AOAAM Enduring Half and Half Waiver Training 2022-Module 2: Evidence-Based Counseling

Module 2: Evidence-Based Counseling

Pdf Summary

This document is a summary of a training module on evidence-based counseling for individuals with opioid use disorders. The module aims to outline key components of behavior, describe various counseling approaches, and explain core principles of motivational interviewing (MI). <br /><br />The document begins by highlighting the importance of both psychosocial and pharmacologic treatment for opioid use disorders. Psychosocial treatment involves practicing alternative behaviors, managing the environment, addressing triggers, and considering associated depression and anxiety. Pharmacologic treatment aims to prevent withdrawal and reduce the biologic drive for drug use. <br /><br />Next, the document discusses various evidence-based counseling approaches, including cognitive-behavioral therapy, medication management, mutual support groups (such as Alcoholics Anonymous and Narcotics Anonymous), and motivational interviewing. <br /><br />Cognitive-behavioral therapy is based on social learning theories and principles of operant conditioning. It emphasizes functional analysis of drug use and includes skills training to help individuals recognize and cope with high-risk situations. Medication management involves regular monitoring of drug use, lab markers, adherence, and adverse effects, as well as education about consequences and encouragement of abstinence and healthy lifestyle changes. Mutual support groups provide a support network for patients and can be beneficial in the recovery process. Notably, some groups may reject medication-assisted treatment. <br /><br />Motivational interviewing is a collaborative communication style that strengthens personal motivation and commitment to change. It involves four processes: engaging, focusing, evoking, and planning. MI is effective but can vary across counselors, studies, and sites within studies, and fidelity of delivery affects outcomes. <br /><br />The document concludes by emphasizing the importance of understanding key components of behavior, the contribution of self-help groups to recovery, and the collaborative, goal-oriented nature of MI. The references listed at the end provide additional resources for further reading.

Keywords

evidence-based counseling

opioid use disorders

behavior

counseling approaches

motivational interviewing

psychosocial treatment

pharmacologic treatment

cognitive-behavioral therapy

medication management

mutual support groups