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SYLLABUS University of Northern Iowa SPRING 2008 Department of Social Work ADDICTIONS TREATMENT 450:171g 3 credits Prerequisites: Junior Standing Katherine van Wormer, MSSW, Ph.D. E-mail: Katherine.email@example.com Office Hrs: M—11:00-11:50 & 2:00-3:00 Website: www.katherinevanwormer.com and W – 1:00-2:00 p.m. 36 Sabin Hall Phone: 273-6379 The purpose of this course is to introduce students to practice and policy aspects of addictions counseling. From a strengths perspective, biological, psychological, social, and spiritual factors will be considered as they relate to substance abuse issues. Course Objectives 1. To acquire an understanding of addiction as a chronic problem and chronic disease. To recognize that relapse is not a failure but an expected phase of the withdrawal process. To develop a familiarity with the ecological model as a framework that identifies biopsychosocial components in addiction. 2. To develop familiarity with the major treatment modalities used today and to recognize that approaches should be individualized for clients. 3. To learn to focus on the here-and-now but never to the neglect of the past. 4. To recognize high possibility of recovery, though not cure, for addiction. 5. To acquire knowledge of alcoholism and drug dependency as a family disease so that interventions may include family members for best results. To discuss the role of the school in identifying and treating children in alcoholic homes. 6. To be familiar with the basic philosophy and principles of Alcoholics Anonymous and Al Anon, and the harm reduction model. 7. To acquire knowledge of physiological aspects of addiction with special emphasis on ―the addicted brain.‖ 8. To develop a realistic appreciation for the field of addictions counseling as a viable 1 area of employment. 9. To develop a familiarity with the Code of Ethics adopted by the Iowa Board of Substance Abuse Certification. To know stringent requirements for confidentiality in this field. 10. To view the use of substances in cultural and international perspective. To be aware of special treatment needs of diverse populations in American society. Americans with Disabilities Act The Americans with Disabilities Act of 1990 (ADA) provides protection from discrimination for qualified individuals with disabilities. Students with a disability, who require assistance, will need to contact the Office of Disability Services (ODS) for coordination of academic accommodations. The ODS is located at 103 Student Health Center. For more information visit http://www.uni.edu/disability/ or phone 319/273-2676. Counseling Center UNI offers free and confidential counseling to enrolled students. The counseling center is located at 103 Student Health Center. For more information visit http://www.uni.edu/counseling/ or call 273-2676. Grievances and Appeals Students with grievances or appeals are referred to ―Policies & Regulations Affecting Students 1994-1996 – The University of Northern Iowa‖ distributed to all students. A copy is also available in the Social Work office, Sabin 21. Policy on Sexual Harassment http://www.uni.edu/pres/policies/1302.html References to Plagiarism Policy http://www.uni.edu/pres/policies/301.html Course Assignments and Requirements This course is concerned with why, how, how much, where, and when of alcohol and other drug consumption and treatment. The inquiring, attentive student should emerge from the course with more questions than answers but a determination to keep seeking knowledge on the nature of addiction and unique individual and cultural differences. For classroom learning to take place, there must be class discussion and tolerance for our differences. Likewise, there should be empathy and understanding for the personal pain that will be engendered in many of us coming as we may from alcoholic homes or presently involved in a close relationship with an alcoholic/addict. For many students, this course, because of the dynamic and meaningful content, will serve as a turning point in some unexpected way. Students can be tremendously helpful to other students in sharing their feelings and 2 sudden overwhelming realizations. Oral presentations will be on a special topic related to substance abuse for example, steroid use, anorexia, nicotine addiction, obsessive compulsive disorder. The presentation will be assigned when the subject matter is covered in class. Presentations are to be approximately 5-20 minutes per person in length. Usually 4-5 persons report as a group on a similar topic such as criminal justice and substance abuse, eating disorders, shopping, gambling addictions, steroids, etc. Reports are graded in terms of preparation, originality and contribution to the learning experience. Please use note cards and/or overheads, video excerpts, posters, etc. Do not read your report. Turn in the last card with your name and references on it. The card will later be returned with your grade. Topics will be cleared with the instructor in advance. Graduate students will complete the course requirements and additionally, after consultation with the professor, will submit a graduate research paper 5-10 pages in length on a specialized topic not covered in class, for example, the relationship between ADHD and addiction. Alternatively, a graduate student may present a mini-workshop on a subject of expertise like using the DSM-IV. Course Grading Course Requirements 1. Midterm exam (essay) 1/3 2. Final exam (essay) 1/3 3. Oral presentation 1/6 4. Class Preparation 1/6 Includes attendance and reading as demonstrated in response to questions on the text. Sample: Why is the word illness used instead of disease? Grading 93-100 = A 73-76 = C 90-92 = A- 70-72 = C- 87-89 = B+ 67-69 = D+ 83-86 = B 63-66 = D 80-82 = B- 60-62 = D- 77-79 = C+ 0-59 = F Graduate students: The grade on the independent project counts 1/6 instead of the class preparation grade. Text van Wormer, K. & Davis, D.R. (2007). Addiction Treatment: A Strengths Perspective. (2nd ed.). Belmont, CA: Wadsworth Publishing Co. Power Point can be downloaded on my website (Katherinevanwormer.com) under books. Sample exam questions can be retrieved for each chapter at http://www.thomsonedu.com. 3 under social work books, Addiction Treatment. Course Outline/Readings/Due Dates The oral reports are scheduled about the time when those subjects are covered in the reading so Eating Disorders should be covered around week 9. Weeks 1 and 2 Preface. Note that the book is divided into the three parts of the biopsychosocial model. Chapter 1, Introduction: Nature of Addiction. This chapter introduces the strengths perspective and harm reduction model, defines terms and controversies in the field, applies the strengths perspective to diverse models. Week 3. Chapter 2. Historical Perspectives. Find the three basic themes developed in this chapter related to mood altering substances, legal and illegal, across the centuries. Chapter 3. Strengths-Based Helping Strategies. Note comparisons of strengths-based and traditional approaches, also the fundamentals of motivational interviewing. PART II THE BIOLOGY OF ADDICTION Week 4 Chapter 4, Substance Misuse, Dependence and the Body. This is the first of the two extensive biological chapters. That addiction is a brain disease is a major theme. The various drugs – alcohol, meth, cocaine, etc. Week 5 until the Midterm Chapter 5, Interventions Related to Biology. This chapter discusses medications and holistic approaches for various addictions including nicotine addiction and eating disorders. Assessment and use of group therapy techniques for the first phase of treatment are highlighted. MIDTERM PART III THE PSYCHOLOGY OF ADDICTION Week 7-8 Chapter 6, Addiction Across the Life Span. Topics covered: Adolescence and youth substance use, drug survey results, college binge drinking; special issues related to treatment of the elderly. Prevention and spiritual healing are major themes. Week 9 Chapter 7, Eating Disorders, Gambling, Shopping, and Other Behavioral Addictions. The title speaks for itself. Week 9 Chapter 8, Substance Misuse with a Co-Occurring Disorder or Disability. The major disorders are described in this chapter in terms of their link with substance misuse. PART IV SOCIAL ASPECTS OF ADDICTION Week 10 4 Chapter 9, Family Risks and Resiliencies. Topics: family adaptation to addiction and family counseling based on the stages of change; the Rename, Reframe, Reclaim model for healing of family members. Week 11 Chapter 10, Racial, Ethnic, and Cultural Issues. Interventions with various diverse cultural groups are discussed. Week 11 Chapter 11, Gender and Sexual Orientation Differences. Topics covered: biological and psychosocial differences in male and female addictions; working with gays, bisexuals, lesbians, and transgendered persons. Week 12 Chapter 12, Mutual-Help Groups. Learn the power of 12 Step groups, basic beliefs and controversies. Study the 12 Steps of AA. Compare with the 9 Steps offered as an alternative at www.katherinevanwormer.com. What is missing here and why? Week 12 - final Chapter 13. Public Policy. Note especially discussion of the war on drugs as a war on minorities, and women in poverty, conspiracy laws, and federal laws related to confidentiality. Be prepared to argue for or against decriminalization. FINAL TEST -- Section 1 – May 7th at 10:00 Section 2 -- May 5th at 10:00 Extra Credit: Visit an AA, NA, OA, Al Anon or other 12 Step group. Make sure the group is open to visitors unless you are a member. Worth two points toward the final grade. Write up a brief summary after your visit. You can also watch and write a review of the videos/DVDS: Walk the Line, 28 Days, Traffic, Angela’s Ashes. Or view these amazing classics: Days of Wine and Roses, The Lost Weekend. Or read Angela’s Ashes or one of the books in the references list. Interview a practicing substance abuse counselor about which model or models are used and other relevant points of interest. RESOURCE BIBLIOGRAPHY, books at UNI library Agee, J. (1957). A death in the family. New York: Avon. American Psychiatric Association (APA) (2000). Diagnostic and statistical manual of mental disorders, text revision (4th ed.). Washington, DC: APA. Andersen, A. E. (2000). Making weight: Men’s conflicts with food, weight, shape & appearance. Carlsbad, CA: Gürze Books. Baldino, R. (2000). Welcome to Methadonia: A Social Worker’s Candid Account of Life in a Methadone Clinic. Harrisburg, PA: White Hat Communications. Barnard, M. (2007). Drug addiction and London and Philadelphia : Jessica Kingsley Publishers. 5 Beechem, M. (2002). Elderly alcoholism. Springfield, IL: Charles C. Thomas. Black, C. (1983). It Will Never Happen to Me! Denver: M.A.C. Printing and Publication Division. Bock, G., & Goode, J. (2005) (Eds.). Understanding Nicotine and Tobacco Addiction. Novartis Foundation. Burroughs, A. (2005). Dry: A memoir. Montgomeryville, PA: Atlantic Books. Butler, S. (2002). Alcohol, drugs and health promotion in modern Ireland. Dublin : Institute of Public Administration. Carnes, P. & Adams, K. (2002). Clinical management of sex addiction. New York: Brunner-Routledge. Carnes, P. (2001). In the shadows of the net. Center City, MN: Hazelden. Carnes, P. & Adams, K. M. (2002). Clinical management of sex addiction. New York : Brunner-Routledge Connors, G., Donovan, D., & DiClemente, C.C. (2004). Substance Abuse Treatment and the Stages of Change: Selecting and Planning Interventions. New York: Guilford. Cupach, W.R.& Spitzberg, B. (2004). The dark side of relationship pursuit : from attraction to obsession and stalking. Mahwah, N.J.: Lawrence Erlbaum Associates. Csiernik R. C. & Rowe, W. S. (2003) (Eds.). Responding to the oppression of addiction : Canadian social work perspectives. Toronto : Canadian Scholars' Press. Davis, L. (1990). The Courage to Heal Workbook. New York: Harper and Row. Denning, P. (2000). Practicing Harm Reduction Psychotherapy. NY: Guilford. Dennison, S. (2003). Handbook of the dually diagnosed patient : psychiatric and substance use disorders Philadelphia : Lippincott Williams & Wilkins. DiClemente, C. C. (2003). Addiction and change : how addictions develop and addicted people recover. New York : Guilford Press. Duker, M. & Slade, R. (2003). Anorexia nervosa and bulimia : how to help. Buckingham, Philadelphia : Open University Press, 2003 Edition 2nd ed Faludi, S. (1991). Backlash: The undeclared war against American women. New York: Crown. Fallon, P. (1994). Feminist Perspectives on Eating Disorders. New York: Guilford. 6 Fingarette, H. (1988). Heavy drinking. Berkeley: University of California Press. Finley, J. (2004). Integrating the 12 steps into addiction therapy : a resource collection and guide for promoting recovery. Hoboken, N.J : John Wiley & Sons. Friedman, L. S. (2007). Eating disorders : an opposing viewpoints guide. Detroit : Greenhaven Press/Thomson Gale. Gackenbach, J. (2007). Psychology and the internet : intrapersonal, interpersonal, and transpersonal implications. Burlington, MA : Elsevier Academic Press. Gerdes, L. (2005) (Ed.).Addiction : opposing viewpoints. San Diego [Calif.] : Greenhaven Press. Giancana, S. & Giancana, C. (1993). Double Cross. New York, New York: Warner Books. Goodman, J. (1993). Tobacco in history: The cultures of dependence. London: Routledge. Greenfeld, D. (1999). Virtual addiction: Help for netheads, coffeebreakers, etc. Oakland, CA: New Harbinger. Harrison, L. (1996). Alcohol problems in the community. NY: Routledge. Hester, R., Miller, W.R. (2003). Handbook of Alcoholism Treatment Approaches: Effective Alternatives 3/E. Boston: Allyn and Bacon. Inciardi, J. & Harrison, L. (2000). Harm Reduction: National and International Perspectives. Thousand Oaks, CA: Sage. Irvine, J. M. (2005). Disorders of desire : sexuality and gender in modern American sexology. Philadelphia, PA : Temple University Press. Jellinek, E. (1960). The Disease Concept of Alcoholism. New Haven, CT: Hillhouse Press. Kasl, C. (1992). Many Roads, One Journey: Moving Beyond the Twelve Steps. New York: Harper Perennial. Keel, P. K., (2005) Eating disorders. Upper Saddle River, N.J. : Pearson Prentice Hall. Kelly, R.V. (2004). Massively multiplayer online role-playing games : the people, the addiction and the playing experience. Jefferson, N.C : McFarland & Co Klott, J. & Jongsma, A. (2006). The co-occurring disorders treatment planner. New York: Wiley. 7 Kus, R. (1995). Addiction and recovery in gay and lesbian persons. New York: Haworth. Lawson, A, & Lawson, G. (1998). Family: A guide to treatment and prevention. MD: Aspen Publishing. Loue, S. (2003). Diversity issues in substance abuse treatment and research. New York: Kluwer Academic/Plenum Publishers. McCourt, Frank (1996). Angela’s Ashes. New York: Scribner. Makela, K. (1996). Alcoholics Anonymous Mutual-Help Movement. Madison, WI: University of Wisconsin Press. Marlatt, G.A. (1998). (Ed.) Harm Reduction: Pragmatic Strategies for Managing High Risk Behaviors. New York: Guilford Marlatt, G.A. & Donovan, D. M. (2005) (Eds.). Relapse prevention : maintenance strategies in the treatment of addictive behaviors. New York : Guilford Press, c2005 McGoldrick, M., Giordano, J., Garcia-Preto, N. (2005) (Eds.). Ethnicity & family therapy (3rd ed.).New York : Guilford Press. Milkman, H., Sederer, L. (1990). Treatment choices for alcoholism and substance abuse. Lexington, MA: Lexington Books. Miller, W.R., Zweben, A., DiClemente, C, & Rychtarik, R. (1992). Motivational enhancement therapy manual. Washington, DC: N.I.A.A.A. Miller, W.R. & Rollnick, S. (2002). Motivational Interviewing: Preparing people for change. NY: Guilford. Mueser, K. (2003). Integrated treatment for dual disorders : a guide to effective practice. New York: Guilford Press. Munafo, M. & Alery, I. (2005) (Eds.). Cognition and addiction.Oxford ; New York : Oxford University Press. O'Farrell, T. J. & Fals-Stewart.(2006). Behavioral couples therapy for alcoholism and drug abuse. New York: Guilford. Peele, S. (2003). Diseasing of America: How we allowed recovery zealots and the treatment industry to convince us we were out of control. Lexington, MA: Lexington Books. Peele, S. (1975). Love and Addiction. New York: Taplinger. Reiman, J. (2001). The rich get richer and the poor get prison: Ideology, class and criminal justice, sixth edition. Boston: Allyn & Bacon. 8 Roberts, Albert (2007) Battered women and their families: Intervention strategies and treatment programs (3rd ed.). New York: Springer Publishing Co. Saleebey, D. (2002). The strengths perspective in social work practice. Boston : Allyn and Bacon. Schaef, A. and Fassel, D. (1988). The Addictive Organization. San Francisco: Harper & Row. Schaler, J. (2000). Addiction is a choice. Chicago: Open Court. Schwartz, J. & Begley, S. (2003). The mind and the brain: Neuroplasticity and the power of mental force. New York: Regan Books. Springer, D.W., McNeece, D.A., & Arnold, E. (2003). Substance abuse treatment for criminal offenders : an evidence-based guide for practitioners. Washington, DC : American Psychological Association, Straussner, S.L. & Brown, S. (2002). The handbook of addiction treatment for women. San Francisco: Jossey-Bass, 2002 Tatarsky, A. (2002). Harm reduction psychotherapy. Northvale, NJ: Jason Aronson. Tracy, S. W. (2005). Alcoholism in America : from reconstruction to prohibition. Baltimore : Johns Hopkins University Press. van Wormer, K. (1999). Harm induction vs. harm reduction: Comparing American and British approaches to drug use. Journal of Offender Rehabilitation 29 (1/2), 35-48. van Wormer, K. (2007). Human behavior and the social environment. Two books – micro and macro. New York: Oxford. van Wormer, K. & Bartollas, C. (2007). Women and the Criminal Justice System 2/E. Boston: Allyn & Bacon. Walters, G. (1999). The addiction concept: Working hypothesis or self-fulfilling prophesy? Boston, MA.: Allyn & Bacon. Weaver, Hilary (1999). Voices of First Nations people: Human services considerations. New York: Haworth Press. Wegscheider, S. (1981). Another chance: Hope and health for the alcoholic family. Palo Alto, CA: Science and Behavior Books. White, W.L. (1998). Slaying the dragon: The history of addiction treatment and recovery in America. Bloomington, IL: Chestnut Health Systems. 9 Wolf, Naomi (1991). The beauty myth. New York: W. Morrow. VIDEOS OF INTEREST Animated Neuroscience and the Action of Nicotine, Cocaine, and Marijuana in the Brain. Produced by Gayle Gross de Nunez & Rochelle D. Schartz-Bloom, Savantes, 25 minutes., www.films.com 1997,. Videocassette. Motivational interviewing for addictions [video recording] with William R. Miller; produced by Governors State University. Needham Heights, MA: Allyn & Bacon Professional, c2000. Moyers, B. (1998). Moyers on addiction: Close to home. Public Broadcasting Co. The Red Road to Recovery. On Native Americans and treatment. RECOMMENDED JOURNALS Behavioral Health Management International Journal of Addictions International Journal of Eating Disorders Journal of Addictive Diseases Journal of Drug Education Journal of Drug Issues Journal of Gay and Lesbian Social Services Journal of Social Work Practice in the Addictions Journal of Studies of Alcohol RELEVANT WEB SITES AND OTHER RESOURCES www.health.org www.harmreduction.org www.hazelden.org www.health.org. Iowa Board of Certification— http://www.iowabc.org. *www.jointogether.org. Iowa Substance Abuse Library 1-800-247-0614 National Clearinghouse 1-800-729-6686 www.niaaa.nih.gov drugpolicy.org www.nida.nih.gov. www.who.org. -- 10
"SYLLABUS - DOC 4"