University of Tennessee
College
of Social Work
Evidence-Based Substance Abuse Treatment
|
Address |
224 Henson Hall |
|
Phone |
865-974-7511 |
|
Office Hours |
Tuesday and Thursday afternoons or by appointment |
|
E-mail |
dpatter2@utk.edu |
Code of Conduct
It is the student's responsibility to have read
the College of Social Work Ethical Academic and Professional Conduct
Code that is in the College of Social Work MSSW Handbook
(www.utk.csw.edu).
The Honor Statement
An essential feature of The University of
Tennessee is a commitment to maintaining an atmosphere of
intellectual integrity and academic honesty. As a student of the
University, I pledge that I will neither knowingly give nor receive
any inappropriate assistance in academic work, thus affirming my own
personal commitment to honor and integrity. (Hilltopics,
2008).
Disability
If you need course adaptations or
accommodations because of a documented disability or if you have
emergency information to share, please contact The University of
Tennessee Office of Disability Services at 2227 Dunford Hall
(865) 974-6087. This will ensure that you are properly registered for
services.
Course Description
This is a concentration elective course. This
course is intended to prepare students for evidence-based practice in
the field of substance abuse treatment. The course will present an
integrative biopsychosocial model for the understanding and treatment
of substance abuse. Course content includes an overview of the
history of substance abuse, a review of models of addiction, a
multidimensional model of the addiction process, the physiological
affects of commonly abused substances, assessment and diagnosis of
substance abuse disorders, and specific, evidence-based interventions
adolescent and adult clients.
Course Rationale
Substance abuse is epidemic at this time in our
culture. Social workers, regardless of practice setting, encounter
the individuals and systems impacted by substance abuse. In order to
respond to the needs of individuals, families, groups, and
communities effected by substance abuse it is essential that social
workers understand the multi-causal nature of the phenomenon. This
course is designed to provide students with the knowledge, skills,
and sensitivity to practice in the area of substance abuse
treatment.
Course Competencies: By the completion of
this course, the students are expected to be able to (through course
activities, assignments, and/or exams):
1) Articulate key elements of the
sociopolitical-history of substance abuse in the United States.
(Diversity-adv. 4, CT/EBP-adv. 3, HBSE-adv. 2) (Content: Brief
history of substance abuse across time and cultures, Review of
policies and sociopolitical factors that sustain and constrain
substance abuse, Examination of the role of sex, religion, and
commerce in alteration of consciousness and related substance use
across time)
2) Articulate an understanding of the etiology
and epidemiology of substance abuse. (HBSE-adv. 1, Diversity-adv. 2,
CT/EBP-adv. 1) (Content: Prevalence of use, abuse, and substance
dependence, Epidemiological sources and resources, Substance abuse
etiological theories and empirical evidence)
3) Articulate
knowledge of the basic pharmacology of drugs of abuse. (HBSE-adv. 1)
(Content: Basic neurophysiology, drug classifications, dosage, dose
response curve, drug interactions, drugs of abuse)
4)
Articulate knowledge of physiological reactions to drugs of abuse
including overdose, craving, tolerance, withdrawal, and other adverse
effects on health. (HBSE-adv. 1) (Content: General physiological and
neurological model of addiction)
5) Demonstrate knowledge of
models of and resources for evidence-based substance abuse treatment.
(CT/EBP-adv. 1, Practice-adv. 1, 2, 3) (Content: NIDA, NIAAA, SAMHSA
resources)
6) Demonstrate knowledge and skills in clinical
screening, assessment, and diagnosis of substance use, misuse, and
abuse. (Practice-adv. 1, CT/EBP-adv. 1, Values and Ethics-adv. 1)
(Content: Substance abuse screening and assessment instruments,
motivational interviewing, brief interventions, diagnostic
criteria)
7) Demonstrate advanced skills in the use of
motivational interviewing techniques. (CT/EBP-adv. 1, 2) (Content:
Basic and advanced motivational interviewing skills)
8)
Develop evidence-based, substance abuse treatment plans. (CT/EBP-adv.
1, 2) (Content: NIDA, NIAAA, SAMHSA resources)
9) Describe
strategies for adapting evidence-based substance abuse treatment
interventions to individuals, families and groups of varying
backgrounds such as age, ethnicity, culture, gender, affectional
preference, and religious affiliation. (Diversity-adv. 1, 2, 3, 4)
(Content: Current research literature on between group and within
group variations in patterns of substance use and abuse, genetic
vulnerabilities and protective factors, Risk and protective factors
associated with age, ethnicity, culture, and socioeconomic status)
10) Demonstrate knowledge of treatment planning and delivery for individuals with co-occurring disorders. (CT/EBP-adv. 1, Practice-adv. 1, 2, 3) (Content: NIDA, NIAAA, SAMHSA resources for treatment of individuals with co-occurring disorders)
11) Articulate an understanding of the ethical challenges and their resolution in substance abuse treatment including confidentiality, informed consent, the duty to care, and respect for client self-determination. (Values and Ethics-adv., 1, 2, 3) (Content: The unique and complex ethical challenges that arise in substance abuse treatment)
Methods to Attain Objectives
The primary learning format will be lectures, classroom exercises, and activities, which involve all students as active learners. Class lectures and exercises are based on the understanding that readings assigned for that topic have been completed prior to class.
|
Assignments |
% of Grade |
|
Attendance and Participation |
10 |
|
Special Substance Abuse Topic Paper or Digital Project |
45 |
|
Final |
45 |
|
Total |
100 |
Student grades letter grades are assigned based on the total points distribution for the class. Students in the first standard deviation above the mean will receive a B+. Students in the second standard deviation above the mean will receive an A. Students in the first standard deviation below the mean will receive a B and those in the second standard deviation below the mean will receive a C+.
Paper
In this paper you are to examine an area of substance abuse treatment of interest to you. This is an opportunity to develop specialized knowledge about a particular area of substance abuse treatment. Topics might include, but are not limited to, the efficacy of partial hospitalization treatment, treatment of cocaine addicted mothers, outpatient treatment of adolescents, prison addiction treatment, or treatment of individuals with dual diagnoses. If you have questions about the paper or wish to discuss possible topics, please email me.
The paper should include the following:
1. a biopsychosocial description of the problem or population including recent research findings,
2. a discussion of the social impact of the problem or population (why is this population or problem important?),
3. a review of treatment methods with special attention paid to evidence-based practice methods,
Criteria for evaluation of papers will include clarity, organization, synthesis of material, and overall mastery of content. Organization of your paper can enhance your grade. Papers need a beginning, middle, and an end. Introduce your topic and outline what will be covered in the paper. Use subheadings to direct the reader in the body of the paper. Summarize your conclusions at the end.
The paper must be typed and there must be at least 12 non-Internet references. The paper should be in APA format. The length should be 14 -18 pages and it may be turned in any time. It must be submitted no later than July 2th. Papers should be submitted to the digital drop box of the Blackboard course site.
Alternative Digital Project - Motivational Interviewing
This project requires the production of a 10-15 minute digital video (on digital video tape or DVD) demonstrating specific Motivational Enhancement skills. Students may work in teams of 2 or 3 members. Ideally, the edited final cut of the video will show the interviewer (helper) and the "client" in a Motivational Interviewing role play and indicate with titles the Motivational Interviewing principles employed. Projects will be graded on the quality of the skills demonstrated and the overall quality of the digital project.
Course Outline
Readings
listed here are subject to change and addition until the first day of
class.
6/2/2009
-Introduction/Course Overview/Historical Review of Addictions
Course Competency 1
Historical
and Social Context of Psychoactive Substance Use Disorders - Joseph
Westermeyer - Clinical Textbook of Addictive Disorders (2005).
Blackboard Course Site – Documents
Forces
of Habit: Drugs and the Making of the Modern World (2001) – David
T. Courtwright
Chapter 1 – The Big Three: Alcohol, Tobacco, and
Caffeine
Chapter 2 – The Little Three: Opium, Cannabis, and
Coca
Chapter 5 - A Trap Baited with Pleasure
Blackboard Course
Site – Documents
6/4/2009
- Etiological Models of Substance Abuse
Course
Competency 2
The Genetics of Alcohol and Other Drug Dependence (2008) Alcohol Research and Health
Etiology and the Natural History of Alcoholism (NIAAA, 2005)
Environmental Factors Affecting Alcohol Use: Cultural and Social Research Findings - Daniel Yalisove - Blackboard Course Site – Documents
Epidemiology and Theories of Addiction
Epidemiology of Alcohol Abuse Problems in the United States (NIAAA, 2005)
Toward a Global View of Alcohol, Tobacco, Cannabis, and Cocaine Use: Findings from the WHO World Mental Health Surveys (2008) PLOS Medicine
Nationwide Trends (NIDA, 2008)
6/9/2009 - Neurophysiology and
Pharmacology of Substance
Abuse
Course Competencies 3 & 4
What Is Craving? Model and Implications for Treatment
The Neurobiology of Substance Dependence: Implications for Treatment, Kosten, George, & Kleber Clinical Textbook of Addictive Disorders (2005). Blackboard Course Site - Documents
Alcohol and Its Effects on the Body - (Chapter 3) - Daniel Yalisove -Digital reserve
The Neurobiology of Drug Addiction - NIDA- Science of Drug Abuse and Addiction
http://www.drugabuse.gov/scienceofaddiction/brain.html
The Biological Basis of Addiction
Pharmacology (Chapter 4) Drug Use and Abuse (2004) Blackboard Course Site - Documents
6/11/2009
- Drugs of Abuse
Course Competencies 3 &4
Health Effects of Specific Drugs - NIDA InfoFacts: Science-Based Facts on Drug Abuse and Addiction
Club Drugs [Revised March 2005]
MDMA (Ecstasy) [Revised March 2005]
Marijuana [Revised March 2004]
Pain Medications and Other Prescription Drugs [Revised February 2005]
Methylphenidate (Ritalin) [Revised March 2005]
Steroids (anabolic) [Revised March 2005]
Commonly Abused Drugs - http://www.nida.nih.gov/DrugsofAbuse.html
6/16/2009
- Diagnosis, Assessment, and Treatment
Course Competency
6
Current methods of assessing substance use: A review of strengths, problems, and developments
Detoxification From Alcohol and Other Drugs
Center on Alcoholism, Substance Abuse, and Addictions - Assessment Instruments
Criteria for Substance Dependence Diagnosis
Substance Use Screening & Assessment Instruments Database
Transtheoretical Model - Stages of Change
6/18/2009
- Evidence Based Substance
Abuse Treatment/
Course Competency 5
http://csat.samhsa.gov/treatment.aspx
National Registry of EBP -http://www.nrepp.samhsa.gov/
Evidence-based practices for treating substance abuse disorders
http://adai.washington.edu/ebp/matrix.pdf
Research Refines Alcoholism Treatment Options
Motivation and Treatment Interventions
Evidence-Based Substance Abuse Treatment Resources
Supportive-Expressive Psychotherapy
Individualized Drug Counseling
Motivational Enhancement Therapy
Behavioral Therapy for Adolescents
Multidimensional Family Therapy (MDFT) for Adolescents
Combined Behavioral and Nicotine Replacement Therapy for Nicotine Addiction
Community Reinforcement Approach (CRA) Plus Vouchers
Voucher-Based Reinforcement Therapy in Methadone Maintenance Treatment
Day Treatment with Abstinence Contingencies and Vouchers
Motivational Interviewing Digital Demonstration
6/25/2009
- Evidence-Based Substance Abuse Treatment Practices
Course
Competency 7, 9, 11
Brief Interventions and Brief Therapies for Substance Abuse – SAMHSA (2000)
Cognitive Therapy - Beck, Liese, and Najavits, Clinical Textbook of Addictive Disorders (2005) Blackboard Course Site – Documents
A Cognitive-Behavioral Approach: Treating Cocaine Addiction
6/30/2009
- Co-Occurring Disorders,
Adolescent Treatment, Harm Reduction and Treatment of Special
Populations
Competencies 8, 9, and 10
Adolescents
and Treatment of Alcohol Use Disorders
Interventions
for Alcohol Use and Alcohol Use Disorders
Substance
Abuse Treatment and Family Therapy
Women
and Alcohol
Sexual
Orientation and Alcohol Use Disorders
Ethnicity,
Culture, and Alcohol
Truama
and Substance Abuse
7/2/07 – Final Due - Course Competencies 1-11
Major Readings and Bibliography
Alcoholics Anonymous. (1976). Alcoholics anonymous, AA World Service: New York, NY.
Akers, R. L. (1992) Drugs, Alcohol, and Society. Belmont, CA: Wadsworth Publishing Co.
Beck, A. T., Wright, F. D., Newman, C. F., & Liese, B. S. (1993). Cognitive Therapy of Substance Abuse. The Guilford Press: New York.
Booth, B. M. , Yates, W. R. , Petty, F. & Brown, K. (1991). Patient factors predicting early alcohol-related readmissions for alcoholics: role of alcoholism severity and psychiatric co-morbidity. Journal of Studies on Alcohol, 52(1), 37-43.
Des Jarlais, D. (1995). Harm reduction: a framework for incorporating science into drug policy. American journal of public health, 85, 10-12.
Drucker, E. (1995). Harm reduction: a public health strategy. Current issues in public health, 1, 64-70.
Fishbein, D. H. & Pease, S. E. ( 1996) The Dynamics of Drug Abuse. Boston, MA: Allyn & Bacon.
Frances, R. J. (1988). Update on alcohol and drug disorder treatment. J Clin Psychiatry, 49 (9), 13-17.
Frances, R. J., Miller, S. I., & Mack, A. H. (2005). Clinical Textbook of Addictive Disorders, 3rd. Ed., New York: The Guilford Press.
GAP Committee. (1991). Substance abuse disorders: A psychiatric priority. Am J Psychiatry, 148 (10), 1291-1300.
Gerstein, D. R. (1994). Outcome research, drug abuse. In M.G. Galanter & H.D. Kleber (Eds.), Textbook of Substance Abuse Treatment. (pp. 45-64). Washington, DC: American Psychiatric Press, Inc.
Golden, S. J., Khantzian, E. J., & McAuliffe, W. E. (1994). Group therapy. In M.G. Galanter & H.D. Kleber (Eds.), Textbook of Substance Abuse Treatment. (pp. 303-314). Washington, DC: American Psychiatric Press, Inc.
Gomberg, E. S. L. (1993). Women and alcohol: Use and abuse. The Journal of Nervous and Mental Disease. 181, (4), 221-219.
Haaken, J. (1990). A critical analysis of the co-dependence construct. Psychiatry, 53, (November) 396-406.
Hester, R. K. (1994). Outcome research, alcoholism, In M.G. Galanter & H.D. Kleber (Eds.), Textbook of Substance Abuse Treatment. (pp. 35-44). Washington, DC: American Psychiatric Press, Inc.
Hester, R. K. & Miller, W. R. (1995) Handbook of Alcoholism Treatment Approaches: Effective Alternatives, 2nd Ed.. Boston, MA: Allyn and Bacon.
Jenson, J. , Howard, M. O. & Yaffe, J. (in review). Treatment of adolescent substance abusers: issues for practice and research.
Kaminer, Y. (1994). Adolescent substance abuse. In M.G. Galanter & H.D. Kleber (Eds.), Textbook of Substance Abuse Treatment. (pp. 415-437). Washington, DC: American Psychiatric Press, Inc.
Kaufman, E. (1994). Family therapy: Other drugs. In M.G. Galanter & H.D. Kleber (Eds.), Textbook of Substance Abuse Treatment. (pp. 331- 349). Washington, DC: American Psychiatric Press, Inc.
Leccese, A. P. (1991). Drugs and Society: Behavioral Medicines and Abusable Drugs. Englewood Cliffs, NJ: Prentice-Hall.
McNeece, C. A. & DiNitto, D. M. (1994). Chemical Dependency: A systems approach. Englewood Cliffs, NJ: Prentice-Hall.
Miller, W. R. (1992). The effectiveness of treatment for substance abuse, Journal of Substance Abuse Treatment, 9, 93-102.
Miller, W., & Rollnick, S. (1991). Motivational interviewing: Preparing people to change addictive behavior. New York: Guilford Press.
Narcotics Anonymous. (1988). Narcotics anonymous. Van Nuys, CA: NA World Service Office.
Peele, S. (1989). Diseasing of America. Lexington, MA: Lexington Books.
Schonttenfeld, R. S., (1994). Assessment of the patient, In M.G. Galanter & H.D. Kleber (Eds.), Textbook of Substance Abuse Treatment. (pp. 25-33). Washington, DC: American Psychiatric Press, Inc.
Steinglass, P. (1994). Family therapy: Alcohol. In M.G. Galanter & H.D. Kleber (Eds.), Textbook of Substance Abuse Treatment. (pp. 315-329). Washington, DC: American Psychiatric Press, Inc.
Van Womer, K. & Davis, D. R. (2003). Addiction Treatment: A Strengths Perspective. Pacific Grove, CA: Brooks-Cole.
Yaffe, J. , Jenson, J. M. , & Howard, M. O. (in review). Gender differences in substance abuse: implications for treatment of women.
Yalisove, D. (2002). Introduction to Alcohol Research: Implications for Treatment, Prevention, and Policy. Boston: Allyn & Bacon.