Clinical
Work Experience Work
experience is for the purpose of acquiring and refining skills needed to be a
competent alcohol and drug counsellor. This must be direct experience in counselling
based on the "Twelve Core Functions". Such experience is defined as supervised
work, paid or voluntary, working directly with clients with a primary diagnosis
of alcoholism and/or drug addiction. In order to be eligible for certification,
candidates must document that they have obtained qualified clinical work experience
in the field. The
candidate must have the equivalent of three (3) years full-time work experience
(6000 hours) within the past five (5) years providing direct and regularly
supervised counselling services to persons with the primary diagnosis of
alcoholism and/or drug addiction. Education Education
includes university, college, institutes, courses, workshops and seminars. Education
must be related to the base of knowledge and skills, associated with the "Twelve
Core Functions" of the alcohol and drug counsellor. To be eligible, all education
must be documented by means of a transcript, certificate, and letter of attendance
or completion, which states the number of classroom hours per course and an outline
of the course content. There must be an evaluation component to follow each course. The
applicant must have a minimum of 270 hours of education in the knowledge
and skill areas. Eighty (80) of these hours must be alcohol and drug specific.
The following outlines the required knowledge area necessary to meet the I.C.A.D.C.
standard and the required minimum hours of study.
Pharmacology:
(20 hours) Knowledge and a basic understanding of the pharmacology
of psychoactive drugs. Topics should include: basic principles of pharmacology,
pharmacokinetics, tolerance and dependence, dependence liability, therapeutic
and toxic effects of specific psychoactive drugs. Signs
& Symptoms: (15 hours) Alcohol and other drug addiction specific
signs and symptoms as indicated by assessment. Topics should include: what influences
what we assess, how to assess addictive behaviour and other life areas, what questions
to ask and how to ask them, and how to engage clients in treatment planning. Knowledge
and practical experience in the use of screening and assessment tools currently
in use is essential.
Human Development: (32 hours) Knowledge
of some of the many theories that attempt to explain human development: lifespan
(developmental) theory, role theory, self-actualization theory, self-in-relations
theory. An understanding of how these and other theories explain human development
and how their concepts can be utilized in working with people affected by addiction. Counselling:
(133 hours) Consisting
of a combination of: a) Individual; b) Group; c) Family, and d) Treatment Approaches/Options.
a) Individual
- Effective counselling techniques to establish a therapeutic relationship with
the client. This should include skills such as empathetic listening, paraphrasing,
reflecting, effective questioning, clarification, challenging, and other communication
skills essential for effectively helping the client. Both theory and practical
training (role play) should be studied. b) Group - Counselling techniques
to establish a therapeutic relationship in a group setting to facilitate life
skills, problem solving, as well as techniques and knowledge regarding group dynamics.
Knowledge of group intervention, process and goals as well as the nature of therapeutic,
educational, and self-help groups should also be explored. c) Family
- Knowledge of the effects of addiction on the family and family dynamics. As
well, appropriate interventions and counselling techniques should be considered. d)
Treatment Approaches/Options - An overview of what treatment is, when it is
necessary, the evidence for what works in addiction treatment, and how treatment
groups work. Knowledge regarding the development of individualized treatment plans,
goal setting, contracting, problem solving, evaluation, and management of treatment
and/or services available is required. Approaches such as Brief Solution Focused,
Cognitive-Behavioural, and others should be studied. Special
Populations: (12 hours) Knowledge
of cultural values and attitudes as they pertain to alcohol and drug addiction.
Some specific education in areas of youth, women, natives, geriatric, dual disorders
(mental health and addiction), HIV/Aids, and/or corrections is required; education
regarding high risk populations. Case
Management: (17 hours) Knowledge of the role and function of the
case manager, with emphasis on functions, service co-ordination, liaison with
other addiction and non-specific resources. Education in how to follow the client
from intake to aftercare, and follow-up is essential. Record keeping and report
writing, with reference to communication and legal aspects should be explored. Professional
Ethics: (6 hours) Education
must relate to alcohol and other drugs and touch upon the following areas:
1. Client welfare
as primary concern. 2. Boundaries of the therapeutic relationship. 3. Professional
competence: supervision & development. 4. Consent and negligence 5.
Confidentiality, record keeping, and disclosure. 6. Relationship to other counsellors
and institutions. 7. Legal issues/Reporting obligations. 8. Financial issues. 9.
Personal wellness. Any
Alcohol and Other Drug Knowledge Area: (35 hours) Other courses
or workshops/seminars with an evaluative component can be slotted into this category,
such as specializing in a particular population or treatment approach. Supervised
Clinical Training The
minimal accepted standard is 300 hours. It is expected that this supervision will
be a continuous, on-going part of the counsellor's experience. A
"supervisor" shall be interpreted to mean the person who has responsibility for
monitoring and evaluating the performance of alcohol and drug counsellors and
students. This individual must be a person with comprehensive knowledge of the
treatment of alcoholism and drug dependency, and have reached a supervisory position
in a treatment setting. Others, who might be in positions of authority, but with
little knowledge of addiction, would not be acceptable. Supervised
clinical training is supervision designed to improve and evaluate a counsellor's
knowledge and skill in the "Twelve Core Functions". This training must be part
of the eligible clinical work experience and may be completed under more than
one supervisor or agency. All clinical training hours must be documented
as to where and with whom they took place, and what material was covered. This
documentation must indicate a minimum of ten (10) hours of supervision in each
of the "Twelve Core Functions".
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