Within the 12 core functions of substance abuse counseling, there are what is called global criteria for each function, which are the necessary skills a counselor needs to carry out each core function properly (Herdman, 2008). This essay focuses on four of the 12 core functions, including case management, crisis intervention, counseling, and treatment planning.
Case management is the activities which bring services, agencies, resources, or people together within a planned framework of action toward the achievement of established goals (Herdman, 2008). Case management decisions must be explained to the client by the counselor as decisions or changes are made. By the time many alcohol and other drug abusers enter treatment they tend to manifest dysfunction in a variety of areas. For example, a heroin addict may have hepatitis, lack job skills and have a pending criminal charge. In this case, the counselor might monitor his medical treatment, make a referral to a vocational rehabilitation program and communicate with representatives of the criminal justice system. The client may also be receiving other treatment services such as family therapy and pharmacotherapy, within the same agency. These activities must be integrated into the treatment plan and communication must be maintained with the appropriate personnel. Crisis intervention is described as those services which respond to an alcohol or other drug abuser's needs during acute emotional and physical distress. A crisis is a decisive, crucial event in the course of treatment that threatens to compromise or destroy the rehabilitation effort. These crises may be directly related to alcohol or drug use or indirectly related. Such as, the death of a significant other, separation or a divorce, arrest, suicidal gestures, a psychotic episode or outside pressure to terminate treatment. If there is no specific crisis presented in the written case, the counselor could rely on and describe a past...
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