Drug Counselor Boundaries

Stabilization and treatment require effective planning. The clients who enter this addictions program are the essence of this program and its success. Therefore, the needs of the clients we serve set precedence and our staff are to address the needs of the clients with regards to confidentiality as it can become an issue if no policy is in place. Client confidentiality is an issue for program staff who receive calls by family members who are seeking information about their loved ones. This becomes a policy and procedure issue at the time the phone is answered. To resolve this issue and to effectively manage client confidentiality a protocol is in place. The program staff will follow the procedural response for each phone call and request. After training and demonstrating how to answer the phone our staff will be properly trained. Each program staff will seek guidance if any breach of confidentiality is made and will log it immediately. This method of response and approach will reduce violation of policies and procedures that reduce legal obligations in the event confidentiality is breached. Proper steps in place to ensure compliance.

A question that I was curious about asking dealt with how individuals in recovery function as substance abuse counselors. From experience, I have noticed that most substance abuse counselors are themselves in recovery. When I was in treatment, I related much better to

The primary areas that the social worker and Emilia need to focus on in treatment/intervention planning, involve several needs. Emilia has been unable to complete treatment for addiction, despite an honest desire to stop

3. Are there any ethical considerations? For example, are there concerns related to offering medication versus talk therapy? Cultural considerations in the presentation of symptoms, or which treatment options you select?

The way in which I can exercise my duty of care in a risky situation is not to take steps to stop someone doing what they want but to access the risks carefully and to look at the protecting factors. I may have to think about what other protecting factors I can put in place so that the risk is managed effectively such as: A client may develop acute symptoms if he does not take his medication – I could reduce the risk by increasing visits to ensure the medication is taken correctly.

It is important to establish and maintain effective communication, professionalism, and a scientific relationship with clients. It is essential to always preserve the relationship because it is vital to the client’s success of treatment. It is also imperative to consider the way in which information is delivered to clients and their family or caregivers. One must eliminate jargoning while attempting to communicate with clients. The use of scientific terminology of a particular study can become lost when engaging with a client or family members. By eliminating jargoning we are reaching them in a way that is easily understood by those not proficient in those terms of the field. Those that understand the intervention are more likely to adhere

Nurses have a professional responsibility to ensure that safe boundaries are kept in the relationship between patient and Nurse. It is these boundaries that provide the nursing profession with integrity, and according to Baca (2010, pp.195) it is essential these boundaries be maintained because of the difference in power between the nurse and patient. However, boundary violations can occur, when a nurse crosses from the zone of helpfulness to over involved, the ANMC (2011 pp.3) believes that when a violation occurs a nurse is behaving unprofessional manner and misusing their power in the patient nurse relationship. This misuse of power can be categorized into 3 types; boundary crossing, boundary violation and the extreme form of sexual misconduct. Often by mistake a nurse could cross the boundary without thought, a

Addiction counseling and human service professional settings and the collaboration of serving our community is frequently essential in controlling our clients. However, misunderstandings regarding job titles and legal issues and ethical issues arise that can affect the collaboration of both field working together. In this paper, it will elaborate related concerns of multidisciplinary collaboration, the boundaries of both fields, social changes, and ethical and legal issues arise in collaboration. Therefore, this paper will present a highlight of the shared practice of both fields and how can both field make a difference with our clients by collaborating. The reflections of addiction counselors and human services professionals are here with share disciplines with altered concentrations.

Counselor met with Pt. for his monthly session. He and writer continued to discuss his relapse prevention plans and when he is moving to Clearwater, FL. Pt. talked about breaking the cycle of addiction and relapsing. Counselor asked Pt. to describe his plans for breaking free from the obsession and triangle of addiction. Pt. mentioned that he can identify depression and physical health as being one of his roadblocks to having a successful recovery. P.t was encouraged to verbalize how he can break away by using the “3-W’s” (What, Why, and Way). Pt verbally shared his plans and was required to submit a written assignment on the same. Reviewing this information was important because it taught Pt. one of the most important skills that he will need for his recovery: stopping triggers from leading to relapse. Pt. reported that he has visualized the building of a mental wall to help him prevent relapse by giving him a foundation of physical well-being, emotional well-being, relationship stability, spiritual growth, and knowledge of his weakness. Pt. informed this writer that he is driving to Florida on Saturday, March 11, 2017 with his nephew help. He reported that he got a place to stay there but he is unsure of where to go after that. Pt. declined help in searching for housing and stated that he is counting on his brother and he is calling him today.

This composition involves ethical dilemmas within the field or occupation of licensed chemical dependency counseling. Despite many situations that may require ethical decision making skills, one situation that may or may not be common is heroin addiction. This composition explains the ways in which the licensed chemical dependency counselor ought to behave ethically in such therapeutic setting. Considering the social, cultural, and individual norms and customs, there are many advantages and disadvantages to applying ethics in professional therapeutic settings. This composition explains why it would be beneficial to apply ethical behaviors in counseling efforts in order to not discourage those with heroin addiction to avoid, refrain, or discontinue

The client has every right to choose whether or not they receive the treatment that they are recommended by a counselor. By providing the client with any information that can contribute to them making an informed decision on their treatment plan, we can be sure that we have

Boundaries are extremely important in a counseling session. Setting boundaries and limits in therapy sessions represents an ethical decision that is set by each counselor, when entering a therapeutic relationship. In this presentation, I will discuss pertinent boundary issues that the staff has encountered, since working at this agency. Finally, I will describe how these boundaries are addressed and resolved at this site.

The client has maked progress, but has not yet achieved the goals articulated in the individual ized treatment plan, The client is currently working on identifying the root cause of his addiction along with identifying his traps and triggers that would result in relapsing. Contiuned treatment at the present level of care is assissed as necessary to permit the client to contiune to work towards this treatment goals

With over one million people admitted to a drug treatment center, it seems like that number has begun to decline. Regardless, getting the necessary treatment is not what makes the difference, it is ultimately what the individual takes with them from the treatment they received. To truly receive successful treatment a patient must have a strong understanding of what their treatment entails and how they can make their treatment more effective. 1. The Addiction Treatment Must Be Individualized

The role of a chemical dependency counselor can be a very challenging, yet extremely rewarding one. There are many skills and qualities that the successful counselor possesses. Carl Rogers was the first to spearhead the movement of person centered therapy and he has provided a very influential theory on how a person in treatment should be treated. He deemed these to be the most important elements in the therapeutic movement: unconditional positive regard- helps makes change happen because they feel safe and cared about, accurate empathy- it is an understanding of what they are going through, congruence- be who you are, and lastly the desire to help (Watkins, 2016). These elements are the basic ingredient needed to embark on the journey of recovery with a client. This counseling model is intended to provide in depth detail of the counseling process and covers critical concepts that must be understood to effectively help the chemically dependent. The definition of addiction, the subsequent theories, prevalent disorders, and treatment processes are presented as a guide for counseling the chemically dependent.