Additional contact information for Substance Abuse organizations in the state and schools offering Substance Abuse related degree programs. Achieving Licensure through the Massachusetts Bureau of Substance Abuse Services There are two levels of substance abuse counseling licensure: The Licensed Alcohol and Drug Counselor Assistant LADC Assistant is a lower designation yet; individuals with this title provide recovery services under administrative and clinical supervision.
Stretch This article addresses the obstacles of effectively integrating addiction counseling into a nationwide definition of professional counseling scope of practice.
Historical origins and an overview of addiction counseling are presented. One possible reason for the continual debate around professional identity may lie in the multitude of specialty fields e. Remley underscores that unlike psychology, psychiatry and social work, counseling is the only mental health profession that licenses specialty areas.
Specialty areas such as career and school counseling only denote a practice area or population; whereas addiction counseling actually entails a DSM-IV-TR Axis I disorder i. However, a separate licensure track exists for the profession of addiction counseling. If the practice of addiction counseling really is a part of counseling as implied by the latest CACREP standardsthen the time has come to recalibrate the rest of the counseling profession to better fit an inclusive and unifying professional counseling identity that includes addiction counseling.
The article is divided into an overview of issues, specific licensure and credentialing frameworks in two sample states New Jersey and North Carolinaand recommendations in response to the concerns discussed.
Thus, the authors argue this produces a confusing mixed message in that licensure as a professional counselor covers practice areas that typically receive minimal exclusive attention e. Furthermore, most states consider addiction work within the professional counselor scope of practice Tabor et al.
Thus, the pioneering issue this paper addresses is whether it is time to thoughtfully reconsider how addiction is conceptualized in professional counseling beyond the inclusion in the most recent CACREP standards and recalibrate the education and licensure processes accordingly.
States mandated that graduate school-level professionals conduct counseling, leaving many long-time and effective addiction counselors many of whom possessed only a high school diploma or GED out of the counseling mainstream.
The first goal was to professionalize the addiction counseling field in a manner similar to professional counseling via mandated supervised practice hours and education across a subscribed addiction curriculum. The second goal was to provide a mechanism to grandfather into the profession those addiction counselors who had long worked in the field and provided outstanding services.
The professionalization of addiction counseling, including licensure and credentialing, strengthened the field and provided a higher quality of care to those struggling with addiction.
Unfortunately, a system also was established that over 30 years reinforced the notion that addiction falls outside the scope of practice for professional counseling i.
While the addiction counseling field did need professionalization, perhaps the original high standards e. The message comes from a confusing mixed array of information.
Using the graduate trainee the next generation of counseling professional as an example, it becomes clear as to how future LPCs may shy away from addiction work.
For instance, in the classroom graduate students read about how counseling includes working in the addiction area as per the latest CACREP standards.
Graduate students are trained in a graduate counseling curriculum that offers advanced addiction course electives and the possibility of doing practicums or internships at an addiction facility. Many of these graduate students may even attend school in a state where addiction work is covered in the professional counseling scope of practice.
But, these students also see professional counselors with separate addiction licenses e. Because the student does not see an NBCC credential for mood disorders or sees a licensure for anxiety disorders, the imbedded message is strengthened. The mixed messages coupled with the burdensome task of meeting the mandates for two professional bodies professional counseling and addiction may drive some new counselors from the addiction field.
For example, at the end of a panel discussion on this topic at the American Counseling Association Conference Morgen et al.
However, the facility where she wanted to work required her to obtain an addiction license in addition to her professional counseling license. She subsequently indicated that she did not have the time, money, or the energy to do both and was thus looking outside the substance use disorders field for employment.
This anecdote clearly demonstrates how newly graduated counseling professionals especially those working in the provisional licensure period may be inhibited from entering the addiction counseling field. How many qualified, talented and motivated students are we turning away from the addiction counseling field due to these extra training requirements unique to working with the specific DSM-IV-TR Axis I Substance Use Disorder diagnosis at a time when there is an ever-growing need for services e.
Effective training of LPCs who work with addiction requires coordination between educational training institutions and actual practice that reflects reasonable experienced-based requirements for working in the area of addiction as well as respect for the graduate-level degree e.
Such coordination varies from state to state and without a guarantee of such coordination the danger is that well-intentioned, well-trained counselors will enter the field technically qualified to counsel individuals, but philosophically lacking the integration of theory and practice necessary for treating addiction.
This could mean, for example, that the counselor is more vulnerable to enabling the active addictive process and thereby not providing counseling in the best interest of the client. In an effort to initiate the dialogue on how to perhaps recalibrate the system, it first seems warranted to review the professional and addiction counseling licensure laws and policies within two states.
The authors intend to over the next few years review the state laws and policies for all 50 states. However, for the purposes of this initial paper, New Jersey and North Carolina will be discussed below.
As long as an LPC does not advertise oneself as an addiction or substance abuse counselor, they are completely free to practice counseling with individuals presenting with addiction.
Private practice counselors who do not operate any funded programs with the above-mentioned requirements are free to practice addiction work if qualified.Online CADC Courses These courses, developed and designed by experienced social services professionals and have been approved for both initial and renewal hours for multiple credentials.
They can be taken 24/7 from any computer with access to the Internet. New Jersey CADC / LCADC Training Courses Register now for the individual courses or complete domains you require to obtain your CADC/LCADC in the state of New Jersey.
The session starts September 15, and continues through August Students who searched for List of Free Online CAD Courses and Training Programs found the following related articles and links useful.
Specific substance use disorder education for the CADC must be in the IC&RC ADC Domain topics and must be specifically focused on alcohol, tobacco, and/or other drug use issues. Key words in course titles are: substance abuse, substance use disorder, drug addiction, chemical dependency, alcohol, tobacco, drug use, or co-occurring disorders.
To request a transcript review please use our Transcript Review Request form for LCADC and CADC (pdf).. This form must be mailed into our office along with an administrative fee of $ 75 (check or money payable to The Certification Board). The families involved with child welfare social services here are plagued by many of the same problems as those in the states—drugs, low income, mental illness, and a .