Case management in addiction counseling

and

Approaching family as a system in recovery from addiction

Claudia Varga, addiction counselor

Minnesota Model Disease concept: addiction is seen as a

treatable disease

12 Steps: set of spiritual principals adapted and used in specialized clinical work.

Multidisciplinary team(addiction counselor,peer counselor, social worker, spiritual counselor, family consilier, psychologist, medical staff etc.)

Group and community approach are very important.

Involvement of the family in the recovery process in order to facilitate family reintegration and to increase the chances of the alcoholic to stay sober.

Individual counseling planning the treatment and adapt it to individual needs; according to bio-psycho-social-spiritual evaluation we anticipate and prevent the problems that the client might encounter.

Using community resources to maintain sobriety Alcoholics Anonymous and Al-Anon or other self help groups available.

12 Core Functions Screening- the client is deciding if he/she’s got a

problem; tools: tests: CAGE, AUDIT, DRINK

Intake- introduction to self-awareness

Orientation – the beginning of change process

Bio- Psycho-social – spiritual assessment – identify and evaluate

Treatment planning- strategy for change, setting priorities.

Problem solving- going from denial to

recovery

Case management – team work and bringing together the services available

Referral – to other services available

Crisis intervention- dealing with unexpected

Education – on the disease concept , alcoholism as a family disease, 12 Steps, RET

Monitoring – taking notes, evaluation of progress

Consultation with other specialists

Medical staff Priest Judge / probation officer

Social worker Psycholog

istPsychiatri

st EAP

Evaluation and treatment(St. Dimitrie Program)

After-care

Alcoholics Anonymous

Collaboration between treatment programs / Alcoholics Anonymous and professionals

Medical staff Priest Judge / probation officer

Social worker Psycholog

istPsychiatri

st EAP

Counselling is a process, not a single event

Family Roles in addcition

Alcoholic Mascot

Hero

Scapegoat

Lost child Enabler