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

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Addiction Counseling Competencies 2005 Update Committee Paula K. Horvatich, Ph.D. (Chair) Mid-Atlantic ATTC Virginia Commonwealth University Richmond, Virginia Carol Davidson, M.S.W., CDP Evergreen Treatment Services Seattle, Washington Steven L. Gallon, Ph.D. Northwest Frontier ATTC Office of Alcohol and Drug Abuse Programs Salem, Oregon Michael Hoge, Ph.D. Annapolis Coalition Yale University New Haven, Connecticut James Holder, M.A., LPC-S, MAC National Association for Alcohol and Drug Addiction Counselors McLeod Behavioral Health Florence, South Carolina Mary Beth Johnson, M.S.W. ATTC National Office University of Missouri–Kansas City Kansas City, Missouri Linda Kaplan, M.A. National Association for Children of Alcoholics Rockville, Maryland Captain Florentino (Tino) Merced-Galindez, M.S.N., RN Center for Substance Abuse Prevention Substance Abuse and Mental Health Services Administration Rockville, Maryland Randolph Muck, M.Ed. Center for Substance Abuse Treatment Substance Abuse and Mental Health Services Administration Rockville, Maryland Paul D. Nagy, M.S., LCAS, LPC, CCS Duke Addictions Program Duke University Medical Center Durham, North Carolina Nancy Roget, M.S., MFT, LADC Mountain West ATTC University of Nevada–Reno Reno, Nevada Gerard J. Schmidt, M.A., LPC, MAC NAADAC–The Association for Addiction Professionals Valley HealthCare System Morgantown, West Virginia Michael Shafer, Ph.D. Pacific Southwest ATTC Tucson, Arizona James L. Sorensen, Ph.D. San Francisco General Hospital University of California–San Francisco San Francisco, California Patricia L. Stilen, LCSW, CADAC Mid-America ATTC University of Missouri–Kansas City Kansas City, Missouri Deborah Stone, Ph.D. Center for Mental Health Services Substance Abuse and Mental Health Services Administration Rockville, Maryland Pamela Waters, M.Ed., CAPP Southern Coast ATTC Florida Certification Board Tallahassee, Florida vi
Foreword Counselors who treat people with substance use disorders do life-changing work on a daily basis, amid difficult circumstances that include staff shortages, high turnover, low salaries, and scant program funding. Counselors come to this important work by various paths and with vastly different skills and experience. The diversity of backgrounds and types of preparation can be a strength, provided there is a common foundation from which counselors work. This publication addresses the following questions: What professional standards should guide substance abuse treatment counselors? What is an appropriate scope of practice for the field? Which competencies are associated with positive outcomes? What knowledge, skills, and attitudes (KSAs) should all substance abuse treatment professionals have in common? Workforce development is essential to the field of substance use disorder treatment. The Substance Abuse and Mental Health Services Administration (SAMHSA) has included workforce development in its Matrix of Priority Programs. A major focus of this workforce development strategy is improving the competencies of professionals in the field. This updated edition of Technical Assistance Publication (TAP) 21: Addiction Counseling Competencies: The Knowledge, Skills, and Attitudes of Professional Practice (The Competencies) is a key component of that strategy. In 1998, in cooperation with its Addiction Technology Transfer Center (ATTC) Network, SAMHSA published TAP 21, a comprehensive list of 123 competencies that substance abuse treatment counselors should master to do their work effectively. TAP 21 has been used to develop and evaluate addiction counseling curricula, advise students, and assess counseling proficiencies. The overarching competencies in this updated version of TAP 21 remain largely unchanged from the original TAP 21. The KSAs have been changed from those in the 1998 edition when necessary, in light of new thinking in the field. The competencies and the KSAs in practice dimensions that address clinical evaluation and treatment planning have been revised to reflect changes in the field. The competencies are defined by sublists of the KSAs needed to master each competency. Bibliographies have been supplemented with new publications through 2005. The format has been improved to make the information more accessible and useful. SAMHSA’s TAP series provides a flexible format for the timely transfer of important technical information to the substance abuse treatment field. This updated version of TAP 21 exemplifies the flexibility of the TAP format. We are grateful to the members of the ATTC Network and staff and to all those who participated in the validation and updating of these competency lists. Pamela S. Hyde, J.D. Administrator Substance Abuse and Mental Health Services Administration H. Westley Clark, M.D., J.D., M.P.H., CAS, FASAM Director Center for Substance Abuse Treatment Substance Abuse and Mental Health Services Administration vii
Page 1 and 2: Addiction Counseling Competencies T
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Page 12 and 13: Addiction Counseling Competencies I
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Page 17: Transdisciplinary Foundation I UNDE
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Page 47: Practice Dimension I CLINICAL EVALU
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Addiction Counseling Competencies C
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Addiction Counseling Competencies M
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Addiction Counseling Competencies L
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PD II. Treatment Planning Competenc
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PD II. Treatment Planning Bibliogra
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PD II. Treatment Planning McLellan,
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Practice Dimension III REFERRAL 67
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Practice Dimension IV SERVICE COORD
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Addiction Counseling Competencies E
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Addiction Counseling Competencies U
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Addiction Counseling Competencies B
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Practice Dimension V COUNSELING 99
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PD V. Counseling Uses of The Compet
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PD V. Counseling Competency 80: Wor
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PD V. Counseling Competency 82: Pro
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PD V. Counseling Competency 85: Mak
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PD V. Counseling Competency 87: Fac
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PD V. Counseling Competency 89: Car
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PD V. Counseling Competency 91: Fac
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PD V. Counseling Element: Counselin
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PD V. Counseling Competency 97: Ass
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PD V. Counseling Galanter, M. (Ed.)
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PD V. Counseling Ziedonis, D., Krej
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PD V. Counseling An Evidence-Based
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PD V. Counseling McCrady, B.S., & E
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PD V. Counseling Thomas, C., & Corc
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Practice Dimension VI CLIENT, FAMIL
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PD VI. Client, Family, and Communit
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Practice Dimension VII DOCUMENTATIO
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PD VII. Documentation Competency 11
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PD VII. Documentation Competency 11
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PD VII. Documentation Kozier, B., E
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Practice Dimension VIII PROFESSIONA
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PD VIII. Professional and Ethical R
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Section 3: Additional Resources u u
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Additional Resources Internet Resou
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Forman, R.F., Bovasso, G., et al. (
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Granfield, R., & Cloud, W. (2001).
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Section 4: Appendices u u u u u App
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Appendix A - Glossary Continuing ca
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Appendix A - Glossary Motivational
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Appendix A - Glossary Substance abu
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Appendix B - The Competencies Trans
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Appendix B - The Competencies Compe
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Competency 52: Arrange referrals to
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Competency 72: Conduct continuing c
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Appendix B - The Competencies Pract
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Competency 117: Interpret and apply
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Appendix C - National Validation St
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Appendix D - Complete Bibliography
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HHS Publication No. (SMA) 08-4171 S
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