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Topic 3: TAP 21 Practice Dimensions Chart
Resource: Chapter 4 of the course textbook and Section 2 of TAP 21.
One hundred and twenty-three specific competencies of an addiction counselor are listed in TAP 21. These competencies include various roles an addiction counselor may take on such as educator, consultant, advocate, resource and referral guide, group facilitator, and so on.Therefore, while all 123 competencies of TAP 21 are available to report on, this assignment will focus on the practice dimensions andcompetencies highlighted in Section 2 of TAP 21.
Directions: Complete the chart by listing and defining the eight practice dimensions located in Section 2 of TAP 21. Include a list of all the competencies associated with each practice dimension. Include in-text citations in the table as well as a GCU-style reference listing below when appropriate. TAP 21 should be the references used. Please consider saving your completed worksheet as a study guide for future courses and possible licensure/certification.
TAP 21 Practice Dimensions
Definition
Competencies (list all the competencies for the dimension)
Clinical Evaluation
The systematic approach to screening and assessment of individuals thought to have a substance use disorder, being considered for admission to addiction-related services, or presenting in a crisis situation
Screening:
Competency 24: Establish rapport, including management of a crisis situation and determination of need for additional professional assistance.
Competency 25: Gather data systematically from the client and other available collateral sources, using screening instruments and other methods that are sensitive to age, developmental level, culture and gender. At a minimum, data should include current and historic substance use; health, mental health, and substance-related treatment histories; mental and functional statuses; and current social, environmental, and/or economic constraints
Competency 26: Screen for psychoactive substance toxicity, intoxication, and withdrawal symptoms; aggression or danger to others: potential for self-inflicted harm or suicide; and co-occurring mental disorders
Competency 27: Assist the client in identifying the effect of substance use on his or her current life problems and the effects of continued harmful use or abuse.
Competency 28: Determine the client’s readiness for treatment and change as well as the needs of others involved in the current situation.
Competency 29: Review the treatment options that are appropriate for the client’s needs, characteristics, goals, and financial resources.
Competency 30: Apply accepted criteria for diagnosis of substance use disorders in making treatment recommendations.
Competency 31: Construct with the client and appropriate others an initial action plan based on client needs, client preferences, and resources available.
Competency 32: Based on the initial action plan, take specific steps to initiate as admission or referral and ensure follow through.
Assessment:
Competency 33: Select and use a comprehensive assessment process that is sensitive to age, gender, racial and ethnic culture, and disabilities.
Competency 34: Analyze and interpret the data to determine treatment recommendations.
Competency 35: Seek appropriate supervision and consultation.
Competency 36: Document assessment findings and treatment recommendations.
Treatment Planning (Adams & Grieder, 2005)
A written document is developed by counselor and client collaboratively aimed at identifying treatment objectives, actions—measurable and time-sensitive in nature—and a verbal agreement between two parties.
Competency 37: For guiding treatment planning, utilization of related assessment information
Competency 38: Explanation of assessment recommendations to the client and other concerned individuals
Competency 39: provision of additional information to the client and other concerned individuals when needed
Competency 40: examination of treatment options to the client and other concerned individuals
Competency 41: taking readiness of the client and other concerned individuals into account for treatment
Competency 42: prioritization of client’s self determination for treatment options
Competency 43: formulation of realistic treatment goals
Competency 44: identification of strategies for formulated treatment goals
Competency 45: synchronization of treatment actions with the diagnosed illness
Competency 46: development of collaborative treatment plan, its monitoring and assessment
Competency 47: awareness of client about regulatory exceptions, program procedures and confidentiality rights.
Competency 48: alteration in treatment plan based on the previous assessments
Referral (Riordan & Walsh, 1994)
Based on the clinical needs of the patient identified is assessment and treatment planning, referral is termed as a process in which client is empowered to utilize available community resources and support systems.
Competency 49: in order to suggest appropriate referrals, establishment and maintenance of professional relationships with the government and non-government concerned authorities and individuals.
Competency 50: continuous assessment and evaluation of suggested referrals for determining their appropriateness
Competency 51: identification of the appropriateness of situations in which client prefers self referral or referral suggested by the counselor.
Competency 52: arrangement of referrals practically for the client
Competency 53: education of client about the referral procedure and its effectiveness
Competency 54: for referral, exchange of client information within the ethical boundaries
Competency 55: evaluation of the referral outcome
Service coordination (Rapp et. al., 1995; Bois & Graham, 1997)
In order to maintain attention on treatment plans, taking client, all the treatment services and concerned authorities under one umbrella through evaluative, administrative and clinical efforts.
Competency 56: initial collaboration with the concerned authorities
Competency 57: acquisition, review and interpretation of all the related information regarding monitoring and assessment of treatment plans
Competency 58: assessment of the eligibility and agreeableness of client for altering the current plan
Competency 59: completion of formal procedures for treatment provision
Competency 60: establishment of realistic treatment outcomes for client and other concerned individuals
Competency 61: coordination of treatment activities directed to the client from all the service providers
Competency 62: summarization of client’s background, problem, recovery plans, inhibitions and personal resources and provision of services accordingly
Competency 63: understanding the roles, terminologies and procedures of other related disciplines involved in the treatment of substance use
Competency 64: play irrefutably significant role in treatment plan being valued part of multidisciplinary team
Competency 65: application of confidentiality ethics
Competency 66: demonstration of non-judgmental attitude towards client
Competency 67: make best possible efforts to adhere client and his family with the treatment plan
Competency 68: ability to understand the client’s current state of change (Prochaska’s model)
Competency 69: assessment of recovery and ongoing treatment, making decisions of alterations accordingly
Competency 70: full fledge documentation of process, procedure and results
Competency 71: utilization of widely-acknowledged treatment measures
Competency 72: focus on ongoing care and relapse prevention in collaboration with client and his family
Competency 73: documentation of all the service activities throughout the whole course of care
Competency 74: application of continued care, placement and discharge criteria for each domain
Counseling (Ackerman & Hilsenroth, 2003; Boren et. al., 2000; Washton, 2002)
For the attainment of mutually identified treatment options and objectives, counseling is a collaborative procedure that aids client’s progress in the above mentioned situation.
Competency 75: establishment of a relationship with the client enriched with genuineness, congruence, empathy and unconditional positive regard
Competency 76: making every possible effort to engage client in the treatment activities
Competency 77: development of realistic goals in collaboration with the client
Competency 78: development of skills, attitudes and outlooks within the client for inducing positive change
Competency 79: inducing self-determination within the client through using intrinsic and extrinsic reinforcements
Competency 80: identification and discouragement of behaviors exhibited by client disrupting the path of recovery
Competency 81: identifying the importance of family intervention when necessary
Competency 82: for the prevention and management of health, promotion the of knowledge, attitudes and skills of the client
Competency 83: fostering skill development regarding personal and problematic issues
Competency 84: adaptation of counseling strategies synchronized with the client characteristics e.g., disability, age, religion, culture, ethnicity, sexual orientation and gender
Competency 85: manifestation of positive therapeutic responses, if client’s behavior is inconsistent with the goals of recovery
Competency 86: application of crisis management skills
Competency 87: education and allowance of client to select practice strategies necessary to achieve treatment goals
Competency 88: application of culturally appropriate interventions based on the client collaboration
Competency 89: execution of strategies important for the group formation including leadership, purpose, size and group, selection and recruiting and clarification and implementation of group goals for better performance
Competency 90: facilitation of the entrance and transition of new and existing group members respectively
Competency 91: after establishing the group goals, facilitating their accomplishment
Competency 92: shifting focus between groups based on the performance and required attention
Competency 93: monitoring of client’s progress and making attempts accordingly to bring about favorable change
Competency 94: understanding of family dynamics and characteristics impacted by the client’s drug behavior
Competency 95: identification and implementation of appropriate models of diagnosis and prevention of addiction behavior
Competency 96: fostering engagement of various members of society in recovery process
Competency 97: assistance of client in understanding the significance of family relations in treatment process
Competency 98: after being recovered, assisting clients and their families to withstand recovery process
Client, family, community education (Hogan et. al., 2003; Niemann, 2001)
For the prevention, management, recovery and treatment of clients and their significant others, provide them with the information about the adverse physical, mental and emotional consequences of drug abuse.
Competency 99: for the awareness of client and family about drug use consequences, providing formal and informal information
Competency 100: explanation of risk factors for the drug use
Competency 101: taking gender, age, ethnicity and religion of the client into account for sensitizing drug abuse issues Competency 102: explanation of the symptoms and risk factors of drug abuse to the client to manage prevention
Competency 103: explanation of the adverse consequences of drug abuse for the families and significant others
Competency 104: defining all the course of action and available internal and external resources to the client’s family
Competency 105: explanation of the principles and philosophy of addiction, its treatment, prevention and recovery
Competency 106: explain the behavioral ramifications of drug abuse and their adverse physical, mental and social outcomes e.g., distant relationships, affected occupational life, AIDS, psychosis, and emotional problems
Competency 107: teaching self-relaxing techniques to the client including Deep Breathing Relaxation, mindfulness etc
Documentation (Clemens, 2001)
Documentation of the screening, assessment, clinical reports, treatment plan, discharge summaries and intake process.
Competency 108: demonstration of knowledge and ability for record management of the client effectively
Competency 109: devoting specific attention in handling client’s record with the 3rd party—maintaining privacy and confidentiality rights
Competency 110: preparation of concise assessment and intake reports
Competency 111: continuation of care plans and record treatment harmonizing with the standards of agency, compliant with the organizational rules
Competency 112: keeping the record progressing as the treatment path takes further directions
Competency 113: preparation of precise discharge summaries
Competency 114: documentation of treatment outcomes using accepted instruments and methodologies
Ethical and professional responsibilities (ACA, 2005)
The professional duty of an addiction counselor to stick to predefined moral and attitudinal benchmark of normality and ongoing professional competence and skill development.
Competency 115: adherence to the code of ethics to which counselor is supposed to stick, ensuring safety of client’s rights
Competency 116: strict cohesion of counselor to the state and federal laws of agency concerning addiction treatment
Competency 117: using research and evidence based practices to put valuable interventions in inducing behavioral modifications e.g., CBT and Hypnosis
Competency 118: based on the Darwin’s notion of individual differences, respecting every client accepting their uniqueness and distinctive behavioral attributes. Applying this knowledge to treat clients effectively without being judgmental
Competency 119: discussing client’s case when feeling difficulty in understanding client’s subjective state and feelings
Competency 120: being self accountable, evaluating own performance based on the ethical standards and using it to enhance performance and professional competence
Competency 121: strive to get better education for the professional advancement
Competency 122: active involvement in ongoing consultation and supervision
Competency 123: development and implementation of strategies for maintaining one’s own physical, emotional and mental well-being.
References
Adams, N., & Grieder, D.M. (2005). Treatment Planning for Person-Centered Care: The Road to Mental Health and Addiction Recovery. Burlington, MA: Elsevier Academic Press.
Riordan, R.J., & Walsh, L. (1994). Guidelines for professional referral to Alcoholics Anonymous and other twelve step groups. Journal of Counseling & Development, 72:351-355.
Bois, C., & Graham, K. (1997). Case management. In S. Harrison & V. Carver (Eds.) Alcohol and Drug Problems: A Practical Guide for Counsellors (2nd ed.). Toronto, Canada: Addiction Research Foundation, 61-76.
Rapp, R.C., Siegal, H.A., et al. (1995). The strengths perspective of case management: A promising inpatient substance abuse treatment enhancement. Journal of Psychoactive Drugs, 27:67-72.
Ackerman, S.J., & Hilsenroth, M.J. (2003). A review of therapist characteristics and techniques positively impacting the therapeutic alliance. Clinical Psychology Review, 23(1):1-33.
Boren, J.J., Onken, L.S., et al. (2000). Approaches to Drug Abuse Counseling. Rockville, MD: National Institute on Drug Abuse.
Washton, A.M. (2002). Outpatient groups at different stages of substance abuse treatment: Preparation, initial abstinence, and relapse prevention. In D.W. Brook & H.I. Spitz (Eds.) Group Therapy of Substance Abuse. New York: Haworth Press, 99-121.
Hogan, J. A., Gabrielson, K.R., et al. (2003). Substance Abuse Prevention: The Intersection of Science and Practice. Boston: Allyn & Bacon.
Niemann, S.H. (2001). Guidance/psychoeducational groups. In D. Capuzzi & D.R. Gross (Eds.) Introduction to Group Counseling (3rd ed.). Denver, CO: Love Publishing Company, 265-290.
Clemens, N.A. (2001). Documenting psychotherapy: Getting help on HIPAA. Journal of Psychiatric Practice, 7(2):138-140.
American Counseling Association (ACA) (2005). ACA Code of Ethics. Alexandria, VA: ACA.
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