette Stone-Washton.
12. Text: Ch. 16 - Structured Inpatient Treatment: A Coping Skills Training
Approach - Ronld Kadden & Christopher Penta.
13. Text: Ch. 19 - Network Therapy - Marc Galanter
IV. Stress Management Skill Training
1. Concepts of stress, distress, stressors, stress response, relaxation response
and burnout.
2. Identifying major stressors
3. Stress management approaches
Assigned Readings
1. Charlesworth & Nathan, Stress Management text.
V. Counseling for Relapse Prevention
A. Determinants of relapse
B. Signs and symptoms of impending relapse
C. Relapse precention
Assigned Readings
Revised Fall 2004
1.
Text: Ch. 13 - Relapse Prevention: Intervention Strategies for Mental
Health Clients with Comorbid Addictive Disorders - Dennis Salley & Judy Lis.
VI. Substance Abuse as a Coexisting Disability
1. Substance abuse and mental disorders
2. Substance abuse and physical disabilities.
Assigned Readings
1. Text: Ch. 4 - Treatment Strategies for Comorbid Disorders:
Psychopathology and Substance Abuse - Ann Bordwine Beeder & Robert
Millman
2. Text: Ch. 20 - Dual diagnosis: Outpatient Treatment of Substance
Abusers with Co-existing Psychiatric Disorders - Lisa Director
3. Text: Ch. 23 - HIV and AIDS - Mark Winiarski
4. Text: Ch. 24-The Role of Incest Issues in Relapse and Recovery-Enid Young
VII Special Populations:
A. The Public Offender Substance Abuser. Overview of criminal & juvenile justice
systems. Conduct disorder and antisocial personality disorder.
B. Teenagers
C. Women
D. Elderly
E. Minority
F. Multicultural populations
G. Related addicted behaviors (e.g. sex addiction) including addiction substitution
Assigned Readings
1. Text: Ch. 21 - Adolescent Chemical Dependence: Assessment,
Treatment, and Management - Robert Margolis
2. Text: Ch. 22 - The Elderly - Sheldon Zimberg
3. Text: Ch. 25 - Women and Minorities in Treatment - Barbara Wallace
Revised Fall 2004