PROFESSIONAL DEVELOPMENT
                        IN SUBSTANCE ABUSE TREATMENT
Alcohol Withdrawal Syndrome (Video 2002) 1986; 48 min
Audience: health professionals
• Note: The CIWA assessment has been revised and no longer corresponds exactly with the
demonstrations in this video.
Synopsis: This program provides step-by-step training in an effective method of assessment and
management of alcohol withdrawal syndrome. The method, developed in the Clinical Institute of
the Addiction Research Foundation, helps to ensure adequate and prompt treatment of the
alcoholic patient and prevent serious complications of the alcohol withdrawal syndrome. The
program includes 3 modules: (1) Introduction: The alcohol withdrawal syndrome is defined,
causes and clinical manifestations are examined, and characteristics of withdrawal reactions are
summarised. (2) Assessment: In order to determine the most effective treatment procedure,
severity of withdrawal must be assessed. This module demonstrates the actual process of
assessment, using simulations of a patient in minor and major withdrawal. (3) Treatment:
Recommendations based on information recorded on the CIWA-A form are made for the
management of minor and major withdrawal reactions. A variety of treatment approaches, both
with and without drug therapy, are demonstrated.

Assessing Client Needs Using the Addiction Severity Index (Kit 3050) 1993
• Institutional loans only
Audience: health care professionals; assessment services
Synopsis: The Addiction Severity Index (ASI) was developed as an assessment tool to probe
client lifestyle as it relates to family, legal issues, social relations, substance use, including dual
diagnosis. The kit includes a handbook for administrators, a facilitator's guide, a resource manual
with sections on gender and cultural issues and two training videotapes.

                           Basic Attending Skills, 2006
      Multicultural and Competency-Based Counselor and Therapist Education
Note: CAMH staff and advanced institutional loans only
Audience: professional
• 1648.1 Synopsis: (DVD 1; 84 min) Starting with a general introduction, this disc contains
segments on attending behavior, questioning, paraphrasing, and reflection of feeling. Each
contains an introduction and each segment is demonstrated with positive and negative examples
of interviewing methods and a discussion of multicultural issues. The module on questioning
reviews the use and utility of both open and closed questions. The module on reflection of feeling
also contains stimulus vignettes.
• 1648.2 Synopsis: (DVD 2; 53 min)
This disc starts with the module on summarizing skills, including an introduction and multicultural
discussion. Following this is an introduction to the five stages of the interview: structuring and
self-disclosure; gathering data and identifying strengths; goal setting; working and exploring
alternatives; termination and generalizations. This is followed by a discussion of debriefing and
multicultural issues.
• 1648.3 Basic Attending Skills workbook by Allen Ivey, Norma Gluckstern Packard and Mary
Bradford Ivey also available for loan.

                           Basic Influencing Skills, 2007
      Multicultural and Competency-Based Counselor and Therapist Education
Audience: CAMH staff and advanced institutional loans only
• 1648.3 (DVD 81 min)
Synopsis: Influencing skills and strategies are discussed and demonstrated including basic
listening, interpretation and reframing, information feedback, and providing directives. The basics
of assertiveness training are demonstrated with a full client interview. Each skill or strategy is

CAMH Library, Audiovisual Lending Service                                                             1
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identified with subtitles and includes multicultural issues. Other areas of emphasis include
searching for positive strengths, focusing the narrative, confrontation and self-Disclosure.
• 1648.4 (DVD 81 min) This section demonstrates ways of Interpretation/reframing the client’s
“story”, five stage vocational review, and five stage assertiveness training. The conclusion
contains an optional “microskills” training exercise on teaching communication skills to others.
• 1648WB2 Basic Influencing Skills Workbook supplements the subject areas presented in the
DVDs, by Allen Ivey, Norma Gluckstern Packard and Mary Bradford Ivey, also available for loan.

Bridging the Gap: Case Studies in Concurrent Disorders
(Video 1297.1, .2, .3) c.1995; ~120 min
Audience: health professionals
Synopsis: This is a series of three informally recorded videotapes lectures by Blenos Pederson
M.D. Produced co-operatively by the Grand River Hospital, the Addiction Research Foundation
and Alcontrol Homes the lectures are introduced by Robert Murray. Three case studies are
presented with dramatizations; major statements are emphasized in point form.

Brief Intervention (DVD 1617) 2004; 147 min
Audience: health care professionals; post-secondary students
Synopsis: Ken Winters lecture demonstrates when to use brief interventions, the place of
motivational interviewing and applications in risk assessment.

A Challenge to Care (Video 1261) 1990; 38 min
Audience: health professionals
Synopsis: The narrator presents this program as an attempt to move away from sensational
media reports to look closely at the needs of women, mothers and their babies at risk. One health
professional tells the story of her medical training failing to include what was needed regarding
chemical dependency; she and her peers had to learn "on the job." They suggest that pregnancy
is a window of opportunity to reach the chemically dependent woman. The video presents a
series of pragmatic tips which can be used according to the nature of the intervention: prenatal
intake, labour, delivery, and neo-natal care, postpartum teaching, and during follow-up programs.
It is stressed that knowing how to ask questions is just as important as knowing what to ask. (See
also the client module Straight from the Heart).

                       Child and Youth Mental Health Series, 2004-2005
Audience: health professionals; post-secondary students
Format: Video or DVD
Run time: ~56 min each
This documentary series provides a detailed review of child and youth mental illness with focus
on the complications specific to youth. Each program highlights three cases featuring signs and
symptoms, assessment, diagnosis and treatment. Attention is paid to providing an accurate
picture of the current understanding of these illnesses to dispel stigma and misconceptions.
Suggestions are made with regard to seeking help and dealing with related issues.
• 2521.1 Beyond the Blues: Child and Youth Depression
• 2521.2 Fighting their Fears: Child and Youth Anxiety
• 2521.3 A Map of the Mind Fields: Managing Adolescent Psychosis
• 2521.4 Struggle for Control: Child and Youth Behaviour Disorders

Children of Alcoholics: How Schools Can Help (Video 1023) 1991; 56 min
Audience: teachers; guidance counsellors
Synopsis: One in five American children come from homes where alcohol or other drugs are
abused, according to this video. This may pose many problems for the children, as well as their
teachers and counsellors. This videotaped seminar lists many of the typical concerns of COA's.
They may feel unloved, embarrassed by or responsible for their parents' problems. The roles
these children tend to play as coping strategies are highlighted: superhero, mascot, clown, and
troublemaker. The warning signs that a student may present and some of the ways in which

CAMH Library, Audiovisual Lending Service                                                         2
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teachers and counsellors may respond are examined. Some teachers role-play the dynamics of a
dysfunctional family.

Comprehensive Drinker Profile (Video 2104) 1989; 89 min
Audience: health professionals
Synopsis: "Comprehensive" is the word for William Miller's step-by-step structured client
interview. This is a pre-treatment assessment of the client we see in the video Motivational
Interviewing (1989). All details about drinking patterns, problems associated with drinking, kinds
of drinks, self-image, personal habits and the perceptions of what others may see as problematic
are surveyed in this intense assessment procedure.

Cooling Out (Video 2124) 1993; 30 min
Audience: health professionals; front-line workers
Synopsis: This Addiction Research Foundation program is divided into two parts. The first, using
dramatised scenes shows how to identify potential "triggers," diffuse problem situations, and
manage disruptive behaviours. Part two demonstrates how to apply "functional analysis," to spot
the antecedents, behaviours and their possible consequences, to scan clients for postures or
gestures that may reveal emotional stress. (See also: Defusing Hostility)

Defusing Hostility (Video 2207) 1989; 45 min
Audience: health professionals; front line workers; Detox attendants
Synopsis: This program uses a series of dramas to highlight examples of everyday encounters
that may turn angry or potentially violent. Scenes take place on a bus with an intoxicated
passenger, with a bank teller, a business receptionist, in a welfare office, and in a pharmacy.
Each drama is analysed, showing how body language, environment and attitudes of those
involved contribute to the development of hostility. Some scenes are re-enacted to show how
they could have different outcomes.

The Door to Recovery: Community Drug Abuse Treatment (Video 2135) 1989; 25 min
Audience: health professionals
Synopsis: This video presents arguments and models for community based treatment. Realizing
that criminal justice is not the answer and that treatment is cheaper than jail, a number of U.S.
programs are presented. At Turning Point, clients are given duties and responsibilities and learn
social skills and values. In another experimental program a client may self-administer methadone
at home in much the same way that a diabetic person uses insulin. In a client run house in San
Diego members are learning that just being off drugs is not enough, as one says, "I had to relearn
my life." A counsellor states that the community also has to learn that addiction is not just the
concern of those in treatment, but is a social problem of concern to everyone.

Harm Reduction Therapy for Addictions (DVD 1694) 2000; 115 min
Audience: health professionals; students in post-secondary professional programs
Synopsis: Alan Marlatt demonstrates harm reduction therapy as he works with a heroin-addicted
client who is considering entry into a methadone program. In this innovative approach focus is on
reducing the harmful consequences of drug use while supporting the move toward treatment. The
therapist accepts the client while working to reduce barriers to treatment.

Hepatitis: A Silent Killer (Video 1324) 1995; 28 min
Audience: health professionals; medical laboratory and clinical staff; drug users
Synopsis: The human liver is the body’s “chemical power plant” metabolising cholesterol, helping
to clot blood, and making bile to digest food. The liver performs many functions that are essential
to life, explains the narrator of this video. The hepatitis virus can be deadly, called a “silent killer,”
because many people do not know they have the virus until they’re suffering from chronic liver
disease. The video introduces Kristie, a young woman who was unaware until she tested positive
during the process before donating blood. Kristie is shown meeting with physicians, making
treatment decisions, and dealing with the stigma regarding the virus. In addition to illustrating
real-life experiences, this video provides scientific information covering the diagnosis, symptoms

CAMH Library, Audiovisual Lending Service                                                                3
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and treatment of five types of hepatitis: A, B, C, D and E. Chronic hepatitis will develop in about
five to 10 per cent of B carriers, the narrator notes, but will occur in most type C carriers. Type C
is common among injection drug users, while both B and C can be passed along through sexual
contact or blood transfusions. The program also contains a segment on liver transplant surgery.

Identification and Referral of Children of Alcoholics (Kit 2072) 1992
Audience: health care professionals
Synopsis: This aid for medical professionals is an introduction to situations that may be
encountered in treating children of alcoholics (COA) in general practice. The kit consists of a
sixty-minute videotape to be used in conjunction with the workbook. The workbook contains
masters of overhead slides for use in group presentations, bibliographies, and a resource list. The
workbook also outlines common COA experiences and, in conjunction with the video, presents
responses that can be made in a clinical setting.

The Inebriated Patient (Video 2089) 1989; 20 min
Audience: medical and other health professionals
Synopsis: This program outlines how medical emergency staff in a hospital might respond when
presented with an intoxicated patient. In the example shown here is of a man found unconscious,
brought into the hospital emergency room where staff attempts to treat and assess his injuries
and condition. Ways are outlined to deal with a confused client while providing for staff safety.

Inventory of Drinking Situations (Kit 3047) 1994
Audience: health professionals
Synopsis: This is a self-reporting, treatment planning tool that provides a profile of the situations
in which an individual is at high risk for having problem drinking behaviour. The information from
the Inventory may be used as a basis for individual treatment planning and to assist in the
prevention of relapse. This Inventory was developed in collaboration with three Native treatment
centres: Weendahmagen, Pedahbun Lodge and Native Horizons. It contains, in addition to the
inventories, a short videotape demonstration and an audiotape of a native speaker for clients who
prefer oral assessments.

Methamphetamine: New Knowledge, New Treatments (DVD 1634) 2006; 64 min
Audience: addiction treatment workers; post-secondary students
Synopsis: Richard Rawson presents this training program on methamphetamine. The DVD may
be used on its own, or in conjunction with the clinician’s manual. The DVD should be viewed first
if electing to use the manual. Issues covered are information on the pharmacology, abuse
potential and health consequences, including CNS and other medical effects. Care is taken to
note misconceptions about the drug and to present treatment options and best practices.

                                     Motivation and Change, 1990
Audience: health professionals
Synopsis: Produced by counsellors at the Addiction Research Foundation, this two-part program
forms an introduction to counselling skills development in addictions treatment.
• Theory (Video 2036.1) 39 min., Discusses the theory of motivation as an "interactional"
process, influenced by the characteristics of the client and the therapist, as well as by
environmental factors. Using the Prochaska and DiClementi trans-theoretical model of change it
covers the stages people go through and the primary therapeutic strategies that help them move
from one stage to the next.
• Demonstrations (Video 2036.2) 87 min., Illustrates the concept of resistance, defined as any
client or counsellor behaviour that blocks the attainment of therapeutic goals. Strategies that the
helping professional can use in dealing effectively with resistance are dramatized. It is viewed as
a natural part of the change process since the prospect of change typically elicits anxiety and
fear. Demonstrations of major components of the therapeutic process applicable to clients with
addiction problems are presented. Through the use of primary therapeutic strategies, in four
different counselling sessions the interviewer assists clients in moving from stage to stage of
CAMH Library, Audiovisual Lending Service                                                               4
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                                   Motivational Interviewing, 1989
For the updated revision of this program see the section on Counselling Skills Development.
• Motivational Interviewing (Video 2103) 63 min
Audience: health professionals
Synopsis: William Miller discusses and illustrates the practice of "gentle confrontation" through
empathy and reflection to elicit the client's co-operation in the assembly of a program to suit their
particular needs. This video is in two sections: the first (26 min.) demonstrates an initial interview
with a client, Peter, at risk for health and family problems resulting from excess drinking. The
second part (37 min.) represents a third session with the same client after a thorough
assessment, where results of tests are reviewed, and the client "contracts" to modify behaviour.
• Comprehensive Drinker Profile (Video 2104) 89 min
Audience: health professionals
Synopsis: "Comprehensive" is the word for William Miller's step-by-step structured client
interview. This is a pre-treatment assessment of the client we see in the video Motivational
Interviewing (1989). All details about drinking patterns, problems associated with drinking, kinds
of drinks, self-image, personal habits and the perceptions of what others may see as problematic
are surveyed in this intense assessment procedure.

Network Therapy for Alcohol and Drug Abuse (Video 1620) 2003; 40 min
Audience: addiction treatment professionals
Synopsis: Marc Galanter discusses and demonstrates the principles and practice of Network
Therapy with the objective of attaining and maintaining abstinence. The therapy combines an
alliance of client, friends, family and abstinence based support groups.

Nurses: The Web of Denial (Video 1141) 1993; 33 min
Audience: nurses; health care professionals
Synopsis: Three female nurses each give a first-person account of their recovery from alcohol
and drug addiction. The video states that nurses tend to be caring and nurturing individuals,
characteristics that draw them to their profession. There is also the stress in balancing the
demands of work and family. The women relate how inappropriate coping skills led them to turn
to alcohol and drugs. Issues of denial and concealing drug use while on duty are discussed. With
the help of treatment all three women experience improved self-esteem and more courage to face
life problems.

One Is One Too Many: Preventing Client Abuse (Video 2245) 1999; 27 min
Audience: health professionals
Synopsis: The College of Nurses of Ontario developed this video program to alert health
caregivers to kinds of abuse that can occur and the situations where it develops. The program
mainly uses dramatisations to illustrate four incidents of abuse, physical, verbal, emotional and
sexual. Strategies are provided to recognise and deal with abusive situations and alternative
methods are illustrated to deal with difficult patients. Methods for reporting and managing sexual
abuse are outlined.

Responding Therapeutically to Patient Anger (Video 3350) 1998; 45 min
Audience: psychotherapists; post-secondary students
Synopsis: Developed by the American Psychological Association, this program is to help the
therapist acquire and refine the skill of managing patient anger. There are seven vignettes each
presented by different therapists modelling a variety of techniques. The sessions involved a
cross-section of patients presenting with problems ranging from alcohol dependence, social
phobia, depression and grief, drug related crime and disputes in the workplace. Performing the
role of each patient is by an actor using special abilities in improvisation.

Risk And Reality: Teaching Preschool Children Affected by Substance Abuse
(Kit 3063) 1994
Audience: teachers; health care professionals; day-care teachers

CAMH Library, Audiovisual Lending Service                                                            5
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Synopsis: This kit contains three parts: A 30 minute video and teachers guide that describe and
illustrate six key practices, for example, creating a nurturing classroom, co-operative play, on-
going assessment and managing behaviour. A monograph presents an overview of prenatal
exposure to alcohol and other drugs and the home environment, including abusive situations.

Safe Spaces (Video 1109) 1993; 27 min
Audience: health professionals
Synopsis: This video describes a program developed for special needs children in kindergarten to
grade 2 who may have had pre-natal exposure to alcohol and drugs. It is suggested that
environment is the most important factor in their development and that these children can develop
normally, given the chance. Their teachers create "safe spaces" which the children may not have
at home. Techniques such as active listening, observing behaviour and validating feelings are
recommended. The importance of involving the parents in their children's pre-school is
emphasised. The safe spaces are both physical (a messy or physical play) and psychological
(supportive listening by parents and teachers).

Similarities Across Addictive Behaviours (Video 2311) 1998; 70 min
Audience: health professionals
Synopsis: From a lecture entitled Problem Gambling and Addictive Behaviors, Durand F. Jacobs
presents his thinking on a general theory of addictions. Recorded before a live audience of health
care professionals, he discusses the significance of "altered state of consciousness" that are
common in substance abuse, but also among problem, or compulsive, gamblers and to a lesser
extent among problem eaters. He defines addictions of all kinds as an “acquired dependent
condition developed over time that forms a satisfying and pleasurable solution to life stressors.” In
many circumstances the person achieves a dissociative or trance like state while engaged with
the activity, and they may even feel like a different person. What may pass as concentration or
selective attention will in addiction become transformative and eventually counterproductive.
Jacob’s major interest is I gambling and was instrumental in establishing the first in-patient
treatment program for compulsive gamblers in 1972.

Stages of Change and Addiction (DVD 1616) 2004; 117 min
Audience: health professional; post-secondary students
Synopsis: Carlo DiClemente lectures on the “stages of change” with demonstrations.
Applications to specific populations are discussed along with circumstance outside the addictions.
The process of change is discussed with particular reference to relapse in the context of change.

Stages of Change for Addictions (DVD 1693) 2007; 66 min
Synopsis: Research by John Norcross and others has led to the development of a model of
change that identifies the stages people go through in addressing and confronting addiction
problems. In psychotherapy, strategies and relationship stances of the therapist are matched to
the client's stage, or position described by the model. Norcross works with a client who is in early
recovery from cocaine addiction and contemplating changing his use of alcohol. A discussion with
two others highlights detail of therapy with the model along with specific issues in treatment of
this client.

Subtle Boundary Dilemmas (Video 1209) 1995; 30 min
Audience: health professionals; post-secondary social service programs
Synopsis: This video uses dramatizations to present different situations and dilemmas that health
and social service professionals may face when working with clients. Topics such as ethical
decision-making, accepting of gifts, emotional involvement and professional boundaries are
covered. Among professional boundary issues are also the problem of self-disclosure and
ethnicity. There are opportunities presented throughout the program to stop the tape and allow for
(See also: Uncertain Borders PSYCHIATRY & PSYCHOLOGY)

CAMH Library, Audiovisual Lending Service                                                           6
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Surviving High School (Video 1447) 2000; 59 min
Audience: teachers; guidance counsellors
Synopsis: In an attempt to deal with the problems of cliques, in-groups, out groups, harassment
and conflicts, this program was initiated in a high school considered to have moderate problems.
Starting off by selecting a mix of students from different groups, races, styles, the preppies, the
outcasts, the students are gradually worked into a program of co-operation. The goal was to get
the students to enlarge their perspective on who they were and how other people see one
another. One parts of the program involved in intensive obstacle course that could only be
negotiated by everyone working together. When this group of students had finished the program
they would form a team to bring the message to the whole school.

There's More to Quitting than Quitting (Video 1148) 1994; 15 min
Audience: health care professionals; post-secondary students
Synopsis: In a series of short vignettes, this Australian production introduces the work of James
Prochaska and Carlo DiClementi and the Trans-theoretical Model of Change. The host gives an
overview of the six stages of change, with an introduction, explanation and description of the
client's behaviour in each stage of change. Profiled are a smoker, an illicit drug user and a
problem alcohol user. The model is said to be broadly applicable to other problem behaviours.

                              Treating Alcoholism in Psychotherapy
The Developmental Model in Action, 1997 - 2006
(DVD 1691.1) 73 min
(DVD 1691.2) 57 min
Synopsis: The developmental model recognizes five phases in alcoholism treatment, drinking,
transition, relapse, early recovery and ongoing recovery that a person moves through on their
way to recovery. The therapy demonstrated on the first two parts of this program follows a client
through these phases spread over a period of weeks, than at one a five years. The goal is to
integrate psychotherapy, to deal with emotional issues, and the twelve-step process of Alcoholics
Anonymous for sobriety and abstinence.

The Developmental Model in Theory: A live workshop
(DVD 1691.3) 86 min
Audience: health professionals; alcoholism counsellors
Synopsis: This part of the program reviews in detail the phases of the developmental model
demonstrated in parts one and two. Consisting mainly of a lecture format with question and
answer structure, it deals with the relation of traditional psychotherapy and addiction treatment.
Abstinence is recognized as a major goal, but also that the process of recover goes much further
in dealing with the whole person, their life and relations with others.
Workbooks, with transcripts are available separately for each of the action (1691WB1) and theory
(1691WB2) modules.

Treating Opioid Dependence: A Case for Methadone in Ontario
(Video 2344) 2000; 7 min., 20 min
Audience: Centre for Addiction and Mental Health staff only.

CAMH Library, Audiovisual Lending Service                                                             7
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