Purpose of client advocate
Formal relationship with the employer, Involve the employer in the patient's treatment, Promote information to employer about
... [Show More] the patient's disease, Educate employer on the treatment process, Help provide support for the patient in recovery
Community education purpose
Identify the major drug problems in the community
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Role for local churches and religious groups
Start a self-help group that meets in the facility
Counselor responsibilities
Educating other agencies on effective ways to work with specific cases relating to drugs/alcohol
Two- Stepping
Defense that is destructive to the newly sober client in which they help others with their alcoholism but do not concentrate on their sobriety
Signs/symptoms of Alcoholism
Solitary drinking, Over permissive norms of drinking, Lack of specific drinking norms, Tolerance of drunkenness, Adverse social behaviors, Utilitarian use of alcohol to reduce tension/anxiety, Lack of ritual/ceremonial use of alcohol, Alcohol use separated from eating patterns
Signs/symptoms of Alcoholism
Alcohol use separated from family, social functions, Drinking with strangers, Alcohol not introduced in small amounts when a child, Drinking pursued as recreation, Drinking concentrated in young males, Culture that stresses individualism, self-reliance and high achievement
Referring to AA/NA
Have a AA/NA person meet w/them and explain how the group and recovery can work together, Not proper to refer an atheist since it is built on a belief in God, do not refer if it would seem to be disrespectful of clients rights and views, Make sure the referral meets the clients personality and background
Dual Diagnosis
Sometimes appear as patients sober up
Referral processes
Identifying the needs of the client that cannot be met by the counselor/agency and Assisting the client to utilize the support system and community resources available
Discharge summary is needed
Inpatient, aftercare, detox, half way houses, etc, Communications from one agency to another and increases accountability, Reports and record keeping tells the story of the client from beginning to end, No universally accepted format for maintaining records
Reports
Explains various aspects of the assessment, treatment plans, and discharge to parties who need such information to enhance the care of the client
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Documents patient can sign
Consent for treatment, Public aid, DASA, statistics, Treatment plans, Release of information, To acquire medical attention, Education/prevention, Client education, Crisis intervention
Patient has a right to
Treatment costs they are liable for, When treatment services are available, Types of counseling approaches used, Opportunity to complain to appropriate staff
Client files
Only the clinical supervisor has unrestricted access to client's files
Physiological dependence for alcohol- Alpha
Psychological dependence, no loss of control, reliance on alcohol to weather problems
Physiological dependence for alcohol- Beta
Psychological dependence, physical problems (cirrhosis) but no physical dependence
Physiological dependence for alcohol - Gamma
Change in tolerance, physical withdrawal, loss of control. Use for Jellinek Chart with 4 stages
Physiological dependence for alcohol - Delta
Same as Gamma but no loss of control but drinks
Physiological dependence for alcohol - Epsilon
Periodic alcoholism/binge drinking
Aversive therapy
Disulfiram/Antibuse - Most effect for binge drinkers and No alcohol for 2 weeks or severe allergy reactions occur
Direct Reinforcement
Providing positive feedback and rewarding in a direct way and Introducing new and competing behaviors to replace negative behaviors [Show Less]