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TAP 21 - SAMHSA Store - Substance Abuse and Mental Health ...

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PD V. Counseling<br />

Competency 80:<br />

Work appropriately with the client to recognize <strong>and</strong> discourage all behaviors<br />

inconsistent with progress toward treatment goals.<br />

Knowledge<br />

uX The client’s history <strong>and</strong> treatment plan.<br />

u The client’s behaviors <strong>and</strong> cognition<br />

that are inconsistent with the recovery<br />

process.<br />

u Behavioral <strong>and</strong> cognitive therapy<br />

literature relevant to substance use<br />

disorders.<br />

u Cognitive, behavioral, <strong>and</strong> pharmacological<br />

interventions appropriate for relapse<br />

prevention.<br />

u Strengths-based models that build<br />

on strengths of the client.<br />

Skills<br />

XX Monitoring the client’s behavior for<br />

consistency with established treatment<br />

outcomes.<br />

uX Presenting inconsistencies between the client’s<br />

behaviors <strong>and</strong> goals.<br />

uX Reframing <strong>and</strong> redirecting negative<br />

behaviors.<br />

uX Teaching conflict resolution, decisionmaking,<br />

<strong>and</strong> problemsolving skills.<br />

uX Recognizing <strong>and</strong> addressing underlying<br />

client issues that may impede treatment<br />

progress.<br />

uX Engaging client to discover <strong>and</strong> use<br />

personal strengths <strong>and</strong> resources to<br />

achieve goals.<br />

Attitudes<br />

XX Appreciation of strengths-based principles<br />

that emphasize client autonomy <strong>and</strong> skills<br />

development.<br />

uX Acceptance of relapse as an opportunity<br />

for positive change.<br />

uX Recognition of the value of a constructive<br />

helping relationship.<br />

105

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