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Drug Rehab & Addiction
Counseling
Drug rehab counselors must exhibit good
professional judgment, be able to establish rapport with most patients, be good
listeners, be accepting of the patients (i.e., not have a negative attitude
toward working with addicts), and use confrontation in a helpful rather than an
inappropriate or overly punitive manner. Competent addiction counselors also
must be personally well organized enough to be prompt for all sessions and to
maintain adequate and appropriate documentation. For clinical purposes, the
model presented here can be used easily by skilled counselors in the field. It
is not intended to serve as an alternative to a formal educational experience.
Rather, it is intended for use by counselors who already have gained some
experience in the area of addiction treatment. To prepare for the original
research study, counselors participated in several 2-day training workshops
that they typically enjoyed and found helpful. Therefore, we would recommend a
formal training experience, if possible. When such an experience is not
possible, reviewing the manual carefully and participating in ongoing
supervision still can be helpful. For research purposes, formal training and
certification by recognized experts from the Training Unit at the University of
Pennsylvania/Veterans Affairs Medical Center is necessary. In addition, ongoing
supervision based on the adherence scale is required to ensure consistency in
this particular model as well as high quality patient care.
Educational Requirements
In the field of drug
rehab counseling, experience is viewed as at least as valuable as formal
education, so the range of formal education is broader than in clinical
psychology, for example. Generally the range of education is high school
graduate to doctorate, with the majority of counselors having a bachelor's or
master's degree in social work, counseling psychology, or other human services
field.
Credentials and Experience
Required
Drug rehab ounselors are required to have a minimum
of 3 years of experience in addiction counseling and be knowledgeable of and
use the 12-step model. Professional certification for addiction counselors is
available from different State organizations as well as from a national
organization. For example, in Pennsylvania one can be credentialed as an
Associate Addiction Counselor (AAC) or a Certified Addiction Counselor (CAC)
through the Pennsylvania Chemical Addiction Certification Board (PCACB).
Professional certification and affiliations are encouraged but not mandatory.
Since extensive experience is a requirement for certification, many counselors
work in the field for a while and then become certified.
Drug Rehab Counselors in Recovery Themselves
Many
drug rehab counselors in this field are either in recovery themselves or have a
family member who was addicted. Our view is that an in-depth knowledge of
addiction and the tools for recovery and an ability to empathize with the
patient are essential attributes of an effective addiction counselor. One way,
but not the only way, to acquire this knowledge and ability is to be in
recovery oneself. If a counselor is in recovery, he or she should be relatively
emotionally healthy and stable. In practice, a minimum of 5 years in recovery
should be required. In a setting that employs multiple counselors, the optimal
situation is to have recovering and non-formerly addicted counselors, because
this mix tends to foster the greatest amount of learning from one another.
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