The Book Every Addiction Counselor Should Have
Intervention, Treatment and Recovery: A Practical Guide to the TAP 21 Addiction Counseling Competencies
by Lori L. Phelps
California Association for Alcohol/Drug Educators
The Addiction Counseling Competencies: The Knowledge, Skills, and Attitudes of Professional Practice (Technical Assistance Publication [TAP] 21), developed by the National Curriculum Committee of the Addiction Technology Transfer Center (ATTC) Network, is an evidence based body of work that identifies competencies that are essential to the effective practice of counseling for psychoactive substance use disorders. TAP 21 has been the benchmark by which curricula are developed and educational programs and professional standards are measured for the field of substance abuse treatment in the United States since it was first published in 1998.
When an updated edition of the TAP 21 was released in 2006, it became clear that what educators, students and counselors needed was a simple way to teach, learn, understand and practice the competencies outlined in the TAP 21.
Intervention, Treatment and Recovery: A Practical Guide to the TAP 21 Addiction Counseling Competencies, was developed to meet that need. In it, the reader will find a useful overview of each competency, as well as exercises, case studies, instruments and additional resources that will bring the competencies to life and make the TAP 21 accessible in one simple workbook.
Preface
Acknowledgments
About the Authors/Contributors
Chapter One: Introduction to the TAP 21 Lori Phelps
The TAP 21 and Higher Education
What Is the TAP 21?
History of the Competencies
The Model: Knowledge, Skills, Attitudes (KSA’s)
The Transdisciplinary Foundations
The Professional Practice of Addiction Counseling
The Science Behind the TAP 21
Higher Standards for the Profession of Addiction Counseling
References
Suggested Readings
Internet Resources
Videos/Webcasts
Exercises/Activities
PART I: THE FOUR TRANSDISCIPLINARY FOUNDATIONS
Chapter Two: Transdisciplinary Foundation I: Understanding Addiction Barbara Lawrence, Lori Phelps
Competencies 1-4
Understanding Addiction
Printed Resources for Competency 1
Online Resources for Competency 1
Video Resources for Competency 1
Competency 2
Competencies 3 and 4
References
Suggested Reading
Internet Resources
Exercises/Activities
Chapter Three: Transdisciplinary Foundation II: Treatment Knowledge Lori Phelps
Competencies 5-8
Evidence-Based Practices
Substance Abuse Counseling
References
Suggested Reading
Videos/Webcasts
Internet Resources
Exercises/Activities
Chapter Four: Transdisciplinary Foundation III: Application to Practice Lori Phelps
Competencies 9-17
Diagnostic Criteria Related to Substance Use Disorders
Stages of Change
Culturally Appropriate Treatment
Levels of Care
Medication Assisted Treatment
Understanding Health Reform: Commonly Used Terms in Health Reform
Improve Treatment Outcomes by Delivering Effective, Evidence-Based Substance Abuse Services
References
Suggested Reading
Videos/Webcasts
Internet Resources
Exercises/Activities
Chapter Five: Transdisciplinary Foundation IV: Professional Readiness Lori Phelps
Competencies 18-23
What Is Professional Readiness?
Cultural Competence
Ethical Standards for Addiction Counselors
CAADE Code of Ethics
California Certified AOD Counselors Uniform Code of Conduct 2009
Self-Care & Stress Management
Common Stress Reactions
References
Suggested Reading
Videos/Webcasts
Internet Resources
Exercises/Activities
PART II: THE EIGHT PRACTICE DIMENSIONS
Chapter Six: Practice Dimension I: Clinical Evaluation Kim Branch-Stewart, Lori Phelps
Competencies 24-32
Element: Screening
Element: Assessment
Competencies 33-36
Assessment
References
Suggested Reading
Internet Resources
Videos/Webcasts
Exercises/Activities
Chapter Seven: Practice Dimension II: Treatment Planning Ben Eiland
Competency 37-48
Treatment Planning
Client’s Recovery Plan
ASI Master Problem List
References
Internet Resources
Screening Instruments
Assessment Instruments
Chapter Eight: Practice Dimension III: Referral Dennis Wade
Competencies 49-55
Introduction
Assessment, Diagnosis, and Referral
Guidelines for Referrals
Making Effectice Referrals
Integrating Substance Abuse Treatment and Vocational Services
References
Suggested Reading
Internet Resources
Exercises/Activities
Chapter Nine: Practice Dimension IV: Service Coordination Melinda Moneymaker, Angela Stocker
Element: Implementing the Treatment Plan
Competencies 56-61
Service Coordination Defined
Element: Consulting
Competencies 62-66
Screening, Brief Intervention, and Referral to Treatment (SBIRT)
Element: Continuing Assessment and Treatment Planning
Competencies 67-74
Continuum of Services System Re-Engineering
References
Suggested Reading
Internet Resources
Videos/Webcasts
Exercises/Activities
Chapter Ten: Practice Dimension V: Counseling Element: Individual Counseling Robin Staton
Competencies 75-87
Individual Counseling
The Successful Counselor
Motivation for Change
Skills Enhancement
Cultural Awareness
References
Suggested Reading
Videos/Webcasts
Internet Resources
Exercises/Activities
Chapter Eleven: Practice Dimension V: Counseling Element: Group Counseling Greg Granderson, Lori Phelps, Dick Wilson
Competencies 88-93
Executive Summary
Groups and Substance Abuse Treatment
Criteria for the Placement of Clients in Groups
Goals and Effectiveness of Treatment
Stages of Treatment
TIP 41 Bibliography
Group Stages: An Alternate Model
Group Leadership and Group Process: The Extensional Group
The Group Experience
References
Suggested Reading
Videos/Webcasts
Internet Resources
Exercises/Activities
Chapter Twelve: Practice Dimension V: Counseling Element: Counseling Families, Couples, and Significant Others Lynn Delvaux, Lori Phelps
Competencies 94-98
Impact of Substance Abuse on Families
Techniques to Help Families Attain Sobriety
Techniques to Help Families Adjust to Sobriety
Techniques to Help Families in Long-Term Maintenance
References
Suggested Reading
Internet Resources
Videos/Webcasts
Exercises/Activities
Chapter Thirteen: Practice Dimension VI: Client, Family, and Community Education Carlton Blanton, Tandy Iles, Lori Phelps
Competencies 99-107
Client, Family and Community Education
Addressing Diverse Client Populations in Intensive Outpatient Treatment
Major Reasons People Use Alcohol/Drugs
Risk and Protective Factors for ATOD Problems
Resilience
Diverse Client Populations
Prevention
Resources for Current Data on Alcohol and Drug Use
References
Suggested Reading
Internet Resources
Videos/Webcasts
Exercises/Activities
Chapter Fourteen: Practice Dimension VII: Documentation Carlton Blanton, Lou Hughes, Patrick Hughes
Competencies 108-114
Introduction
Treatment Plan (Sample)
Progress Notes
Discharge/Summary Statement
References
Suggested Reading
Internet Resources
Exercises/Activities
Chapter Fifteen: Practice Dimension VIII: Professional and Ethical Responsibilities Jack Kearney, Wayne Kistner, Lori Phelps
Competencies 115-123
Professional and Ethical Responsibilities
CFR 42 Part 2
The Health Insurance Portability and Accountability Act of 1996 (HIPAA)
The Confidentiality of Alcohol and Drug Abuse Patient Records Regulation and the HIPAA Privacy Rule
Licensing and Certification in California
Comment/Complaint Form
Medication-Assisted Treatment for Opioid Addiction (MAT) as a Model
Professional and Ethical Standards for Supervisors
Counselor Competency Assessment
Continuing Education and Training
Sample Plan for Staff Education and Training
Therapeutic Issues for Counselors
References
Suggested Reading
Internet Resources
Videos/Webcasts
Exercises/Activities
APPENDIX A: TRANSDISCIPLINARY FOUNDATIONS BIBLIOGRAPHY
APPENDIX B: PRACTICE DIMENSIONS BIBLIOGRAPHY