Course Content and Outcome Guide for AD 255
- Course Number:
- AD 255
- Course Title:
- Multiple Diagnoses
- Credit Hours:
- Lecture Hours:
- Lecture/Lab Hours:
- Lab Hours:
- Special Fee:
Course DescriptionCovers assessment of chemical dependency clients for communicable diseases and co-existing mental disorders, effective intervention, and referral of clients to optimum resources for resolving coexisting diagnoses. Develops clear ethical guidelines for alcohol and drug counselors practicing within an area of competence. Prerequisites: AD 101, AD 102, AD 151, WR 121. Prerequisite or concurrent: WR 122, PSY 239. Audit available.
Addendum to Course Description
The code of ethics of the National Association of Alcohol and Drug Abuse Counselors refers to alcohol and drug counselors practicing within their area of competency. A & D counselors need to have basic screening ability to uncover multiple diagnoses and need to be highly competent at researching resources and referring clients to those resources. Course covers mental status examination, suicide prevention, and risk for suicide and violence. Students are expected to enter the course with current knowledge of HIV/AIDS gained from AD102 as course activities will focus on client interviewing, assessment, and referral. The students will understand the Axis II of the DSMIVtr and dual-diagnosis assessment and treatment. The integrated treatment model will be analyzed and its real-life application evaluated.
Intended Outcomes for the course
Upon completion of this course, the student will be able to:
1. Conduct a communicable disease and co?existing mental disorders assessment with clients from the addicted population.
2. Articulate ethical guidelines that focus on limits of competency and appropriateness of making referrals.
3. Interact with mental health professionals as part of an integrated approach to treatment and contribute to the development of an appropriate and effective treatment plan for addicted clients who may have multiple disorders/issues.
4. Complete information based training that prepares them to meet the ACCBO requirement for HIV risk assessment/risk reduction training.
Outcome Assessment Strategies
- Role play a client with one or more DSMIVtr mental health diagnosis.
- Interview a client with one or more DSMIVtr diagnosis.
- Debrief of the mental health disorder that the student researched and played.
- Conduct an audio taped interview in which alcohol and drug counselor gathers data regarding sexual behavior and needle-use behavior, assesses the relative risks of that behavior, and teaches risk reduction techniques to the interviewee. Focus is on communicable disease transmission.
- Research mental health or dual-diagnosis client, and present orally and in writing.
- Show understanding of mental health disorders in quizzes.
- Show understanding of Axis II disorders in DSMIVtr in quizzes.
- Practice observation and reporting of mental states and write it up. Be able to articulate descriptions of behavior and functioning using structure of the mental status exam including practicing pure observation and assessment.
- Show understanding of suicide risk assessment, intervention, and documentation on quizzes.
- Show understanding of violence risk assessment, intervention and documentation on quizzes.
- Analyze the need for integrated addictions and mental health treatment and attitudes and skills needed to work in integrated treatment.
Course Content (Themes, Concepts, Issues and Skills)
1.1 Clearly articulate NADAAC and ACCBO ethical standards regarding limits of competence.
2.1 Conduct an interview in which they gather data regarding sexual behavior and needle-use behavior, assess the relative risks of that behavior, and teach risk reduction techniques to the interviewee interview could be audio or videotaped.
3.1 Interview and evaluate at least one community agency providing services to clients with HIV, persons with TB, and/or persons with Hepatitis C.
- 3.3 Understand the role of advocacy for alcoholics/addicts and use the Recovery Association Project as an example of advocating for Hepatitis C services with Multnomah County.
4.1 Identify the proper use of the Diagnostic and Statistical Manual IVtr including classification system, especially Axis II.
5.1 Manage, report, refer and document crisis situations (such as suicidal client, client who intends to kill or gravely harm others, client who threatens physical harm, or client who disrupts treatment).
5.2 Conduct a suicide assessment and intervention, report to supervisor and document it in the client file.