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

Addiction Counseling Competencies
Competency 41:
Consider the readiness of the client and significant others to participate
in treatment.
Knowledge
uX Stages-of-change process.
u Methods of tailoring treatment strategies
to match the client’s motivational level.
Skills
uX Assessing the client’s stage of change.
u Developing strategies to address
ambivalence.
u Eliciting the client’s preferences.
u Promoting the client’s readiness to engage
in treatment.
Attitudes
uX Respect for the client’s values, goals, and
readiness to change.
u Recognition and acceptance of behavioral
change as a multistep process.
Competency 42:
Prioritize the client’s needs in the order they will be addressed in treatment.
Knowledge
uX Treatment sequencing and the continuum
of care.
u Hierarchy-of-needs models.
u Holistic view of the client’s biological,
psychological, social, and spiritual needs
and resources.
Skills
uX Accessing referral resources necessary to
address the client’s needs.
u Using clinical judgment in prioritizing
client problems.
u Assessing severity of client problems and
prioritizing appropriately.
Attitudes
XX Recognition and acceptance of the client as
an active participant in prioritizing needs.
u Willingness to make referrals to address
the client’s needs.
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