Advances in Addiction & Recovery (Spring 2015)

SPRING 2015 Vol. 3, No. 1

From Trauma to Transformative Recovery (CE Credits)

Licensing the Addiction Profession in All Fifty States Announcing the NAADAC Minority Fellowship Program for Addiction Counselors

NAADAC Webinar Series NAADAC Offers over 75 Hours of Free Continuing Education www.naadac.org/webinars

DESIGNED TO MATCH YOUR SCHEDULE

NAADAC, the Association for Addiction Professionals now provides free addiction-related seminars through your computer!

The NAADAC Institute includes over 75 hours of free continuing education on a wide range of topics that will enhance your knowledge and skills of addictionrelated topics most in demand by the profession.

Join NAADAC to receive all CEs for free! www.naadac.org/join

DESIGNED TO MATCH YOUR NEEDS

Live events held monthly: Easy online registration and instructions to join the webinar

Renew your professional license/certification with NAADAC nationally approved CE credits

On Demand Viewing: All webinars are recorded for later viewing on our website

Participate from work, home, or on the go!

Only need a computer/internet connection or a smartphone (compatible with PC, Mac, iPad, iPhone, Android)

1 to 2 hours in length: Conveniently fits in between clients, during lunch, after a long day of work, or on the weekend

DESIGNED TO MATCH YOUR BUDGET Education is free for everyone: Participate live or download to watch later CE credit for NAADAC members: Free by passing an online quiz CE credit for Non-members of NAADAC: Ranging from $15 for 1 CE to $35 for 3 CEs and passing an online quiz

New topics premiered each month: Wide range of current topics based on results of the NAADAC membership survey Expert presenters: Addiction professionals who have the experience, knowledge and tips that you need Who should attend: Addiction professionals, social workers, mental health counselors, professional counselors, psychologists, employee assistance professionals, and other helping professionals that are interested in learning about addiction-related matters Watch together: Use as a component of clinical supervision or watch with your colleagues

Webinar Topics: - 21st Century Street Drugs - Adolescents - Advocacy - Annual Conference - ASAM Placement Criteria - Billing & Insurance - CBT - HIV/AIDS

- Certification/Licensure - Clinical Supervision - Co-occurring Disorders - Conflict Resolution - DSM-5 - Ethics - Recovery-Oriented Practice - Veterans

- Families - History of Recovery - Medication-Assisted Treatment - Messages from NAADAC Leadership - Mutual Support Groups - Peer Recovery Supports - Trauma

- PTSD - DOT/SAP - SBIRT - Science & Neurochemistry - Spirituality - Trends in the Profession

CONTENTS SPRING 2015 Vol. 3 No. 1 Advances in Addiction & Recovery, the official publication of NAADAC, is focused on providing useful, innovative, and timely information on trends and best practices in the addiction profession that are beneficial for practitioners.

NAADAC, the Association for Addiction Professionals, represents the professional interests of more than 85,000 addiction coun­selors, educators, and other addictionfocused health care pro­fessionals in the United States, Canada, and abroad.

NAADAC’s members are addiction counselors, educators, and other addictionfocused health care professionals, who specialize in addiction prevention, treatment, recovery support, and education.

GRAPHICSTOCK | GYZOKDDD

Mailing Address Telephone Email Fax

1001 N Fairfax Street, Suite 201 Alexandria, VA 22314 800.548.0497 naadac@naadac.org 703.741.7698

Managing Editor

Jessica Gleason, JD

Graphic Designer

Elsie Smith, Design Solutions Plus

Editorial Advisory Kirk Bowden, PhD, MAC, LISAC, NCC Committee Rio Salado College

■ FE ATURES

Alan K. Davis, MA, LCDC III Bowling Green State University

20 Licensing the Addiction Profession in All Fifty States: The Process Begins

Carlo DiClemente, PhD, ABPP University of Maryland, Baltimore County

By Don P. Osborn, PhD, LCAC, MAC

Rokelle Lerner, MA Cottonwood de Tucson

24 National Recovery Month Comes of Age

By Ivette Torres, MEd, MSC, Director of Consumer Affairs, CSAT/SAMHSA

Cynthia Moreno Tuohy, NCAC II, CDC III, SAP NAADAC, the Association for Addiction Professionals

25 The Pacific Behavioral Health Initiative: NAADAC Trains and Certifies Trainers for U.S. Affiliated Pacific Jurisdictions

By Kathryn M. McCutchan-Fua, Executive Director, Pacific Behavioral Health Collaborating Council

Robert Perkinson, MD Keystone Treatment Center Robert C. Richards, MA, NCAC II, CADC III Willamette Family Inc.

28 From Trauma to Transformative Recovery: A Personal Reflection

By William L. White, MA Earn Continuing Education Credits

■ DEPAR TMENTS 4 President’s Corner: My Big Concern for the Addiction Counseling Profession By Kirk Bowden, PhD, MAC, NCC, LPC, NAADAC President

5 From The Executive Director: Well, Aren’t You Special! By Cynthia Moreno Tuohy, NCAC II, CDC III, SAP, NAADAC Executive Director

7 Affiliates: Meet Your 2014–2016 Regional Vice-President for the Mid-Atlantic: Susan Coyer By Jessica Gleason, NAADAC Director of Communications

9 Membership: NAADAC Annual Awards & Nomination Process By Jessica Gleason, NAADAC Director of Communications

11 Membership: Announcing the William L. White Student Scholarship Award By Diane Sevening, EdD, LAC, NAADAC Student Committee Chair

12 Workforce: Announcing the NAADAC Minority Fellowship Program for Addiction Counselors By Shafiq Qureshi, MD, NMFP-AC Program Manager

15 Membership: Regional Vice-President Elections for 2015–2017 Term By Jessica

William L. White, MA Chestnut Health Systems Article Submission Guidelines We are interested in accepting any interesting and topical articles that address issues of interest to addiction-focused professionals. Please submit story ideas and/or articles to Jessica Gleason at jgleason@naadac.org.

For more information on submitting articles for inclusion in Advances in Addiction & Recovery, please visit www.naadac.org/advancesinaddictionrecovery# Publication_Guidelines Disclaimer It is expressly understood that articles published in Advances in Addiction & Recovery do not necessarily represent the view of NAADAC. The views expressed and the accuracy of the information on which they are based are the responsibility of the author(s) and represent the wide diversity of thought and opinion within the addiction profession.

Advertise With Us For more information on advertising, please contact Elsie Smith, Ad Sales Manager at esmith@naadac.org.

Advances in Addiction & Recovery The Official Publication of NAADAC, the Association for Addiction Professionals ISBN: 978-0-9885247-0-5 This publication was prepared by NAADAC, the Association for Addiction Pro­fes­ sionals. Reproduction without written permission is prohibited. For more in­ formation on obtaining additional copies of this publication, call 1.800.548.0497 or visit www.naadac.org.

Gleason, NAADAC Director of Communications

18 Certification: NCC AP Presents at 4th ICCE Commission Meeting in United Arab Emirates By Kathryn Benson, LADAC, NCAC II, QCS, NCC AP Chairperson

Printed April 2015 STAY CONNECTED

19 Certification: 4th ICCE Commission Meeting Report By the International Centre for Certification and Education of Addiction Professionals (ICCE)

31 NAADAC Leadership COVER: SHUTTERSTOCK

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■ PRESIDENT’S CORNER

My Big Concern for the Addiction Counseling Profession

By Kirk Bowden, PhD, MAC, NCC, LPC, NAADAC President From my perspective, addiction counseling is a specific profession within the field of behavioral health. To be an effective addiction counselor requires a specific, specialized, knowledge base.

Obtaining a graduate degree in psychology, social work, marriage and family therapy or counseling does not fully prepare an individual to be an addiction counselor. I know it did not in my case. I have a Bachelor’s degree in interpersonal communication, a Master’s degree in counseling, and a PhD in psychology. None of these programs required even a single course in addiction counseling. Not even an overview course was required. My degree programs certainly didn’t require me to ­complete more specific addiction course work such as assessing addiction and sub­stance use disorders, co-occurring disorders, pharmacology of addiction, families and addiction, and/or process addictions, etc. I did take one addiction course in my PhD program as an elective.

While I was required to complete a practicum, I was not required to complete even a single minute working in an addiction counseling setting

during that prac­ticum. When I took the required exam to obtain my professional counseling license, I was not even asked one question on addiction counseling.

I hold two behavioral health licenses in my state. Both of my licenses grant me the authority to independently practice psychotherapy with clients whose primary diagnosis is an addiction and/or substance use disorder. Neither license required me to complete a single hour of course work in addiction counseling.

What really frightens me is that I am very certain my story is not an exception but the norm. If you research your own state’s licensing requirements for Clinical Psychologists, Clinical Social Workers, Marriage and Family Therapists, Licensed Professional Counselor, and Licensed Mental Health Counselors, I believe you will find that your state has an absence of substantive addiction specific requirements. That said, those professions are often granted carte blanche authority to provide addiction and substance use disorder counseling services.

Don’t misunderstand my intent from this article. I am not opposed to Clinical Psychologists, Clinical Social Workers, Marriage and Family Therapists, Licensed Professional Counselors and Licensed Mental Health Counselors working in the addiction field. Remember I am one of those people. What I want is for behavioral health professionals to not attempt to practice outside of their personal scope of education, knowledge, and experience. My son is a board certified anesthesiologist. I think a very good one, but even I do not believe my son should be allowed to do cardiac surgery without first obtaining the necessary skills by completing an additional residency in cardiac surgery.

I welcome you and everyone willing to serve in the addiction counseling profession, especially licensed behavioral heath professionals. You may already hold a license that grants you authority to practice addiction counseling. However, please do not practice outside of your expertise.

Please review TAP 21 to make sure you have the needed expertise in addiction counseling. If you don’t know what TAP 21 is, you can rest assured that you should not be practicing addiction counseling.

Remember to do no harm!

In addition to serving as NAADAC’s President, Kirk Bowden, PhD, MAC, NCC, LPC, serves on the Editorial Advisory Committee for NAADAC’s Advances in Addiction & Recovery magazine. While serving in many capacities for NAADAC through the years, Kirk has also served as Chair of the Chemical Dependency Counseling Rio Salado College, Director of the Department of Professional Counseling and Addiction Studies at Grand Canyon University, President of the International Coalition for Addiction Studies Education (IN­CASE), and as a steering committee member for SAMHSA’s Center for Substance Abuse Treatment (CSAT), Partners for Recovery, and the Higher Education Accreditation and Competencies expert panel for SAMHSA/CSAT. Kirk was recognized by the Arizona Association for Alcoholism and Drug Abuse Counselors as Advocate of the Year for 2010, and by the American Counseling Association for the Counselor Educator Advocacy Award in 2013, the Fellow Award in 2014, and most recently for the Outstanding Addiction/ Offender Professional Award in 2015.

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■ FROM THE E XECUTIVE DIREC TOR

Well, Aren’t You Special!

By Cynthia Moreno Tuohy, NCAC II, CDC III, SAP, NAADAC Executive Director

A funny quip used some years ago occurs to me when I think of the positioning of the addiction professional in this changing environment— changes that are due to the Affordable Health Act and the overall paradigm shift viewing addiction as a chronic disease within the medical field.

My answer to addiction professionals is, “Yes, you are special”!

Addiction professionals have moved through the years to embrace competencies, skills, and attitudes that are ever changing, concerning the best way to treat substance use disorders and their effect on millions of individuals and families. Our profession has evolved from self-help groups to paraprofessional staff to now professional staff. While once the attainment of an undergraduate degree, or even a two-year Associate’s degree, was sufficient to work in our field, in today’s changing healthcare environment and the integration of helping professionals into medical care, graduate degrees are becoming a necessity.

The direction, of late, is to integrate the treatment of addictive dis­ orders with mental health and medical care. Integration with the other helping professions, however, does not necessitate that substance use disorders be treated by a “generalist.” All helping professions have specialization and addiction is no different. Just as you would not see a cardiologist for a brain tumor, you would not want to engage with members of the helping profession trained in Alzheimers to treat your addictive disorder. Your brain and your heart are in one body; and are related, but you would not stop at one specialist if you had two disparate maladies. Many individuals have co-occurring disorders, or co-morbid psychosocial factors, that may necessitate two treatment modalities. A counselor (MSW, MFT, PC) may be very well trained in other specialties, but persons treating substance use disorders should be specifically trained in addictions. In order to treat substance use disorders effectively, for immediate and long-term care, a person must have specific education, training and clinical supervision in the addictions field. In order to gain the confidence of the public, the medical field, and the payors, those serving and treating substance use disordered individuals and their families must be well trained and have had expert clinical supervision.

Not only do professionals need to understand the evidence-based practices used in the treatment and recovery of substance use disorders, they must also understand the insidious ramifications of substance use dis­ orders on the family. Family therapy is vital to addictions treatment and payors have begun to recognize that substance use disorders are a family disease, one that, left untreated, will sprout other behavioral and medical needs for family members.

NAADAC’s Role in Promoting and Securing the Addiction Professional in the Workplace NAADAC has been working diligently to advocate for the addiction profession and for the role of the addiction professional in the medical care environment. On a national level, NAADAC is working in collaboration with our national organizational partners, SAMHSA, ONDCP,

HRSA, Center for Medicaid Services (CMS), Health and Human Services, NIDA, and NIAAA, as well as Congressional legislators on Capitol Hill to promote the addiction profession. NAADAC is also working with Managed Care Organizations (MCOs) to recognize and validate the specialty skills required to work in the arena of substance use disorders, and recognize the model scope of practice established and codified by a national addiction Stakeholders group conducted through SAMHSA. On the state level, NAADAC is working with several affiliates on state licensure bills to recognize addiction counselors along with other licensed professionals. In some states, NAADAC has worked with our state affiliate to safeguard the addiction profession as others have sought to “blend out” substance use disorders into a general behavioral health care system.

NAADAC recognizes health care integration and promotes that integration. We also promote trained, educated and credentialed addiction professionals with specific skills, competencies, and attitudes necessary to effectively treat substance use disorders. NAADAC is carrying the banner of the addiction professional. This means recognition and equal access to training and salaries/benefits. There is, and will be, work and meetings conducted with NAADAC’s Public Policy Committee and NAADAC Executive leadership with other groups that will promote and enhance these initiatives. Recently, NAADAC attended a meeting with Secretary Sylvia Burwell of the U.S. Department of Health & Human Services. At the meeting, NAADAC supported and endorsed several initiatives, including implementation of ACA and Parity Law, care integration and value purchasing, addressing the opioid epidemic, and workforce development for the addiction counselor. In addition, NAADAC has recently attended meetings with the Centers for Medicare & Medicaid Services, Friends of NIDA, and Friends of NIA A A, ONDCP, SAMHSA, Optum Health, and other partners to promote NAADAC’s Initiatives.

NAADAC Initiatives NAADAC’s major initiatives to enhance, promote and secure the addiction profession are the following: National Scope of Practice: This National Scope of Practice, ranging from Recovery Support Specialist to Masters Addiction Counselor, includes another companion scope of practice for co-occurring disorders that was developed by a panel of experts several years ago. The Scope of Practice promotes quality and appropriate care by qualified addiction professionals.

Model Licensure Bill & Advocacy Packet: NAADAC’s Professional Affairs and Practice Standards Committee (PAPSC) lead by Past President, Don Osborn, offers technical assistance and a model licensure bill to state affiliates looking to introduce licensure bills to their state legislatures. For more information on this venture, see Don Osborn’s article on page 20.

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NCC AP National Credentials: NAADAC’s National Certif ication Commission for Addiction Professionals (NCC AP) offers national credentials based on national standards state to state for each level of the scope of practice. The NCC AP has recently launched the National Certified Peer Recovery Support Specialist (NCPRSS) credential that is national in scope and available for states to use with national criteria and a standardized test evidencing basic recovery support knowledge and skill areas. Other credentials include the foundational National Certified Addiction Coun­ selor (NCAC) Level I & II and Master Addic­ tion Counselor (MAC), as well as the Nicotine De­pen­dence Specialist (NDS), National Cer­ti­ f ied Adolescent Add ict ions Cou nselor (NCAAC), the Nationally Endorsed Student Assis­tance Professional (NESAP), National Clini­cal Supervision Endorsement (NCSE), and the Nationally Endorsed Co-Occurring Disorders Professional (NECODP).

NASAC: In partnership with the In­ter­ national Coalition for Addiction Studies Edu­ ca­t ion (INCASE), NA ADAC continues to sup­port the National Addiction Studies Ac­cred­ i­tation Commission (NASAC) in its efforts to create national professional standards and improve and expand accreditation of higher education addiction studies and counseling programs. It is based on the standards set by a stakeholders’ panel in addiction curriculum, from the certificate to PhD levels of education.

NASAC is growing and gaining recognition in the higher education accreditation world.

Workforce Development: NA A DAC’s main workforce development initiative is its ex­tensive continuing education (CE) offerings of current evidenced-based methods and therapies through its webinar series, Life Long Learn­ing Series, home study courses, face-toface trainings, and Annual Conference, to be held in Washington, D.C. from October 9–13, 2015. NAADAC offers “certificate programs” to show mastery of an important topic, including Recovery to Practice, Conflict Resolution in Recovery, Foundations in Addiction Practice, Spiritual Caregivers, as well as offers the necessary education for the U.S. Department of Transportation’s national Substance Abuse Professional (SAP) qualification. NAADAC works with SAMHSA and other Federal partners on workforce initiatives that are promoting the specific training of the addiction workforce.

NAADAC is proud to announce it has received

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a SAMHSA grant to allow for the long-foughtfor NAADAC Minor­ity Fellowship Program for Addiction Pro­fes­sionals (NMFC-AC) that will offer 30 students per year for the next four years the opportunity for tuition assistance up to $20,000 for their final year of a Master’s program in addiction counseling. For more information on this program, please visit page 12.

MCO Partnerships: In partnership with Managed Care Organizations, NAADAC is pro­moting the recognition and payment for sub­stance use disorder services. As stated earlier in this article, NA ADAC is working with MCOs to recognize the importance of treatment services for substance use disorders by professionals educated, trained and supervised in addictions treatment.

National Clinical Supervision Task Force: The National Addiction Technology Network a nd N I ATx , a long w it h N A S A DA D, NAADAC, and other stakeholders in clinical supervision have formed a National Clinical Supervision Task Force to develop national standard recommendations for clinical super­ vision practice. This task force is working in several sub-committees to develop national recommendations for practice regulations and training.

Working Together to Serve People with Substance Use Disorders and their Families Ultimately, the goal of the addiction professional is to support the person who has substance use disorders, and their family members, so that they may live a happy and healthy life, reduce the family disruption that often leads to other behavioral and life-long difficulties, and encourage healthier communities. NAADAC is working hard to honor and protect the valuable services you provide. Thanks to all of you who are working in the addiction profession for providing these specialized services! You are Special!

Cynthia Moreno Tuohy, NCAC II, CDC III, SAP, is the Executive Director of NAADAC, the Association for Addiction Pro­f es­ sionals, and has been an addiction professional for over 35 years. Moreno Tuohy is a former Executive Director for the Danya Institute and Project Officer of the Central East Addiction Technology Transfer Center (CEATTC). She has a Bachelor’s degree in Social Work from Washington State University and holds a Certificate in Alcohol/Drug Abuse. Moreno Tuohy has taught throughout the United States, Iceland, Russia, China, New Zealand, Cyprus, Egypt and Australia.

■ AFFILIATES

Meet Your 2014–2016 Regional Vice-President for the Mid-Atlantic: Susan Coyer

Representing Delaware, the District of Columbia, Maryland, New Jersey, Pennsylvania, Virginia, and West Virginia

By Jessica Gleason, NAADAC Director of Communications efforts for addiction professionals is a necessity.

NAADAC has the resources and responsibility to provide support and guidance to states seeking licensure for addiction professionals.

Susan Coyer, MA, AADC-S, MAC, SAP, CCJP, has over 25 years of experience in direct practice, clinical and administrative management of outpatient and residential addiction treatment

Q: What are the major issues or challenges happening in your region? How can NAADAC help overcome them?

pro­grams. An active member of the West Vir­ ginia Association of Alcoholism and Drug Abuse Counselors (WVAADC), Susan has co­ ordinated trainings for W VAADC and the Ad­d ic­t ion Technolog y Transfer Center (ATTC), participating in a number of ATTC Training of Trainers events and serving as a mentor in the ATTC Leadership Institute in West Virginia. Susan has been a member of NAADAC for more than 20 years, serving on various committees including the NCC AP, ethics, policies & procedures, membership, con­ference, bylaws, public policy, and strategic pla n n i ng/ma rket i ng. A s P resident of WVAADC, Susan represented West Virginia on the NAADAC Board of Directors for four yea rs. Pr ior to becom i ng President of WVAADC, Susan chaired the affiliate’s con­ ference, regional training seminar, membership, nominations, and awards committees. In 2001, Susan was the recipient of the West Virginia Certification Board for Addiction and Pre­ vention Profes­sionals Lisa Grossi Award for inspiring dedication in the field of addiction prevention and treatment. She is a former surveyor with CARF (Behavioral Health Division) and is currently serving on a number of committees and task forces. The Managing Editor was able to catch up with Susan to learn about her thoughts and plans for NAADAC during her two-year term.

Q: What goals do you hope to accomplish during your time as Mid-Atlantic RVP? My goals for the region focus on membership and ensuring strong leadership for each state board. We are working with the states to increasing our membership in our current affil­ iates and in establishing affiliates in states that do not have an active NAADAC chapter. I hope to offer leadership training opportunities for our current leaders and for those who are interested in becoming leaders on the affiliate and national level. With the demands of our jobs along with other responsibilities, it can be difficult to recruit individuals to serve on committees or accept leadership positions. Mentoring students who are interested in becoming addiction professionals and those new to the field can ensure that we maintain well-rounded professionals and sound leadership in the states and nationally. Succession planning will ensure that our affiliates keep strong individuals in key positions and allow us to continue our mission.

Advocating for and assisting state licensing

Addiction treatment continues to evolve and as professionals we are being challenged by changes in service delivery, reductions in revenue streams, increased workloads and lower salaries than other healthcare professionals. As we grey-out, continued workforce development is needed to attract and maintain a professional, well-trained workforce. Competitive salaries and solid benefits including tuition reimbursement and loan forgiveness programs are vital to increasing the number of practicing addiction professionals. With the Affordable Care Act (ACA), third-party payers will be key in determining who receives reimbursement for services. We need to promote licensure in our states that allows all addiction professionals to have a seat at the table from those who practice independently to peer recovery support specialists. We all provide essential services to our consumers regardless of our level of education, certification or license. We need to strengthen the treatment infrastructure and expand capacity to improve access to care for our consumers.

NAADAC serves as the voice not only for addiction professionals but for the consumers we serve. NAADAC is well known and has a record of strong advocacy efforts.

Q: Why is NAADAC membership important for addiction professionals?

I’ve had the privilege of being involved in NAADAC for over twenty years. We have experienced a lot of changes in our profession during that time with more changes to come; and NAADAC has been there supporting the S P R I N G 2 015 | A d va n ce s i n A d d i c t i o n & R e c o v e r y 7

addiction profession through it all. Membership is vital to NAADAC’s success. Our numbers are increasing, and those numbers allow our voice to be heard, loudly.

Membership goes hand-in-hand with advocacy efforts to support our workforce and consumers. Strong advocacy efforts are essential to ensuring the quality of addiction prevention, treatment and recovery support services as well as improving access to treatment for individuals across the region. Advancing legislation at the national, state and local levels is imperative to con­tinue to support and enhance addiction pre­ven­tion and treatment. Established partnerships with other stakeholders allow NAADAC to have a meaningful impact on these areas and lead our membership through these exciting times.

Our profession is facing budget cuts and unpredictable changes in our workforce.

NAADAC is a channel for addiction professionals to be supported and develop a solid professional identity. Members have the benefit of free online learning opportunities with webinars facilitated by leaders in the field. Significant

discounts for annual conferences and regional training offered by NAADAC and affiliates help our membership obtain high quality training at an affordable cost. In addition, members receive discounts on NCC AP credentials and endorsements.

That being said, NAADAC offers networking opportunities that are second to none. Our members are the groundbreakers, movers and shakers in the field. Along with a sense of belonging, making connections through an international network is a priceless benefit of membership. Being a NA ADAC member is an in­vestment in your career. I worked in the field for a couple of years before I became a NAADAC member and it is one of the best career decisions I have made.

Q: What are your hopes for the future of NAADAC? NAADAC remains the voice of addiction professionals and the leader in advancing addiction recovery. I see our organization growing and being instrumental in strengthening our profession. Expanding our partnerships with

other organizations relevant to NAADAC’s mission as well as with our representatives in our States and on Capitol Hill will allow us to continue the exceptional work that makes NAADAC the leader in the field.

I’m confident that together we can continue to promote our profession and provide quality addiction prevention and treatment services to our consumers. I’m looking forward to working with the membership and others in the MidAtlantic Region and look forward to hearing your ideas and input on how we can continue to promote our profession and region.

Jessica Gleason is the Director of Com­mu­ nications for NAADAC, the Association for Addiction Professionals. She is responsible for NAADAC communications, marketing, public relations, and all digital media, including the NAADAC website and social media. She is the Managing Editor for NAADAC’s official publication, Ad­vances in Addiction & Recovery magazine, and editor of NAADAC’s two ePublications, the bi-weekly Addiction & Recovery eNews and weekly Professional eUpdate. Jessica holds a Juris Doctorate from Northeastern University School of Law in Boston, MA and a Bachelor of Arts degree in Political Science from the University of Massachusetts at Amherst in Amherst, MA.

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■ MEMBERSHIP

NAADAC Annual Awards & Nomination Process

By Jessica Gleason, NAADAC Director of Communications

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The Lifetime Honorary Membership Award recognizes an individual or entity who/ that has worked in the addiction profession for at least 25 years, has established through research, publications, presentations or by other means the significance of the addiction profession and its professionals, had demonstrated leadership, service, and contributions to addiction profession, and has supported NAADAC’s mission, vision and Code of Ethics.

Each year, NAADAC and its members celebrate and honor people and organizations that have achieved excellence in the treatment, recovery, prevention, medical and educational sectors of our addiction profession over the past year.

Awards are given in seven categories and will be presented during NAADAC’s 2015 Annual Con­ference in Washington, D.C. at the Presi­ dent’s Awards Luncheon. It is important to recognize and honor the distinguished services, accomplishments, and contributions of these indi­viduals and organizations to continue to elevate and motivate the profession.NAADAC affiliates are encouraged to nominate any current state awardees for national recognition.

Award Categories The Addiction Educator of the Year Award recognizes an adjunct or full-time college/university professor who has contributed through academia to the addiction profession through mentoring students/student chapters, colleagues or addiction professionals and/or by providing ongoing research or other contributions that grow, enhance, advocate and educate for the addiction profession.

The Lora Roe Memorial Alcoholism and Drug Abuse Counselor of the Year Award recognizes a counselor who has made an outstanding contribution to the profession of addiction counseling. To be eligible for this award, nominees must: be currently employed as an addiction counseling professional, and actively working as a counselor for not less than three years prior to receiving the award; be an active NAADAC member in good standing (the individual must be a voting member as opposed to an honorary or nonvoting member); have worked with clients (patients) for a sustained period with individual or group contact that fosters recovery from addiction disorders; preferably, be certified, registered or licensed as an addiction professional, although these qualifications are not mandatory; and have demonstrated to the satisfaction of one’s peers full compliance and support of NAADAC’s Code of Ethics.

The Medical Professional of the Year Award recognizes medical professional who has made an outstanding contribution to the addiction profession. To be eligible for this award, nominees must: be currently employed in the addiction profession and actively working as such for a minimum of three years prior to receiving this award; hold licensure as a Medical Doctor, Registered Nurse, Licensed Practical/ Vo­ca­tional Nurse in their respective state; be an active NAADAC member in good standing (i.e., the individual must be a voting member as opposed to an honorary member or nonvoting member); be working with clients/patients for a sustained period with individual or group contact that fosters recovery from addiction

disorders; and have demonstrated to the satisfaction of one’s peers full compliance and support of NAADAC’s Code of Ethics.

The Mel Schulstad Professional of the Year Award recognizes an individual who has made outstanding and sustained contributions to the advancement of the addiction counseling profession.

The Organizational Achievement Award recognizes an organization that has demonstrated a strong commitment to the addiction profession and particularly strong support for the individual addiction professional. To be eligible for this award, nominees must have been in existence for at least five years and cannot be affiliated with any other organization or company that sells, distributes or supports the consumption of alcoholic spirits or illicit substances.

The William F. “Bill” Callahan Award recognizes sustained and meritorious service at the national level to the profession of addiction counseling. To be eligible for this award, nominees must have a minimum of fifteen years in the addiction counseling profession or related administration, and possess a strong dedication to the addiction profession as demonstrated by involvement in and commitment to a variety of key organizations.

Nominating Information Any NAADAC member in good standing may nominate any eligible individual NAADAC member for any of the above individual awards.

Current members of the NAADAC Executive Committee are ineligible for all awards. To nominate an eligible addiction profession for a NAADAC award, please submit (1) a letter of recommendation stating how the nominee fulfills the award criteria; (2) at least three letters of support from three different sources (individuals, organizations, or agencies); (3) nominee’s resume; and (4) a completed NAADAC Recognition and Awards Nomi­ nation Form. To nominate an eligible organization for the NAADAC Organizational Achieve­ ment Award, please submit (1) a letter of S P R I N G 2 015 | A d va n ce s i n A d d i c t i o n & R e c o v e r y 9

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rec­om­mendation including a detailed description of the nominated organization and how the organization has supported the addiction profession; (2) at least three letters of support from three different sources (individuals, organizations, or agencies); and (3) a completed NAADAC Recognition and Awards Nomi­ nation Form.

The NAADAC Recognition and Awards Nomination Form requires the nominee to sign a statement acknowledging that he/she meets all of the eligibility criteria for the particular award and has “demonstrated to the satisfaction of one’s peers full compliance and support of NAADAC’s Code of Ethics throughout [his/ her] professional career.” For access to the NAADAC Recognition and Awards Nomi­ nation Form and the specific eligibility criteria for each award, please visit www.naadac.org/ recognition-and-awards.

All award nomination packets must be received by April 30, 2015 for consideration by the NAADAC Awards Committee.

To nominate an individual or organization, please send the recommendation letter, support letters, resume, and NAADAC Recognition and Awards Nomination Form signed by the Nominee to: NAADAC, the Association for Addiction Professionals Attn: Awards Committee Chair 1001 N. Fairfax St., Ste. 201 Alexandria, VA 22314 Materials may also be faxed to the NAADAC Awards Committee (Attn: Director of Op­er­ ations) at 800.377.1136 or sent by e-mail to naadac2@naadac.org (please put “NAADAC Awards” in the subject line).

NAADAC does not pay for travel to the venue of acceptance. If the award winner cannot attend the presentation, the award will be sent to the recipient. For additional information, please contact NAADAC by email naadac2@ naadac.org (please put “NAADAC Awards” in the subject line).

Jessica Gleason is the Director of Com­ munications for NAADAC, the Association for Addiction Professionals. She is responsible for NAADAC communications, marketing, public relations, and all digital media, including the NAADAC website and social media. She is the Managing Editor for NAADAC’s official publication, Ad­ vances in Addiction & Recovery magazine, and editor of NAADAC’s two ePublications, the bi-weekly Addiction & Recovery eNews and weekly Professional eUpdate. Jessica holds a Juris Doctorate from Northeastern University School of Law in Boston, MA and a Bachelor of Arts degree in Political Science from the University of Massachusetts at Amherst in Amherst, MA.

651-213-4617

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■ MEMBERSHIP

Announcing the William L. White Student Scholarship Award

By Diane Sevening, EdD, LAC, NAADAC Student Committee Chair

Diane Sevening, EdD, LAC, has served as the NAADAC student committee chair since 2006 and assisted in the development of state affiliate’s council of students, guidebook (bylaws) for college and university student organizations. She currently serves as the NAADAC North Central Regional Vice-President and is an Assis­ tant Professor in the Department of Addiction Studies, at the University of South Dakota. She has also been a faculty advisor to the local student organization, the Coalition of Students and Professionals Pursuing Advocacy (CASPPA), since 2005 and encourages students to attend NAADAC conferences.

PHOTOSPIN | LIFESTOCK

The NAADAC Student Committee is proud to announce the first annual William L. White Student Scholarship Award. This new scholarship was created to promote student addiction research and develop the importance of student research projects in NASAC accredited programs, NAADAC approved programs in higher education, or an accredited addiction studies higher education program acknowledged by the Higher Learning Commission (HLC) that provides research or education to the addiction profession.

This scholarship will be awarded annually to one graduate NAADAC Student member and one undergraduate NAADAC Student mem­ber with the best student addiction research paper on the assigned topic for the year.

The topic for 2015 is “Recovery Oriented Systems of Care: How Research is Changing the Addic­tion Profession.” Graduate students must submit a 10–12 page research paper. Un­der­ graduate students must submit a 5–7 page research paper.

To be eligible for the William L. White Student Scholarship Award, students must have at least one full year of coursework remaining, a grade point average of 2.7 or higher, and be a current NAADAC Student Member.

The 2015 recipients of the William L. White Student Scholarship Award will be recognized at the NA A DAC A nnual Conference in Washington, D.C. from October 9–13, 2015.

The $1,000 undergraduate award and $2,000 graduate award will be submitted directly in the

st udent s’ na me s to t hei r educat iona l institutions.

All applications, including a completed application form, unofficial academic transcript, three letters of recommendation (two letters from college/university faculty, and one letter from an active NAADAC member), and the assigned APA-formatted research paper, must be submitted together electronically to naadac@ naadac.org “ATTN: William L. White Scholar­ ship” by May 31, 2015.

For more details on the scholarship award and to ­download the application form, please visit www.naadac.org/white-scholarship-award or contact NAADAC at naadac@naadac.org or 703.741.7686.

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■ WORK FORCE

Announcing the NAADAC Minority Fellowship Program for Addiction Counselors

by Shafiq Qureshi, MD, NMFP-AC Program Manager

Program History

The Now is the Time: Minority Fellowship Program for Addictions Coun­selors (NITTMFP-AC) for Master’s Level students is a $3.2 million federally funded program administered

by NAADAC in conjunction with the Substance Abuse and Mental Health Services Ad­m in­ istration (SAMHSA), Center for Substance Abuse Treatment (CSAT). The NA ADAC Mi­nority Fellowship Program for Addiction Counselors (NMFP-AC) aims to increase the number of culturally-competent Master’s Level addiction counselors available to serve underserved and minority populations, and transition age youth (ages 16–25) by providing a tuition stipend of up to $20,000, training, education,

The specialized profession of substance use disorder treatment focuses on understanding and treating both acute and chronic substance use disorders (SUDs). Such addiction disorders vary in their roots, severity, complexity, duration, and outcome, and therefore require advanced and specialized training, skilled differential diagnosis, and highly individualized approaches to service planning and delivery. Addiction practitioners are trained to distinguish addiction disease from the bio-psychosocial- spiritual consequences of alcohol and other drug use and understand the importance of conveying hope to individuals and families in addition to practical treatment. There is a critical need for a larger, more culturally-diverse community of well-trained addiction professionals and it is essential to recruit more professionals who are better aligned culturally with at-risk populations.

There is a lack of human infrastructure to support the current demand for treatment and recovery. Specifically, this is the manifestation of two issues. One, there is a severe shortage of adequately trained substance use disorders specialists. Two, there is a significant demographic disconnect in which the professionals providing services (i.e. white, female, older professionals) do not reflect the cultural characteristics of a substantial portion of the populations they are serving (i.e. African Americans, Hispanics, American Indians, and Asian Americans). Increasing diversity will improve the service engagement experience as well as health outcomes among minority communities. Recruitment is needed not only for more professionals into the addiction profession, but also professionals who are better aligned culturally and are highly trained to help individuals, families, and communities recover.

The Substance Abuse and Mental Health Services Administration (SAMHSA) Minority Fel­ low­ship Program (MFP) has a long history of reaching out to doctoral students through a variety of organizations. NAADAC has worked over the past 20 years to create strong relationships with stakeholders and other resources to help address the need to increase and improve the ability of the addictions workforce serving racially and ethnically diverse populations and transition age youth (ages 16–25), including spending the last eight years working with partner organizations to get the SAMHSA’s MFP expanded to include funding for Master’s level addiction counselors.

After a long period of advocacy and maximum effort, NAADAC was awarded with SAMHSA’s Now is the Time: Minority Fellowship Program for Addiction Counselors (NITT-MFP-AC) Master’s Level Grant and created the NMFP-AC. As the premier addiction professional membership organization that represents the interests of more than 85,000 addiction counselors, educators, and other addiction-focused health care professionals in the United States, Canada, and abroad, and the general interests of the addiction profession as a whole, NAADAC is thrilled and excited to build this program into its established and longstanding infrastructure created over 40 years of innovation, education, service, and programming.

and professional guidance to at least 30 students

Program Goal and Benefits

in the final year of an accredited Master’s pro-

The NMFP-AC’s ultimate goal is to reduce health disparities and improve behavioral health care outcomes for diverse populations. This program aims to addressing current challenges in the addictions profession pertaining to human infrastructure development, cultural misalignment between addiction professionals and the populations they serve, and insufficient training of addiction professionals.

gram in addiction/substance use disorder coun­seling per year for four years.

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NMFP-AC Fellows will be selected through a rigorous application and evaluation process, administered by the NMFP-AC staff and NMFPAC Advisory Committee. Once selected, the NMFP-AC will award tuition stipends up to $20,000 per Fellow to at least 30 Fellows for each year of the four-year grant period. Prior to the start of their initial academic terms, NMFP-AC Fellows will be required to attend an orientation webinar for their cohorts to meet the program staff, establish relationships, and receive a detailed overview of program requirements and options, and all of the resources that will be made available to Fellows through NAADAC and its partners.

Advisory Committee The NMFP-AC Advisory committee was established in 2014 to create policy for administration of the program, support program planning, monitoring, and evaluation, support fellows, and provide education and leadership to the fellows and NMFP-AC staff. The NMFP-AC Advisory Committee is comprised of representatives from partner national organizations, including the National Board for Certified Counselors, the Addiction Technology Transfer Center Network, Community Anti-Drug Coalitions of America, Association of Recovery

Schools, National Asian Pacific American Families Against Substance Abuse, the National Association of Lesbian & Gay Addiction Pro­fes­ sionals, and the National Association of State Alcohol and Drug Abuse Directors. The NMFP-AC Advisory Committee is divided into three different sub-committees: Mentoring; Policy & Procedure; and Applicant Scoring. The Applicants Scoring sub-committee has the vital role of appli­cant screening and selection. The Mentoring sub-committee assists in mentoring and training, as well as assuring fellows are placed with competent mentors. The role of the Policy & Procedure sub-committee is NMFP-AC policy development, planning, monitoring and evaluation, and program quality improvement. Committee members meet quarterly to discuss the progress of the program, and additional meetings are held as needed.

Application Process Students can apply for the NMFP-AC Fellowship by filling out the online application which is available on the NMFP-AC webpage at www. naadac.org/nmfp-ac. The application period is open between December and February for the following annual fellowship cohort. Required supporting documents can be uploaded or to be mailed to the NAADAC office. Based on the following eligibility criteria, NMFP-AC Fellows are selected through a rigorous application and evaluation process, administered by the NMFP-AC staff and NMFP-AC Advisory Committee.

1. Applicants must be U.S. citizens or Legal Permanent Residents.

2. Applicants must be eligible for graduation from an accredited Master’s program in addiction/substance use disorder counseling or a counseling program that meets CACREP or NASAC standards within 12 months of the tuition stipend award.

3. Applicants must be applying for a tuition stipend only.

4. Applicants must agree to attend online orientation training, and complete six r­ e­quired educational webinars, covering working with transition age youth and cul­tur­al competence and effectiveness for working with underserved populations.

5. Applicants must agree to work with a NMFP-AC-provided approved mentor.

6. Applicant must commit to providing at least six months post-fellowship addiction/substance use disorder counseling to underserved populations, defined as minority populations, LGBT populations, and/or transition age youth populations.

PHOTOSPIN | TODD ARENA

Eligibility Requirements

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NMFP-AC Fellow Requirements & Benefits Prior to the start of their initial fellowship academic terms, NMFP-AC Fellows are required to attend an orientation webinar for their cohorts to meet the program staff, establish relationships, and receive a detailed overview of program requirements and options, and all of the resources made available to fellows through NAADAC and its partners. In addition, the Fellows will receive individualized guidance through the development of an Individual Fellow Development Plan (IFDP) in conjunction with NMFP-AC. NMFP-AC staff will lay out how fellows fulfill each program requirement using the resources in his/her specific Master’s program, goals for additional optional education and training, and goals for post-fellowship employment that meets the program requirements. Fellows receive continued support from NMFP-AC through individual virtual meetings.

During the fellowship term, fellows will be required to complete six webinar trainings; one on working with transition age youth, and five

on cultural humility/competence (e.g. working with Asian American, African American, American Indian/Alaska Native, Hispanic/ Latino, Native Hawaiian and other Pacific Islanders, and Lesbian, Gay, Bisexual, and Transgender populations.). These webinar trainings will be developed by NAADAC with expert partners specifically for the NMFP-AC program, but will be made available to all addiction professionals on the NAADAC website.

In addition, fellows will be encouraged, but not required, to attend additional NAADAC webinars, especially the nine webinar series developed as part of SAMHSA’s Recovery to Practice Initiative.

In addition to receiving support from the NMFP-AC staff, each fellow will be matched with a mentor, who has experience and a demonstrated commitment to addiction/substance abuse counseling service to underserved populations, minority populations, and/or transition age youth. Fellows will also receive significant educational and professional development support through a NAADAC student membership during their fellowship year and a NAADAC

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professional membership for two years after graduation.

Post-Fellowship Commitments Both NAADAC and the NMFP-AC are committed to helping fellows find post-graduate placements to fulfill the requirements of the NMFP-AC. Specific individualized Fellow post-graduation goals and paths will be discussed at the initiation of each cohort and documented and tracked by both NMFP-AC staff and mentors in each Fellow’s Individualized Fellow Development Plan. NA ADAC will promote employment of NMFP-AC Fellows through its various communication channels and will profile each Fellow, including his/her occupational goals and downloadable resume, in the NMFP-AC section of the NAADAC website. In addition, Fellows will have access to NAADAC’s Career Center and job database, and NAADAC’s network of organizational members and 47 state affiliates. Finally, each fellow will be given a two-year professional membership to NAADAC to aid in their ability to network, obtain free and discounted continuing education hours, work towards their Master Addiction Counselor (MAC) credential, and many other benefits and opportunities.

Spread the Word While the application deadline for the first cohort of NFMP-AC Fellows passed on March 15, 2015, there will be three more cohorts of N M F P-AC Fel lows u nder t he cu r rent SAMHSA grant, and NAADAC will be looking for qualified applicants for the 2016–2017, 2017–2018, and 2018–2019 school years. Be sure to spread the word!

Shafiq Qureshi, MD, is the Program Manager for the NAADAC Minority Fel­low­ ship Program for Addiction Counselors (NMFP-AC). He previously served as the National HIV Project Coordinator with the United Nations Office on Drug and Crime (UNODC), during which time he promoted and monitored the development of an integrated government strategy on a comprehensive approach towards drug use among Afghan refugees in Iran and Pakistan and refugees who were returning to Afghanistan. Under the UNODC and U.S. Department of State Bureau for International and Law Enforcement (INL)/ Colombo plan partnership, Shafiq was selected as a Master Trainer for the Asian Center for Certification and Education of Addiction Professionals, where he trained addiction professionals in substance use disorder practices and treatment methods. He has also worked for International Relief and Development (IRD) Inc. for USAID grants, and as a HIV/AIDS Trainer and Supervisor with the Swedish Committee for Af­ ghan­istan. Shafiq has a medical degree from Nangarhar Medical Faculty in Afghanistan.

■ MEMBERSHIP

Regional Vice-President Elections for 2015–2017 Term

By Jessica Gleason, NAADAC Director of Communications

PHOTOSPIN | LEV DOLGACHOV

Every two years, NAADAC members have the opportunity to select a Regional VicePresident who will represent their state affiliate on the NAADAC Executive Committee, with four of NAADAC’s eight regional positions being up for election each year. To qualify for the position of Regional Vice-President, one must (1) be a NA ADAC member in good standing; (2) hold either a state or national credential; (3) have served either on the NAADAC or state affiliate board of directors or have been a chair of a state or NAADAC committee; and (4) have been actively engaged in the counseling field for a minimum of two years. In addition, the nominee must live in the region he or she is being nominated from.

This Spring, NAADAC only received one nomination from each of the Southwest, North Central, and Mid-Central regions. Therefore,

these three nominees will be seated as Regional Vice-Presidents for the 2015–2017 term without an election. All 2015–2017 terms will begin on October 14, 2015 after the NA ADAC Annual Conference in Washington, D.C. Congratulations to our three re-nominees and winners!

However, because no nominations were re­ ceived for the Regional Vice-President position for the Southeast region, representing Alabama, Florida, Georgia, Mississippi, North Carolina, and Tennessee, a Special Election will be held in the late fall after the Annual Conference and the start of the new 2015–2017 term. This Special Election will include a new nomi­nation period and will be explained in de­tail during the Southeast regional caucus at the Annual Conference and through NAADAC’s communication channels this fall.

Please read the candidate statements from our winning nominees below.

Regional Vice-President Candidate & Winner for Southwest Representing Arizona, California, Colorado, Hawaii, New Mexico, Nevada, & Utah Nominee: Mita M Johnson Credentials: EdD, LPG, LMFT, ACS, LAC, MAC, SAP Please list number of years worked in the addiction profession: 25 Summary of the Nominee’s NAADAC activities: Mita Johnson has been an active member of NAADAC at the state and national levels. At the state level she has served on the board of the Colorado Association of Addiction Professionals as board member, treasurer, president-elect, president, past-president, events chair, and community liaison. At the national level, Mita has served as a general board member, the South­west Regional VicePresident, trainer, and member of the Ethics Committee. She is currently part of the review process for the NAADAC Bylaws. Mita has advocated for parity, recognition of scopeof-practice and standards-of-practice, appropriate credentialing of providers, professional development opportunities, and support of anyone who is qualified to work in our field.

Mita is a strong advocate for ethical delivery of services to clients and their significant others.

It is important to advocate on behalf of the needs of each state in her region; each state in the SW region needs someone who engages, listens, and responds in a practical, relevant, and timely manner. To summarize the nominee’s NAADAC activities: Mita works diligently to advocate for NAADAC and each state affiliate wherever she is. NAADACC offers numerous supports and advocates for providers all along the continuum of care and Mita is part of that mission.

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Nominee’s Philosophy Statement on the Future of NAADAC: I believe that the future of NAADAC will be filled with opportunities and challenges—both of which will show the strength and determination of NAADAC to represent the professional interests of addiction service providers. There has been no greater time to be a substance misuse and addictive behaviors services provider than right now. Science is proving that addiction has strong neurological physiological footings; service providers are proving that addictions and addictive behaviors must be treated holistically, relationally, and systemically.

NAADAC must continue its work to encourage networking, collaboration, education, training, experience, and professional membership.

NAADAC must continue its advocacy for parity with a unified collaborative voice. NAADAC must continue to uphold an appreciation for diversity amongst all who interface with addictions.

NAADAC must continue to bring national recognition and acceptance of credentials and the process of credentialing. NAADAC must continue to be of value to its members by treating each member with respect and dignity. NAADAC must continue to set high ethical standards. NAADAC must continue to seek and mentor the next generation of providers who are entering the field. I believe that NAADAC has much work to do and I want to be in the trenches with them.

Nominee’s Other Qualifications for the Office of Regional Vice-President: Mita has been a clinician, supervisor, mentor, trainer and educator for 25 years. As a licensed professional counselor, marriage and family therapist and addiction counselor, Mita has worked in numerous community agencies and private practice. She believes that all care (> 90%) is co-occurring in nature and promotes collaborative care while respecting scope-of-practice. She continues to maintain a private practice where she is continually challenged to learn and use evidence-based practices to assist her clients. Clinical supervision has been an amazing experience; watching clinicians grow professionally has been a highlight of her career.

Teaching, training, and speaking have afforded Mita opportunities to advocate for the important work we do as specialists and professionals.

It is Important to be an advocate in the community; Mita is a member of several credentialing-specific committees, is an appointee to the Governor’s council for behavioral health transformation, is a member of several addiction-specific boards, and is a consultant to the state regulatory agency.

Regional Vice-President Candidate & Winner for North Central Representing Iowa, Kansas, Minnesota, Missouri, Nebraska, N. Dakota, & S. Dakota Nominee: Diane Sevening Credentials: EdD, LAC Please list number of years worked in the addiction profession: 30 Summary of the Nominee’s NAADAC activities: • NAADAC Regional Vice-President of the North Central Region.

• NAADAC chair of college and university student committee since 2006 • A ssisted NAADAC in the development of state affiliates’ council of students, guidebook (bylaws) for college and university student organizations.

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• Faculty advisor to the local NAADAC student organization, the Coalition of Students and Professionals Pursuing • Advocacy (CASPPA), since 2005.

• Presented at the 2010–2013 National Conferences, the 2007 Advocacy in Action Conference and the 2006 Workforce Development Summit • Member of NAADAC since 1999 • Received the NAADAC Presidents Award as an educator and advocate for the addiction profession, September 2010 Nominee’s Philosophy Statement on the Future of NAADAC: Dr. Diane Sevening is motivated by compassion and she believes In the NAADAC mission to lead, unify and empower addiction focused professionals to achieve excellence through education, advocacy, and knowledge, standards of practice, ethics, professional development and research.

Nominee’s Other Qualifications for the Office of Regional Vice-President: Dr. Diane Sevening is an Assistant Professor, in the Department of Addiction Studies, at the University of South Dakota. She serves on the Board of Directors of INCASE a professional association of college/ university professors specializing in addiction studies counselor education. She has also served as an addiction family therapist at St. Luke’s Addiction Center and as an alcohol and drug counselor at the University of South Dakota student health service. Dr. Sevening presented at the 2011–2014 NAADAC conferences, the 2010 National Conference on Addiction Disorders (NCAD), the 2007 Advocacy in Action Conference and the 2006 Workforce Development summit.

Regional Vice-President Candidate & Winner for Mid-Central Representing Illinois, Indiana, Kentucky, Michigan, Ohio, & Wisconsin Nominee: Kevin Large Credentials: MA, LCSW, MAC, A AMFT Clinical Fellow Please list number of years worked in the addiction profession: 25 Summary of the Nominee’s NAADAC activities: • Regional Vice-President, Mid-Central Region, March 2014 to March 2015 • NAADAC PAC committee member, 2004–2013 • NAADAC ad hoc Adolescent Specialty Committee • Conference Chairperson, Mid-Central Regional Conference, co-hosted with ICAADA, June 2003 • Conference Volunteer and Photographer • Kevin has written seven articles published in the NAADAC News on a variety of topics • V ice President, Indiana Association for Addiction Professionals, 2005–2006 • Chapter Representative, Board of Directors, ICAADA, 2002–2004 • Conference Chairperson, Board of Directors, ICAADA, 2002–2004 • President of the Northern Indiana Counselors Association (NICA), 2002–2006

Nominee’s Philosophy Statement on the Future of NAADAC: I see that NAADAC will continue to be the premier agency which advocates for the substance abuse counselor, and advocates for the treatment of substance abuse-related issues for the individuals and families affected by alcoholism, drug addiction, and co-occurring disorders, as well as related process addictions. NAADAC’s influence is felt not only throughout the United States but also throughout the world, as NAADAC is sought out by others for leadership and guidance in terms of credentialing of substance abuse counselors, broader issues relating to the treatment of alcoholism and drug addiction, and the unique needs of certain areas and populations.

One of the biggest challenges that lies ahead of us, and one that needs to be addressed at the present time AND into the future, is the continued advocacy for licensure of addictions counselors at the state level in every state that does not already offer licensure for addiction professionals.

Related to this is the continued need for NAADAC to strive to represent both the addictions treatment professional and the field of substance abuse treatment in the world, that is, in the world of government agencies, legislative bodies, among other treatment providers and treatment professionals. I can see that individuals within NAADAC can continue to be the voice of addictions treatment and help pave the way for future dialogue and expression of what it means to be an addictions treatment professional, what it is that we are treating, and a language that is both respectful to the clients that we serve, that helps to define the evolving understanding of addictions treatment. While we often embrace

a wide continuum of services provided, when it calls for addressing addictions treatment, we don’t water down the discussion by relying on terms that only refer to more specific concepts of “prevention” and “substance abuse treatment.”

NAADAC will continue to provide excellent opportunities for education and training that that provides for the continued professional development of the workforce. One would say that NAADAC helps to bring together “the best and the brightest” in terms of attracting the talent and leadership of those that seek to provide quality training, and at the same time, providing for exceptional opportunities for networking among treatment professionals, educators, and those that govern and lead agencies.

Nominee’s Other Qualifications for the Office of Regional Vice-President: Kevin Large is the current RVP for the Mid-Central Region. He has done an excellent job of coordinating regional meetings and demonstrating visionary leadership.

Jessica Gleason is the Director of Communications for NAADAC, the Association for Addiction Professionals. She is responsible for NAADAC communications, marketing, public relations, and all digital media, including the NAADAC website and social media. She is the Managing Editor for NAADAC’s official publication, Advances in Addiction & Recovery magazine, and editor of NAADAC’s two ePublications, the bi-weekly Addiction & Recovery eNews and weekly Professional eUpdate. Jessica holds a Juris Doctorate from Northeastern University School of Law in Boston, MA and a Bachelor of Arts degree in Political Science from the University of Massachusetts at Amherst in Amherst, MA.

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■ CER TIFIC ATION

NCC AP Presents at 4th ICCE Commission Meeting in United Arab Emirates

by Kathryn Benson, LADAC, NCAC II, QCS, NCC AP Chairperson

PHOTOSPIN | PAVEL BOLOTOV & SERGEY KORKIN

It was with great anticipation that as NCC AP Chairperson, I was invited to accept appointment to the International Centre for Cer­ ti­fication and Education (ICCE) Commission for its 2015–2017 term. This international group of substance use disorder prevention and treatment professionals serves more than 28 countries included in the Colombo Plan. The Colombo Plan, established in 1950, embodies the concept of a collective intergovernmental effort toward the economic and social development of member countries representing Asia and the Pacific. The United States has been a formal member since 1951. NCC AP and NAADAC are proud to have served as consultants to this organization for many years.

In February, Shirley Mikell, NCC AP Con­ sul­tant and I traveled to Abu Dhabi, UAE to attend the 2015 4th ICCE Commission meeting. There we were enriched by our discussion and interaction with professionals from many dif­ferent countries seeking assistance to address the substance use treatment and prevention needs of their respective countries. All were engaged in the development of education, training and credentialing resources for their professionals.

Introduction to this beautiful city was an amazing life opportunity. Introduction to these accomplished professionals from many different cultures was life changing. We discussed different trends of substance use disorders, treatment

and prevention needs and models, and the ongoing process of credentialing development and recognition of their respective professionals.

In my presentation to this group, I discussed all of the areas of expertise represented by NCC AP’s professional credentials and the importance for individuals to hold competence in their areas of specialty. My primary focus centered on the importance of qualified clinical supervision and all of the roles this specialty brings to the overall provision of quality service.

Emphasizing the purpose of clinical supervision, which includes nurturing of the supervisee’s professional development, and teaching the necessary developmental skills and competencies to insure measurable outcomes, is the key to raising the level of accountability for clinicians and their respective programs.

This discussion rested on the fundamentals necessary for a skilled clinical supervisor which include clear communication, analysis, organization, prioritization and problems solving skills. Essential personal requirements include passion, intense commitment, a desire for productive action, and an ability to challenge and inspire those they lead.

Finally, in my recognition of this distinguished group of international professionals, I included the attributes we all embrace in our role as leaders, mentors, helpers. To own our gifts is to fully engage in the healing process of human connection. Which gifts do you carry in your work: Trustworthiness, Vision, IQ/ EQ, Accountability, Compassion, Empathy, Inclusion, Motivation, Flexibility, Authentic, Competence, Courage, Passion, Conviction and Generosity of Spirit?

Kathryn Benson, NCAC II, LADC, QSAP, QSC, serves as Chair of the National Certification Commission for Addiction Pro­fessionals (NCC AP). Contact her at lightbeing@aol.com with your thoughts or ­questions. Every effort will be made to respond to your inquires in either this publication or a personal reply.

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■ CER TIFIC ATION

4th ICCE Commission Meeting Report: New Line-Up of the ICCE Commission for 2015–2017 Term

By the International Centre for Certification and Education of Addiction Professionals (ICCE) ABU DHABI: The National Rehabilitation Centre, Abu Dhabi hosted the 4th ICCE Com­ mis­sion Meeting in Beach Rotana Hotel, Abu Dhabi, UAE, on February 2–3, 2015. The two-day meeting was attended by the five existing Commissioners: HE Dr Hamad Al-Ghaferi, UAE; Dr. Shanthi Ranganthan, India; Dr Cho Hyun Seob, Republic of Korea; Ms Aishath Bisham, Maldives, and Under Secretary Edgar C. Galvante, Philippines, and were joined by nine new faces: Ms Kathy Benson, USA; Dr Diah Setia Utami, Indonesia; Mr Yuji Yazawa, Japan; Dr. Richard M. Gakunju, Kenya; Mr Izhar bin Abu Talib, Prof Dato Dr.Mahmood Nazar Mohamed, Malaysia, Mr Muhamad Hafeez, Pakistan, Dr Viroj Verachai, Thailand, and Dr Prapapun Chucharoen, Thailand.

In his welcome remarks, HE Dr Hamad Al-Ghaferi, Director-General, NRC, thanked the delegates for taking time off their busy work schedule to participate in this year’s Commission Meeting. On a similar note, Mr Thomas Browne expressed his appreciation to all for their willingness and commitment to travel long distances from their home country to accomplish the work given to them. This sentiment was further reiterated by Mr Kinley Dorji, Secretary-General, Colombo Plan, who also expressed his thanks to HE Dr Hamad and his team for their time and commitment in organizing the Commission Meeting for the second consecutive year.

For the incumbent two-year term, the following Commissioners have been elected to the posts below:

Chairman: HE Dr Hamad Abdulla Hashim, UAE Vice Chairman: Dr Shanthi Ranganathan, India Secretary: Ms Aishath Bisham, Maldives Treasurer: Dr Richard Gakunju, Kenya Following the election of the new officebearers of the ICCE Commission for the 2015– 2017 term, Mr Tay Bian How, Director ICCE, presented an overview of ICCE initiatives in 2014, as well as upcoming initiatives for 2015 en­compassing three areas, that is, curriculum de­velopment of the Universal Prevention Curric­ulum for Substance Use (UPC) and Uni­ver­sal Treatment Curriculum for Substance Use Dis­ orders (UTC), Training of Trainers and Train­ ing of National Trainers on the UPC and UTC, and credentialing of addiction professionals.

The next agenda focused on the presentation of the credentialing of addiction professionals in three countries, namely, United States of America by Ms.Kathy Benson, Middle East

by Dr Shamil Wanigaratne, and Kenya by Dr Richard Gakunju. Besides this, there was also a presentation by the Deputy President of Cy­ ber­jaya University of Medical Sciences, Malay­ sia, regarding the Postgraduate Diploma on Addic­tion Science. Another highlight of the meet­ing was a preview of the first International Society for Prevention and Treatment Substance Use Professionals (ISSUP) Conference by Mr Tay Bian How, Director ICCE. This event is scheduled to be launched in Bangkok, Thailand on July 6–10, 2015 where a crowd of 1,500 local and 500 international professionals in the

prevention and treatment field are expected to attend.

The Commission Meeting also discussed and passed two proposed amendments made by the ICCE Director in his capacity as the Executive Director of the Commission. Firstly, the motion was moved to amend the existing International Certified Addiction Counsellor (ICAC) credential to International Certified Addiction Professional to make it more all-encompassing of all individuals in the addiction and other helping professions, and not only limited to counselors. Secondly, the motion was moved to change the eligibility criterion for the Recovery Coach credential to nine years of High School education for Japan. Additionally, a motion was also moved for ICCE to offer and appoint interested individuals or organizations as ICCE Approved Education Providers to help disseminate both the Universal Prevention Curriculum and the Universal Treatment Curriculum to the drug demand reduction workforce world-wide.

The second meeting of the ICCE Com­ mission for 2015 is scheduled to be held in Bang­kok, Thailand on July 6–8, 2015 in con­ junction with the ISSUP Conference. This second ICCE Commission Meeting will include a four-hour training relating to the process or steps involved in managing violation of the professional Code of Ethics by credentialed addiction professionals.

The International Centre for Cer­ti­fic­ a­tion and Education of Addiction Pro­fes­sionals (ICCE) was established in February 2009 as a training and credentialing arm of The Colombo Plan for Cooperative Economic and Social De­vel­op­ ment in Asia and the Pacific’s Drug Advisory Program. It is a part of the global initiative funded by the Bureau for International Narcotics and Law Enforcement Affairs (INL) of the U.S. Department of State, with special collaboration with NAADAC, which aims to train, certify, and professionalize the addiction treatment workforce. To ensure the high quality and standard of ICCE initiative, a policy making body called the ICCE Commission was established in June 2012. This Com­mis­ sion is composed of 10 members representing nine member countries of the Colombo Plan and is responsible for effective implementation of training, administration of examinations, and the provision of credentials.

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Licensing the Addiction Profession in All Fifty States: The Process Begins

By Don P. Osborn, PhD, LCAC, MAC

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GRAPHICSTOCK | MYHVUUWD

f a discussion about licensure of addiction counselors has not started in your state, it would be wise to start one. If your state already has licensure, you may need to reevaluate your current licensure laws to see if they really protect you as an addiction counselor. Starting in 2015 NAADAC, the Association for Addiction Professionals will begin to advocate for the implementation of licensure of addiction counselors in all 50 states. In recent years, a handful of states, including Arizona, Indiana, Connecticut, Kansas, and South Dakota, have set the standard and successful precedent in licensure of addiction counselors due to needs for the addiction profession. Indiana in particular, was the first state to mirror the allied professions of Clinical Mental Health, Marriage and Family Therapy, Psychology and Social Work, to attach higher education to licensure.

Indiana’s two tier license required a degree in addiction counseling at the undergraduate and graduate level, with specific academic courses in addictions. Indiana’s licensure has become known as “the Indiana Model”, and has been used by other states for their addictions licensure legislation. Further, states such as Kansas and South Dakota, have implemented inclusion of legislative language that to be license eligible, you should be a graduate of an addictions studies degree program in higher education that is accredited by the National Addiction Studies Accred­i­ ta­tion Commission (NASAC). As NAADAC moves forward with a comprehensive strategic 50-state plan for licensure, states and NAADAC affiliates will be assisted by its Professional Affairs and Practice Standards Committee (PAPSC) to accomplish the goal of licensure or to protect and further enhance current licensure legislation.

This article is to inform, introduce, or reintroduce you to the issues, necessity, and strategy for implementation of addiction counseling licensure on a national scope. I hope to provide you with a foundational knowledge on which to build understanding and relieve any anxieties you may have on the subject. The issue can no longer be ignored; licensure

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is coming and one way or another it will happen. Yes, it will impact you, and NAADAC’s mission is to have the impact be a positive one on your future and career.

Why now?

Very simply, addiction counselors and the practice of addiction c­ ounseling are exposed. This is due to states not having addiction ­counseling licensure, or states having non-defined, weak licensure legislature as writ­ten. From a business model, addiction counseling is exposed and at risk for take-over by other allied helping professions. One such example is Vision 2020, the national initiative by the American Counseling Associ­­a­tion to have counseling licensure in all 50 states by the year 2020. The concern by NAADAC leadership for the addiction counseling profession is that the American Counseling Association as a professional body sees “coun­seling” alone as the profession, and addiction counseling as only a spec­ialty of the counseling profession. Hence, the International Asso­c i­a ­t ion of Addiction and Offender Counselors (IAAOC) is one of 20 spec­­ialty divisions within the American Counseling Association. It does not see the primacy of addiction-specific practice, training, and education.

So what are the perceived ramifications for states that do not have addiction counseling licensure, or non-defined written licensure? There are several that could or will impact addiction counselors.

Creating licensure legislation from the Vision 2020 approach of “counseling as the profession” where addiction counseling is viewed as a specialty and not a profession is the opposite of seeing addiction counseling as a stand-alone profession with specific competencies, skills, and attitudes. Such an approach would initiate the diminishing of the distinct role, identity and practice of addiction counselors. Other issues that

With the advent of the Affordable Care Act academic and licensure requirements at the master’s degree level are here to stay.

Thus, it is critical for states that do not have addictions licensure, or less defined licensure for the addiction profession to pass legislation and/or revisit their existing licensure language. emerge is the possibility of licensure language crafted by another entity that may not adhere to the academic course work, qualifications, scope of practice, and ethics distinctive to addiction counseling. Further, what impact will this have on the understanding of substance use disorders and treatment of persons with substance use disorders and their families? The major issue for those in the addiction counseling profession in a state where Vision 2020 is adopted will be if the licensure bill requires that persons giving addictions-specific counseling have met the academic licensure standards, especially in higher education for addiction counseling. Vision 2020 is advocating that for individuals to be eligible to sit for licensure, they must have a degree from a graduate program accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP). In contrast, NAADAC believes that licensure should require addiction counselors to have graduated from a program accredited by the National Addiction Studies Accreditation Commission (NASAC).

For the last three decades, managed health care has been shaping the delivery of addiction and mental health services. Many providers had to meet specific qualifications to provide substance use disorder services. One of the major changes, especially for addiction counseling is the developing need for counselors to have a master’s degree to provide clinical level services and be licensed in order to be reimbursed for addiction counseling. No longer is just a certificate from a training program or being in recovery alone sufficient for clinical service and reimbursement. Persons with less than the required degrees or graduate degrees that do not meet

the stringent criteria will be relegated to positions of “peer recovery support,” technician, or other non-clinical positions.

The reasons why the addiction counseling profession has lost ground is due to the allied “helping” professions establishing their own academic requirements. As a result, clients with substance use disorders were treated by licensed counselors with masters or doctoral degrees that did not necessarily have addictions-specific course work as part of their academic study. At the same time, addiction counselors didn’t recognize the need to attain a graduate degree in order to perform clinical work, and resisted the idea of academic and licensure standards specific to addictions. Such positions jeopardized the future of addiction counseling. The frustration of many addiction counselors mounted, as they saw more allied professionals counseling substance use disorder clients.

Unfortunately, these addiction counselors would not, or could not advance their education to compete with the allied professionals. As a result, more addiction counselors are now losing their jobs to higher educated allied professionals. With the advent of the Affordable Care Act academic and licensure requirements at the master’s degree level are here to stay. Thus, it is critical for states that do not have addictions licensure, or less defined licensure for the addiction profession to pass legislation and/or revisit their existing licensure language. Because most of the complicated issues surrounding addiction counseling licensure are nationally universal, NAADAC has the experience to best represent the addiction counseling profession in the crafting, and implementation of addictions licensure at the state level.

Licensure 101 Licensure can be a complex issue, but it is not rocket science. Some addiction counselors and state affiliate boards find that they are at a loss on how to begin, or where to go to develop licensure in their states. Some addiction counselors worry that they lack the people, time, and financial means to see licensure through the arduous process it can often become. Some addiction counselors hope the licensure issue will go away or fade into a minute issue that won’t require their attention or involvement. Such actions are futile.

The first step in understanding licensure is understanding the difference between certification and licensure. Certification is the established training, educational and service hour criteria of a profession, culminating in passing an examination. The examination is adminis-

tered through a profession, or an agency selected by the profession. Some states only have certification. In these states, the state or agency of the state allows the professional entity to register with the state to grant certification. In this way the state saves the expense of administration, and the professional entity has the financial benefit of the certification, through its testing, training, and renewal.

There are three types of certification: national, state, and specialty. National certification is a certification which is recognized by states, employers, and health care providers.

State certification can have the same benefits as national certification, and often differs by having multiple levels of certification based upon completion of training course hours, direct service hours, and years of service. Each level and criteria is based upon the type of job criteria established by the state.

A major issue the field of addiction counseling is facing is criticisms from other allied professions for having too many specialty certifications. Questions have risen as to whether the subject matters of these specialty certifications are legitimately problem-based in occurrence, severity, chronicity, and research, to require such a certification and whether such specialty certifications, with specific educational requirements, study materials and exam costs, are “manufactured” for financial gains in the perpetuation of renewing certification that sustains the issuing entity. People question whether addiction counselors legitimately need these specialty certifications for employment or their job function or whether the certifications simply serve to shore up a counselor’s lack of confidence in their ability to treat certain areas of clinical service. Worse yet, to obtain some certifications, all one needs to do is pay a fee and meet some minimal criteria to hang another piece of paper on their wall.

With the number of certifications available, addiction counseling has acronymn’d itself to the point where credibility and validity are questioned by the allied professions. In contrast, licensure supersedes certification in rigor and standards. Because of this, we are now at a time in the addictions profession where licensure will replace certification, especially state certification, and many of these specialty or vanity certifications will in time will diminish or cease to exist.

Licensure can be divided into two major types: “general counseling” licensure and “license by profession.” General counseling licensure (in some states) is identified by the title, such as “Licensed Professional Counselor” S P R I N G 2 015 | A d va n ce s i n A d d i c t i o n & R e c o v e r y 21

Licensure for the addiction counseling profession is imperative in that it establishes (1) a title and (2) practice protection.

(LPC). The LPC license is an encompassing license in the aspect that all other allied counseling professions are encompassed under the umbrella of this title. This is what the American Counseling Association’s Vision 2020 initiative would be reflective of, as the LPC license already exists in some states. Since the LPC is all-encompassing, it does not have a particular professional sub-identity attached to it, such as marriage and family therapist or addiction counselor, thus there is no identification of a specialty. The professional identity of that licensed individual is that of a general counselor.

In creating such an LPC license, the requirement of practicum, internship, and post graduate hours are in most cases also generalized.

In “license by the profession” legislation, each profession has a role in creating the language and criteria for licensure requirements for that profession. In this manner, courses, scope of practice, post graduate hours, and licensure exams are specific to the profession. In short, this is the license that NAADAC prefers, as state legislators and other state officials will seek input from the profession to develop the license to ensure that it contains the necessary specificity in language and requirements. This allows the profession to have more influence and control as the experts in the spe­cific licensure have the ability to make or suggest changes as necessary to secure the integrity of the profession. Another advantage of this type of licensure legislation is that typically, as part of this process, the state assumes oversight in the practice of the profession regarding ethical and legal matters. This is an important aspect to licensure, as in the past, some certifying bodies have been subject to questions of bias and discrimination in the investigation of ethical complaints.

Licensure for the addiction counseling profession is imperative in that it establishes (1) a title and (2) practice protection. Of the two licensure models described above, “licensing by a profession” allows for a more strongly established license. No other allied helping professional can call themselves an “addiction counselor” or practice addiction counseling if the 22

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title is protected in a legislated licensure statute.

Unfortunately, there are some states where indi­ viduals are LPC in title, but other allied pro­fes­ sions can practice outside of their education and scope of practice. For those states that have licensure, or LPC enacted, the licensure statutes should be reviewed to allow for the incorporation of new findings as new research emerges and professional development standards change. This is especially true today with chang­ing academic standards and insurance provider panel demands. History tells us that states that enacted licensure laws and practice stan­dards for physicians and nurses in the sixties are not using the same standards today. In those states existing licensure statutes were reexamined and updated to incorporate contemporary practices of medicine, patient care, and re­im­burse­ment.

So too will current licensure laws gov­erning the addiction counseling profession.

Without a curriculum, there is no “profession,” as a curriculum is the repository of the collective evidence of result-driven data that establishes the distinctive tasks of a profession.

A Little History During my term as NAADAC Regional Vice-President, I was preparing to work on my doctoral dissertation. As part of my preliminary research, I looked at the history, academic course work, licensure, and professional development of addiction counselors. To my shock I found that the field of addiction counseling, unlike the allied professions, did not have a nationally standardized academic curriculum.

Without a curriculum, there is no “profession,” as a curriculum is the repository of the collective evidence of result-driven data that establishes the distinctive tasks of a profession. The void of a curriculum also complicated the ability to establish standards, especially when it came to licensure, because I discovered that licensure needed to be “nationalized” in consistent standards for the addiction counseling profession to be viable. This means that licensure standards must be built on the same language, criteria, and be closely similar in each state. This would

mirror what social workers, psychologists, and marriage and family therapists have done across the states to secure and protect their professions. There is recognition that each state may have its own nuances to licensure legislation, yet the addiction counseling profession will have outlined a “nationalized” degree program, courses, hours, scope of practice, and examination process.

During my research period, members of various state legislative and executive branches contacted me requesting assistance in the development of their licensure statutes. An issue of concern across many of the states was that licensure legislation was being drafted or had been drafted by individuals with little to no knowledge about addictions or “behavioral health,” or what important or specific issues needed to be addressed in a licensure bill. In others states, licensure bills were being written using educational and practice standards not specific to addiction counseling, such as the case where social workers in a state agency that had oversight of mental health and addictions services wrote a licensure bill that contained the educational and practice standards of social work. This is similar to the early versions of Indiana’s licensure bill, as social workers had written the academic standards in clinical supervision hours. Fortunately, and in time, all social work content was deleted from the Indiana licensure bill. If left uncorrected, the bill would have been challenged and faced certain death. The above examples show that even if a state has licensure, addiction counselors should not have a false sense of comfort and assume that they are protected in their state. In many states where licensure bills were written by non-addiction professionals, the statutes are non-defined, weak, have a bare minimum of standards, or language that benefits of one or more allied professions in its professionals’ ability to do addiction counseling.

Because of these findings, I began to work with other addiction professionals to collect what was needed to build the foundation of our profession. This pursuit was also the fodder for my doctoral dissertation, which I wanted to be a solid piece of research to benefit addiction counseling from both a historical and contemporary understanding. With the outcome data from the dissertation, I tasked myself to draw a blueprint, and the structure of the foundation the addiction profession would need to build.

Using the graduate addiction counseling curriculum from Indiana Wesleyan University (IWU), I conducted interviews with clinical practitioners in addictions about what addiction

counselors need know, and be prepared to do.

The same practitioners completed a survey of the IWU program to rank, in order of importance, those courses relevant to their work in addiction counseling. I then reviewed what other allied professions had done to solidify themselves as professions. In conclusion, I outlined the following requirements needed for addiction counseling to become an in kind profession with practice standing: 1) a national addiction studies curriculum; 2) the creation of an accrediting body in higher education for addiction studies; 3) a scope of practice based upon research of the curriculum and practice of addiction counseling; 4) licensure based on an addiction specific scope of practice; and 5) a licensure examination based upon the addictions curriculum. The goal in mind was to develop and thus ensure a specific career path to bring addiction counseling from a field to a profession, and most important, create a national standardization that would provide addiction counselors with reciprocity. With reciprocity, addiction counselors would no longer need to start anew, or find they needed to jump through hoops in order to be recognized when moving from one state to another.

These goals were made possible with a grant from the Substance Abuse and Health Services Administration (SAMHSA) to NAADAC, and with collaboration from the International Coalition of Addiction Studies Educators (INCASE), a committee made up of 27 addiction stakeholders was given the mission to establish a nationally standardized addictions studies curriculum. This committee became known as the National Addiction Studies and Standards Collaborative Committee (NAS­ SCC) and I was honored to be named its chair.

After three years of hard work, NASSCC established a curriculum of standards in addiction counseling from the associate level through the doctoral degree level. To coincide with the curriculum development, NAADAC’s Executive Director, Cynthia Moreno Tuohy and National Certification Director, Shirley Beckett Mikell, developed the first national scope of practice for addiction counseling. Both worked to cross walk the curriculum to the respective level of aca­demic degree, training, supervision and ex­ per­ience related to addiction counseling prac­ tices. TAP 21 competencies were related to each scope of practice to guide the addiction counselor and their clinical supervisor. The national addiction studies curriculum and the scope of practice have been vetted and approved by a stake­holders through convening by SAMSHA. As a result of the work of NASSCC, my

Licensure is coming.

The question is whose licensure will it be, and are you, or will you be prepared? doctoral research with the IWU template, and the support and inclusion of INCASE, we were able to develop a higher education academic addiction profession accrediting body.

During my tenure as President of NAADAC, a historic moment occurred in 2010 when then INCASE President, Dr. Kirk Bowden and I, by our signatures, brought into existence the Na­ tional Addiction Studies Accreditation Com­ mis­sion (NASAC) before a special meeting of the NA ADAC membership at the national con­ference in Washington, D.C. At long last, addiction counseling was no longer a field; it was officially respected and recognized academically, as a young profession with its own academic accreditation body.

How will this be implemented and why this is important for you?

During my terms as NAADAC PresidentElect and President, the development of the curriculum, scope of practice, model licensure legislation, and related licensure examination for the addiction counseling profession was written and piloted. During the tenure of NAADAC President, Robert “Bob” Richards, vetting and endorsement review was conducted with several states implementing addiction counseling licensure. Now with our current NAADAC President, Kirk Bowden, full implementation will move forward. The implementation process began at the 2014 NA ADAC Annual Conference & 40th Anniversary Cele­ bration in Seattle, as I was privileged to present the first legislative licensure workshop to state affiliate leaders and NAADAC members. This workshop provided the details for state affiliates on how to develop and manage the process of licensure. Helpful to this effort were representatives from the states that have already enacted addiction counseling licensure. Attendees heard some of the representatives speak of the work, and the benefits that have come from licensure for addictions professionals and their clients.

This article is the next step of the process - to inform you, the NAADAC membership, and state affiliates of what lies ahead in the coming months for you to educate yourselves and for you to plan.

Through NAADAC and its Professional Affairs and Practice Stan­d ards Committee (PAPSC), NAADAC affiliates, leaders, boards and members will have a resource for direction and consultation. NAADAC leadership will strategically implement other means to educate and support these efforts in the coming months. As states are unique and varied in their resources, the PAPSC and the NAADAC leadership will help state affiliate leaders assess their legislative landscape, identify current needs and challenges, and implement new strategies to enhance the addiction profession. NAADAC will work with states affiliates that need to organize a legislative committee, or simultaneously start conversations with legislators. Other states may be ready to write and support a licensure bill. Some states affiliates may find they need to start by assessing what type of addiction courses and programs exist in the higher education institutions in their state. If such education does not exist, then the affiliate must figure out how the development of addiction specific courses and programs can begin and move toward eventual NASAC accreditation. As of now, some academic programs are transitioning from current course descriptions and student learning outcomes to those within NASAC accreditation. Each state affiliate will also need to establish timelines, f inancial costs, and the person-power needed to implement the necessary plan in its state. The key is to have every state’s licensure bill built upon a tiered system, with similar language and components in all states to ensure national standards in all states.

Licensure is coming. The question is whose licensure will it be, and are you, or will you be prepared? If not, then what? NAADAC has worked long, hard, and smart to develop a professional package for current and future addiction professionals to ensure the profession will continue to exist in providing a career path toward professional practice. NAADAC seeks not to scare you, but prepare you for what is ahead. The choice is yours as members and affiliates. Many over the years have asked “What can NAADAC do for me?” My response has always been, and as you can read, “a lot.”

Don P. Osborn, PhD, LCAC, MAC, is a Past President of NAADAC (2010–2012), and current Chair of the Professional Practices and Standards Committee. He is Director and Professor of the graduate addiction counseling program at Indiana Wesleyan University. Don also serves as the ViceChair of the Indiana Behavioral Health and Human Services Licensing Board.

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National Recovery Month Comes of Age

By Ivette Torres, MEd, MSC, Director of Consumer Affairs, Center for Substance Abuse Treatment (CSAT), the Substance Abuse and Mental Health Services Administration (SAMHSA)

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n 1989, NAADAC’s “Recovery Works!” observance brought the topic of treatment to the forefront for many leaders in the field of addiction. The premise of “Treatment Works!” was simple: substance use disorder treatment was effective in reducing addictions to alcohol and other drugs; and, the nation needed to recognize the tremendous work being done by counselors and ot her f ield workers i nvolved i n add ict ion treatment.

As the observance evolved into National Alcohol and Drug Addiction Recovery Month in late 1997, the scope and objectives of the effort broadened to include and focus on recovery as a central point and goal of substance use disorder treatment. At the same time, SAMHSA/CSAT was rolling out the first cohort of Recovery Community Support Programs, which aimed to provide an ongoing network of support for those in recovery from substance use disorders. These two important activities helped shape what is now a thriving recovery movement. The later took shape through a slow progression of multiplying community based events and activities aimed at educating the broader public about substance use disorders as a growing national health crisis.

The observance evolved once again in 2011 into National Recovery Month in order to embrace those in recovery from mental and substance use disorders.

This was by far the most seismic change to date to the observance as it called into question the very essence of its origins. Such change also called into question the observance’s ability to survive the broader targeted audience under the umbrella of behavioral health. And yet it has survived and thrived.

Throughout this whole evolution there has been one consistent focus—an emphasis on those who have overcome one of the greatest human challenges possible: addiction. Moreover, National Recovery Month continues to emphasize that sustaining of recovery greatly depends on help from family, friends and the broader community. Perhaps the latter is the greatest gift that National Recovery Month has contributed to the broader discourse in the recovery field. And, let’s not forget that while 24

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we have also made gains in the reduction of use of discriminatory language and reshaped established assumptions about those in need of recovery or in recovery, there is still much work to be accomplished to eliminate disparities toward those in recovery.

From an organizational perspective, National Recovery Month has managed to continue to engage more than 200 Planning Partners who come together four times each year to help plan and implement the campaign. These partners come from every corner within and outside the mental and substance use disorder field and even from neighboring countries such as Canada. Their collective volunteer efforts remain the heart of Recovery Month. Without a doubt National Recovery Month has earned a place in the annals of the recovery movement. It continues to offer an opportunity for those in recovery, their family, friends and the broader community to reflect on the gains made by those in recovery. Similarly, the campaign continues to raise awareness within the ranks of those who still need to find recovery and most importantly to engage those in the civic, elected and business sectors to support efforts to fund recovery services at all levels.

NAADAC should be proud of its involvement in the seminal steps of this effort. Most importantly, NAADAC’s members need to continue to proudly engage in events and activities during September and throughout the year. We’ve come a long way together in the last 26 years. The 2015 National Recovery Month theme is “Join the Voices for Recovery: Visible, Vocal Valuable!” It is my hope that every person in recovery and others take the opportunity to embrace the theme, become involved and “join the voices for recovery!”

Ivette Torres, MEd, MSC, joined the Center for Substance Abuse Treatment (CSAT), Substance Abuse and Mental Health Services Ad­min­is­ tration (SAMHSA) in the fall of 1997. Ms. Torres oversees the CSAT team responsible for generating and disseminating mental and substance use disorder treatment and recovery best practices to SAMHSA’s mission related constituents. She develops national public health education strategies and campaigns including the observance of the National Alcohol and Drug Recovery Month, celebrated each September.

The Pacific Behavioral Health Initiative: NAADAC Trains and Certifies Trainers for U.S. Affiliated Pacific Jurisdictions

By Kathryn M. McCutchan-Fua, Executive Director, Pacific Behavioral Health Collaborating Council

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he Pacific Behavioral Health C o l l ab o r at i ng C ou nc i l (PBHCC) is a communitybased non-profit organization comprised of Single State Agency Directors responsible for the quality of substance use disorder prevention and treatment services for a target population of over 544,000 children and adults in the six U.S. Affiliated Pacific Jurisdictions, including American Samoa, Guam, Commonwealth of Northern Marianas Islands, Republics of Palau and Marshall Islands and the Federated States of Micronesia. Access to local training and technical assistance experts is essential for the Pacific Jurisdictions. The total land mass of these island nations is smaller than the five states of New England spread across 669 islands and atolls spanning 5 million square miles of ocean, an area larger than the continental United States.

This month, the PBHCC and major collaborating partners including NA ADAC, the Assoc­iation for Addiction Professionals, the University of Nevada Reno Center for the Ap­ pli­cation of Substance Abuse Technologies, Pacif ic Southwest Addiction Technology Transfer Center (ATTC), and the Pacific-based community colleges from the south to northern pacific regions, launched the Pacific Behavioral Health Initiative (PBHI), a regional workforce development initiative that will significantly

impact the behavioral health workforce across the islands by building the local capacity of indigenous Pacific Islanders serving the entire Pacific Region. As of June 2014, only six percent (6%) of the total behavioral health workforce was certified and credentialed as substance use disorder counselors or prevention specialists.

The U.S. Department of Health and Human Services’ Health Resources and Serv­ ices Administration (HRSA) and the Substance Abuse and Mental Health Services Admin­istra­ tion (SAMHSA) made a historic investment of $900,000, $300,000 per year for a 36-month project, to improve behavioral health services in the Pacific. Specifically, the Pacific Behavioral Health Initiative will increase the number of skilled, trained, and certified substance use dis­ order treatment counselors and prevention specialists by adding three hundred and sixty certified personnel to the behavioral health workforce by 2017.

Major project objectives include: 1) Providing 810 hours of substance use disorder specific education and training to 360 Pacific Islander behavioral health paraprofessionals from six U.S. Pacific Jurisdictions; 2) Reviewing, adapting and approving six behavioral health college courses in at least four Pacific-based community colleges; and

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3) Training 18 behavioral health clinicians or college faculty to serve as Course Instructors (including Adjunct Faculty) in behavioral health courses specific to substance use disorder, prevention and the fundamentals of behavioral health.

In July 2014, NAADAC’s Executive Director, Cynthia Moreno Tuohy traveled to Hawaii and in February 2015 she traveled for almost two days to Pohnpei in the Federated States of Micronesia (FSM) to work directly with prospective trainers for the PBHI for two weeks to prepare them to teach the 80-hour Foundations for Addictions Treatment course at the college level. The cadre of 18–22 college instructors, representing each island’s core training team along with clinicians who have been selected to serve as Adjunct Faculty, completed this rigorous two-week Training of the Trainer (TOT) intensive session. This was the first time that a cadre of clinicians has worked together as a core team representing the islands in the Pacific Jurisdiction. The fact that they were altogether, working as a team to learn, adapt materials to be culturally relevant to their specific islands, and learn skills that heretofore had not been taught in this manner was historic.

Training of the Trainer uses teach-backs complete with culturally adapted materials, handouts, modified scenarios, revised clinical forms, peer review and role play demonstrations to ensure trainers are proficient in the content matter and demonstrate knowledge and skill in transferring content to the participating audience. Participants learned how to teach about initial interviews, intake, assessment and evaluation, treatment planning, interdisciplinary team case management, referral, discharge planning and ethics. They also learned the needs of each island and their

systems, professional relationship building and adaptation of client forms to match their needs.

The two-week training closed with a celebration of each island’s culture of dance and customs hosted by the Pohnpei Division of Health and Human Services. All of the instructors were initiated into the dance of each island with much glee and laughter. Each participant in the training was “pinned” with a NAADAC pin in the closing graduation exercise to evidence their completion of the Foundations Training Course.

Moreno Tuohy recalls the two-week experience was filled with teambuilding, passion and commitment for the work these professionals are about to undertake as they return to their islands.

“It was an honor to be accepted in this process of learning, growth, and change with such amazing professionals. Each person taught me about their culture and themselves. It was reciprocal learning and growth.

This was a life changing event and created memories that will last a life time! I thank the PBHCC for allowing NAADAC to be such a large part of this process!” stated Moreno Tuohy.

All NAADAC certified trainers are expected to begin teaching the Foundations of Addictions Treatment course in all six Pacific Jurisdictions

by June, 2015 as part of the Certificate Program in addictions treatment and substance use disorder prevention. Each instructor is required to become a certified substance use disorder counselor with NAADAC or ICRC. Many of the certified trainers will also be eligible to become the Adjunct Faculty to teach the six college courses once the courses have been reviewed and adapted.

Write for NAADAC

We are interested in accepting any interesting and topical articles that address issues of interest to addiction-focused professionals.

For more information on submitting articles for inclusion in Advances in Addiction & Recovery, visit www.naadac.org/advancesinaddictionrecovery# submissions

26

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PHOTOSPIN | LEV DOLGACHOV

Please submit your story ideas and/or articles to Jessica Gleason at jgleason@naadac.org.

S P R I N G 2 015 | A d va n ce s i n A d d i c t i o n & R e c o v e r y  27

From Trauma to Transformative Recovery

By William L. White, MA

Earn TWO continuing education credits for reading this article.

See quiz on page 30. To learn more, visit www.naadac.org/magazineces.

PHOTOSPIN | B-D-S

B

etween 1986 and 2003, I served as the evaluator of an innovative approach to the treatment of addicted women with histories of neglect or abuse of t hei r ch i ld ren.

Project SAFE eventually expanded from four pilot sites to more than 20 Illinois communities using a model that integrated addiction treatment, child welfare, mental health, and domestic violence services. This project garnered considerable professional and public attention, including being profiled within Bill Moyers’ PBS documentary, Moyers on Addiction: Close to Home. My subsequent writings on recovery management and recovery-oriented systems of care were profoundly influenced by the more than 15 years I spent interviewing the women served by Project SAFE and the Project SAFE outreach workers, therapists, parenting trainers, and child protection case workers. This article offers a few reflections on what was learned within this project about the role of trauma in addiction and addiction recovery.

Trauma, particularly physical/sexual abuse, was ever present in the lives of the women served by Project SAFE, but one must be cautious in over-interpreting trauma as the etiological agent in addiction and related problems.

After all, multitudes of women have experienced childhood and adult trauma without developing the severity, complexity, and chronicity of problems commonly experienced by the women in Project SAFE. So an early challenge within Project SAFE was to understand what distinguished the trauma resilient from the trauma impaired. Our collective experience with thousands of women across diverse community and cultural contexts led to the conclusion that the resilient and the impaired differed in two fundamental ways. They differed in the nature of the trauma they had experienced, and they differed substantially in the recovery capita l t hat inf luenced t heir capacit ies for resilience.

What separated community populations of women and our clinical population of women

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was not the presence of trauma but the characteristics of such trauma. A cluster of traumagenic factors distinguished the clinical group from the more resilient community group.

Trauma in the former was more likely to: 1) begin at an earlier age (marking less develop­ mental resources to cope with the trauma), 2) involve more physically and psychologically invasive forms of victimization, 3) take place over a longer period of time (e.g., multiple events over days, months, or years rather than a single point-in-time episode), 4) involve multiple perpetrators over time (confirming lack of safety, personal vulnerability, and suspicion that the cause lies within oneself), 5) involve perpetrators drawn from the family or social network (marking a greater violation of trust), 6) involve physical injury/disfigurement or threats of such if event(s) disclosed, and 7) generate environmental responses of disbelief or victim blaming when victimization disclosed.

Women with histories of perpetration of violence against their children, partners, or others also had experienced three additional factors: serial episodes of abandonment, desensitization to violence through prolonged horrification (witnessing violence against persons close to them in their developmental years), and violence coaching (transmission of a technology of violence and praise for violence from the family and social environment). Combinations of these potent traumagenic factors dramatically increased the risk of a broad cluster of problems in personal and interpersonal functioning.

The second conclusion we drew was that women experiencing one or more of these traumagenic factors in community and clinical populations differed widely in the their level of adult functioning, with some exhibiting profound impairments and others exhibiting extra­ ordinary levels of resilience and positive personal and social functioning. While some of this difference could be accounted for by variations in the number and intensity of traumagenic factors, there was another quite influential force that often tipped the scales from pathology to resilience. Women exhibiting the greatest resilience had experienced trauma, but they also possessed high levels of recovery capi­tal—inter-

nal and external assets that could be mobilized to initiate and sustain recovery from trauma and its potential progeny of related problems. Such resources fell into three categories: personal recovery capital, family recovery capital, and community recovery capital, with each arena constituting a potential focus of policy development and service programming.

In contrast to this resilience profile, women served by Project SA FE were collectively marked by the combination of multiple traumagenic factors and low recovery capital. That combination predictively produced distorted thinking about oneself and the world, emotional distress and volatility, migration from self-medication to addiction, assortative mating (recapitulation of developmental trauma in toxic adult intimate relationships), addiction to crisis, impaired parenting, and chronic selfdefeating styles of interacting with professional helpers.

The first challenge in Project SAFE was for the outreach workers, therapists, case workers, parenting trainers, and others not to be personally paralyzed in response to the horror contained in the stories of the women they were serving. The second challenge was not to be professionally paralyzed by the number, severity, complexity and chronicity of the problems presented by the women entering Project SAFE and the resulting multitude of community agencies involved in their lives. Through training, skilled clinical supervision, and mutual professional support, those twin challenges were overcome, traditional models of clinical sense-making and intervention were cast aside, and new understandings and approaches were forged that have been described in a series of reports and training manuals.

So let me now share the rest of the story— the story of recovery. As a long-tenured addiction professional and the evaluator on this project, what most intrigued me was that so many women who were given little chance of success achieved levels of health and functioning that no one, most importantly the women themselves, could have predicted. Equally intriguing were the processes involved in that achievement. Here are just a few of the lessons of Project SAFE that still have salience today.

Hope, not pain or consequence, is the ­critical ingredient to successful treatment and recovery of traumatized women.

Women with multiple traumagenic factors and low recovery capital don’t hit bottom, they live on the bottom. They have incomprehensible capacities for physical and psychological pain.

What is catalytic is not pain, but the discovery of hope within relationships that are personally empowering—experienced sequentially within Project SAFE with outreach workers, SAFE clinical staff, a community of peers in recovery, and then within a larger community of recovering women. In project SAFE, this process most often began through a process of assertive outreach during what I have called a stage of precovery.

The move from precovery to recovery initiation was marked by exposure to women in recovery with whom they could identify and who made recovery contagious by the examples of their own survival and transformed lives.

Life-limiting mottoes for living must be experientially disconfirmed for recovery to proceed.

The mottoes that women brought to their involvement in Project SAFE included: I am unlovable; I am bad; there is no safety; everybody’s on the make—no one can be trusted; if I get close to people, they will leave me or die; my body does not belong to me; and I am not worthy or capable of recovery. The triple challenges in providing effective addiction treatment to traumatized women are to: 1) avoid confirming these messages by recapitulating processes of victimization (e.g., problems rather than solutions focus, emotional battering via confrontation techniques, or emotional or sexual exploitation) and abandonment (e.g., acute care that provides brief stabilization without continued support or disciplinary discharge from treatment for regressive behavior), 2) experientially challenge these messages (e.g., providing enduring support within frequently tested relationships that unequivocally convey acceptance, regard, respect, safety, and security), and 3) forge new mottoes for living within the processes of story reconstruction and storytelling.

The most powerful catalyst for healing trauma is the experience of mutual identification and support within a community of recovering people.

Such an experience within Project SAFE marked the transition from toxic dependencies

Women exhibiting the greatest resilience had experienced trauma, but they also possessed high levels of recovery capital—internal and external assets that could be mobilized to initiate and sustain recovery from trauma and its potential progeny of related problems.

on drugs, people, and enabling institutions to healthy interdependence and mutual accountability within a community of recovering women and children. This suggests that recovery outcomes in traumatized women may be as contingent on community recovery capital (welcoming recovery landscapes) as one’s persona l v ulnerabilit ies and resources.

Systematically increasing community recovery capital involves expanding beyond intrapersonal, clinically focused models of recovery support to encompass models for building strong cultures of recovery and models of recovery community building and recovery community mobilization.

Effective parenting is contingent upon experiencing the essence of such parenting.

Parents cannot authentically give to their children what they have not personally experienced. In Project SAFE, the journey to effective parenting involved an emotional/relational component (active resistance, emotional regression/dependence, reparenting of mothers by S P R I N G 2 015 | A d va n ce s i n A d d i c t i o n & R e c o v e r y 2 9

Project SAFE staff and volunteers; and a subsequent focus on selfhood and mutual help) and a skill component (parental modeling, training, and coaching with SAFE clients and their children).

Effective parenting emerges in middle-to-late stage recovery.

While abuse and neglect of children often remit upon initial recovery stabilization, effective parenting and the larger arena of improved family health must be preceded by heightened recovery stabilization and maintenance and the subsequent transition to an enhanced focus on the quality of personal and family life in long-term recovery. This suggests the need for structured supports for the developmental needs of children during early recovery (via indigenous peer and professional support) and the need for scaffolding for the whole family from these same supports during the early recovery process.

Earn 2 CEs by Taking an Online Multiple-Choice Quiz Earn two continuing education credits by taking a multiple-choice quiz on this article now at www.naadac.org/magazineces. $25 for NAADAC members and non-members.

1. Multitudes of women have experienced childhood and adult trauma without developing the severity, complexity, and chronicity of problems commonly experienced by the women in Project SAFE. a. True b. False 2. Traumagenic factors such as __________ distinguished the clinical group from the more resilient community group in Project SAFE. a. begin at an earlier age (marking less developmental resources to cope with the trauma) b. involve more physically and psychologically invasive forms of victimization c. take place over a longer period of time (e.g., multiple events over days, months, or years rather than a single point-intime episode) d. involve multiple perpetrators over time (confirming lack of safety, personal vulnerability, and suspicion that the cause lies within oneself) e. involve perpetrators drawn from the family or social network (marking a greater violation of trust) f. involve physical injury/disfigurement or threats of such if event(s) disclosed g. generate environmental responses of disbelief or victim blaming when victimization disclosed. h. All of the above 30 

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Project SAFE began with a focus on the psychopathology of the women it served but quickly shifted its emphasis to the creation of a healing community within which the potential and transformative power of recovery was nurtured and celebrated. I remain in awe of the stories of these women and what they were able to achieve.

Acknowledgement: Originally published at www.williamwhitepapers.com William L. White is a Senior Research Consultant at Chestnut Health Systems/ Lighthouse Institute and past-chair of the board of Recovery Communities United. Bill has a Master’s degree in Addiction Studies and has worked full time in the addictions field since 1969 as a street-worker, counselor, clinical director, researcher and well-traveled trainer and consultant. He has authored or co-authored more than 400 articles, monographs, research reports and book chapters and 16 books. His book, Slaying the Dragon – The History of Addiction Treatment and Recovery in America, received the McGovern Family Foundation Award for the best book on addiction recovery. His collected papers are posted at www.williamwhitepapers.com.

3. Women with histories of perpetration of violence against their children, partners, or others also had experienced which of the following? a. serial episodes of abandonment b. desensitization to violence through prolonged horrification c. violence coaching d. All of the above 4. What is recovery capital? a. internal and external assets that could be mobilized to initiate and sustain recovery from trauma and its potential progeny of related problems b. money needed to pay for treatment c. connection with parents during recovery 5. Which of the following is not a resource of recovery capital? a. Personal recovery capital b. Family recovery capital c. Community recovery capital d. Financial recovery capital 6. Multiple traumagenic factors and low recovery capital predictively produced which of the following? a. distorted thinking about oneself and the world b. emotional distress and volatility c. migration from self-medication to addiction d. assortative mating e. addiction to crisis f. impaired parenting g. chronic self-defeating styles of interacting with professional helpers h. All of the above

7. _____ is the critical ingredient to successful treatment and recovery of traumatized women. a. Pain b. Consequence c. Hope 8. Which of the following is an example of a life-limiting motto for living that must be experientially disconfirmed for recovery to proceed? a. I am unlovable. b. I am bad. c. There is no safety. d. If I get close to people, they will leave me or die. e. My body does not belong to me. f. I am not worthy or capable of recovery. g. All of the above 9. Which of the following is NOT a challenge in providing effective addiction treatment to traumatized women? a. confirming these messages by recapitulating processes of victimization and abandonment b. experientially challenging these messages c. forgetting the trauma ever happened d. forging new mottoes for living within the processes of story reconstruction and storytelling.

10. Effective parenting emerges in the _______ stage or recovery. a. Early b. Early-to-middle c. Middle-to-late d. Late

■ NA ADAC LE ADERSHIP NAADAC OFFICERS

NAADAC BOARD OF DIRECTORS

Updated 4/1/15

President Kirk Bowden, PhD, MAC, LISAC, NCC, LPC President Elect Gerry Schmidt, MA, LPC, MAC

REGIONAL VICE-PRESIDENTS Mid-Atlantic (Represents Delaware, the District of Columbia, Maryland, New Jersey, Pennsylvania, Virginia and West Virginia)

Susan Coyer, MAC

Secretary Thurston S. Smith, CCS, NCAC I, ICADC

Mid-Central

Treasurer John Lisy, LICDC, OCPS II, LISW-S, LPCC-S Immediate Past President Robert C. Richards, MA, NCAC II, CADC III National Certification Commission for Addiction Professionals (NCC AP) Chair Kathryn B. Benson, LADC, NCAC II, QSAP, QSC Executive Director Cynthia Moreno Tuohy, NCAC II, CDC III, SAP

(Represents Kentucky, Illinois, Indiana, Michigan, Ohio and Wisconsin)

Kevin Large, MA, LCSW, MAC Mid-South

(Represents Arkansas, Louisiana, Oklahoma and Texas)

Sherri Layton, MBA, LCDC, CCS North Central

(Represents Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota and South Dakota)

Diane Sevening, EdD, LAC Northeast

(Represents Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island and Vermont)

Catherine Iacuzzi, PsyD, MLADC, LCS Northwest (Represents Alaska, Idaho, Montana, Oregon, Washington and Wyoming)

Greg Bennett, MA, LAT Southeast

Organizational Member Delegate Matt Feehery, MBA, LCDC, IAADC

Ethics Committee Chair Mita Johnson, EdD, LPC, LPC, MAC, SAP

PAST PRESIDENTS

Finance Committee Chair John Lisy, LICDC, OCPS II, LISW-S, LPCC-S

1974-1977 Robert Dorris 1977-1979 Col. Mel Schulstad, CCDC, NCAC II (ret’d) 1979-1981 Jack Hamlin 1981-1982 John Brumbaugh, MA, LSW, CADAC IV, NCAC II 1982-1986 Tom Claunch, CAC 1986-1988 Franklin D. Lisnow, MEd, CAC, MAC 1988-1990 Paul Lubben, NCAC II 1990-1992 Kay Mattingly-Langlois, MA, NCAC II, MAC 1992-1994 Larry Osmonson, CAP, CTRT, NCAC II 1994-1996 Cynthia Moreno NCAC I, CCDC II 1996-1998 Roxanne Kibben, MA, NCAC II 1998-2000 T. Mark Gallagher, NCAC II 2000-2002 Bill B. Burnett, LPC, MAC 2002-2004 Roger A. Curtiss, LAC, NCAC II 2004-2006 Mary Ryan Woods, RNC, LADC, MSHS 2006-2007 Sharon Morgillo Freeman, PhD, APRN-CS, MAC 2007-2010 Patricia M. Greer, BA, LCDC, AAC 2010-2012 Donald P. Osborn, PhD (c), LCAC 2012-2014 Robert C. Richards, MA, NCAC II, CADC III STANDING COMMITTEE CHAIRS

(Represents Alabama, Florida, Georgia, Mississippi, North Carolina, South Carolina and Tennessee)

Southwest

Personnel Committee Chair Kirk Bowden, PhD, MAC, LISAC, NCC, LPC

Kirk Bowden, PhD, MAC (ex-officio) Arizona

Public Policy Committee Co-Chairs Gerry Schmidt, MA, LPC, MAC Nancy Deming, MSW, LCSW, CCAC-S Michael Kemp, ICS, CSAC, CSW

James “Kansas” Cafferty, NCAAC California Steven Durkee, NCAAC Secretary Kentucky

AD HOC COMMITTEE CHAIRS Awards Committee Chair Jamie Durham

Carmen Getty, MAC, SAP Virginia

Adolescent Specialty Committee Chair Christopher Bowers, MDiv, CSAC, ASE

Tay Bian How, NCAC II Sri Lanka Thaddeus Labhart, MAC, LPC Treasurer Oregon

International Committee Chair Paul Le, BA Leadership Committee Chair Robert C. Richards, MA, NCAC II, CADC III

Rose Maire, MAC New Jersey

Membership Committee Chair Margaret Smith, EdD, LADC

Sandra Street, MAC West Virginia

Product Review Committee Chair Matt Feehery, MBA, LCDC, IAADC

Loretta Tillery, Public Member Maryland Ricki Townsend, NCAC I California

Student Committee Chair Diane Sevening, EdD, LAC

Clinical Issues Committee Frances Patterson, PhD, MAC

(Represents Arizona, California, Colorado, Hawaii, Nevada, New Mexico and Utah)

Kathryn B. Benson, NCAC II, LADC, SAP, QSC NCC AP Chair Tennessee

Nominations and Elections Chair Robert C. Richards, MA, NCAC II, CADC III

Professional Practices and Standards Committee Chair Donald P. Osborn, PhD, LCAC

Bylaws Committee Chair Ronald A. Chupp, LCSW, LCAC, NCAC II, ICAC II

Frances Patterson, PhD, MAC

NATIONAL CERTIFICATION COMMISSION FOR ADDICTION PROFESSIONALS (NCC AP)

Tobacco Committee Chair Diane Sevening, EdD, LAC

Mita Johnson, EdD, LPC, LAC, MAC, SAP

NAADAC REGIONAL BOARD REPRESENTATIVES

NORTHEAST AK

NORTH CENTRAL

MID-CENTRAL

Gloria Nepote, LAC, NCAC II, CCDP, BRI II, Kansas-Missouri Ted Tessier, MA, LAMFT, LADC, Minnesota Jack Buehler, LADC, Nebraska John Wieglenda, LAC, North Dakota Linda Pratt, LAC, South Dakota

Mark Sanders, LCSW, CADC, Illinois Angela Hayes, MS, LMHC, LCAC, Indiana Michael Townsend, MSSW, Kentucky Terrance Lee Newton, BAS, CADC, Michigan Jim Joyner, LICDCCS, ICCS, Ohio Tyler Luedke, SAC, Wisconsin

Susan Campion, LADC, LMFT, Connecticut Ruth A. Johnson, LADC, SAP, CCS, Maine Gary Blanchard, MA, LADC, Massachusetts Lori Ford-Magoon, MLADC, New Hampshire Christopher Taylor, CASAC, LMHC, MAC, DOT SAP, New York William Keithcart, MA, LADC, Vermont

WA MT

Northwest

OR

VT

MN

NORTHWEST

SD

ID

Linda L. Rogers, NCC, MS, LAC, Montana Arturo Zamudio, Oregon Greg Bauer, CDP, NCAC I, Washington SueAnne Tavener, MS, LPC, LAT, Wyoming

ME

ND

North Central

WY

IL

CO

Southwest

KS

CT

PA

UT CA

NY

MI

IA

NE

NV

North-NH east MARI

WI

Mid-Central OH IN

MO

KY

NJ MD WV

MidAtlantic

DE

VA

NC TN

SOUTHWEST

HI

AZ

Carolyn Nessinger, MS, NCC, BHT, Arizona Thomas Gorham, MA, CADC II, California Thea Wessel, LPC, LAC, MAC, Colorado Kimberly Landero, MA, Nevada Art Romero, MA, LPC, New Mexico Michael Odom, LSAC, Utah

OK

NM

Mid-South TX

AR

AL LA

SC

Southeast GA

MS

FL

SOUTHEAST MID-SOUTH Paula Heller Garland, MS, LCDC, Texas

MID-ATLANTIC Jevon Hicks Sr., BS, ICADC, Delaware Johnny Allem, MA, District of Columbia Moe Briggs, NCC, LCPC, MAC, SAP, Maryland Ron Pritchard, CSAC, CAS, Virginia Wanda Wyatt, MS, ADC, SAP, West Virginia

Eddie Albright, MS, Alabama Bobbie Hayes, LMHC, CAP, Florida David A. Burris, CAC II, NCAC II, CCS, Georgia Angela Maxwell, MS, CSAPC, North Carolina Charles Stinson, MS, South Carolina Charlie Hiatt, LPC/MHSP, MAC, SAP, Tennessee

S P R I N G 2 015 | A d va n ce s i n A d d i c t i o n & R e c o v e r y 31

Save the Dates!



Interested in attending, sponsoring, exhibiting, and advertising at NAADAC’s 2015 Annual Conference? Get more information at

www.naadac.org/annualconference.



MATHISWORKS | PHOTOSPIN.COM

NAADAC, the Association for Addiction Professionals is pleased to announce its 2015 Annual Conference will be held in Washington, D.C. at the Marriott Bethesda North from October 9–13, 2015.

This year’s conference will feature an opportunity to interact with your legislators on Capitol Hill.

Fall is also a beautiful time of year to sightsee the national monuments, museums, and take in cultural events.

Start planning your Washington, D.C. adventure while you earn your education continuing education hours from the profession’s thought leaders.