Introduction to Addiction Studies

600 Pages·1997·3.93 MB·English

S E NINODOIUI TTTOCSCTIUDDDOARTNI
CuAr riculRuemf erenMcaen ual
February1 997
Addiction Technology Transfer Center
OGEID NAS ,AINROFILAC FO YTISREVINU
YRTAIHCYSP FO TNEMTRAPED
MSECDOHIFOC OILN E
stnetnoC
Acknowledgments
Frotmh Dei rector
Frotmh Eed itor
TextO ptions
Orientatioann Idn troductioI|nn structoPra geH|sa ndouts
PrevalencC&eo stosAf O RDe latePdr oblemsP,o licIys suesH,i storicaClo nsiderationI|sn structoPra geH|sa ndouts
ConcepatTnsed r minolIon|gs yt ructPoarHg a|en sd outs
ModelosAf d dictioI|nn structoPra geH|sa ndouts
DruCgl assificatiOo-pnI is o idsS,e dativeAs&l, c ohIo|nl s tructoPra gHe|as n douts
DruCgl assificationISs-It imulantsH,a llucinogensC&,a nnabiI|sn structoPra ges
PsychologicaIls suIe|ns s tructoPra gHe|as n douts
AssessmentD,i agnosisa,nR de ferrIa|nl s tructoPra gHe|as n douts
VigCTnareseIteant Rtsee|mtsc ePrRonau|evtgc le,etar sopy rs, e
ViCIgaHnnsaseeFntt I|adrt|s mo|Pue siu acsultgteyseos sr
DiversPeo pulationsC,u lturaPle rspectivIe|ns s tructoPra gHe|as n douCt|as s Vei gnettes
SocialE,n vironmentaIls suIe|ns s tructoPra gHe|as n douts
PreventiIo|nn s tructoPra gHe|as n douts
Co-MoIrnbsHit|adr niuPdtc|aoyt gu oetrss
LegaElt,h icIasls Iun|es st ructPoarHg a|en sd outs
I ntravenHDaoUIrnusVIudse/ng As |It DrSuH cPatano|gdr eo su ts
Appendix
Acknowledgments
eettimmo Ctnempoleve Ddn aweive Rralucirru CCTTA
)riahc-oc ainrofilaC nrehtroN( sretneC yrevoceR ytinummoC yaB tsaE ,DhP ,nebewZ nellE naoJ
)riahc-oc ainrofilaC nrehtuoS( egelloC kcabelddaS ,nosliW drahciR
smargorP gurD dna lohoclA ytnuoC nessaL ,draeB leahciM
secruoseR yrevoceR noitciddA fo noitaicossA ainrofilaC ,rehskcalB nasuS
ogeiD naS ,ainrofilaC fo ytisrevinU ,DhP ,nworB ardnaS
retneC lacideM sriaffA snareteV ocsicnarF naS ,HPM ,DJ ,DM ,kralC yeltseW .H
sretneC teertS nuS ,ddoD nitraM
enicideM noitciddA fo yteicoS ainrofilaC ,araJ liaG
ocsicnarF naS ,ainrofilaC fo ytisrevinU ,SM ,NR ,pusseJ ytraM
smetsyS gniniarT dna ,noitacudE ,gnilesnuoC snoitciddA ylimaF ,eerteP "eteP" ecyolC
setaicossA dniwtseW ,ruomyeS drahciR
egelloC dranxO ,yellihS mailliW
oetaM naS fo egelloC ,rekcotS alegnA
egelloC yellaV olbaiD ,renpaW annoD
yelekreB ,noisnetxE ainrofilaC fo ytisrevinU ,DhP ,rensieW yelnatS
Consultant and Editor
yelekreB ,ainrofilaC fo ytisrevinU ,erafleW laicoS fo loohcS ,WSCL ,saelonaM reteP
snoitazinagr Oycneutitsno Ceettimmo Cevitucex ECTTA
secruoseR yrevoceR noitciddA fo noitaicossA fo noitaicossA ainrofilaC
srotacudE gurD dna lohoclA fo noitaicossA ainrofilaC
sevitucexE margorP gurD dna lohoclA fo noitaicossA ainrofilaC
smargorP gurD dna lohoclA fo tnemtrapeD ainrofilaC
snoitcerroC fo tnemtrapeD ainrofilaC
sredivorP enodahteM fo noitazinagrO ainrofilaC
retneC noitacudE kroW laicoS ainrofilaC
enicideM noitciddA fo yteicoS ainrofilaC
seitinummoC citueparehT ainrofilaC
ainrofilaC fo noitaicossA srotartsinimdA margorP gurD dna lohoclA ytnuoC
Substance Abuse and Mental Health Services Administration
tnemtaer Tesub Aecnatsbu Sro fretneC
rotartsinimdA ASHMAS ,DhP ,zevahC ableN
rotceriD TASC ,satcaM divaD
noitaulavE dna sisylanA cifitneicS fo eciffO TASC ,rotceriD ,DM ,effaJ emoreJ
reciffO margorP TASC ,NR ,rerhoR euS
ecudorpe Ro tnoissimreP
eht neewteb tnemeerga evitarepooc a yb elbissop edam saw noitaraperp sti sa ,egrahc tuohtiw tnemucod siht fo stnetnoc eht esu ot eerf era snoitutitsni lanoitacudE
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.secivreS namuH dna htlaeH fo tnemtrapeD .S.U ,secivreS
7991 ,ainrofilaC fo ytisrevinU eht fo stnegeR ©
Addiction Technology Transfer Center
enicideM fo loohcS ,yrtaihcysP fo tnemtrapeD
ogeiD naS ,ainrofilaC fo ytisrevinU
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lebanhcS miK ,ssoR ycarT ,sialosraM niraK ,iK leahciM ,notlyH boR ,yeffoC enitsirhC ,NR ,notelraC euS
From the Director
Curricular eviewa ndd evelopmenta ndt hed isseminationo fe ducationalp roductsa rea mongt hem osti mportantr oles
whea vaes sumeatdth A ed dictioTne chnologTyr ansfeCre nterF.r oomub ra sitenh D ee partmenoPtfs ychiatryS,c hool
oMfe dicineU,n iversitoyCf a liforniaS,a Dni egoo,u Cre ntepru rsueist msi ssioonbf u ildintgh cea pacitieoshf e alth,
socials ervice,a ndc riminalj ustices ystemsi nr espondingt os ubstanceu sed isorders.
Thmea nuailfn r onotyf o eup itomizehso wwwe o rkI.rt e presentcso untleshso urosdf e dicateedf forbtvay o lunteer
committeoaefc ademicasnp dr actitionerlsebD dyrJ .o aZnw ebehnai, g hlrye gardeadd dictionesx pertD.rZ .w eben
convenendu meroupsl anninga,s sessmentd,e velopmenta,n rde viemwe etingostf h Cee nter'Csu rriculRae vieawn d
DevelopmenCto mmitteitenh S eaF nr anciscBoaA yr ebae ginnini1gn9 94.
Undert hec ommittee'sa uspicesi n1 995,t heC entere ngagedac urriculumc onsultant,P eterM anoleaso ft heS choolo f
SociaWle lfaraeot u sri steUrcC a mpuisBn e rkeleyI.tn u rnM,r M.a noleaass sembleadn edv aluateidn formation
resourcesf romf ara ndw ide,b ibliographicr eferences,I nternetW orldW ideW ebf iles,a ndi nstructionalm aterialsf rom
actuacll assrooums eW.i tcho mmittegeu idanceM,r M.a noleadsr aftetdh irse ferencmea nual.
Otherpsr ovidevda luablcer itiqueP.a rticipantastt h Cee nter'1s9 9F6a cultDye velopmenRte trealto okecdl oselayat
firsdtr aftR.i charWdi lsonD,r Z.w eben'cso -chaifro Sro utherCna liforniah,e lrade viemwe etinigtn h apta rottf h set ate.
fiAn waolr kignrgo DouZrfpw. e beWni,l liSahmi lleAyn,g eSltao ckeDro,n Wnaap neSrt,a nlWeeyi snearMn,Wrd i. l son
mettw icieFn a l1l9 9w6i tmhe M,r M.a noleasa,n mdcy o -directorT,o Cmo lthurstt,bo r intgh deo cumenttto h isst age.
Ttoh eaml leI,x tenmdsy i ncerger atitudea,n adws e ltlLo i ndHai llberagn Kda riLnM. a rsolaiwsh loa borehda rwdi th
productiono ft hism anual.
Wree cognizteh arate ferencmea nuaflo ard dictiosnt udiese,v eanat in n troductorlye veli,ns e vecro mpleteW.e
continuet od evelopn ewk nowledgea ndu nderstandingf romc linicalr esearcha ndf ieldp ractice.W ea nticipatep eriodic
updatesh,e ncteh leo oslee affo rmatY.o cua hne lupbs oy f ferinsgu ggestionfso ard ditionaclo ntenotcr l arification.
Contactu sa tt hea ddressp rintedn eart hef ronto ft hism anual.
DDaeAvi.it dPcD hhiD,r, e ctor
AddictioTne chnologTyr ansfeCre nter
DepartmePonsfty chiatrSyc,h oMooefld icine
UniverCsaoilfti yf ornDSiiaaen,g o
Feb1r9u9a7ry
From the Editor
si sucof ehT .level egelloc ytinummoc eht ta srolesnuoc snoitcidda rof sesruoc yrotcudortni gnihcaet snosrep rof ecruoser dna ediug ralucirruc a sa dereffo si launam sihT
fo epocs eht dnoyeb rovaedne etarapes a eb dluow mulucirruc a hcuS .dleif eht ni srekrow lla edulcni ot tnaem ton ylraelc si dna srolesnuoc noitcidda fo gniniart eht no
.troffe siht
25-44 rof dengised ylhguor si launam eht ni lairetam fo ytitnauq ehT .stamrof dna sgnittes rehto ynam ni dezilitu eb nac ti ,esruoc a sa derutcurts si launam siht elihW
dna ,launam eht nihtiw deniatnoc "scipot" neetxis era ereht suhT .egasu sti ni ytilibixelf mumixam evah srotcurtsni taht dednetni si ti tub ,sruoh tcatnoc moorssalc
.lairetam rehto esu ton dna ,lairetam emos tnemgua ot esoohc yam srotcurtsni
launam eht fo tamrof fael-esool ehT .noisiver tnatsnoc tnarraw lliw ,stnemucod ralimis dna ,siht ,gnidnapxe-reve si snoitcidda fo dleif eht ni esab egdelwonk eht ecniS
siht ni noisulcni rof nesohc scipot fo egnar eht dna ,snoitcidda fo dleif eht ot snoitcudortni daorb era sesruoc yrotcudortni tsoM .gnitadpu cidoirep hcus timrep lliw
.tcaf siht tcelfer launam
srolesnuoc noitcidda rof smargorp tsom sA .esab lliks a dna ,esab eulav a ,esab egdelwonk a :stnenopmoc eerht evlovni yllareneg stsipareht dna srolesnuoc fo gniniarT
owt htiw ,esab egdelwonk eht no desucof si noitnetta tsoM .esruoc yrotcudortni eht rof ti ot nevig eb lliw noitnetta yrosruc ylno ,gniniart slliks ot noitnetta laiceps evig
sdeen gninrael laiceps fo tnemgdelwonkcA )2 dna ,slliks gnikniht lacitirc fo tnempoleved egaruocne ot snoitseuq noissucsid laiceps fo noisulcnI )1 :sesahpme ralucitrap
.esruoc yrotcudortni na hcus gnikat stneduts fo spuorg gnoma tneserp eb ot ylekil
fo stcepsa suoirav tnorfnoc ot stneduts eriuqer erofereht lliw stinu emoS .dleif snoitcidda eht ni krow evitceffe rof yrassecen esab eulav eht ot nevig osla si noitnettA
.sfeileb rieht dna sevlesmeht
moorssalc ,sdaehrevo dna stuodnah ,rotcurtsni eht rof lairetam latnemelppus ,sevitcejbo gninrael ,stnemmoc yranimilerp htiw gnitrats ,tamrof mrofinu a sah tinu hcaE
.secruoser dna sgnidaer rehtruf dna ,snoitpo esicrexe
snoitpo gnihcaet lareves sniatnoc cipot hcae ,erutan siht fo sesruoc yrotcudortni ni srotcurtsni dna stneduts htob gnoma dnuof eb ot si ytisrevid fo laed taerg a sa ,yllaniF
lla ,stneduts gninruter/gninnigeb eseht rof dednemmocer si emoh-ekat ro koob-nepo ekil ,tamrof noitanimaxe erusserp wol ylevitaler A .morf esoohc ot rotcurtsni eht rof
eht tpada ot degaruocne era srotcurtsni tub ,yrevocer fo segnellahc eht htiw gnilggurts era mohw fo emos dna ,egelloc fo ssenwen eht fo sserts eht rednu era mohw fo
.stneduts rieht fo sdeen cificeps eht ot slairetam fo noitatneserp
".sgurd rehto dna lohocla" emosrebmuc erom eht fo daetsni desu si DOA mynorca dradnats eht ,launam eht tuohguorhT
siht fo hcuM .ecnerefer rotcurtsni rof ro ,sdaehrevo ,stuodnah sa desu eb nac esehT .cipot hcae htiw dedulcni lairetam eht ni dnuof eb ot si noitamrofni latnemelppuS
esuoh ,stneduts lacidem rof mulucirruc esuba ecnatsbuS :egaS tcejorP" ,deltitne launam a si eseht fo tsrif ehT .alucirruc DOA gnitsixe lareves morf nekat saw lairetam
tcartnoC ADIN rednu retneC secneicS htlaeH ainigriV fo ytisrevinU eht ta seugaelloc dna DhP ,gnaF iL ieW yb deraperp ,".erac yramirp ni snaicisyhp dna ,ffats
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kciD yb deraperp ,noitacudE rehgiH nihtiw smargorP seidutS gurD/lohoclA rof senilediuG morf detpada saw ",smreT rehtO dna gurD dna lohoclA fo yrassolG" ehT
.smargorP gurD dna lohoclA fo tnemtrapeD ,ainrofilaC fo etatS eht htiw tcartnoc a rednu egelloC kcabelddaS fo nosliW
,hguolluCcM ettolrahC yb deraperp ,gniniarT desab-ycnetepmoC A :sgurD rehtO dna lohoclA ,1-TCA morf nekat saw lairetam "ALWC" sa deifitnedi lairetam llA
SHHD rednu ,3991 ,CD ,notgnihsaW ,aciremA fo eugaeL erafleW dlihC eht rof nirB geM dna ,namrettuG narF ,ydooWeD nyledaM ,lezieZ yerffeJ ,ywoloP leahciM
90-NgCorB.a- n0t0 9.
erew noitneverP esubA ecnatsbuS rof retneC eht morf alucirruc deraperp eerhT .detic yllanretni si launam siht ni yhpargoilbib detatonna dna lairetam rehto llA
,noitaicossA lacigolohcysP naciremA eht htiw dnoces eht ,srekroW laicoS fo noitaicossA lanoitaN eht htiw noitaroballoc ni deraperp saw tsrif ehT .dezilitu ylevisnetxe
.srolesnuoC htlaeH latneM fo noitaicossA lanoitaN eht htiw driht eht dna
gnillac yb deredro eb nac dna tsoc tuohtiw si )IDACN( noitamrofnI gurD dna lohoclA no esuohgniraelC lanoitaN eht morf elbaliava sa deifitnedi lairetam eht fo tsoM
RAPSAC eht morf lleW gnitteG ,reboS gnitteG deltitne launam gniniart a morf nekat saw seussi yrevocer s'nemow no lairetam eht fo hcuM .deificeps rebmun enohp eht
.AM ,egdirbmaC ni margorp tneitaptuo s'nemow
dna tupni hcum dna ,retneC gniniarT noitciddA ainrofilaC eht fo eettimmoc tnempoleved dna weiver mulucirruc eht yb dedivorp saw launam siht rof noitcerid lareneG
.DhP ,nebewZ naoJ ,riahc eettimmoc yb dedivorp saw ecnadiug
ainrofilaC eht yb dehsilbup seidob gniyfitrec lennosrep yrevocer /tnemtaert DOA ainrofilaC fo yrotcerid tnerruc tsom eht niatbo ot hsiw osla yam srotcurtsnI
.smargorP gurD dna lohoclA fo tnemtrapeD
WSCL ,saelonaM reteP
yelekreB ,ainrofilaC fo ytisrevinU
erafleW laicoS fo loohcS
Januar1y9 97
Text Options
Sevetne xtasr oef fereadps o ssibilitiefso trh ien troductorcyo ursea,n adr ber ieflayn notatebde lowA.l alr aep propriatfeo cro mmunity
collegel evels tudents,a nde acho ft hemh asi tsp articulars trengthsa ndl imitations.
Lo osenintghG er iHpAa: n dboooAkfl cohoIln formationF,i ftehd itionbK,yi nneaynL de atonM.o sby1,9 95.
Theb readtho ft hisb ookc orrespondst ot heb readtho ft hei ntroductoryc ourseb ut,a st het itlei mplies,i ti sa lcoholo riented.I ti sw ritten
viaen r rye adablset ylwei tmha ntyh oughptr ovokindgi scussioins suebse insgt imulatebadym usincga rtoonotsnh p ea gmea rginsE.a ch
chapterc oncludesw ithau sefula nnotated" Resourcesa ndF urtherR eading"s ection.
Iss ufeTosor d aDyr:u gSse,c oenddi tioPbniy,n gePra,y nHea,ahH nnad h SnLt.o. u iMso:s b1y9,9 5.
Thisv olumet akesab road-brushl ooka td rugsa ndi ncludesm osto ft het opicsn eededf ort hei ntroductoryc ourse.I ta pproachest he
problemm orea sas ociali ssuea ndi ncludes" issue"d iscussionb oxes.I nsteado fac hapter,o rc hapterso nt reatment,t hea uthorsi ncludea
chaptero nl awe nforcement.T hisp erspectivei sam ajors hortcomingf romt hes tandpointo ft raininga ddictionc ounselors.
1ML9oo9su3biS.ystK ,:.s ira.n d RBaeyHeh udSambiivaytSxDin iotro &ochur ni g,,es t,y ,
Thviiaess ru ys er-friendliyn troductorcyo mpendiuoamfl cohoalnd dr uign formationIc.to vertshr ea ngopefh ysicalp,s ychological,
sociala,n pdo liticails suerse quirefdo trh icso urseS.o mfee atureasr ees pecialluys efuflo cro mmunitcyo llegset udentsT.h eraer mea ny
interestingp hotosa ndg raphics,a sw ella ss timulating,c riticalt houghto rienteds ideb oxesw hichm ayb eu sedf ord iscussions.
Dr ugasn Adl cohoilPn e rspectiveb,Ry i charFdi eldsD.u buqueI,A W:m C.B. r owPnu blishers1,9 95.
Thiisdas o wn-to-eartthe xtth astp eakdsi rectltyto h ree adeirtn e rmostf h ceo nsequenceosaf l cohoaln ddr uugs oetn h ien dividual,
familya,n sdo cietyS.o mceh apterisn cludcea sset udiesa,n tdh weh oltee xitos r ientetdco o unselingp,r eventiona,n idn terventionA.
strengtho ft heb ooki si t'sp erspectiveo nb otha lcohola ndd rugs.Aw eaknessi si ts" ones izef itsa ll"a pproach.
McYGorrakNw:e1- w9H 8iAEG9lm.o.Sle oeo,rddTc iiebihicnD,ytiea r irtnuody gn ,s,
Thist ext,t houghs omewhatd ated,a ttemptst oa ddressb othp olicya ndc linicali ssues.O fp articulari nteresti st het hirdc haptere ntitled,
"TheorieosDf r uUgs e.T"h ceh apterostn h vea rioucsa tegorieosdf r ugpsr ovidues efula,l beisto mewhadta tedi,n formation.
Es sentialoCsfh emicaDle pendencCyo unseling2,ne dd .bL,ya wsonL,a wsRo&in v ersG.a ithersburgM,DA :s pePnu blications1,9 96.
Thisb ooki sac ompletea ndi nclusivev olumef oru seb ys tudentse nrolledi nac ourset hatf ocusess pecificallyo nc ounseling.I ti s
up-to-dataen fdo cuseoskn n owledges,k illsa,n tdh uen derlyinvga lubea seW.h aitdt o enso atd dressa,r seo moetf h oev ervieow"r m acro"
issuesf oundi nm osti ntroductoryc ourses.
Co nceptoCsfh emicaDle pendencyS,e conedd itionbH,ya rolDdo weikoP.a cifiGcr oveC,AB :r ooks/ColPeu blishinCgo .
Thisi sag oodi ntroductoryt extw hichf ocuseso nb otha lcohola ndo therd rugs.T herea rec haptersd evotedt oe acho ft hem ajord rug
categorieasws e lalvas a rietoycf o nceptuamlo delosaf d dictionT.h eraer oev erviewosdf i fferenttr eatmenpta radigmasn cdh apterosn
severald ifferent" specificp opulations,"t houghn ote nougha ttentioni sg ivent ot hel atter.
INTRODUCTION TO ADDICTION STUDIES
Topic One
Orientation and Introduction
.gnilesnu oeccnednep eldacime h fcdole ief h otntoitcudort nliaren e eag obdtengis e sdtii nsuihT
sevlesm esfhtotce p yl ss nlraasaeeawht o enw n aotsooonetttkgned u rte oscsf arale pfof sotlIa
r olfairet almatnemelpp u.Ssecivr egsnilesnu otcnetepm oecdivo r opyttili braie httcef fye ahmcihw
noitcid de A hf,To. lt,aehcti ey”Dbseicnetepm orColesnu onCoitcidd Ae “hstedulc nsirotcurtsni
”,snoitcn urFolesnu onCoitcidd A,“edulc nsidaehrevo/stuodn a.Hretn erCefsna ryTgolonhceT
dn a”,tsilkceh CsaiB “”,tsilkceh Csllik Slacinil Cn iecnedifnoC “dn a”,tnemssessA-fle SrekroW“
”.tsilkceh Cfeile Becnednepe DlacimehC“
Learning Objectives
• .seicnetepm odc nsanoitcn urfolesnu oncoitcid dhat irwailim aefmoc eobT
• efmoc eobT .stnemeriuq elraitnede rdc n,alanoitutits n,iesru ohct irwailima
• .g no iTmettolet o bge nro a swristh teoescdrhnh aanotkttleafoecmgoc
• es e whdotnhatsre d dn,nueasuba/ e DsgOunAidra gsefrei l desnbeaduti tetraol poxTe
.sseco rgpnilesnu oe chttceffe
• .seicnetep mroi ceshstessa- f slotetnsed urytotsfinutr o epndpaiov oorTp
Classroom Options
• Classroom Option I
e hetv anhe h,trentr arpie hwteivret ntinedu thsc aeev a.Hsda yodt nsisa le chktaerB
hc aeev ad hnsasa leclo he whetnevnoc e.R)hc aseetu n ti5umob am(e hwteivret nrientrap
k ysraaomtcurt s en,hidtetelp msso iicnh et.hsWs a elrohcettnt rraip eehctudor tnnoisrep
d,nraeweivre ttsnnaiatro pem ritehwgu oyh etshntoits ehucq iehcwi tnoootns rhecpae
stnenopm otcnatrop me ihe trtaa h.Weeweivret nsdiaera hs sanwoitamrof nlianosr etpahw
,tcid d?Astnenopm occinh t?Estnenopm oecl oerdulc nyie h ot?Dytitne dsi'tnedu thsc afeo
?tnednepe d,rococilohocla
• Classroom Option II
tu oebr a aeo hrtdsalc uyo ewrhetvet ahh twsiewvlesm eehctudor ttnnied uht cseaveaH
tseta erri g ednhnotaitatce ptxseeta erri gethu tok blnaaots rh ecep av,eao hs.lsAevlesmeht
.esr u eoghcntinrec nroacef
DCSTCTUA 1 - 1 79 9y1raurbeF
INTRODUCTION TO ADDICTION STUDIES
Orientation and Introduction
• Classroom Option III
-fl erSekro W,“deltit nteuodn ae h hnstime te ihettelpm osctnedu tl sleavaH
mo rdfetpa d”aesu bD AOgAnidrag erRoivah ed Bnsaedutit tfyAorotnevnI
,e nyeo bnsome te ihhtguor ho.tGretpa hsci hhtt idwedulc nshiici h.wW.S.A.N
.er adohetsgaruo c ensretaned uhtc s itnhniwemnori vern feeaat ssgoontfitpmetta
eemnilc nyi aDm O fAeo seuvisnet xne wyo M,“yrotnev nei h otmte triehto ndadA
”.pl eghniv aehtips ee dsoeutunitn oo chewso hhtt itwneitap mrlioatnemgd ueojbt
eo ktdill u ooshwrweetnu l ro kov dsfdnaraaobkc a elmnhb eotrteit t eaehlttirW
respond to it.
• Classroom Option IV
rolesnu onCoitcidd Ae “he tsd un”asnoitcn urFolesnu onCoitcidd Ae “hettubirtsiD
y aemse h.Tsnoitcn uef h ftnooissucs ieadtatilic a ofetdi u sag”aseicnetepmoC
noit pmOoorssa lntcinemssessa-fl ee s hnet i sosuttnedu tr sokfcitsd r eaadyivorp
V.
• Classroom Option V
dedulcn i”tsilkceh Csllik Slacinil Cn iecnedifnoC “eh tetubirtsi ddn aecudorpeR
ssa le chhtt iewra hd sntasilkce he chettelpm osctnedu tesv a.Hretpa hsci hhttiw
weiv ey rarmotcurts ne ih,tese hgtnira erhet f.Aesru oe chr tosfla oggninra erlieht
elo he whr todfeed nd in,aesru oe chr toeftairporp pe arsala oggninra ehlcihw
program.
• Classroom Option VI
ecnednep elDacimeh Ce“ hrto/d n”a,tsilkce hsCai Be“ hettubirts idd neacudorpeR
,ela ctsrek i,Leergasid-eer g,a 5 s-rai1emr oe f hfttoamr oe fh”T.tsilkce hfCeileB
st seis leehstua c.e h Beternotoobelp msotcned ue tv.saeHslaf- e ruseritt tedahnlta
,laisrevortn oe crd an,ayrevoc ed rnnaoitcid dtauo bsafeil eebr otcnatrop mticelfer
e h,tssa lndciessucs ieddbluo hsstlus e.Rer edhedivo re prsarews n”atcerro co“n
egna hoyctlbiss od pn,asfeil ed bnsaedutit traie h”tnw oos“ttnedu tr sogfni elbaog
erroneous ones.
Further Reading
nr9ietpa h”C,ycne gyAcnednep elDacime h naCeivivr u oSwtoH“ Essentials of
Chemical Dependency Counselingnep s.Asre v ni&oRsw a,Lnosw ay,Lbnoiti ddenoc e,S
.9 3.36 - 9,79s81n2oitacilbuP
lacime hg ncniikr oewlpo elp ltasom l oaltufe s eudbluo hrsetpa hscihT
,seus snioitacinumm o,ctuonr ussbacip ohtc ue srdaesserd d.Asgnitt eyscnedneped
gnik ryolwtner rsutcned ugtnsihc asertotcurt s.nnIoitce l be dos,njtanemtsu jbdoaj
.lufes uylralucitra psih tdni fya msmargor pni
DCSTCTUA 1 - 2 79 9y1raurbeF
INTRODUCTION TO ADDICTION STUDIES
Orientation and Introduction
Becoming Naturally Therapeutic:kr owY e.Nlla meSnileuqc a yJ,bnoiti ddEesiv e,R
matnaB ,skooB.0991
gniple hevitiso pf ostnemel eeh tsebircse d,smre tcitsinamu hdn aya ln i,koo bsihT
.stne dsdurntoastcur tgrsnonifi d da.oesorpGihsnoitaler
Further Resources
:oediV A Challenge to Carehtlae Hadi Vmor felbaliav A.)setuni m83 (.
r onfoitazinag re Oh,tGOCA AydNbecudo r.PsnoitacinummoC
.ses rluaNtan o de,nNcaigoloce n,ycGirtetsbO
gnidrag esresr ufpnou o frsaogegna hlcanidutit te ahsttcelf eored isvihT
latano edn nlaatan-e r.Pstneit atpnange r,ptnednep eydllacime hrcieht
-la r eohh mttginw odleatartsno m eeyr db adarnbeah tsooetmhcaorppa
n as ades ue bdluo coedi vsih T.sredivor peh tf osammeli dlacinilc-lacihte
ntmocoino tu.rIopjesItodvsaoablac
DCSTCTUA 1 - 3 79 9y1raurbeF
INTRODUCTION TO ADDICTION STUDIES
Orientation and Introduction
Addiction Counselor Competencies
tnetepm oe cholttaitnes se ertaa hntoitcn uhfc aneiht iswedutit td an,aslli k,segdelwo nekhT
.gnilesnu oecsu beacnatsb ud sntanemtae rntoitcid dfeaocitcarp
1. CLINICAL EVALUATION
.tnemsses sd anganineer cohstcaorp pcaitamets yeshT
•• Screening
enimret esdreh ttonacifing ieslbalia vda n,atnei l,crolesnu oec hhtci hhwguor hstseco rephT
d n,ascitsiretcara h,csde esntnei le chntev i,gnoit cfeaosru olcaiti neitairporp ptas oemht
.ytinummo ceh tnihti wsecruose relbaliava
The counselor is able to:
• fnooitanimret edd nsanoitaut issisi r fctonemegan agmnidulc n,itropp ahrsilbatsE
.ecnatsis slaanoissefo rlpanoitid dra odfeen

• ,secru olsaretall oeclbalia vraeh tdo ntanei lec hmto ryfllacitamets yast ardehtaG
erutl u,ce goeatvitisn ee srtaa hstdoht ermeh td onsatnemurts nginineer cgsnisu
ecnatsb ucsirots idh ntanerr u:cedulc ndiluo hast a,dmumin i tam.Aredn edgna
ecnatsb uds n,ahtla elhatn e,mhtla e;hesu ;sut altast n;eymrot stinhemta edrettaler-
s'tnei le c hnstotniartsn occimono creo/d n,alatnemnoriv n,elaic otsnerr udcna
wollo fo tytiliba .na lnpoit c nahat iywllufssecc uhsguorht-

• nrooisser g,gsamotp mlyaswardh t,iywtici xgo utrred h dtlnooaho c rlnoaefercS
flrlaoeifstn e,dtsno rapr eeohgttnoad .ediciu sr omra hdetcilfni-

• .smelbo repf itlnerr urceh/s i nhei seucnatsb u fseol oer hytfitne dtinei lec hptleH

• sreh tfsoode ee nhd tneagnahc/tnemtae rr tosfsenida esr'tnei le chetnimreteD
.noitaut itsnerr uec h ntdievlovni
.retn egCninia rnToitcid daAinrofil a,Ceettimm owCeiv emRulucirr u:CecruoS Addiction
Counselor Competencies . ,rebmetpeS.5991
DCSTCTUA 1 - Instructor - page 1 79 9y1raurbeF
INTRODUCTION TO ADDICTION STUDIES
Orientation and Introduction
• d n,ascitsiretcara h;csde esn'tnei le chotttnavel esrnoit ptonemtae re thwteiveR
.slaog

• muunitn oec h ntsoeitilad o fmeo seu hdt n,asisonga ird oafireti rdcetpec cyalppA
.snoitadnemmoc etrnemtae rgtnik an,mier afco

• ndoes anba lnpoit claaiti nn,iaetairporp ps,aasreh td ontanei le chhtt itwcurtsnoC
.secruos eerlbalia vd an,asecnerefe r,psdeen

• rnooissim d naeataiti n oistpe tcsifice pesk a,tna lnpoit claaiti n ni nadoesaB
woll oefrus nde n,alarrefer -through.
•• Assessment
,ostre hd,tntoane iehl htcstiewtarobal lrooclesn uehohcc tihhgwuo rshstec ogrnpio gnnAo
tnei lgcnitaula vde ntanemtae rgTninna lrp oyfrassec ennoitamrof ntierpret ndi nraehtag
progress.
The counselor is able to:
• ,e goeatvitisn ee srtaa hsttnemurts ntinemsses seavisneherpm oe csd untaceleS
:sserd dhaci hd wn,aerutl ud cnraedneg

eg surure d hdltnooah o ycfrlooatsiH
ecnatsb uds n,ahtla elhatn e,mhtlaeH yro ttsniehmt adeerttaler-
ro/d n,aesu blaabr edv n,alanoito m,elacisy hrpeh t roeosu blaaux e fsyorotsiH
amua rttnacifing irsehto
seuss iylimaF
seus srieer ad cnyarots ikhroW
dlr odw n,alanoito m,elacigolohcysP snrecn owceiv-
sutat shtlae hlatne mdn alacisyhP
cis adb nnaoitacu d)Es(noitacifitne dliarutl udc n,anoitalimis s,anoitarutluccA
sllik sefil
Socio suta tlsag etlnerr udc n,aelytsef i,lscitsiretcara hccimonoce-
secruos eyrtinumm o fceosU
evo bdaets islniam oed h ntsimelbo r fpsorotacid nliaroivaheB

• .snoitadnemmo ctenremta eerntimre taoe ttd eathdetrpre t dnenizaylanA
DCSTCTUA 1 - Instructor - page 2 79 9y1raurbeF