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TWELVE CORE FUNCTIONS
1. Screening

- the process by which the client is determined to be appropriate and eligible for admission to a particular program
- counselor uses appropriate diagnostic criteria to determine whether the applicant's AOD use constitutes abuse
- requires counselor's judgment and skill and is influenced by the program's environment and modality
- if applicant is found ineligible, counselor should be able to suggest an alternative

TWELVE CORE FUNCTIONS
1. Screening - global criteria

1. evaluate psychological, social and physiological signs and symptoms of AOD use and abuse
2. determine the client's appropriateness for admission or referral
3. determine the client's eligibility for admission or referral
4. identify any co-existing conditions (medical/psychiatric/physical) that indicate need for additional professional assessment and/or services
5. adhere to applicable laws, regulations and agency policies governing AOD services

TWELVE CORE FUNCTIONS
2. Intake

- the administrative and initial assessment procedures for admission to a program
- usually becomes an extension of the screening
- includes completion of various forms, collecting financial data, signing consents

TWELVE CORE FUNCTIONS
2. Intake - global criteria

* complete required documents for admission to the program
* complete required documents for program elibility and appropriateness
* obtain appropriately signed consents

TWELVE CORE FUNCTIONS
3. Orientation

- describing to the client the following
* general nature and goals of the program
* rules governing client conduct/ infractions and consequences
* hours, if applicable
* treatment costs
* client rights

- may be provided before, during, and/or after screening and intake

TWELVE CORE FUNCTIONS
3. orientation - global criteria

* provide an overview to the client by describing program goals and objectives for client care
* provide an overview to the client by describing program rules, and client obligations and rights
*provide an overview to the client of program operations

TWELVE CORE FUNCTIONS
4. assessment

- the procedures by which a counselor/program identifies and evaluates an individual's strengths, weaknesses, problems and needs for the development of a treatment plan
- a continuing process, but generally emphasized early in treatment
- usually results from a combination of focused interviews, testing and/or record reviews
- result should suggest the focus of treatment

TWELVE CORE FUNCTIONS
4. assessment - global criteria

* gather relevant history from client including but not limited to AOD abuse using appropriate interview techniques
* identify methods and procedures for obtaining corroborative information from significant secondary sources
* identify appropriate assessment tools
*explain to client the rationale for the use of assessment techniques in order to facilitate understanding
*develop a diagnostic evaluation of the client's substance abuse and any coexisting conditions based on the result of all assessments in order to provide an integrated approach to treatment planning

TWELVE CORE FUNCTIONS
5. Treatment planning

- process by which counselor and client identify and rank problems needing resoluction; establish short and long-term goals; decide upon treatment process and resources
- plan is tailored to individual's needs
- goals must be expressed in behavioral terms in order to determine progress in treatment
- dynamic process and contracts must be regularly reviewed and modified as appropriate

TWELVE CORE FUNCTIONS
5. Treatment planning - global criteria

* explain assessment results to client in an understandable manner
* identify and rank problems based on individual client's needs in the written treatment plan
*formulate agreed upon immediate and long-term goals using behavioral terms in the written treatment plan
*identify the treatment methods and resources to be utilized as appropriate for the individual client

TWELVE CORE FUNCTIONS
6. Counseling

- individual; group; significant others
- utilization of special skills to assist individuals, families or groups in achieving objectives through exploration of a problem
- counselor must be able to demonstrate a working knowledge of various counseling approaches

TWELVE CORE FUNCTIONS
6. Counseling - global criteria

* select the counseling theory(ies) that apply(ies)
* apply techniques to assist the client, group, and/or family in exploring problems and ramifications
*apply techniques to assist the client, group and/or family in examining the client's behavior, attitudes, and/or feelings
* individualize counseling in accordance with culture, gender and lifestyle
*interact in an appropriate therapeutic manner
* elicit solutions and decisions from client
* implement the treatment plan

TWELVE CORE FUNCTIONS
7. case management

- activities which bring services, agencies, resource, or people together within a planned framework of action toward the achievement of established goals
- activities must be integrated into the treatment plan and communication must be maintained with the appropriate personnel

TWELVE CORE FUNCTIONS
7. case management - global criteria

* coordinate services for client care
* explain the rationale of case management activities to the client

TWELVE CORE FUNCTIONS
8. crisis intervention

- services which respond to an AOD abuser's needs during acute emotional and/or physical distress
- counselor should be able to identify crises, attempt to mitigate or resolve immediate problem, and use negative events to enhance treatment efforts, if possible

TWELVE CORE FUNCTIONS
8. crisis intervention - global criteria

*recognize the elements of the crisis
*implement an immediate course of action appropriate to the crisis
*enhance overall treatment by utilizing crisis events

TWELVE CORE FUNCTIONS
9. client education

- provision of information concerning AOD abuse and available services and resources

TWELVE CORE FUNCTIONS
9. client education - global criteria

* present relevant AOD use/abuse information to the client through formal and/or informal processes
* present information about available AOD services and resources

TWELVE CORE FUNCTIONS
10. referral

- identifying the needs of a client that cannot be met by the counselor or agency and assisting the client to utilize the support systems and community resources available
- counselor must be familiar with community resources
- closely related to case managment; also includes aftercare and discharge planning referrals

TWELVE CORE FUNCTIONS
10. referral - global criteria

* identify needs and problems that the agency and/or counselor cannot meet
* explain the rationale for the referral to the client
* match client needs and/or problems to the appropriate resources
* adhere to applicable laws, regulations and agency policies related to confidentiality
* assist the client in utilizing the resources

TWELVE CORE FUNCTIONS
11. report and record keeping

* charting the results of the assessment and treatment plan; writing reports, progress notes, discharge summaries and other client-related data
*facilitates communication between co-workers
*valuable if providing services to client at a later date
*enhances accountability to licensing/funding sources

TWELVE CORE FUNCTIONS
11. report and record keeping - global criteria

* prepare reports and relevant records integrating available information to facilitate the continuum of care
*chart pertinent ongoing information pertaining to the client
* utilize relevant information from written documents for client care

TWELVE CORE FUNCTIONS
12. consultation with other professionals in regard to client treatment/services

- relating with in-house staff or outside professionals to assure comprehensive, quality care for the client

TWELVE CORE FUNCTIONS
12. consultation with other professionals in regard to client treatment/services - global criteria

* recognize issues that are beyond the counselor's base of knowledge and/or skill
*consult with appropriate resources to ensure the provision of effective treatment services
* adhere to applicable laws, regulations and agency policies governing the disclosure of client-identifying data
* explain the rationale for the consultation to the client, if appropriate

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