SANTA CLARA UNIVERSITY DEPARTMENT OF COUNSELING PSYCHOLOGY CPSY 321 DUAL DIAGNOSIS, Section 1 David Dahl, Ph.D., WINTER TERM 2013 TUESDAY Feb 12, 19, 26, Mar 5, 12 – 1730-2030 O’Connor 204 Office Hours: Wednesday 0800-0930, 1230-1400 preferably by appointment. Course Description: (SCU Catalogue) This class covers the complexities and interactions in the diagnosing and treatment of Axis I and Axis II disorders in the presence of substance abuse. Prerequisite: None. (1.5 Units) (However, given the advanced nature and complexities of the course material, it will be assumed that the students have a working knowledge of substance abuse diagnosis and treatment. Remedial adaptations will not be made for those who are unacquainted with substance abuse issues.) Learning Objectives: 1. Secure familiarity with the following concepts and terminology relating to substance dependence and co-occurring psychiatric disorders in the DSM-IV-TR and DSM-V classification system. 2. Develop greater objectivity and comfort attending to the complex issues treating dual disorders. 3. Understand how awareness of dual disorders require complex multi-layered treatment plans and practices. Learning Methods: All written work should be submitted via email in .pdf or Word. 1. My Beliefs About Dual Disorder Treatment Pre and Post course statements of your beliefs. See Camino for the template. Pre-submit February 12. Post-submit than March 20. 2. Weekly Reading Open Book Quizzes based on the assigned reading (Nunes, et. al. and supplemental reading) gives future counselors the opportunity to assess their own reading and an opportunity to maintain pace in affirming breadth of knowledge, identify progress and prepare for the series of examinations that are required for licensed practice in California. These will be sent to each student and submitted weekly via email. 3. Video Presentations and Case Studies aimed at clinical practice with diverse clientele, followed by guided small group discussion and gathered large group summary. 4. Take home open book final examination which will include a complex case in dual disorder treatment. Students will receive different cases thus securing independent thinking. Collaborative efforts will be encouraged. 5. Guest Presenters (pending their availability). 6. My Substance Use History. A guided confidential discussion with colleagues regarding your own family or personal substance use history. Outline will be posted on Camino in advance. 7. Supplemental readings will be posted on Camino. 8. Treatment Visit attend a single open AA/NA meeting or site visit of a treatment facility where dual disorders are treated with interview of patient or staff. A list of possible sites will be posted on Camino. 10. The summary of written submissions includes: A. Weekly open book quizzes (5 total). Aggregate submitted on March 13. B. Weekly learning journal (10 total) 1-2 pages. Aggregate submitted on March 13. C. Take home open book final examination. E. My Beliefs about Dual Disorders Pre and Post. Due February 12 and March 20. Syllabus Dual Diagnosis CPSY 321 Winter 2013 page 2of 3 F. Treatment interview report of AA/NA or treatment facility. 1 Texts for required reading: Comprehensive overview required: Nunes, E.V., Selzer, J., Levounis, P.,& Davies, C.A. (2010). Substance dependence and cooccurring psychiatric disorders: Best practices for diagnosis and clinical treatment. Kingston, NJ: Civic Research Institute. ISBN: 1887554-66-1 (A copy of this book is in library 2-hour course reserve at the Learning Center.) Weekly Agenda: This agenda is subject to minor changes and additional advanced readings. Date Topic Readings Class agenda 02/12 Mood and anxiety disorders Nunes ch 1, 2, 3, 4 Case discussion, Lecture 02/19 Cognitive disorders Personality disorders Nunes ch 5, 6, 7, 8, 9 Case discussion, Lecture 02/26 Impulse control & eating disorders Special issues Nunes ch 10, 11, 12, 13, 14 Case discussion, Lecture, Video 03/05 Developmental and pain issues Nunes ch 15, 16, 17, 18 Case discussion, Lecture, Guest 03/12 Treatment and research Nunes 19, 20 Case discussion, Lecture, 03/20 Finals week Evaluation: 2 My Beliefs pre-post-50 points 5 Weekly quizzes 250 points 1 Final exam 150 points Participation 50 points Total 500 points A = 91 -100% B=81-90% C=71-80% This instructor admires economy of style, APA style and specificity of detail are expected in all written submissions. Guidelines and templates will all be available on Camino. Incompletes will not be given by this instructor. Lecturer’s Attendance Policy: Since the basis of this course is praxis and meetings are designed as learning events the following Syllabus Dual Diagnosis CPSY 321 Winter 2013 page 3of 3 policies will apply. Notification of instructor in case of absence in advance will give the option of make up work in exchange for the class missed. If advance notice is not given, the learner will forfeit 10 points. Please note the University and CPSY program requirements for attendance. Timeliness is a sign of respect for one another, habitual late entry will result in reduction of points. Requests copies of the PowerPoint presentations, will not be granted. Upon completion of the course, students will: a. Be able to identify the interplay between substance use and psychiatric disorders. b. Develop a viable evidence-based treatment protocol for a dual disorder case. c. Identify the personal or familial issues regarding co-occurring disorders, which may aid or abet successful treatment. d. Clarify an operating set of beliefs about dual disorders. e. Clarify the limits within which the student therapist can comfortably practice. f. Understand a subset of dual disorders that are of interest and possible specialization for the student therapist. Safety and Confidentiality in Class Discussions 1. Vivre la difference Learn to engage the differences before the similarities. 2. R-E-S-P-E-C-T Disagreements are respectfully stated. 3. Claim your own offense without accusation or assumption of the other’s intent to offend. 4. Know yourself: No one is required to disclose personal experiences. If you do take the risk, you will grow and the instructor will secure your safety. 5. Confidentiality: what is seen and what is heard here remains here. 6. Learning is best retained when enjoyed! Departmental Mission Statement: (SCU Catalogue) The mission of the Department of Counseling Psychology is to prepare and to educate Bay Area practitioners to be psychological counselors and professionals in a myriad of human service careers. Reflecting and embodying the mission of Santa Clara University, the students in our department are trained and encouraged to bring the highest levels of competence, conscience, and compassion to their professional lives in the service of the community. The Department implements this mission by offering two Master of Arts degree programs in Counseling: The Master of Arts in Counseling Psychology – which fulfills the academic requirements for license eligibility as a California Marriage and Family Therapist (MFT) and the Licensed Professional Clinical Counselor (LPCC) – and the Master of Arts in Counseling. Students in either track have the option of choosing a unique emphasis in one of three areas: Health Psychology, Latino Counseling, or Correctional Psychology. Attendance: (SCU Catalogue) Class attendance is required. All syllabi include a statement on the professor’s attendance policy. That any professor allows a student to miss a class without penalty does not translate into an understanding, implicit or otherwise, that you may miss one class. The only acceptable reason to miss class is due to illness or emergency. Notify your instructor by phone or by email that you will be missing a class and why. Notifying your instructor that you are missing does not mean that you will not be penalized. All professors have a policy on the consequences of missed classes, typically in the reduction of your grade. Missing a class forfeits any quiz, test, or any other points that you missed. It is up to the discretion of the professor whether you are allowed to be allowed to make up this work. Grading: (SCU Catalogue) The department maintains norms on grading. It is the philosophy and understanding of the faculty that grade inflation undermines the integrity and erodes the excellence of our department. Grades are neither punitive nor are they rewards. Grades are evaluative of a student’s understanding and demonstrated expertise of skills and theory related to course expectations, outcomes, and assessment. Grades, then, are bound to course expectations, operationalized in course outcomes, and measured in course assessment. It is customary in graduate programs that final course grades of B, B+, A-and A are an acceptable level of performance for graduate study. The grading policy in CPSY is that students earn A’s through consistent and high quality work as assessed by the professor. No student is entitled to an A for any reason; nor do we have a system where everyone begins with an A and then loses points to a lower grade. In a normal class the range of final course grades is from B to A with a mean in the A-/B+ range. The range may be quite a bit wider on individual papers, exams or projects that make up the final grade.