12
Core Functions
New Mexico scope of
practice for LADAC and LSAA is defined by the Twelve
Core Functions. It is illegal for LADAC's to
practice outside of these areas. Although
the Core Functions may overlap, depending on the nature
of the counselor's practice, each represents a specific
entity.
I. SCREENING
The process by which the client is
determined appropriate and eligible for admission to
a particular program.
Global Criteria
- Evaluate psychological, social,
and physiological signs and symptoms of alcohol and
other drug use and abuse.
- Determine the client's
appropriateness for admission or referral.
- Determine the client's
eligibility for admission or referral.
- Identify any coexisting
conditions (medical, psychiatric, physical, etc.)
that indicate need for additional professional
assessment and/or services.
- Adhere to applicable laws,
regulations and agency policies governing alcohol
and other drug abuse services.
II. INTAKE
The administrative and initial
assessment procedures for admission to a program.
Global Criteria
- Complete required documents for
admission to the program.
- Complete required documents for
program eligibility and appropriateness.
- Obtain appropriately signed
consents when soliciting from or providing
information to outside sources to protect client
confidentiality and rights.
III. ORIENTATION
Describing to the client the
following: general nature and goals of the program;
rules governing client conduct and infractions that
can lead to disciplinary action or discharge from
the program; in a non-residential program, the hours
during which services are available; treatment costs
to be borne by the client, if any; and client
rights.
Global Criteria
- Provide an overview to the client
by describing program goals and objectives for
client care.
- Provide an overview to the client
by describing program rules, and client obligations
and rights.
- Provide an overview to the client
of program operations.
IV. ASSESSMENT
The procedures by which a
counselor/program identifies and evaluates an
individual's strengths, weaknesses, problems and
needs for the development of a treatment plan.
Global Criteria
- Gather relevant history from
client including but not limited to alcohol and
other drug abuse using appropriate interview
techniques.
- Identify methods and procedures
for obtaining corroborative information from
significant secondary sources regarding clients'
alcohol and other drug abuse and psycho-social
history.
- Identify appropriate assessment
tools.
- Explain to the client the
rationale for the use of assessment techniques in
order to facilitate understanding.
- Develop a diagnostic evaluation
of the client's substance abuse and any coexisting
conditions based on the results of all assessments
in order to provide an integrated approach to
treatment planning based on the client's strengths,
weaknesses, and identified problems and needs.
V. TREATMENT PLANNING
Process by which the counselor and
the client identify and rank problems needing
resolution; establish agreed upon immediate and
long-term goals; and decide upon a treatment process
and the resources to be utilized.
Global Criteria
- Explain assessment results to
client in an understandable manner.
- Identify and rank problems based
on individual client needs in the written treatment
plan.
- Formulate agreed upon immediate
and long-term goals using behavioral terms in the
written treatment plan.
- Identify the treatment methods
and resources to be utilized as appropriate for the
individual client.
VI. COUNSELING
(Individual, Group, and Significant
Others): The utilization of special skills to assist
individuals, families or groups in achieving
objectives through exploration of a problem and its
ramifications; examination of attitudes and
feelings; consideration of alternative solutions;
and decision making.
Global Criteria
- Select the counseling theory(ies)
that apply(ies).
- Apply technique(s) to assist the
client, group, and/or family in exploring problems
and ramifications.
- Apply technique(s) to assist the
client, group, and/or family in examining the
client's behavior, attitudes, and/or feelings if
appropriate in the treatment setting.
- Individualize counseling in
accordance with cultural, gender, and lifestyle
differences.
- Interact with the client in an
appropriate therapeutic manner.
- Elicit solutions and decisions
from the client.
- Implement the treatment plan.
VII. CASE MANAGEMENT
Activities which bring services,
agencies, resources, or people together within a
planned framework of action toward the achievement
of established goals. It may involve liaison
activities and collateral contacts.
Global Criteria
- Coordinate services for client
care.
- Explain the rationale of case
management activities to the client.
VIII. CRISIS INTERVENTION
Those services which respond to an
alcohol and/or other drug abuser's needs during
acute emotional and/or physical distress.
Global Criteria
- Recognize the elements of the
client crisis
- Implement an immediate course of
action appropriate to the crisis.
- Enhance overall treatment by
utilizing crisis events.
IX. CLIENT EDUCATION
Provision of information to
individuals and groups concerning alcohol and other
drug abuse and the available services and resources.
Global Criteria
- Present relevant alcohol and
other drug use/abuse information to the client
through formal and/or informal processes.
- Present information about
available alcohol and other drug services and
resources.
X. REFERRAL
Identifying the needs of a client
that cannot be met by the counselor or agency and
assisting the client to utilize the support systems
and community resources available.
Global Criteria
- Identify need(s) and/or problem(s)
that the agency and/or counselor cannot meet.
- Explain the rationale for the
referral to the client.
- Match client needs and/or
problems to appropriate resources.
- Adhere to applicable laws,
regulations and agency policies governing procedures
related to the protection of the client's
confidentiality.
- Assist the client in utilizing
the support systems and community resources
available.
XI. REPORT AND RECORD KEEPING:
Charting the results of the
assessment and treatment plan, writing reports,
progress notes, discharge summaries and other
client-related data.
Global Criteria
- Prepare reports and relevant
records integrating available information to
facilitate the continuum of care.
- Chart pertinent ongoing
information pertaining to the client.
- Utilize relevant information from
written documents for client care.
XII. CONSULTATION WITH OTHER
PROFESSIONALS IN REGARD TO CLIENT TREATMENT/SERVICES:
Relating with in-house staff or
outside professionals to assure comprehensive,
quality care for the client.
Global Criteria
- Recognize issues that are beyond
the counselor's base of knowledge and/or skill.
- Consult with appropriate
resources to ensure the provision of effective
treatment services.
- Adhere to applicable laws,
regulations and agency policies governing the
disclosure of client identifying data.
- Explain the rationale for the
consultation to the client, if appropriate
Download these criteria in easy to read PDF .
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