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Counselor / Addiction

Strategies for Working with Clients with Co-Occurring Disorders

5.00 - CE credit hours training

$30.00 - Cost of course

This page contains important information about the course, including training details, a comprehensive course description, learning objectives, and source references. We encourage you to review each section to gain a clear understanding of the course content, educational goals, and supporting materials before beginning your training and taking the POST TEST below.

Target audience and instructional level of this course: foundational
There is no known conflict of interest or commercial support related to this CE program.

Strategies for Working with Clients with Co-Occurring Disorders

Follow the link below, read the material and then take the 30 question post test

Read the Course Material:
Strategies for Working with Clients with Co-Occurring Disorders

30 Questions

1. From "Develop and Use a Therapeutic Alliance To Engage the Client in Treatment": Therapeutic alliance appears to be a robust predictor of treatment outcome with____________________.
2. From "Maintain a Recovery Perspective": Substance abuse clinicians and mental health clinicians have tended to have different definitions of recovery.
3. From "Maintain a Recovery Perspective": One principle of recovery is continuous support. This means:
4. From "Manage Countertransference": Which of the following is NOT cited as a source of countertransference?
5. From "Manage Countertransference": The Najavits study found clinicians\' attitudes toward their substance abuse clients tended to become more negative over time. However the increasing negativity was found to be less extreme for _________________ than for ________________.
6. From "Monitor Psychiatric Symptoms": The article refers to the "teeter-totter principle". This applies to:
7. From "Use Supportive and Empathic Counseling": The article addresses the tension between being empathic and supportive, and having to handle minimization, evasion, dishonesty, and denial. The authors conclude:
8. From "Employ Culturally Appropriate Methods": The article provides a rule of thumb regarding cultural aspects of working with clients: Understand common cultural characteristics of various groups, but do not make assumptions about any individual client based on your perception of the client's culture.
9. From "Employ Culturally Appropriate Methods": Clients may have culturally driven concepts about mental disorders or substance use disorders. The authors recommend that clinicians:
10. From "Increase Structure and Support": The authors recommend providing an optimal amount of structure for clients with COD. What reason(s) do they cite for this recommendation?
11. "Provide Motivational Enhancement Consistent With the Client\'s Specific Stage of Change": Motivational Enhancement Therapy is an adaptation of motivational interviewing as it adds:
12. From "Provide Motivational Enhancement Consistent With the Client\'s Specific Stage of Change": Expressing empathy in MI involves acceptance. Acceptance of what?
13. From "Provide Motivational Enhancement Consistent With the Client\'s Specific Stage of Change": Evoking "confidence talk" in MI is intended to:
14. m "Provide Motivational Enhancement Consistent With the Client\'s Specific Stage of Change": A client can be at one change stage for disorder or problem and be at a different stage for another disorder or problem.
15. From "Provide Motivational Enhancement Consistent With the Client\'s Specific Stage of Change": A counselor cautions the client that the road ahead is tough but very important. At which stage might this be most appropriate?
16. From "Provide Motivational Enhancement Consistent With the Client\'s Specific Stage of Change": Initial research on the efficacy of MI for people with co-occurring disorders has shown:
17. From "Provide Motivational Enhancement Consistent With the Client\'s Specific Stage of Change": In the Case Study on Gloria, the clinician focuses on helping the client develop discrepancy about:
18. From "Design Contingency Management Techniques To Address Specific Target Behaviors": In Contingency Management positive reinforcers are decide upon:
19. From "Design Contingency Management Techniques To Address Specific Target Behaviors": When this article was published the effectiveness of CM principles when applied in community-based treatment settings and specifically with clients who have COD had not yet been demonstrated.
20. From "Design Contingency Management Techniques To Address Specific Target Behaviors": In the case study the target(s) of CM were:
21. From "Use Cognitive-Behavioral Therapeutic Techniques": The use of grounding by clients with co-occurring disorders is described. Grounding involves these techniques by directing one's mental focus: outward to the external world, rather than inward toward the self.
22. From "Use Cognitive-Behavioral Therapeutic Techniques": In the case study on cognitive-behavioral techniques, what technique(s) does the counselor employ?
23. From "Use Cognitive-Behavioral Therapeutic Techniques": The authors recommend which of the following adaptations of CBT when clients have co-occurring disorders?
24. From "Use Relapse Prevention Techniques": In the Relapse Prevention approach for substance abuse, lapses are labeled as high-risk situations for resumed substance use.
25. From "Use Relapse Prevention Techniques": Which of the following is NOT included as one of the five categories of RPT strategies?
26. From "Use Relapse Prevention Techniques": Carroll's review study of RPT found:
27. From "Use Relapse Prevention Techniques": The article describes an adaptation of the RPT approach for use with clients with bipolar disorder and substance use disorders. It helped clients contrast ___________ thinking with _____________ thinking.
28. From "Use Relapse Prevention Techniques": The article describes RPT strategies for COD client using psychiatric medicine. The downward spiral sequence it describes is: -an increase in substance use leading to lowered efficacy or discontinuation of psychiatric medication, or missed counseling sessions; -symptoms of mental disorders reappearing or worsening; -the client tending to self-medicate through substance use.
29. From "Use Repetition and Skills-Building To Address Deficits in Functioning": When working with COD clients, the article recommends being more concrete and less abstract in communicating ideas, using simpler concepts, having briefer discussions, and repeating the core concepts many times. Why?
30. From "Facilitate Client Participation in Mutual Self-Help Groups": A case study was presented pertaining to facilitating client participation in mutual self-help groups. In it the clinician:
Maintaining a therapeutic alliance with clients who have co-occurring disorders (COD) is important--and difficult. The first section of this course reviews approaches for addressing these challenges. The second part of this course describes specific techniques effective in counseling clients with COD. One is the use of motivational enhancement consistent with the client\'s specific stage of recovery.

The purpose of this course is to describe for the addiction counselor and other practitioners how these guidelines and techniques, many of which are useful in the treatment of substance abuse or as general treatment principles, can be modified specifically and applied to people with COD.
  • Summarize ingredients for a successful therapeutic relationship with a client who has COD
  • Describe a variety of techniques for working with clients with COD
SAMHSA SAMHSA