- Describe the beliefs and philosophy of 12-step approach to recovery.
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Distinguish between addiction counseling and psychotherapy.
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Discuss the logistics of the individual drug counseling model to treat cocaine addiction, such as frequency, duration, target population and setting of sessions.
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Describe the application of Addiction Severity Index in the assessment of drug addiction.
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Describe the patient-counselor relationship and list behaviors that the counselor should not indulge in.
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List behaviors that a counselor should not indulge in.
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List 12 objectives of individual drug counseling.
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Describe 4 stages of addiction treatment: Treatment initiation, Early abstinence, Maintenance of abstinence, Advanced recovery.
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List some of the erroneous beliefs that a patient experiencing denial may exhibit.
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10. Outline 3 goals of the treatment plan and make detailed plans for introductory sessions.
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11. List 5 goals of the second stage in the treatment of addiction, i.e., abstinence, and discuss 10 treatment issues with the patient.
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12. Establish goals for maintaining abstinence and discuss various treatment issues with the patient as part of the ongoing recovery program.
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Identify 11 steps that will carry a patient toward relapse.
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14. Define codependency and enabling behavior and explain how they can contribute to a person's continued abuse of drugs.
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15. Identify "character defects" that are obstacles to further recovery and outline the process for working on changing defects.
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16. Discuss with the patient patient's thoughts and feelings about ending treatment in the final active treatment session.
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17. Explain the purpose and goals of treatment booster sessions.
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18. Identify 3 levels of severity of relapse and list appropriate interventions to be used in each case.
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19. Discuss strategies for dealing with crises and relapses.
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20. List ideal personal characteristics of an addiction counselor.
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21. Explain the purpose and application of adherence scale in the IDC model.
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22. Identify 6 important features of cognitive-behavioral therapy that make it particularly promising as a treatment for cocaine abuse and dependence.
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23. Distinguish between cognitive-behavioral therapy (CBT) and 12-step or disease-model approach.
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24. Compare CBT to other psychosocial treatments for substance abuse, such as cognitive therapy, community reinforcement approach, motivational enhancement therapy, 12-step facilitation and interpersonal psychotherapy.
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25. Discuss two critical components of CBT: functional analysis and skills training.
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26. Define various parameters of CBT such as format, length, setting, patients and compatibility with other adjunctive treatments.
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27. List essential and unique interventions of CBT, interventions that are recommended but not unique, acceptable interventions and interventions that are not part of CBT.
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28. Describe 7 strategies a counselor would use to help the patient master new skills.
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29. Enunciate the basic principles of cognitive-behavioral therapy and describe how functional analysis and skills training are used to treat cocaine addiction.
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30. Describe the CBT principle that holds forth the three ways individuals learn to use drugs: modeling, operant conditioning, and classical conditioning.
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31. Describe the structure and format of a typical CBT session using the "20/20/20 Rule" and list tasks to be completed during each part of the session.
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32. List 8 skill topics covered in CBT for cocaine dependence.
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33. Outline the pharmacotherapy approach as used in cognitive-behavioral therapy.
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34. Explain the treatment goal of cognitive-behavioral therapy.
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35. List six strategies a counselor can use during a treatment session to enhance motivation and avoid resistance.
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36. Outline the CBT model providing an explanation and rationale for the treatment.
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37. Help the patient understand craving.
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38. Elicit from the patient the experience of craving.
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39. List 5 strategies to cope with cravings.
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40. Provide key interventions to shore up motivation and commitment to stop.
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41. List three basic principles in effective refusal of cocaine and other substances.
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42. Identify examples of Seemingly Irrelevant Decisions and their relationship to high-risk situations.
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43. Help the patient identify high-risk situations and develop a coping plan.
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44. Help the patient practice problemsolving skills within the session by listing 5 basic steps.
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45. Develop a concrete support plan for addressing psychosocial problems that present a barrier to treatment.
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46. Assess the patient's risk for HIV infection and build motivation to change risk behaviors.
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47. Set behavior change goals.
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48. Formulate specific HIV risk-reduction guidelines.
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49. Involve significant others so that they can help patients become and remain abstinent.
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50. Identify 6 strategies in which the significant other can offer support to the patient in his or her recovery.
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51. Explore strategies through which significant others in the patient's life can help the patient become and remain abstinent.
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52. List guidelines for effective supervision.
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53. Identify some of the common problems encountered in supervision.
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54. Review clinical research supporting CBT and compare its effectiveness against Interpersonal Therapy and Clinical Management.
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55. Relate the efficacy of CRA+Vouchers approach over standard drug counseling and cite research studies to support this conclusion.
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56. Adopt a counseling style and techniques consistent with the CRA+Vouchers treatment program.
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57. List 3 categories of patients generally acceptable for the CRA+Vouchers program.
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58. Outline the intake process listing various self-administered questionnaires.
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59. Conduct the initial treatment session taking the patient through several steps.
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60. List the tasks a therapist should complete in Sessions One and Two of the program.
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61. Explain the concepts and procedures concerning functional analysis as the first step of CRA+Vouchers treatment plan.
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62. Instruct the patient on the four components of the functional analysis.
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63. Help the patient develop self-management plans for handling triggers to reduce the risk of cocaine use.
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64. Instruct the patient in five components of effective refusal.
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65. List at least 6 lifestyle change components for cocaine abusers in treatment.
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66. Explain the importance of time management in achieving and maintaining abstinence from cocaine, and help the patient develop time-management skills.
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67. Provide a rationale for working on lifestyle changes in social and recreational areas.
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68. List 5 basic steps for problem-solving.
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69. Help patients develop assertiveness skills, and distinguish between passive, aggressive and assertive behaviors.
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70. Describe the purpose of relationship counseling and take the patient through various steps to improve the quality of his or her relationship.
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71. Outline the general strategy for dealing with concurrent alcohol and cocaine use.
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72. Introduce disulfiram protocol and develop compliance procedures.
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73. Outline the general strategy for dealing with marijuana use concurrent with cocaine.
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74. Describe the treatment protocol for dealing with depressive symptomatology and anxiety.
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75. following abstinence from cocaine.
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76. Describe the function of clinical supervision of therapists in the CRA+Vouchers program.
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77. Describe the behavioral treatment in drug abuse treatment as contingency management.
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