Training Curriculum on Drug Addition Counseling: · PDF fileList four general principles for...

Training Curriculum on Drug Addiction Counseling

Appendix

Trainer Manual

VIETNAMESE AND AMERICANSIN PARTNERSHIP TO FIGHT HIV/AIDS

In July 2011, FHI became FHI 360.

FHI 360 is a nonprofit human development organization dedicated to improving lives in lasting ways by advancing integrated, locally driven solutions. Our staff includes experts in health, education, nutrition, environment, economic development, civil society, gender, youth, research and technology – creating a unique mix of capabilities to address today’s interrelated development challenges. FHI 360 serves more than 60 countries, all 50 U.S. states and all U.S. territories.

Visit us at www.fhi360.org.

VIETNAMESE AND AMERICANSIN PARTNERSHIP TO FIGHT HIV/AIDS

APPENDIX

Tr aining CurriCulum on Drug aDDiCTion

Counseling

Appendix I 3

Appendix II 21

Appendix III 25

APPENDIX

3Appendix

APPENDIX I - Sample Schedule

Training Agenda Basic Training Course on Drug Addiction Counseling

Goal and Objectives

Goal: To provide prospective counselors with knowledge on drugs, drug addiction and its consequences, drug treatment modalities, drug addiction counseling skills and techniques, and relapse prevention therapy to enhance the effectiveness of their work with drug users and recovering drug users.

Objectives: By the end of this training curriculum, participants will be able to -

� Describe the roles and responsibilities of drug addiction counselors � Explain the principles and practice of drug addiction counseling � Describe common drugs, drug use patterns and consequences of drug use as

they apply in Vietnam � Explain the basis of addiction, recovery and relapse � Explain basic information about different models of drug addiction treatment

including - abstinence-based treatment models and - substitution treatment models � Explain drug treatment services available in Vietnam � Explain factors influencing successful drug addiction treatment � Describe the counseling process � Describe the components and steps involved in conducting a client assessment � Develop an individualized management plan and provide ongoing follow-up and

support � Develop basic drug addiction treatment counseling skills and techniques in the

following areas: - Client assessment - Motivational interviewing - Goal setting - Problem solving - Counseling skills - Relapse prevention with focus on:

- Managing high-risk situations- Refusal skills- Coping with cravings- Dealing with lapse and relapse- Stress management- Time management

4 Training Curriculum on Drug addiction Counseling: Trainer Manual

Day 1

Time What Process/Learning Objective Deliver by:

08.00-08.20 Welcome Representatives of donor(s) and organizers

08.20-08.50 Welcome participants

Self introduction through a game

08.50-09.30 Participants’ expectations, Training objectives, Training agenda

Write learning expectations on pieces of colored paper. Elicit feedback and discussion from participants, and review training agenda. Summarize on flipchart

09.30-09.45 Ground rules, divide participants into groups and assignments

� Participants divided into 4 groups. Groups 1-3 for recap sessions, Group 4 for energizer activities

� Develop ground rules and feedback rules

09.45-10.00 Pre-test

10.00 – 10.15 Tea break

10.15-12.00 Introduction to drug addition counseling:

� Give definition of counseling � Understand the context of counseling � Understand myths about drug use and drug

users � Identify differences between counseling and

health education � Identify attributes of an ideal counselor

12.00 – 13.30 Lunch

13.30-14.00 Basic concepts of drug addition counseling

� Define drug addiction counseling � Explain the role of drug addiction counseling � List four general principles for effective

communication � Explain the differences between empathy

and sympathy

14.00 - 14.30 Key principles in drug addiction treatment counselling

� Identify the principles of drug addiction counseling

� Explain the implication of each principle


5Appendix

Day 1 (cont.)


14.30 - 15.00 Counseling techniques

� Identify a range of counseling techniques that will be taught in the course

� Discuss their application and context in drug addiction counselling

15.00 – 15.15 Tea break

15.15-16.45 Counseling skills � Demonstrate basic counselling skills � Understand the difference between

counseling skills and counseling techniques � Practice using counseling skills through role-

playing: One exercise each skill

16.45- 17.00 Evaluation and wrap-up

Fill out Evaluation form for DAY 1

APPENDIX I - Sample Schedule (cont.)


Day 2


08.00-08.30 Recap of Day 1 Group 1

08.30-10.00 Drugs, drugs use its and consequences

� Increase their knowledge about drugs, � Understand drug use and its consequences

10.00-10.30 Alcohol � Increase their knowledge about effects of alcohol and consequence of alcohol use,

� Games: effects of alcohol, heroin, ecstasy

10.30-10.45 Tea break

10:45-11.30 Basis of drug addition

� Explain the basis of addiction � Criteria to diagnose drug addiction using ICD

10: Examples and discuss � Explain recovery and relapse

11.30-12.00 Factors influencing successful treatment

� Describe the factors that influence successful treatment

� Link these factors to their application in the Vietnam context

12.00-13.30 Lunch

13:30-15.00 Basic treatment principles

� Identify the principles for successful treatment

15.00-15.15 Tea break

15.15-16.45 Heroin addiction treatment

� Understand drug addiction treatment services available in Vietnam

� Explain basic information on different types of drug addiction treatment approaches including:- Abstinence-based treatment models - Substitution treatment models

16.45 -17.00 Evaluation and wrap-up


7Appendix

Day 3



08.30-09.30 The Stage of Change Model and key concepts in motivational interviewing

� Understand the Stages of Change Model � Understand which intervention strategies/

plans are most likely to work with clients who are at different stages of change

9.30-10.15 Principles and procedures for motivational interviewing

� Realize unhelpful assumptions that prohibit behavior change

� Understand the concept of motivational interviewing

� Understand the principles of motivational interviewing

� Understand the interplay between the Stages of Change Model and motivational interviewing

10.15-10.30 Tea break

10.30-12.00 Linking motivational interviewing to stage of change strategies

� Understand the basic principles of motivational interviewing

� Understand the steps in an motivation interviewing intervention

� Demonstrate knowledge and skills in role-playing

� Learn how to apply motivational approaches in counseling

11.30-13.30 Lunch

13.30-15.20 Client assessment

� Understand why client assessment is important

� Understand the assessment procedure and content

� Demonstrate knowledge and skills of client assessment through rol- playing

� Learn how to apply assessment knowledge and skills in counseling

� Role-plays of client assessment

15.20-15.35 Tea break




Day 3 (cont.)


15.35-16.30 Problem solving � Understand the rationale of problem solving � Understand the steps in the problem solving � Role-play to demonstrate knowledge and

skills in problem solving � Learn how to apply problem solving in

counseling

16.30-17.00 Goal setting � Understand the rationale of goal setting � Understand the main characteristics of goal

setting � Understand the use of a structured goal

setting method � Role-play to demonstrate knowledge and

skills in goal setting � Understand the relationship between

problem solving and goal setting � Learn how to apply goal setting skills in

counseling

17.00-17.15 Evaluation and wrap-up

9Appendix

Day 4



08.30-10.00 Relapse prevention therapy

� Discuss and identify reasons for relapse � Understand and be able to explain the Model

of Relapse and relapse process � Identifying high risk situations that lead to

relapse � Understand strategies in addressing and

coping with high-risk situations � Understand and be able to explain Global

Relapse Prevention Therapy Interventions � Understand and be able to explain Specific

Relapse Prevention Therapy Interventions

10.00-10.15 Tea break

10.15-11.00 Refusal skills � Discuss rationale for learning refusal skills � Understand how to refuse politely � Discuss non-verbal measures � Discuss verbal measures � Practice heroin refusal skills

11.00-12.00 Coping with cravings

� Understanding craving � Describing craving � Identifying craving triggers � Plan for coping with cravings

11.30-13.30 Lunch

13.30-15.00 Time management

� Understand how important time management is for counseling

� Address time management issues with clients � Understand the connection between time

management and relapse � Practice designing a timetable

15.00-15.15 Tea break





15.15-16.45 Stress management � Understand stress � Understand the symptoms of stress � Understand the causes of stress � Understand how stress affects clients � Understand ways to mitigate Stress

(Relaxing exercise as an example)

16.45-17.00 Summaries Summary of key content, questions and answers

Day 4 (cont.)

11Appendix



08.00-08.30 Recap of Day4 Group 4

08.30-9.30 Additional Role play

Problem solving and goal setting. Putting it together

9.30-10.15 Discussion Relapse prevention: � Relapse cues identification � Coping with cravings � Refusal skills � Time management � Stress management

10.15-10.30 Tea break

10.30-11.30 Additional Role play

Assessment/stage of change/motivational interviewing. Putting it together

11.30-13.30 Lunch

13.30-15.00 Questions and answers

15.00-15.10 Tea break

15.10-15.40 Post course assessment

15.40-16.20 Feedback and final questions

16.20-17.00 Close

Day 5


Day 1

Time What Process/Learning Objective

08.00-08.20 Welcome Representatives of donor(s) and organizer(s)

Training objectives Presentation and discussion, record on flipchart as needed. Participants will be able to describe the purpose of the training

08.20-9.30 Refresh the topics andskill building sessions ondrug addiction treatmentcounseling from theprevious training

Feedback and discussion from the participants based on their experiences in drug addiction counseling

9:30 - 10:30 Counseling procedures � List the counseling procedures � Explain the interactions between the steps of the

procedures � Practice providing counseling sessions according to

the counseling procedures through role-plays � Apply goal-setting and problem-solving techniques

in role-plays

10.30-10.50 Tea break

10.50-12.00 Review the counselingtechniques and skillslearned in the 1st course

� Counseling skills: Attending, opening questions, summary, probing, silent, listening, and rolling with resistance

� Counseling techniques

12.00-13.30 Lunch

13.30-14.30 Review client assessment Group discussion: Asking participants why we need to assess clients, when to do it and what areas of information are needed for the assessment.Participants will understand the importance of client assessment

14.30-15.30 Two pairs of participantsrole-play. Feedback onthe role-plays

Practice taking a client’s drug use history (role-play): trainer in the role of a client and a participant in the role of a counselor

15.30-15.50 Tea break

Training AgendaAdvanced Training Course on Drug Addiction Counseling


13Appendix

Day 1 (cont.)


15.50-17.00 Review of motivationalinterviewing

� motivational interviewing is a useful strategy for � those who have ambivalence about changing

behavior (including drug use) � Appropriate timing of this strategy within overall

case management




Day 2


08.00-09.00 Recap of Day 1

09.00-10.15 Alcohol and relatedproblems

� Define nature of alcohol related problems � Understand the continuum of risk for alcohol

consumption � Define low-risk drinking levels � Understand the pharmacokinetics of alcohol

10.15 -10.30 Tea break

10.30 -12.00 Treatment of heroin addiction

� Describe different therapies of drug addiction treatment available in international setting

� Describe strengths and limitations of each of the therapies

� Suggest therapy combinations to enhance effectiveness

� Participants will also have a basic understanding of the effects of methadone and naltrexone as treatments for heroin addiction

12.00 -13.30 Lunch

13.30 -14.30 Review problem solvingand goal setting with role-play

� Understand the context of problem solving techniques

� Describe the steps involved in problem solving � Describe common difficulties encountered in

problem solving � Implement problem-solving techniques � Describe why short-term goal setting is important � Describe the steps involved in goal setting � Describe the relationship between goal setting and

problem solving

14.30-15.50 Counseling techniques:Conflict Resolution

� Define conflict � Identify conflict resolution styles � Identify conflict resolution steps � Demonstrate understanding of principles in practical

exercise and resolution of possible everyday life conflicts

15.50-16.00 Tea break


15Appendix

Day 2 (cont.)


16.00-17.00 Approaches to address Risk Reduction and HIV prevention during counseling

� Understand the definition of risk reduction � Understand the principles of risk reduction � Understand the practice of safe injection and safe

disposal of used needles and syringes � Vein care � Prevention of overdose




Day 3


08.00-09.00 Recap of Day 2

09.00-10.30 Relapse preventionrevision and skillsenhancement in:

� Managing high-risk situations

� Refusal skills � Coping with cravings � Dealing with lapse and

relapse

� Revision of lessons from previous training by asking probing questions to the participants

� This session will be interactive and draw on participants’ previous learning. All facilitators will need to encourage participants to reflect on their understanding around these issues and use that as the basis of filling in any missing components. It needs to be very interactive

10.30-10.50 Tea break

10.50-12.00 Practice with real clients � Practice working with real clients � Apply counseling procedures and appropriate

counseling skills and techniques � Feedbacks by observers and clients

12.00-13.30 Lunch

13.30-15.00 Working with families toenhance their support torecovering drug users

� Understand the role of the family in recovery � Understand the effect that substance use has on the

family � Understand how the family can provide enhanced

support to drug users � Understand key content of a supportive family

meeting

15.00-15.15 Tea break

15.15-16.00 Counseling technique:Time management

� Understand how important time management is for counseling

� Address time management issues with clients � Understand the connection between time

management and relapse

16:00-17:00 Counseling technique:Stress management

� Understand stress � Understand the symptoms of stress � Understand the causes of stress � Understand how stress affects clients � Understand ways to mitigate Stress



17Appendix

Day 4


08.00 - 09.00 Recap of Day 3

09.00-10.00 Anger management � Develop an understanding of differences between anger and aggression

� Develop an understanding of what triggers anger or aggression

� Develop an understanding of strategies to deal with anger and aggression

10.15-10.30 Tea break

10.15-12.00 Managing clients withaggressive behaviors

� Identify aggressive and potentially violent behavior � Identify ways to defuse and avoid potentially violent

confrontations � Develop crisis communication strategies � Examine why people become aggressive or violent � Develop strategies for managing intimidation � Know when and how to exit a scene � Recognize behavior which may lead to violence � Look at strategies for managing our emotions,

controlling fear and anger � Identify the necessary personal safety steps needed

to avoid or reduce physical injury � Assess and manage a range of risky or dangerous

situations � Develop a proactive approach to reducing aggressive

and violent behavior

12.00-13.30 Lunch

13.30-14.30 Management ofintoxicated clients

� Define intoxication and know its effects � Recognize evidences of intoxication at different

levels � Know the principles of management of intoxicated

clients � Practice management of an intoxicated client

through role-play




14.30-15.30 Working with women � Understand some of the characteristics of women who need treatment, their history and experiences

� Understand why some of these issues are challenges to accessing services for treatment

� Understand some of the clinical strategies that have been employed to assist women stop using drugs as well as preventing relapse

15.30-15.45 Tea break

15.45-17.00 Working with youngpeople

� Understand adolescence as a developmental life stage

� Identify possible significant others and how they make impact on a young persons drug use

� Explore clinical strategies that assist working with young people

� Understand young people are at a different stage in respect to brain development

� Discuss risk reduction approaches when working with youth

� Develop skills in raising the issue of drug use with young people


Day 4 (cont.)


19Appendix


08.00-09.00 Recap of Day4

09.00-10.00 Questions and Answers; any of the left over contents from the previous 4 days

10.00-10:15 Tea break

10:15-12:00 EXAM

12.00-14.00 Lunch

14.00-15.15 Release of exam results, questions/answers any of the left over contents from theprevious 4 days

15.15-15.35 Tea break

15.35-16.00 Certificate Awards Ceremony, Closing Remarks

16.30-16.45 Evaluation and close of training

Day 5


21Appendix

APPENDIX II - Sample Evaluation

Sample Daily Evaluation Form(for Day 1, Advanced Training on Drug Addiction Counseling)

1. The training content today satisfied my needs.

Strongly disagree Strongly agree

1 2 3 4 5 2. I am more confident in my understanding of general counseling skillsand techniques.


1 2 3 4 5

3. I am more confident in utilizing counseling skills and techniques in drugcounseling.


1 2 3 4 5

4. I am more confident in my understanding of drugs, drug useand its consequences.


1 2 3 4 5

5. I am more confident in my understanding of the basis ofaddiction.


1 2 3 4 5

6. I am more confident in my understanding of heroin addiction treatment.


1 2 3 4 5


7. I am more confident in my understanding of motivational interviewing techniques.


1 2 3 4 5

8. I am more confident in the application of motivational interviewing techniques in drug addiction counseling.


1 2 3 4 5

9. What did you like the most today?

10. Which training session could have been done better?

How it could be done better?

APPENDIX II - Sample Evaluation (cont.)

23Appendix

APPENDIX II - Sample Evaluation (cont.)

Sample Whole Training Course Evaluation Form

1. Overall, I feel the five-day training course satisfied my expectations.


1 2 3 4 5

2. What did you like the most in this five-day training course?

3. In the five-day training course, which training session could have been done better?

How could it have done better?

a. Logistics

b. Class organization

c. Training materials

d. Trainers

e. Practice sessions

25Appendix

APPENDIX III - Sample written exam with answers

Question 1. List three principles of effective treatment

Model answer: � No single treatment is always appropriate � Deals with the multiple needs of individuals, not just their drug use � Needs to be readily available � Remaining in treatment for an adequate period of time is critical � Medication is important but not the only component � Counseling and other behavior components are critical � Treatment progress and continuance of drug use treatment should be monitored � Treatment plans need to be assessed and modified continually � Detox is only the first step � Treatment should provide assessment of all needs � Treatment of comorbid conditions should be integrated

Question 2. Name two dimensions of treatment outcomes

Model answer: � Reduction in drug and alcohol use � Increased personal and social functioning � Improved public health and safety

Question 3. Answer true or false to the following:

� Alcohol is a depressant. True � Opiates are a stimulant. False � Amphetamines are depressants. False � Cannabis is a stimulant. False

Question 4. List three components of heroin addiction syndrome

Model answer: � Tolerance � Withdrawal � Substance taken in larger amounts or over a longer period than intended � Unsuccessful effort or a persistent desire to cut down or control substance use � A great deal of time spent on obtaining the substance


� Important social, occupational or recreational activities given up or reduced because of substance use

� Continued substance use despite knowledge of having had a persistent or recurrent physical or psychological problem

Question 5. List three counseling skills that are used when counseling clients

Model answer: � Open-ended questions � Reflective listening � Rolling with resistance � Reframing � Affirmation � Summarizing

Question 6. List three things to avoid when counseling clients

Model answer: � Moralizing � Ordering � Threatening � Arguing � Disagreeing � Over-interpreting � Sympathizing � Judging

APPENDIX III - Sample written exam with answers (cont.)

27Appendix


Question 7. List three key differences between methadone and naltrexone

Model answer:

Methadone Naltrexone

Acts like heroin Block heroin

Liquid Tablet

Last 24 hours Lasts 2 -3 days

Can initiate while still using Need to be detoxified before starting

Can work for all Best for people with much to lose

Pregnant women can use it Pregnant women cannot use it

Start slow, gradual increase Can start on same dose

No effect on alcohol addiction Can stop alcohol addiction

Question 8. Identify three categories of intrapersonal risk for relapse

Model answer: � Negative emotions, negative physical psychological states, positive emotions, testing

control

Question 9. List three interpersonal/social reasons for relapse

Model answer: � Conflict, social pressure, enhancement of positive emotional states

Question 10. Name three characteristics of short-term goals

Model answer: � Specific � Measurable � Achievable � Realistic � Timely


Question 11. List three behaviors that a good counselor will exhibit when managing intoxicated people

Model answer: � Calm � Relaxed � Attentive � Not physically intimidating � Aware of how appears � Sees them in a quiet environment � Avoids giving stimulants � Only gets basic details � Does not patronize

Question 12. List the steps of problem solving

Model answer: � Orientation � Define the problem � Generate solutions � Make decisions based upon pros and cons. � Implement.

Question 13. List three strategies to cope with cravings

Model answer:

Behavioral � Delay � Distract � Decide

Cognitive � Positive self-talk � Relaxation � Imagery


29Appendix


Question 14. List three verbal refusal skills that clients can use to resist drug users

Model answer: � Use a clear, firm, confident tone in the voice � No should be the first word out of your mouth � Suggest an alternative � Request behavior change so the other person stops asking � Change the subject to something else � Avoid using excuses and avoid vague answers

Question 15. What skills do counselors need to deal with angry/violent clients?

Model answer:

Step 1 – Defusing aggression � Clear, calm, communication � Empathetic listening, acknowledgement and clarification

Step 2 – Controlling aggression � Negotiate assertively and clearly � Take safety steps, space and scan

Step 3 – Terminate the interaction � Remove yourself or ask client to leave � Evade injury and call for assistance � Defend yourself

Question 16. Identify the three components of a formal warning you would give to control aggression

Model answer: � Negotiate assertively and clearly � Take safety steps, keep space and scan around you � Defend yourself


Question 17. List three steps a counselor can use to overcome fear and regain control

Model answer: � Self-talk � Think rationally � One step at a time � Problem-solving actions

Question 18. List three skills that clients need to acquire to manage anger

� Identify a range of feelings including anger � Identify aggressive acts by self and others � Identify potential consequences to self and other from these aggressive acts � Identify self-destructive behavior � Identify thoughts prior to aggressive acts � Identify internal cues to feelings of anger � Develop coping mechanisms for dealing with anger � Express anger without loss of control


Date post:	25-Mar-2018
Category:	Documents
Upload:	lythuy
View:	216 times
Download:	3 times

Training Curriculum on Drug Addition Counseling: · PDF fileList four general principles for...

Documents