EAST TENNESSEE STATE UNIVERSITY COLLEGE OF ARTS AND SCIENCES DEPARTMENT OF SOCIAL WORK SEMINAR IN ALCOHOL AND DRUG ABUSE Course: SOWK 5367-990 Instructor: Brittany T. Wilkins, PhD, LCSW Term: Summer Dual Session 2013 Email: wilkinsb@etsu.edu Credits: 3 Office Phone Number: 423-439-7894 Skype Username: Dr.BrittanyWilkins Office Location: Lyle House room 104 Time: n/a Location: n/a Office Hours: Upon request or via Skype COURSE DESCRIPTION This elective course includes discussions, readings, lectures, and audiovisual materials on all the major drugs, including alcohol, opiates, stimulants, sedatives, hallucinogens, inhalants, and nicotine. Course content covers the etiology and epidemiology of drug abuse, physiological and behavioral consequences of drug abuse, treatment approaches, and major policies and programs. Special attention is directed toward drug use in special populations, such as youth, women, racial and ethnic minorities, sexual minorities, persons with disabilities, and older adults. A systems perspective is used to relate drug-using behavior to family, community, and social systems. COURSE OBJECTIVES Upon completion of this course the student will: Identify and categorize the major substances of abuse in our society Articulate different theories and models of chemical dependency etiology 1 Identity the symptoms of chemical dependency and drug abuse Identify the effects of chemical dependency on the individual, the family, and society Describe the major public and private efforts toward prevention and intervention, and problems or inequities that occur in the funding of programs and the provision of services to disadvantaged groups Discuss the appropriateness and effectiveness of common treatment approaches Identify how social policies encourage or discourage drug and alcohol problems Discuss special problems of substance abuse among youth, ethnic/racial and sexual minorities, persons with disabilities, and women Explain the role of chemical dependency in the manifestation of social and domestic violence, and criminal behavior Understand the coexistence of substance abuse and other psychological/behavioral disorders REQUIRED TEXT McNeece, C.A., & DiNitto, D.M. (2012). Chemical dependency: A systems approach (4th ed.). Boston, MA: Pearson. COURSE ASSIGNMENTS For each unit, content will be available by 12:01 am on Sunday. (Please note that all times in the syllabus are EASTERN STANDARD TIME). This includes an introduction to the weekly topic(s), PowerPoint presentation lectures, the question(s) for small group discussion, and links to websites and material that will be helpful in understanding the content and responding to the discussion question(s). Your final grade will be based on the following assignments. Self-Assessment Quizzes There will be 15 short, timed quizzes available that correspond with chapters in the text. The first quiz is an exception and will be about the syllabus. (There will be no make-up quizzes.) Each quiz is 10 questions and you will have 20 minutes in which to complete it. Each quiz will be available by Thursday at 12:01 am and must be completed no later than Saturday at 11:59 pm. Discussion Board/Class Participation Students are expected to actively participate in the discussion board each week. You will be divided into small groups by the second day of class. You will be able to access your group by clicking on the Discussions tab on the course site. You will only be able to access your own small group board and the consensus board. Each week, at least one discussion question reflecting the week’s content will be posted. Each group will discuss the question on their small group discussion board, come to a 2 consensus, and then post the consensus response to the class. Consensus discussion responses must be posted no later than Saturday by 11:59 p.m. I recommend that one of the first orders of business that your group works out is a consensus posting schedule. Under “Week 1” there is a board where your group can decide on a schedule. Discussion points will be awarded for each week. Your weekly grade will be based on your use of relevant readings, the unique contribution of ideas, and synthesis of information to generate an overall consensus. In general, full points can only be awarded when students are engaged in an on-going basis in the discussion. (One lengthy post will not be sufficient as the purpose of the discussion board is to exchange ideas among all of you.) Other important notes about the discussion board: 1) if you are responsible for posting the consensus, you must still participate in the discussion; 2) individual posts must be posted by Thursdays. This allows all members one final chance to interact and also allow whoever is responsible for completing the consensus the opportunity to write it up and get it posted on time; 3) each of you is graded on your individual posts, not on the consensus post. However, if there appears to be a lack of effort or timeliness on your effort on the consensus post, then your score for the week may be reduced; 4) I do not grade the number of times that you post, but instead look for the quality of engagement over the week. You could post several times in one week, not address anything that I’m looking for, and receive few points despite a high frequency of posting. Since this portion of the class is worth the most points toward your final grade, I strongly encourage you to look at the examples I have provided of stellar small group posts/interactions and consensus posts. These examples are found under Content Assignment Guidance. Recovery Group Observation and Reflection Paper This assignment has two parts. First, students will be required to attend and observe a Twelve Step Meeting of Alcoholics Anonymous, Narcotics Anonymous, Al-Anon, or an approved recovery meeting. If you have been to a recovery meeting before, please attend a different one. (You may ONLY attend a SMART Recovery meeting if you have previously attended a 12-step meeting.) Local chapters of Alcoholics Anonymous, Narcotics Anonymous, and Al-Anon usually hold some open meetings that anyone may attend (but do not attend an open ‘speaker’ meeting, go to an open ‘discussion’ meeting). Contact a local chapter, inquire whether you may attend, and make the necessary arrangements, including time, date, and place. Be respectful of the groups’ rules and norms, especially confidentiality. Be sure you are attending an ‘open’ meeting at which visitors are welcome. Do not attend a ‘closed’ group unless you fit the criteria for membership in your personal life and are attending as yourself. Go alone to this meeting, just as a real first time member might. Place yourself in the shoes of a client in finding the group, locating it geographically, figuring out transportation to and from the meeting, and how convenient the time and location are for a possible client. Do not take notes during the meeting! There are many ways to locate recovery groups: Internet sources, newspapers, 3 hospitals, churches, national organizations, library, etc. Second, students will be required to write a critical reflection paper on the group they attended. Class readings MUST be integrated into the reflection papers. The paper is expected to be in APA style, be 3 - 5 pages (excluding cover page and reference page), have a cover page, and have a reference page The reflection paper should contain the following sections: Group attended and how you found out about it (Internet, newspaper, hospital, church, national organization, library, etc) Time, location, date of meeting (What did the meeting place look like? What kind of neighborhood was it in?) Who was there? (Number, sex, race, age distribution, etc.) What happened? (Just record the events as they happened.) How did you feel about the experience? o If you have been to other meetings, how did this one compare? Would you refer a client to this group? Why or why not? Intervention Reflection Papers Each student will complete two Intervention Reflection Papers at two points during the semester. To complete the paper, the student will watch an episode of Intervention (on A & E Mondays at 10pm and full episodes on http://www.aetv.com/intervention/index.jsp) and write a reflection paper. These papers should be written in APA style, be between 6 – 9 pages (excluding cover page and reference page), have a cover page, and have a reference page. The two papers cannot be written on episodes where the same primary drug was abused. (In other words, Paper #1 could be on alcohol but Paper #2 would have to be on a substance other than alcohol.) Please use only episodes in which one person with a substance abuse problem is highlighted (not episodes where two individuals are highlighted or special episodes where the focus is on one specific drug of abuse without a specific personal story associated with it). I believe there have been episodes where the individual has anorexia and the episode focuses only on that. Please be sure that your episode is about drug or alcohol abuse! Intervention Reflection Paper #1 should contain the following sections: The person featured on the episode, the drug of choice, and the season the episode aired Summarize the episode (this is NOT the main portion of the paper and should be no more than 2 pages) o Personal history o Drug use history (age at first use, what substance, precipitating event, previous treatment, etc.) o Current situation (living, work, school, money, friends, family, health, etc.) o Describe the person’s current drug use (drug of choice, method of ingestion, amount, frequency, etc.) 4 o What consequences (physical, social, legal, etc.) of the drug use were evident? o The intervention process and outcome o The follow-up Summarize facts about the person’s drug of choice (category, commercial and street names, DEA Schedule (not just the number but what that number means)/how administered, intoxication effects/potential health consequences). The Table in Chapter 4 will help you here. How does the person’s demographic information coincide with the book’s epidemiological information? What evidence exists that this person is addicted (does he/she meet certain criteria, what is the specific criteria you are using [i.e., DSM, WHO, etc.], what symptoms were present)? Discuss at least one part of the episode that touched on a controversial topic and your thoughts about it. For social workers - How does your view coincide with the NASW Code of Ethics? What were your reactions (emotional and intellectual) to this episode? Intervention Reflection Paper #2 should contain the following sections: The person featured on the episode, the drug of choice, and the season the episode aired Summarize the episode (this is NOT the main portion of the paper and should be no more than 2 pages) o Personal history o Drug use history (age at first use, what substance, precipitating event, previous treatment, etc.) o Current situation (living, work, school, money, friends, family, health, etc.) o Describe the person’s current drug use (drug of choice, method of ingestion, amount, frequency, etc.) o What consequences (physical, social, legal, etc.) of the drug use were evident? o The intervention process and outcome o The follow-up Choose one chapter in the text about a population to which the person in the episode belongs (i.e., racial/ethnic group, woman, GLBT, person with a disability, etc.). Explain general considerations based on his/her group membership. Using Chapter 10, summarize the family dynamics and patterns. What were your reactions (emotional and intellectual) to this episode? Final Exam This is a “take-home” exam that will be in a short answer and essay format. You will be able to download the exam document, save it to your computer, and work on it until it is due. You will be able to use all of the course materials that have been provided in answering the questions. It will be made available by 12:01 am on Friday, 8/9, and needs to be completed by 11:59 p.m. on Tuesday, 8/13. 5 POINTS A total of 100 points are possible in this course and will be distributed as follows: Assignment Points Possible Chapter Quizzes (2 points each) 30 (15 quizzes) Participation in Discussion Board (4 points each) 36 (9 questions) Recovery Group Observation and Reflection Paper 4 Intervention Episode Reflections 20 (10 points each) Final Exam 10 TOTAL 100 POINTS AND LETTER GRADES 5367: A 100-95 C 76-70 A- 94-90 F < 70 B+ 89-87 B 86-83 B- 82-80 C+ 79- 77 Expectations Attendance and Punctuality (For university information on attendance http://www.etsu.edu/reg/academics/syllabus.aspx) and financial aid go to: When necessary to report attendance to the University, participation on the discussion board will be used. The Learning Environment Please demonstrate professional and courteous behavior in class. This includes showing respect for your fellow students by being aware that everyone in class should have an opportunity to speak without one or two individuals repeatedly monopolizing class discussion time. All students are responsible for creating and 6 maintaining a positive learning environment. Social workers respect others. Therefore, differences in values, opinions, beliefs, and feelings of class members and guest speakers will be respected. Everyone in the class (including the professor and each student) is to be treated with dignity and respect. Social work practitioners often receive intimate and detailed information from clients and must adhere to confidentiality as stated in the NASW Code of Ethics. For that reason, information from personal experiences shared in class is to be kept confidential. Preparation is a prerequisite for class participation. Participation means actively sharing your thoughts, questions, and experiences in class discussions. It means participating voluntarily in class activities, showing professional and courteous behavior in class, and showing respect for your fellow students, professor, and guests by being open and attentive to their ideas and opinions. Submission of Work All written assignments should be submitted to D2L by the due date/time. An assignment is late if it is not submitted on D2L by the due date/time. No late assignments will be accepted as the dropbox will close automatically. Multiple submissions of assignments are not allowed. Students will complete work individually unless otherwise indicated by the professor. Writing assignments must reflect university-level writing expectations and standards. All assignments should be well-written and well-edited. Proper grammar/syntax is expected. Failure to meet these expectations will negatively impact your final grade. Students should take full advantage of the Center for Academic Achievement located on the first floor of the Sherrod Library for help with written projects. Disclaimer The professor reserves the right to revise the course syllabus and calendar as required by either judgment or circumstance. Changes will be announced via announcement through D2L, and students are responsible for recording changes as announced. RESOURCES Mental Health Services Social work education is a process of self-exploration and self-awareness. Material we cover and exercises required may be emotionally or psychologically upsetting for some students due to past experiences and circumstances. Please don’t hesitate to pursue counseling or mental health services. Counseling services are 7 confidential and free to all ETSU students. Services and information can be found at: http://www.etsu.edu/students/counsel/counsel.htm If you or a friend is in immediate crisis, call 911. Available 24/7 is the National Suicide Prevention Lifeline: 1-800-273-TALK. Writing and Communication Aid Center for Academic Achievement: Located on the first floor of the Sherrod Library, the Center for Academic Achievement (CFAA) is the place to go for help with writing and speaking, library research, core math and science courses, and other subjects. the center offers tutoring on a walk-in and appointment basis and is open during library hours, including nights and weekends. Call 439-7848 or go to www.etsu.edu/academicaffairs/cfaa for more information. Papers may be submitted electronically – please contact the CFAA for more information. Online Writing Tutorials APA 6th Edition: http://www.apastyle.org/learn/tutorials/basics-tutorial.aspx The University of Indiana's Online Plagiarism Tutorial: https://www.indiana.edu/~istd/ Five Rules for Better Presentations: http://michaelhyatt.com/five-rules-for-better-presentations.html GUIDANCE AND POLICIES NASW Code of Ethics This code of ethics is to serve as a guide to the everyday professional conduct of social workers. You are expected to be familiar with its contents. The code can be found in your student handbook or online at: https://www.socialworkers.org/pubs/code/code.asp University Honor Code Law, the profession of social work’s ethical standards, and the University’s academic and administrative policies demand that students neither plagiarize nor cheat. Plagiarism is taking written work of another person and/or their ideas and language and submitting them as your work. You must be extremely careful when “paraphrasing”, which is translating another’s words, ideas or language into your own words, etc. In this effort, you must proceed with great caution. Cheating is a variety of behaviors that include copying other’s answers in class on exams and other required work and/or submitting the same work for more than one course. Cheating can occur on tests, in papers, and on presentations, etc. Additionally, using notes or other forms of aid during examination or quizzes, unless explicitly permitted by the professor, is one form of cheating. To familiarize yourself with specific guidelines, see the Social Work Student Handbook. A grade of F is assigned for any plagiarism or cheating in this course. Students with Disabilities 8 In compliance with the federal regulations and the Americans with Disabilities Act of 1990, it is the policy of East Tennessee State University to accommodate students with course substitutions, and other academic adjustments when necessary to insure equal access for students with disabilities. Students with disabilities needing academic accommodation should: (1) Register with Disability Services at 439-8346 in the Culp Center (http://www.etsu.edu/students/disable/) (2) Provide the professor a letter indicating the need for accommodation and what type. This should be done by the second week of class. A Brief Note on Plagiarism… Definition: Representing another's work as one's own. Examples: Presenting ideas as if they are your own, when they were actually derived from another individual's work. Failing to put quotation marks around another's words. Including phrases from another author’s work without using quotes around the phrases. Inserting different words into the original author's sentence structure. Paraphrasing without citing whose work you are paraphrasing. Consequences of Committing Plagiarism: Receiving a verbal or written reprimand that may be placed in your file. Receiving a "0" or an "F" for the assignment and not being allowed to submit it again. Receiving an "F" in the course. Suspension, dismissal, or expulsion from the University. Avoiding Unintentional Plagiarism: Take notes that clearly indicate which are your words and which are those of the author. Use quotation marks in your notes. In your notes, work on summarizing ideas in your own words; this facilitates real understanding of the material rather than just parroting back what you read. Always indicate in your notes exactly where you got the information, including the page number. Keep copies of your first drafts (until you receive the graded paper back) and be prepared to show your professor your reference material (notes or the original works). Carefully edit your final draft to make sure that you've included quotation marks and citations in text. You also need to make sure that all citations in text are included on the reference list, and vice versa. 9 Initial Course Outline – Subject to Change! Week 1 Dates Topic(s) 6/10 – 6/15 Ch. 1: Definitions and Epidemiology of Substance Use, Abuse, and Disorders Reading(s) for Class/Deadlines Ch. 1 quiz Syllabus quiz Discussion Board 6/14: Last Day to Register or Add Classes Without a Departmental Permit - Spring Semester 2 6/16 – 6/22 Ch. 2: Etiology of Addiction Ch. 2 & Ch. 3 quiz Ch. 4 quiz Ch. 3: The Brain Biology of Addiction Discussion Board Ch. 4: The Physiological 6/17: Last Day to Drop a Course and Behavioral Without a W Grade (by 4:30 P.M. Consequences of Alcohol EST) - Spring Semester and Drug Abuse 6/19: Last day to add w/o Dean's permission 3 4 6/23 – 6/29 6/30 – 7/6 Ch. 7: Preventing Alcohol and Drug Problems Ch. 7 quiz Ch. 8: Regulating Drugs and Their Consequences Discussion Board Ch. 5: Screening, Diagnosis, Assessment, and Referral Recovery Group Observation and Reflection Paper Due 11:59 pm on 7/3 Ch. 8 quiz 10 Ch. 5 quiz Discussion Board “Guest Speaker”: Motivational Interviewing 7/1: Last Day to Drop a Course With a W grade Without Dean's Permission - Spring Semester 5 7/7 – 7/13 Ch. 6: Treatment: The System of Care Intervention Reflection Paper #1 Due 11:59 pm 7/10 Ch. 6 quiz Discussion Board “Guest Speaker”: Meth Lab Task Force 6 7/14 – 7/20 Ch. 9: Treating Substance Abusing Youth Ch. 10: Family Systems and Chemical Dependency 7 Ch. 9 quiz Ch. 10 quiz Discussion Board “Guest Speaker”: Codependency 7/21 – 7/27 Ch. 15: Gender, Ch. 15 quiz Substance Abuse, and Substance Use Disorders Discussion Board “Guest Speaker”: Trauma Informed Care 8 7/28 – 8/3 Ch. 11: Ethnicity, Culture, and Substance Use Disorders Ch. 11 quiz Ch. 12 quiz 11 9 8/4 – 8/10 Ch. 12: Substance Abuse Treatment with Sexual Minorities Discussion Board Ch. 13: Substance Use Disorders and CoOccurring Disabilities Intervention Reflection Paper #2 Due 11:59 pm on 8/7 Ch. 13 quiz Ch. 14: Alcohol and Drug Misuse and Abuse in Ch. 14 quiz Late Life Discussion Board 10 8/11 – 8/16 Final Exam Due by 11:59pm on 8/13 8/14: Last day to withdraw from the university (by 4:30 pm EST) 12 Week 1 Dates 6/10 – 6/15 Topic(s) Ch. 1: Definitions and Epidemiology of Substance Use, Abuse, and Disorders Reading(s) for Class/Deadlines Ch. 1 quiz Syllabus quiz Discussion Board 6/14: Last Day to Register or Add Classes Without a Departmental Permit Spring Semester 2 6/16 – 6/22 Ch. 2: Etiology of Addiction Ch. 2 & Ch. 3 quiz Ch. 4 quiz Ch. 3: The Brain Biology of Addiction 3 4 6/23 – 6/29 6/30 – 7/6 Discussion Board Ch. 4: The Physiological and Behavioral Consequences of Alcohol and Drug Abuse 6/17: Last Day to Drop a Course Without a W Grade (by 4:30 P.M. EST) - Spring Semester Ch. 7: Preventing Alcohol and Drug Problems Ch. 7 quiz Ch. 8: Regulating Drugs and Their Consequences Discussion Board Ch. 5: Screening, Diagnosis, Assessment, and Referral Recovery Group Observation and Reflection Paper Due 11:59 pm on 7/3 6/19: Last day to add w/o Dean's permission Ch. 8 quiz Ch. 5 quiz Discussion Board 13 “Guest Speaker”: Motivational Interviewing 7/1: Last Day to Drop a Course With a W grade Without Dean's Permission Spring Semester 5 7/7 – 7/13 Ch. 6: Treatment: The Intervention Reflection Paper #1 Due System of Care 11:59 pm 7/10 Ch. 6 quiz Discussion Board “Guest Speaker”: Meth Lab Task Force 6 7/14 – 7/20 Ch. 9: Treating Substance Abusing Youth Ch. 9 quiz Ch. 10: Family Systems and Chemical Dependency Discussion Board Ch. 10 quiz “Guest Speaker”: Codependency 7 7/21 – 7/27 Ch. 15: Gender, Ch. 15 quiz Substance Abuse, and Substance Use Discussion Board Disorders “Guest Speaker”: Trauma Informed Care 8 7/28 – 8/3 Ch. 11: Ethnicity, Culture, and Substance Use Disorders Ch. 12: Substance Abuse Treatment with Ch. 11 quiz Ch. 12 quiz Discussion Board 14 Sexual Minorities 9 8/4 – 8/10 10 8/11 – 8/16 Ch. 13: Substance Use Intervention Reflection Paper #2 Due Disorders and Co11:59 pm on 8/7 Occurring Disabilities Ch. 13 quiz Ch. 14: Alcohol and Drug Misuse and Ch. 14 quiz Abuse in Late Life Discussion Board Final Exam Due by 11:59pm on 8/13 8/14: Last day to withdraw from the university (by 4:30 pm EST) 15 16