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Motivational Enhancement Therapy

Lesson One: Introduction

Commonly Held Myths

Ten Basic Concepts of Motivational Interviewing

Motivational Interviewing and Managed Care

Lesson Two: Motivational Interviewing as a Counseling Style

Five Basic Principles

Expressing Empathy

Developing Discrepancy

Avoiding Arguments

Rolling with Resistance

Supporting Self Efficacy

Reflective Listening Techniques

Other Early Motivational Interviewing Strategies


Lesson Three: Building Motivation

Establishing Rapport and Trust

Assessing Readiness To Change

Eliciting Change Talk

Conducting an Assessment


Lesson Four: Working Toward Commitment

Developing Intrinsic Motivation

Decisional Balance

Examining the Client’s Expectations of Treatment


Lesson Five: Strengthening the Commitment

Dealing with Reservations about Changing

Exploring and Setting Goals

Additional Strategies to Reinforce Commitment

The Importance of Self-Efficacy

Negotiating a Plan for Change

Lesson Six: Following Through

Overcoming Obstacles to Maintaining Changes

Initiating the Plan

Stabilizing Change




Solutions for the Treatment-Resistant Client

Lesson One:

The Myth of Treatment Readiness

Inspiring Hope in “Hopeless” Clients

Hope-Inspiring Reflections

Lesson Two:

Using Scaling Techniques

Case Study

Normalizing

Exploring Exceptions

Case Study

Lesson Three:


The Concept of “Denial”

Classic Definition

Alternative Definition

Respecting Preferred Views

Case Study

Turning Client Complaints Into Treatment Goals

Lesson Four:

Externalizing Problems

Consciousness Raising

Developing Discrepancy

Mystery Questions

Case Study

Using Decisional Balance Sheets

Case Study

Lesson Five:

Reaching Mandated Clients

Differentiating Yourself from the Referral Source

Questions for Mandated Clients and Referring Parties

Homework

Case Study

Lesson Six:

Practical Considerations

Ethical Considerations

Summary and Conclusions




Integrating Vocational Rehabilitation and Substance Abuse Treatment Services

Lesson One: Clinical Issues Related to Integration of Vocational Services

Incorporating Vocational Services

Addressing Vocational Goals and Employment Needs

Competency Areas for Employment

Identifying Employment Goals


Lesson Two: Resources, Challenges, and Screening Protocols

Employment as a Goal

Challenges to Employing Clients in Treatment

Vocational Needs

Availability of Vocational Services

Medicaid and Managed Care Programs

Vocational Programming and Resources

Vocational Rehabilitation Counseling

Screening


Lesson Three: Assessment and Ongoing VR Services

Functional Assessment

Categories of Functional Limitations

Six-Realm Classification System

Setting and Achieving Goals

Prevocational and Ongoing Services


Lesson Four: Training, Education, and Employment Services

School-To-Work Transition Programs

On-The-Job Training

Apprenticeship Programs

Technical Schools and Colleges

Community Sponsored Adult Education

Colleges and Universities

Job-Seeking Skills and Training

Job Development and Placement Approaches

Supported Work Programs


Lesson Five: Job Retention and Advancement

Overview of Resources

State Employment Services Commissions

State Vocational Rehabilitation Agencies

Seeking and Securing Funds for Vocational Services

Resources for Veterans

Community Level Providers

Community Based Rehabilitation Centers

Mental Health Agencies


Lesson Six: Additional Considerations

Finding and Maintaining Employment

Coping with Medical and Psychological Challenges




Improving Outcomes for Dually Diagnosed Clients

Lesson One: Introduction

Relationships Between Substance Abuse and Psychiatric Problems

Terminology

Differences Between the Mental Health and Addiction Treatment Systems

The Medical System



Lesson Two: Case Management

The Role of Abstinence

Sequential, Simultaneous, or Integrated Treatment?

Treatment Engagement, Continuity, and Comprehensiveness

Phases of Treatment

Individual Case Management


Lesson Three: Mood Disorders

Depressive Disorders

Symptoms of Depression

Treatment Considerations

Bi-Polar Disorders

Symptoms

Treatment Considerations

Levels of Care


Lesson Four: Anxiety Disorders

Generalized Anxiety Disorder

Panic Disorders

Agoraphobia

Obsessive-Compulsive Disorder

Post Traumatic Stress Disorder



Lesson Five: Personality Disorders

Antisocial Personalities

Borderline Personalities

Paranoid Personalities

Schizoid Personalities

Schizotypal Personalities

Histrionic Personalities

Narcissistic Personalities

Avoidant Personalities

Dependent Personalities

Obsessive-Compulsive Personalities


Lesson Six: Challenges and Linkages

Policy and Planning Challenges

Data Collection and Need Assessment Challenges

Program Development Challenges

Screening, Assessment, and Referral Challenges

Case Management Challenges

Staffing Challenges

Social Service System Linkage Challenges

Health Care System Linkage Challenges

Criminal Justice System Linkage Challenges

Meeting the Challenges




Treating Adolescents with Substance Use Disorders

Lesson One: Introduction

Consequences of Adolescent Substance Use

Treatment Needs of Adolescents

Risk Behaviors of Adolescents

Tailoring Treatment to Adolescent Populations


Lesson Two: Assessment and Placement

Factors Affecting Placement

Risk and Protective Factors

The Continuum of Treatment

Placement Guidelines

Outpatient Treatment

Residential Treatment

Continuing Care


Lesson Three: Program Considerations

Staff Skills Development

Program Components

Treatment Planning

Linkages

Program Evaluation


Lesson Four: Three Widely Available Approaches

Twelve Step Programs

Therapeutic Communities

Family Therapy


Lesson Five: Adolescents with Special Treatment Needs

Working with the Juvenile Justice System

Diversion Programs

Homeless Adolescents

Sexual Orientation

Coexisting Disorders


Lesson Six: Legal and Ethical Issues

Confidentiality

Consent Forms

Reporting Child Abuse or Neglect

Court-Ordered Disclosure

Medical Emergencies




Treatment Approaches for Women Who Abuse Alcohol & Other Drugs

Lesson One: Introduction

Prevalence

Health Impact

Psychological Effects

Demographics


Lesson Two: Women’s Treatment

Methods and Models

Effective Treatment for Women

Case Management

Special Issues for Women in Treatment

Issues of Sexuality

Women, Violence, and Substance Abuse

Children

Dual Disorders


Lesson Three: Outreach and Identification of Women in Need

Barriers to Outreach and Treatment

Helping Women Overcome Their Fears

Barriers Unique to Special Populations of Women

Ethnic and Racial Populations

Other Sub-Groups


Lesson Four: Comprehensive Treatment

The Intake Interview

Orientation to Treatment

Comprehensive Assessment

Treatment Planning


Lesson Five: Strategies for Providing Comprehensive Treatment

Strategies

Relationships and Special Populations

Addressing Spiritual Needs

Discharge

Continuing Care


Lesson Six: Special Populations and Case Studies

Age Groups

Women in the Criminal Justice System

Women with Disabilities

Cultural Knowledge

Case Studies




Improving Outcomes for Mandated Clients

Lesson One:

From the Instructor

Introduction


Lesson Two:

Reflective Listening

Simple Reflections

Paraphrasing

Complimenting

Differentiating Yourself for the Mandating Party


Lesson Three:

“How” and “What” Questions

Reflective Listening Revisited

Embellished Reflections

“Columbo” Questions


Lesson Four:

Turning Promises Into Treatment Tasks

Exploring Exceptions


Lesson Five:

Reframing

Externalizing


Lesson Six:

Achieving Goals vs. Solving Problems

Discussing Goals

Agreeing on a Goal

Finding Competence

“Owning” Competence

Expanding Competence





The Stages and Processes of Change

Lesson One: Introduction

Overview of Stages

Benefits of Model


Lessons Two and Three: The Precontemplation Stage

Characteristics of Precontemplators

Goals for Precontemplators

Achieving Goals

Helpful Techniques for Discouraged Precontemplators

Sharing Counseling Notes

Focusing on the Future

Helpful Techniques for Other Precontemplators

“Columbo” Questions

Other Techniques

Developing a “Yes” Set


Lesson Four: The Contemplation Stage

Characteristics of Contemplators

Goals for Contemplators

Helpful Techniques for Contemplation

Case Study


Lesson Five: The Preparation Stage

Characteristics of Those on the Preparation Stage

Goals for Preparation

Helpful Techniques for Preparation

Asking “How” and “What” Instead of “Why”

Mapping the Problem

Pattern Interruption

Exploring Exceptions


Lesson Six: The Action and Maintenance Stages

Characteristics of Those on the Action Stage

Characteristics of Those on the Maintenance Stage

Case Study in Maintenance

Relapse

Summary of Stages and “Dos” and “Don’ts” for Each Stage




The Ethics of Substance Abuse Treatment

Lesson One: Introduction

The Major Areas of Disagreement

Preventing Litigation

Substance Abuse Client Rights

Case Studies


Lesson Two: The Client/Counselor Relationship

Non-Discrimination and Respectful Treatment

Fees for Service

Competence

Disclosure and Informed Consent

Dual Relationships and Conflicts of Interest

Confidentiality

Evaluation and Assessment

Treatment Planning and Documentation

Other Considerations

Client empowerment

Cultural sensitivity

Termination

Self-Assessment Checklist


Lesson Three: Professional Relationships and Professional Responsibilities

Ethical Conduct Toward Other Professionals

Relationships With Employers

Responsibilities to the Counseling Profession

Research

Competence

Advertising

Professional Relationships

Credentials

For Counselors Who Are Educators or Trainers

For Supervisors and Administrators

Self-Assessment Checklist for Supervisors

Responsibility to Society

Other Concerns

Lesson Four: Resolving Ethical Issues

Seven Steps for Ethical Decision-Making

Five Guidelines for Making Ethical Decisions


Lessons Five and Six: Specific Relevant Codes and Ethics Resources

Ethical Standards from NAADAC

The ACA Code of Ethics

The NASW Code of Ethics

Clinical Supervisor Codes

Prevention Codes

Criminal Justice System Codes




Comprehensive Case Management for Substance Abuse Treatment

Lesson One: Introduction

Interagency Case Management

Importance with Substance Abuse Clients

Models of Case Management

Brokerage Models

Strengths-based Models

PACT Model

Clinical/Rehabilitation Approach



Lesson Two: Core Competencies and Principles of Case Management

Case Management Principles

Core Competencies


Lesson Three: Community Linkages

Forging the Linkages

Identifying Potential Partners

The Agency Environment

Potential Conflicts


Lesson Four: Case Management and the Substance Abuse Treatment Continuum

Outreach and Pre-Treatment

Primary Treatment

Aftercare


Lesson Five: Case Management for Clients with Special Needs

General Rules

Clients with HIV Infection and AIDS

MICA Clients

Homeless Clients

Women

Adolescents

Criminal Justice Clients

Clients with Physical Disabilities

Gay, Lesbian, Transgendered, and Bisexual Clients

Rural Clients


Lesson Six: Evaluation and Quality Assurance

Brief Overview of Research

Evaluating Case Management Programs

Selecting Measurements

Court-Ordered Disclosure

Client Satisfaction

Measuring Client Outcomes

Data Helpful to Case Managers

Data Helpful to Clients and Family Members




Family-Involved Substance Abuse Treatment

Lesson One: Introduction

The Impact of Substance Abuse on Families

The Goals of Family Therapy

Families with Children

Families without Children

Blended Families

Clients with Grown Children

Adolescents in Traditional Families

Lesson Two: A Comparison of the Two Approaches to Treatment

Regulation, Licensure, and Certification

Barriers to Treatment

Screening and Assessment

The Identified Client

The Presenting Problem

Process vs. Content

Family Interventions

Counselor Self-Disclosure

Spirituality

Lesson Three: Models of Family Therapy

Basic Concepts

Specific Models of Family-Involved Substance Abuse Treatment

Lesson Four: Family-Involved Substance Abuse Treatment—An Integrated Model

The Benefits of an Integrated Model

Limitations of an Integrated Model

Three Levels of Family-Involved Substance Abuse Treatment

Brief Overview of Several Specific Integrated Models

How to Decide Which Model to Use

Lesson Five: Special Populations

Women

Children

Adolescents

Older Adults

African-Americans

Hispanics/Latinos

Asian-Americans

American Indians

Sexual Orientation

Physical and Cognitive Disabilities

Rural Populations

Lesson Six: Practical Considerations for Implementation

Family-Friendly Case Management

Levels of Family Recovery




Confidentiality Law Compliance

Lesson One: Introduction

42 CFR Part 2

HIPAA

Penalties for Non-Compliance


Lesson Two: Permitted Disclosures Under 42 CFR Part 2

Medical Emergencies

Crimes

Administrative Disclosures

QSOs

Audits and Evaluations

Research

“Duty to Warn”

Under Age Clients

Common Violations


Lesson Three: HIPAA

Covered Transactions

Protected Information

Permitted Disclosures

Necessary Safeguards

Counseling Notes

Marketing

Client Rights

Lesson Four: How to Communicate, Store Data, and Handle Requests for Protected Information

Telephone and Mail Correspondence

Computer Files, Faxes, and E-Mails

Telephone Calls and Visits to Clients

Reporting Crimes

Subpoenas, Search Warrants, and Arrest Warrants

Court Ordered Disclosures

Underage Clients

Employee Assistance Programs

Getting Payment for Treatment

Marriage and Family Treatment

Fundraising and Publicity

When Consent Is Revoked


Lesson Five: Mandated Reporting

Child Abuse and Neglect

Developing a Program Policy on Mandated Reporting

Limiting Damage to the Therapeutic Relationship


Lesson Six: Compliance Checklists and Sample Forms




Psychotherapeutic Medications

Lesson One:

Introduction

Lesson Two:

Antidepressants

Uses

Side Effects and Precautions

Anti-manic Medications

Uses

Side Effects and Precautions

Lesson Three:

Anti-anxiety Medications

Uses

Side Effects and Precautions

Hypnotics

Uses

Side Effects and Precautions

Lesson Four:

Narcotics and Opioid Analgesics

Uses

Side Effects and Precautions

Stimulants

Uses

Side Effects and Precautions
Other Medications for AD/HD

Lesson Five:

Anti-psychotics

Uses

Side Effects and Precautions

Antiparkinsonian Medications

Uses

Side Effects and Precautions

Lesson Six:

Medications for Treatment of Alcohol Dependence

Withdrawal

Relapse Prevention

Uses

Side Effects and Precautions

Medications for Treatment of Opioid Dependence

Withdrawal Agents

Maintenance Agents

Uses

Side Effects and Precautions

Medications for Abuse of Club Drugs and Marijuana

Uses

Side Effects and Precautions




Improving Outcomes for Clients with HIV/AIDS

Lesson One: Introduction

Introduction

Progression of the Disease

Early Stage
Middle Stage
Final Stage

Lesson Two: Primary and Secondary Prevention

Sexual Practices Assessment

Risk Reduction Counseling

Sexual Practices
Syringe Sharing
Prenatal and Perinatal Prevention

Infection Control Issues

Lesson Three: Mental Health Treatment Issues

Assessment and Diagnosis

Treatment Goals

Common Mental Health Disorders in HIV Clients

Cognitive Impairment and Adherence to Treatment

Pharmacological Treatment for Psychiatric Disorders

Side Effects of Medications

Suicide

Methadone Maintenance Therapy

Counseling Tools

Individual Counseling
Group Therapy
Family Therapy
Support Groups

Lesson Four: Substance Abuse Treatment Issues

Obstacles to Integrated Care

Suggestions for Integrating Treatment

Dealing with Continued Substance Abuse

Referral and Coordination of Linkages

Lesson Five: Case Management

Definition and Goal

Advocacy

Home-Based Services

Suggestions on Finding

Lesson Six: Staff Training Issues

Attitudes

Avoiding Burnout

Developing and Maintaining Competence




Teaching Self-Advocacy

Lesson One: Introduction

The Case for Teaching Self-Advocacy
Course Goals
Principles of Recovery

Lesson Two: Using the Life Wheel to Teach Self-Advocacy

Food and Clothing
Housing
Recreation
Employment, Education, and Training
Physical and Emotional Health
Social
Income Maintenance
Spirituality

Lesson Three: Power and Assertiveness

Personal Power and Authority
Developing Assertiveness Skills

Lesson Four: The Therapeutic Relationship

Establishing a Partnership
Stages of Change Model
Transparency and the D-I-E Model
Case Study

Lesson Five: WRAPs and Wraparound Planning

Designing a Wellness Recovery Action Plan (WRAP)
Case Study

Lesson Six: Teaching Self-Advocacy in Groups

Group Rules
Techniques that Promote Self-Advocacy in Group Therapy




Cognitive Behavioral Therapy

 

     Lesson One: Introduction


        Evidence Base


        History of CBT


        How CBT Works


        Case Study


     Lesson Two: Types of CBT


        Dialectical Behavior Therapy


        Cognitive Analytic Therapy


        Schema Therapy


        Mindfulness Based Cognitive Therapy    


     Lesson Three: Universal CBT Methods


        Problem Inventories


         Negative Automatic Thought Inventories


        Case Studies


        D-I-E-D-E-P Method


        Thought Stopping and Substitution


     Lesson Four: Practical Examples of CBT in Action


        CBT for Chemical Dependence Problems


        Daily Thought Records


        Dealing with Cravings


        Dealing with Triggers


        Exposure Therapy for Anxiety Disorders


        Extinction and Exposure


        Inventory for Phobias


        Extinction and Exposure Plan


        D-I-E-D-E-P Method


        Homework and Record Keeping


        Worry Appointments


     Lesson Five: CBT Techniques and the Therapeutic Relationship


        Note-taking


        Progress Assessments


        When Symptoms Increase


        Building the Therapeutic Alliance


        For Clients Who Want To Look Into Their Pasts


        For Clients Who Don’t Want To Look Into Their Pasts


        For Clients Who Say They Want CBT But Then Reject the Methods


 






Group Leadership Skills

Lesson One: Introduction

Types of Groups
Guidelines for Successful Group Leadership
Co-leading Groups
Building Motivation

Lesson Two: Personal Qualities Conducive to Successful Group Leadership

Active Listening
Consistency
Empathy
Humility
Humor
Integrity
Optimism
A non-judgmental stance
Self-awareness
Self-confidence
Self-control
Trust

Lesson Three: Group Leadership Skills and Styles

Psycho-educational groups
Skills development groups
Cognitive-behavioral groups
Support groups
Interpersonal process groups
Relapse prevention groups
Expressive groups
Solution-focused groups

Lesson Four: Therapeutic Techniques

Psycho-educational groups
Skills development groups
Cognitive-behavioral groups
Support groups
Interpersonal process groups
Relapse prevention groups
Expressive groups
Solution-focused groups

Lesson Five: Addressing Common Problems and Avoiding Common Mistakes

Overheated emotions
Avoiding a leader-centered group
Handling boundary violations
Violations of abstinence
Physical boundary violations
Shame
Transference and counter-transference
Handling overly talkative clients
Bolting
Handling clients who participate minimally
Handling conflicts in group
Managing groups within groups
Administrative discharges

Lesson Six: Integrating Care

Co-occurring disorders
Medication
Integrating the 12 Steps
Integrating group and individual counseling
Confidentiality
Summary—twelve ways to be a better group leader




Addressing Suicide Risk in Substance Abuse Clients

Lesson One: Introduction

Evidence Base

Demographics

Recommendations for Substance Abuse Counselors


Lesson Two: Taking the Most Helpful Approach

Ten Guidelines

Taking a Suicide Attitude Inventory

Positive Attitudes and Behaviors

Types of Suicidal Thoughts and Behaviors

Warning Signs

I-S-P-A-T-H-W-A-R-M (Ideation, Substance Abuse, Purposelessness, Anxiety, Trapped,

Hopelessness, Withdrawal, Anger, Recklessness, Mood Changes)

Risk Factors

Protective Factors

Reasons for Suicide Attempts


Lessons Three and Four: How to Respond—G-A-T-E

Gathering Information

Accessing Supervision

Taking Responsible Action

Extending the Action

Safety Cards

Commitment To Treatment Agreements


Lesson Five: Core Competencies

Knowledge Required

Skills Required

Attitudes Required


Lesson Six: Legal and Ethical Issues

Failure in Assessment

Failure in Treatment

Failure to Safeguard

"Forseeability"

Maintaining Safety

Confidentiality Issues

Ethical Issues

Informed Consent

Admission, Transfer, and Termination






Implementing Evidencde-Based Practices

 

Lesson One: Introduction 


   The Case for Implementing EBPs


   Definitions


   Diffusion of Innovation Theories


   Transtheoretical Models


   Implementation Models


   Principles of Implementing Change


 Lesson Two: Pre-planning


   Matching Your Program with Appropriate EBPs


   Gauging Your Readiness to Change


   Checking Your Program for Warning Signs


 Lesson Three: Planning


   Selecting the Change Team


   Defining Your Destination


   Eliminating Obstacles to Change


   Getting All Staff On Board


   Mapping the Implementation Plan


 Lesson Four: Implementation


   Communicating Your Plan’s Relevance


   Overcoming Obstacles in the Implementation Phase


 Lesson Five: Evaluation


   What to Measure


   Selecting the Evaluation Team


   Outside Evaluators


   Estimating Cost


   Planning the Evaluation


   Collecting Data


   Analyzing Data


   Reporting


 Lesson Six: Sustainability


   Monitoring Progress and Making Adjustments


   Maintenance Phase


   Extension Phase


   Adaption Phase







Integrating Tobacco Use Interventions Into Chemical Dependence Services

Lesson One: Introduction

 

   Screening and Assessment

   Carbon Monoxide Monitors

   Stages of Change Model

 

Lesson Two: Evidence-Based Practices--Medications

   NRTs

   Other Medications

  

Lesson Three: Evidence-Based Practices—Motivational Interviewing

   Spirit and Guiding Principles of MI

   Dealing with “Resistance” by Using O-A-R-S

   Identifying and Eliciting Change Talk

   Using Scaling Questions

   The Five “Rs”

   Providing Information

   Motivational Groups

 

Lesson Four: Evidence-Based Practices—CBT and RPT

   Cognitive Behavioral Therapy

   Relapse Prevention Therapy

   Psycho-educational Groups

  

Lesson Five: Treatment Planning

   Assessment

   Treatment Plan Principles

   Diagnosing Tobacco Use Disorders

   Problem Statements, Goal Statements, and Objectives

  

Lesson Six: Special Considerations for Co-occurring Disorders

   Tobacco Use and Mental Health

   Tobacco Use and Special Populations

   Brief Summary





Clinical Supervision

Lesson One: Introduction

Central Principles of Clinical Supervision

Suggestions for New Supervisors

Handling Challenging Situations

Models of Supervision

Lesson Two: Key Issues in Supervision

Counselor Development

Supervisor Development

Ethical and Legal Issues

Dual Relationships and Boundaries

Informed Consent

Confidentiality

Cultural and Contextual Factors

Sample Forms

Lesson Three: Monitoring Performance

Individual Development Plans (IDPs)

Evaluations of Counselors

Addressing Burnout and Compassion Fatigue

Gate-Keeping

Methods of Observation

Supervision vs. Therapy

Counter-transference

Balancing Clinical and Administrative Supervision

Time Management

Structuring Initial Sessions

Lesson Four: Methods and Techniques of Clinical Supervision

Verbal Reports

Written File Reviews

Case Consultation and Case Management

Direct Observation

Audio-taping

Video-taping

One-way Windows

Co-facilitation and Modeling

Role-playing

Lesson Five: Administrative Supervision

Documentation

Recordkeeping

Legal and Ethical Issues




Stages of Treatment

Lesson One: Introduction
 
   Stages of Change
   Stages of Treatment
 
Lesson Two: Treatment Planning
 
   Assessment
   Stage-Informed Planning for Each Stage
   Group vs. Individual Treatment
   The Therapeutic Alliance
   The Therapeutic Frame
 
Lesson Three: Research-Based Approaches
 
   Motivational Interviewing
   Cognitive-Behavioral Therapy
   Relapse Prevention/12 Step Facilitation
 
Lesson Four: Persuasion Groups
 
   Goals
   Format
   Guidelines
   Addressing Disruptive Behavior
 
Lesson Five: Active Treatment/Relapse Prevention Groups
 
   Goals
   Format
   Guidelines
 




Trauma-Informed Care

Lesson One: Introduction


   Prevalence


   Ingredients


   Symptoms


   DSM V Diagnosis


   Risk Factors


   Acute Stress Disorder


   Adjustment Disorders


Lesson Two: Trauma’s Effects on the Brain


   Survival Brain


   Intellectual Brain


   Hypothalamus


   Cortisol/Adrenaline


   Healing Strategies


Lesson Three: Gender Differences, Sexual Abuse, and Traumatic Grief


   Gender Differences


   Coping with Traumatic Memories


   Traumatic Grief


   Differentiating PTSD and Traumatic Grief


   Factors that Complicate the Grieving Process


   Anticipatory Grief


Lesson Four: Violent Events, Coping Styles, and Resilience


   Homicide, Suicide, and Murder


   Accidents


   Survivors’ Needs


   Coping Styles


   Coping Strategies and the Search for Meaning


   Resilience and Post-Traumatic Growth


Lesson Five: Trauma-Informed Counseling Techniques


   General Guidelines


   Grounding


   Self-soothing, Self-care, and Self-efficacy


   Debriefing


   Educational Interventions


   Role Playing


   Exposure Therapy


   EMDR


   Spirituality


   Interpersonal Therapy


   Cognitive Therapy


   Group Therapy


   Forgiveness


   Art Therapy


   Dos and Don’ts


Lesson Six: Counselor Wellness


   Role Modeling


   Preventing Burnout


   What Programs Can Do to Support Counselor Wellness







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