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Prevention Ethics for Counselors, Social Workers and Chemical Dependency Professionals

Prevention Ethics for Counselors, Social Workers and Chemical Dependency Professionals. June 21, 2012 Ashtabula, Ohio Doug Wentz, M.A., O.C.P.S. II Community Services Director Neil Kennedy Recovery Clinic otidoug@aol.com. Learning Objectives.

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Prevention Ethics for Counselors, Social Workers and Chemical Dependency Professionals

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  1. Prevention Ethics for Counselors, Social Workers and Chemical Dependency Professionals June 21, 2012 Ashtabula, Ohio Doug Wentz, M.A., O.C.P.S. II Community Services Director Neil Kennedy Recovery Clinic otidoug@aol.com

  2. Learning Objectives • Identify and cite examples of what constitutes professional vs. unprofessional behavior. • Read, discuss and analyze the code of ethics for Prevention Professionals. • Relate the above information into a deeper, more useful and practical knowledge through case studies, scenarios, and discussion. • Apply this knowledge by developing a set of personal guidelines for professional conduct.

  3. Ethics for Addiction Professionals - Professional vs. Unprofessional Behavior “What is a professional? The dictionary defines a profession as a group of people who share a common body of knowledge, a code of ethics, and a concern for their peers.” *Ethics for Addiction Professionals, LeClair Bissell, M.D., C.A.C, and James E. Royce, S.J., PhD, Hazelden Foundation, 1994, pages 1 & 2.

  4. Ethics for Addiction Professionals “…ethics comprise the principles of morality, including both the science of good and the nature of right, and that they constitute the rules of conduct in respect to a particular class of human actions,…” *Ethics for Addiction Professionals, LeClair Bissell, M.D., C.A.C, and James E. Royce, S.J., PhD, Hazelden Foundation, 1994, pages 1 & 2.

  5. Ethics for Addiction Professionals “Whether or not a given behavior is legal or illegal does not determine whether or not it is ethical.” “The true professional does not work for a boss or for dollars, but for the purpose of serving the patient.” *Ethics for Addiction Professionals, LeClair Bissell, M.D., C.A.C, and James E. Royce, S.J., PhD, Hazelden Foundation, 1994, pages 1 & 2.

  6. Ethics for Addiction Professionals “Success is not measured in profit, but in quality of service. Some of the noblest professions are the least lucrative. The payoff is measured in personal satisfaction and in the joy, awe, and privilege of sharing human lives and secrets.” *Ethics for Addiction Professionals, LeClair Bissell, M.D., C.A.C, and James E. Royce, S.J., PhD, Hazelden Foundation, 1994, pages 1 & 2.

  7. SAMHSA / CSAP PREVENTION STRATEGIES The Center for Substance Abuse Prevention (CSAP) has developed and recognized six prevention strategies *A comprehensive approach using as many or all six prevention strategies works best! http://www.samhsa.gov/

  8. CSAP PREVENTION STRATEGIES 1. Dissemination of Information This strategy provides information about the nature of drug use, abuse, addiction and the effects on individuals, families and communities. It also provides information of available prevention programs and services. The dissemination of information is characterized by one-way communication from the source to the audience, with limited contact between the two. Examples of methods used for this strategy include the following: • Clearinghouse and other information resource centers • Resource Directories • Media Campaigns • Brochures • Radio and Television Public Service Announcements • Speaking Engagements • Health Fairs * NOT EFFECTIVE AS STAND ALONE

  9. CSAP PREVENTION STRATEGIES 2. Prevention Education This strategy involves two-way communication and is distinguished from merely disseminating information by the fact that it is based on an interaction between the educator and the participants. Activities under this strategy aim to affect critical life and social skills, including decision-making, refusal skills and critical analysis (e.g. of media messages). Examples of methods used for this strategy include the following: • Classroom and Small Group Sessions • Parenting and Family Management Classes • Peer Leader and Peer Helper Programs • Education Programs for Youth Groups • Groups for Children of Substance Abusers

  10. CSAP PREVENTION STRATEGIES 3. Alternative Activities This strategy provides for the participation of the target populations in activities that exclude drug use. The assumption is that because constructive and healthy activities offset the attraction to drugs, or otherwise meet the needs usually filled by drugs, then the population would avoid using drugs. Examples of methods used for this strategy include the following: • Drug-free Social and Recreational Activities • Drug-free Dances and Parties • Youth and Adult Leadership Activities • Community Drop-in Centers • Community Service Activities • Mentoring Programs *NOT RECOMMENDED AS STAND ALONE

  11. CSAP PREVENTION STRATEGIES 4. Community-Based Processes This strategy aims to enhance the ability of the community to more effectively provide prevention and treatment services for drug abuse disorders. Activities in this strategy include organizing, planning, enhancing the efficiency and effectiveness of service implementation, building coalitions and networking. Examples of methods used for this strategy include the following: • Community and Volunteer Training (e.g. neighborhood action training, training of key people in the system) • Systematic Planning • Multi-Agency Coordination and Collaboration • Accessing Service and Funding • Community Team-Building

  12. CSAP PREVENTION STRATEGIES 5. Environmental Approaches This strategy seeks to establish or change community standards, codes and attitudes, thereby influencing the incidence and Prevalence of drug abuse in the general population. Examples of methods used for this strategy include the following: • The Establishment and Review of Drug Policies in Schools • Technical assistance to communities to maximize local enforcement procedures governing the availability and distribution of drugs. • The Review and Modification of Alcohol and Tobacco Advertising Practices • Product Pricing Strategies • Social Norms Strategies • Media Literacy

  13. CSAP PREVENTION STRATEGIES 6. Problem Identification and Referral This strategy aims to identify those who have indulged in the illegal use of drugs in order to assess if their behavior can be reversed through education. It should be noted, however, that this strategy does not include any activity designed to determine if an individual is in need of treatment. Examples of methods used for this strategy include the following: • Driving-while-intoxicated Education Programs • Employee Assistance Programs • Student Assistance Programs • Teen Courts

  14. Institute of Medicine (IOM)Prevention Classifications

  15. Institute of Medicine (IOM)Prevention Classifications • Universal prevention measures address an entire population (national, local, community, school, or neighborhood) with messages and programs aimed at preventing or delaying the use of alcohol, tobacco, and other drugs. The mission of universal prevention is to deter the onset of substance abuse by providing all individuals with the information and skills necessary to prevent the problem. The entire population is considered at risk and able to benefit from prevention programs.

  16. Institute of Medicine (IOM)Prevention Classifications • Selective prevention measures target subsets of the total population that are considered at risk for substance abuse by virtue of their membership in a particular segment of the population. Examples include children of adult alcoholics, students who are failing academically, and those who live in high drug use neighborhoods. Selective prevention targets the entire subgroup, regardless of the degree of risk of any individual within the group.

  17. Institute of Medicine (IOM)Prevention Classifications • Indicatedprevention measures are designed to prevent the onset of substance abuse in individuals who do not meet the medical criteria for addiction, but who are showing early danger signs, such as falling grades and some use of alcohol and/or marijuana. The mission of indicated prevention is to identify individuals who are exhibiting early signs of substance abuse and other problem behaviors and to involve them in special programs.

  18. Bibliography • Code of Ethics for Prevention Professionals, 4758-8-03, Chemical Dependency Professionals Board – Ohio Administrative Code, 9/9/2003 • Continuum of Care/Service Taxonomy, Ohio Department of Alcohol and Drug Addiction Services, Division of Prevention Services, July 15, 2009 • Ethics for Addiction Professionals, LeClair Bissell, M.D., C.A.C, and James E. Royce, S.J., PhD., Hazelden Foundation 1987 • Ohio Child Abuse and Neglect Laws, Ohio Revised Code, Section 2151.421 • Prevention Programs and Confidentiality, www.odadas.state.us – look under Professionals – Legal/Legislative/Rules – Confidentiality, ODADAS and the Ohio Association of Behavioral Health Providers, 2005

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