Certification in Substance Abuse Counseling Essay

Certification in Substance Abuse Counseling Essay

In North Carolina, there are two levels of certification in substance abuse counseling: the Substance Abuse Counselor Intern (SACI) and the Certified Substance Abuse Counselor (CSAC). The certifications are acquired by applying to the North Carolina Substance Abuse Professional Practice Board (NCSAPPB). While SACI requires only a highschool diploma or GED, a Bachelor’s degree in Addiction Counseling is recommended. An applicant for becoming a SACI should complete a 300-hour practicum in 12 Core Functions and cross the International Certification & Reciprocity Consortium (IC&RC) Computer Based Test (NCSAPPB). A CSAC is to have 6000 hours of supervised work expertise over three years and 270 hours of coaching or training, with 190 being substance abuse particular (NCSAPPB). Specialists can file an utility after passing the IC&RC Alcohol and Drug Counselor Test (NCSAPPB). In quick, the acquisition of needed certificates in North Carolina does not differ considerably from the method in different states.

Participation on this course has let me develop a number of essential competencies for turning into a certified addiction skilled. I believe that probably the most valued ability I even have started to develop is writing an evaluation report. This competence is significant for summarizing and structuring the knowledge acquired from the intake process and screening take a look at results. Additionally, it helps to understand the significance of the multidisciplinary strategy that provides a holistic patient-centered strategy to the treatment course of. At the same time, I consider that my decision-making when it comes to screening instruments requires further coaching. This course has supplied an opportunity to evaluation several screening and evaluation instruments. However, in the course of the analysis process, I got here across multiple tools that want further analysis to grasp how they may be utilized in apply. In transient, whereas I even have acquired a number of very important skills, there are some areas that require additional enchancment.

Assessment Report

Assessment Findings Summary

Logan Edward demonstrates the symptoms of moderate or severe alcohol use disorder coded F10.229 based on the fifth version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) (American Psychiatric Association 491). The interview and a screening check confirmed that the shopper had six symptoms over the past 12 months associated with problematic alcohol use. First, the take a look at results present that Mr. Edward utilized for help to address his ingesting drawback. Second, the interview reveals that the client recurrently drank alcohol, resulting in a failure to satisfy major obligations at work. Third, he continues to make use of alcohol regardless of persistent social and interpersonal problems brought on by the results of alcohol. Fourth, most of the social, occupational, and leisure activities are reduced as a outcome of alcohol abuse. Fifth, the consumer used alcohol in situations where it was bodily dangerous. Sixth, Mr. Edward demonstrates indicators of alcohol tolerance since he admits that he wants more to attain intoxication. In short, the present severity of alcohol misuse is coded 303.90(F10.20) Severe according to DSM-5.

Logan Edward was referred to dependancy assessment by the choose to find a way to evaluate if he wants therapy to see his son. The cause for referral explicitly demonstrates that the client shows the indicators of symptom 6 said by American Psychiatric Association, which is having recurrent social issues because of alcohol use (491). During the interview, Logan confirmed that his two marriages resulted in divorces, and his final relationship ended as a result of alcohol misuse. Additionally, Mr. Edward has home violence, drunk driving, and bar fight expenses. The proven truth that he was drunk whereas driving leads to the understanding that the consumer also has symptom eight, alcohol use in physically hazardous situations. However, the signs of the symptom are open to interpretation since it is unclear whether or not the conduct in such circumstances is recurrent.

The consumer is experiencing difficulties in finding leisure activities without alcohol use. The interview showed that the one things he did for fun have been spending time with his brother, watching TV and taking half in video games. However, all these activities are accompanied by consuming alcohol. This matter is interpreted as having symptom 7 of alcohol abuse, based on DSM-5, which is giving up important actions due to alcohol use.

Even though the consumer doesn’t admit it, Logan’s occupational problems hint at symptom 5 of problematic alcohol use as per DSM-5. While there is not any direct proof that alcohol misuse led to failure to fulfill his duties at work, the fact that the consumer was fired due to having a hangover is confirmed. Moreover, Mr. Edward claimed that he previously asked for assist to stop ingesting in the take a look at; however, the interview confirmed that he did not admit he had a problem. Therefore, DSM-5’s symptom 2, or persistent need to manage alcohol use, isn’t confirmed.

The shopper demonstrates the indicators of symptom 10, based on DSM-5, which is tolerance, or a necessity for markedly increased amounts of alcohol to achieve intoxication. During the interview, Logan agreed that he requires extra “to get the buzz” than he used to want when he was within the military. Additionally, he admitted that generally he drinks whiskey with beer to realize the desired impact. Therefore, the presence of tolerance to alcohol is obvious from the interview.

In abstract, the assessment generated substantial evidence that the shopper has a problematic pattern of alcohol use leading to clinically important impairment or misery based on DSM-5. However, the severity of the problem may be interpreted as average or high due to the controversy of assessment results. The consumer demonstrates from 4 to six symptoms of alcohol misuse, leaving the outcomes open to interpretation. If the client has 4-5 signs, the situation is moderate, whereas if he demonstrates 6 or more points, the problem is severe. Further assessment could also be wanted to specify the analysis.

Referral Recommendations

Clinical Assessment

Logan Edward can profit from full medical check-up for comorbid circumstances. Therefore, the current report recommends scheduling an appointment with a doctor to carry out a thorough medical examination of the client. According to the American Psychiatric Association, repeated intake of excessive doses of alcohol can have an effect on virtually any organ (492). The scientific evaluation should focus on the gastrointestinal tract, cardiovascular system, and the central and peripheral nervous system (American Psychiatric Association 492). Additionally, the shopper reviews that he has not visited a doctor for an prolonged time interval. Therefore, Logan Edwards is recommended to schedule an appointment with a doctor to avoid possible adverse effects in physical health.


The current report suggests a referral to a psychiatrist to improve emotional stability of the client. The interview outcomes demonstrated that Mr. Edward has signs of melancholy associated with the results of problematic alcohol use. Moreover, the American Psychiatric Association states that alcohol use disorder is associated with a excessive risk of suicide during intoxication or within the context of alcohol depressive and bipolar dysfunction (493). Additionally, since Logan has a domestic violence charge, he’s advised to visit anger management courses. Therefore, the consumer is beneficial to go to a psychiatrist certified to deal with substance-related emotional misery.

Social Services

Mr. Edward requires help to address the problem of his current employment standing. The client has been unemployed for the final three months, which is the longest he has been without a job. His previous employer terminated the contract due to alcohol misuse. Logan is beneficial to schedule an appointment with a social employee to discover a new job. The shopper identifies his carpenter abilities as one of his evident strengths. Therefore, the social worker ought to focus on finding a job in building, because the client has all the appropriate expertise and experience.


The current report and its findings are to be saved and discriminated in accordance with the requirements of the American Psychological Association (APA). The doc is to be handled according to the general principles of APA, which are beneficence and nonmaleficence, fidelity and responsibility, integrity, justice, and respect for people’s rights. The details about the current evaluation should not be disclosed without the will of Logan Edward (American Psychological Association). The info may be shared with third events only if written consent is obtained or if required by the US legal guidelines.

The instances of knowledge disclosure concerning the psychological health of the shopper could additionally be launched if required by a court docket order. If Logan Edward’s psychological well being comes to a query throughout courtroom proceedings, the results of the present assessment could be disclosed to the judge (American Psychological Association). Additionally, the information about therapy may be disclosed to insurance coverage corporations if they pay for the procedures (American Psychological Association). The findings of the assessment should not be shared with employers or relations with out the client’s written consent.

Work Cited

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed., American Psychiatric Association, 2013.

American Psychological Association. “Ethical Principles of Psychologists and Code of Conduct.” APA. 2017, Web.

NCSAPPB. North Carolina Substance Abuse Professional Practice Board, Web.

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