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Improving Outcomes for Mandated Clients

Lesson One:

From the Instructor

Introduction


Lesson Two:

Reflective Listening

Simple Reflections

Paraphrasing

Complimenting

Differentiating Yourself for the Mandating Party


Lesson Three:

“How” and “What” Questions

Reflective Listening Revisited

Embellished Reflections

“Columbo” Questions


Lesson Four:

Turning Promises Into Treatment Tasks

Exploring Exceptions


Lesson Five:

Reframing

Externalizing


Lesson Six:

Achieving Goals vs. Solving Problems

Discussing Goals

Agreeing on a Goal

Finding Competence

“Owning” Competence

Expanding Competence




Solutions for the Treatment-Resistant Client

Lesson One:

The Myth of Treatment Readiness

Inspiring Hope in “Hopeless” Clients

Hope-Inspiring Reflections


Lesson Two:

Using Scaling Techniques

Case Study

Normalizing

Exploring Exceptions

Case Study


Lesson Three:

The Concept of “Denial”

Classic Definition

Alternative Definition

Respecting Preferred Views

Case Study

Turning Client Complaints Into Treatment Goals


Lesson Four:

Externalizing Problems

Consciousness Raising

Developing Discrepancy

Mystery Questions

Case Study

Using Decisional Balance Sheets

Case Study

Lesson Five:

Reaching Mandated Clients

Differentiating Yourself from the Referral Source

Questions for Mandated Clients and Referring Parties

Homework

Case Study


Lesson Six:

Practical Considerations

Ethical Considerations

Summary and Conclusions




Integrating Vocational Rehabilitation and Substance Abuse Treatment Services

Lesson One: Clinical Issues Related to Integration of Vocational Services

Incorporating Vocational Services

Addressing Vocational Goals and Employment Needs

Competency Areas for Employment

Identifying Employment Goals


Lesson Two: Resources, Challenges, and Screening Protocols

Employment as a Goal

Challenges to Employing Clients in Treatment

Vocational Needs

Availability of Vocational Services

Medicaid and Managed Care Programs

Vocational Programming and Resources

Vocational Rehabilitation Counseling

Screening


Lesson Three: Assessment and Ongoing VR Services

Functional Assessment

Categories of Functional Limitations

Six-Realm Classification System

Setting and Achieving Goals

Prevocational and Ongoing Services


Lesson Four: Training, Education, and Employment Services

School-To-Work Transition Programs

On-The-Job Training

Apprenticeship Programs

Technical Schools and Colleges

Community Sponsored Adult Education

Colleges and Universities

Job-Seeking Skills and Training

Job Development and Placement Approaches

Supported Work Programs


Lesson Five: Job Retention and Advancement

Overview of Resources

State Employment Services Commissions

State Vocational Rehabilitation Agencies

Seeking and Securing Funds for Vocational Services

Resources for Veterans

Community Level Providers

Community Based Rehabilitation Centers

Mental Health Agencies


Lesson Six: Additional Considerations

Finding and Maintaining Employment

Coping with Medical and Psychological Challenges




Treating Adolescents with Substance Use Disorders

Lesson One: Introduction

Consequences of Adolescent Substance Use

Treatment Needs of Adolescents

Risk Behaviors of Adolescents

Tailoring Treatment to Adolescent Populations


Lesson Two: Assessment and Placement

Factors Affecting Placement

Risk and Protective Factors

The Continuum of Treatment

Placement Guidelines

Outpatient Treatment

Residential Treatment

Continuing Care


Lesson Three: Program Considerations

Staff Skills Development

Program Components

Treatment Planning

Linkages

Program Evaluation


Lesson Four: Three Widely Available Approaches

Twelve Step Programs

Therapeutic Communities

Family Therapy


Lesson Five: Adolescents with Special Treatment Needs

Working with the Juvenile Justice System

Diversion Programs

Homeless Adolescents

Sexual Orientation

Coexisting Disorders


Lesson Six: Legal and Ethical Issues

Confidentiality

Consent Forms

Reporting Child Abuse or Neglect

Court-Ordered Disclosure

Medical Emergencies




Treatment Approaches for Women Who Abuse Alcohol and Other Drugs

Lesson One: Introduction

Prevalence

Health Impact

Psychological Effects

Demographics


Lesson Two: Women’s Treatment

Methods and Models

Effective Treatment for Women

Case Management

Special Issues for Women in Treatment

Issues of Sexuality

Women, Violence, and Substance Abuse

Children

Dual Disorders


Lesson Three: Outreach and Identification of Women in Need

Barriers to Outreach and Treatment

Helping Women Overcome Their Fears

Barriers Unique to Special Populations of Women

Ethnic and Racial Populations

Other Sub-Groups


Lesson Four: Comprehensive Treatment

The Intake Interview

Orientation to Treatment

Comprehensive Assessment

Treatment Planning


Lesson Five: Strategies for Providing Comprehensive Treatment

Strategies

Relationships and Special Populations

Addressing Spiritual Needs

Discharge

Continuing Care


Lesson Six: Special Populations and Case Studies

Age Groups

Women in the Criminal Justice System

Women with Disabilities

Cultural Knowledge

Case Studies




The Stages and Processes of Change

Lesson One: Introduction

Overview of Stages

Benefits of Model


Lessons Two and Three: The Precontemplation Stage

Characteristics of Precontemplators

Goals for Precontemplators

Achieving Goals

Helpful Techniques for Discouraged Precontemplators

Sharing Counseling Notes

Focusing on the Future

Helpful Techniques for Other Precontemplators

“Columbo” Questions

Other Techniques

Developing a “Yes” Set


Lesson Four: The Contemplation Stage

Characteristics of Contemplators

Goals for Contemplators

Helpful Techniques for Contemplation

Case Study


Lesson Five: The Preparation Stage

Characteristics of Those on the Preparation Stage

Goals for Preparation

Helpful Techniques for Preparation

Asking “How” and “What” Instead of “Why”

Mapping the Problem

Pattern Interruption

Exploring Exceptions


Lesson Six: The Action and Maintenance Stages

Characteristics of Those on the Action Stage

Characteristics of Those on the Maintenance Stage

Case Study in Maintenance

Relapse

Summary of Stages and “Dos” and “Don’ts” for Each Stage




Psychotherapeutic Medications

Lesson One:

Introduction

Lesson Two:

Antidepressants

Uses

Side Effects and Precautions

Anti-manic Medications

Uses

Side Effects and Precautions

Lesson Three:

Anti-anxiety Medications

Uses

Side Effects and Precautions

Hypnotics

Uses

Side Effects and Precautions

Lesson Four:

Narcotics and Opioid Analgesics

Uses

Side Effects and Precautions

Stimulants

Uses

Side Effects and Precautions
Other Medications for AD/HD

Lesson Five:

Anti-psychotics

Uses

Side Effects and Precautions

Antiparkinsonian Medications

Uses

Side Effects and Precautions

Lesson Six:

Medications for Treatment of Alcohol Dependence

Withdrawal

Relapse Prevention

Uses

Side Effects and Precautions

Medications for Treatment of Opioid Dependence

Withdrawal Agents

Maintenance Agents

Uses

Side Effects and Precautions

Medications for Abuse of Club Drugs and Marijuana

Uses

Side Effects and Precautions




Improving Outcomes for Clients with HIV/AIDS

Lesson One: Introduction

Introduction

Progression of the Disease

Early Stage
Middle Stage
Final Stage

Lesson Two: Primary and Secondary Prevention

Sexual Practices Assessment

Risk Reduction Counseling

Sexual Practices
Syringe Sharing
Prenatal and Perinatal Prevention

Infection Control Issues

Lesson Three: Mental Health Treatment Issues

Assessment and Diagnosis

Treatment Goals

Common Mental Health Disorders in HIV Clients

Cognitive Impairment and Adherence to Treatment

Pharmacological Treatment for Psychiatric Disorders

Side Effects of Medications

Suicide

Methadone Maintenance Therapy

Counseling Tools

Individual Counseling
Group Therapy
Family Therapy
Support Groups

Lesson Four: Substance Abuse Treatment Issues

Obstacles to Integrated Care

Suggestions for Integrating Treatment

Dealing with Continued Substance Abuse

Referral and Coordination of Linkages

Lesson Five: Case Management

Definition and Goal

Advocacy

Home-Based Services

Suggestions on Finding

Lesson Six: Staff Training Issues

Attitudes

Avoiding Burnout

Developing and Maintaining Competence





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