Syllabus

Master of Social Work

SSWO 609: Advanced Co-Occurring Clinical Practice (Fall 2023)

Credits - 3

Description

Building on the SSWO 585 Substance Use: A Social Work Perspective course, this course further prepares students for direct clinical practice with individuals and their families experiencing substance use disorder through a co-occurring treatment lens. Students will be introduced to the ASAM Assessment criteria as it relates to the biopsychosocial – spiritual perspective of social work practice using a mental health and addictions focused lens to inform their assessment, diagnosis, treatment planning and interventions. Students will integrate the foundational content of prerequisite 585 while examining the 12 core competencies of addiction counseling as they relate to co-occurring clinical practice. Students will explore best practices for co-occurring treatment and engage in practical applications of evidence-based theories and treatment modalities that utilize a mind body approach to healing through role play, case studies, discussions and reflections.

Materials

Szalavitz, M. (2016). Unbroken brain: A revolutionary new way of understanding addiction. St. Martin’s Press. ISBN: 9781250116444

Fisher, J. (2017). Healing the fragmented selves of trauma survivors: Overcoming internal self-alienation. Routledge. ISBN: 9780415708234

  • The UNE Library’s digital copy of this book allows one user to access it at a time. We recommend purchasing the book for ease of access.

Atkins, C. (2021). Co-Occurring disorders: A whole-person approach to the assessment and treatment of substance use and mental disorders (2nd ed.). PESI. ISBN: 1683733827

  • The UNE Library’s digital copy of this book allows multiple users to access it at a time.

Association, A. P. (2022). DSM-5-TR classification. American Psychiatric Publishing. ISBN: 978-0-89042-583-1

Learning Objectives and Outcomes

School of Social Work Program Outcomes:

Graduates of the UNE SSWO will demonstrate knowledge, skills, and leadership in the following:

  1. Practice social inclusion to enable people, populations, and communities to fully participate in society, enhance human bonds in the context of cultural diversity and ensure improved quality of life and equitable resource distribution. EPAS Competencies 2 & 3
  2. Engage in culturally-informed relationship building, being respectful of the complexity and diversity of contexts and circumstances. EPAS Competencies 3 & 6
  3. Utilize theories of human behavior, social systems and social inclusion when offering interventions with people and their environments. EPAS Competency 8
  4. Promote ethical reflection, critical consciousness and shared decision-making based in social work values and with consideration of the broader contexts of the world in which we live. EPAS Competency 1
  5. Balance the roles of helpers, activists, and advocates through collaboration with communities to build healthy and sustainable resources. EPAS Competencies 2, 5, & 6
  6. Engage as critical consumers and producers of research as it relates to assessment, intervention and evaluation of clinical and community practices. EPAS Competencies 4, 7, 8 & 9
  7. Practice person-centered and collaborative community partnerships across diverse settings. EPAS Competency 6

Course Objectives

Upon successful completion of this course, the student will be able to:

  1. Synthesize the 12 Core Functions of Addictions Counseling with Social Work practice and their respective Codes of Ethics to generate a co-occurring lens and approach to prevention, intervention, treatment, harm reduction and recovery – EPAS 1
  2. Interpret, summarize, define and devise a co-occurring diagnostic assessment and treatment plan – EPAS 7
  3. Intervene using evidence-based co-occurring practice modalities with individuals and families – EPAS 8
  4. Describe alternative treatment and recovery approaches through the lens of pharmacology, psychedelics, etc EPAS 4
  5. Describe the philosophies, practices, policies, and outcomes of scientifically supported models of treatment, recovery, relapse prevention, and continuing care for addiction and other substance-related problems. EPAS 4, 5
  6. Recognize that a crisis may indicate an underlying substance use disorder and may be a window of opportunity for change. EPAS
  7. Compare how different medical and pharmacological resources are used in the treatment of substance use disorders. EPAS 4
  8. Interpret and apply information from current counseling and psychoactive substance use research literature to improve client care and enhance professional growth. EPAS 4

Assignments

Week 1: Screening Tools

In Week 1 you will choose between two films to use as a case study for the course. This first week, in the role of an outpatient clinician you will complete two screening tools of your choice for your fictional client. You will also complete an ASAM Level of Care screening tool.

Week 2: Biopsychosocial Assessment

Continuing with the case you chose in Week 1, use the DSM-V-TR to formulate a diagnostic co-occurring impression of your client providing both a mental health and a substance use disorder diagnosis.

Week 2: Reflective Journal—Parts

Also in Week 2, you will write a 2–3-page reflection on the concept of “parts” as raised in Fisher’s discussion of “fragmentation.”

Week 3: Preliminary Treatment Plan

This week is an opportunity to draft a treatment plan for your fiction client. Consider the principles of person-centered planning you are being introduced to in this early stage of the course. In Week 7 you will revise this treatment plan based on further learning about person-centered planning and with insight into the treatment modalities covered throughout the course.

Weeks 4 & 5: Attend and Reflect on Open Self-Help Meeting

This activity steps away from the case study and asks you to attend an online or in-person 12-Step Meeting. You will then write a 5–7-page paper reflecting on the meeting. If possible, attend the meeting in Week 4. This will leave ample time to write and submit your paper by the end of Week 5.

Weeks 6: Motivational Interventions Role Play

You and a partner will meet to practice motivational interventions. You will meet over Zoom and take turns role-playing as the client, using the details from your film/case study for inspiration. The deliverable for this assignment is a 5–10-minute recording of your session.

Week 7: Final Treatment Plan

This week you will revise your treatment plan from Week 2 using insight from the treatment modalities, theories, and other concepts from this course.

 

Grading Policy

The School of Social Work uses the following grading system for all courses with the exception of field education courses. Students are expected to maintain a “B” (3.0) average over the course of their study. Students with less than a GPA of 3.0 will be placed on academic probation. Students must have an overall GPA of 3.0 in order to receive their Master’s Degree.

Your grade in this course will be determined by the following criteria:

Grade Breakdown

Assignment Points
Week 1: Acknowledgement of Academic Engagement 1
11 Discussion Forums 33 (3 points per forum)
Week 1: Screening Tools5
Week 2: Biopsychosocial Assessment10
Week 2: Reflective Journal6
Week 3: Preliminary Treatment Plan10
Week 5: Attend Open Self-Help Meeting10
Weeks 6: Motivational Interventions Role Play10
Week 7: Final Treatment Plan15
Total100

Grade Scale

Grade Points Grade Point Average (GPA)
A 94 – 100% 4.00
A- 90 – 93% 3.75
B+ 87 – 89% 3.50
B 84 – 86% 3.00
B- 80 – 83% 2.75
C+ 77 – 79% 2.50
C 74 – 76% 2.00
C- 70 – 73% 1.75
D 64 – 69% 1.00
F 00 – 63% 0.00

Schedule

Course Weeks

Course weeks run from 12:00 AM ET on Wednesday through 11:59 PM ET on Tuesday, with the exception of Week 8, which ends on Sunday at 11:59 PM ET. Unless otherwise specified, all discussion comments and assignments are due the last day of the week. Initial responses to discussion prompts are due by the end of Saturday unless otherwise noted.

All times are in the Eastern Standard Time Zone—no exceptions. 

Week 1: Oct 25 – Oct 31
Week 2: Nov 1 – Nov 7
Week 3: Nov 8 – Nov 14
Week 4: Nov 15 – Nov 21
Week 5: Nov 22 – Nov 28
Week 6: Nov 29 – Dec 5
Week 7: Dec 6 – Dec 12
Week 8: Dec 13 – Dec 17

Week 1: Clinical Assessment

Assignments & Discussions

  • Discussion 1: Introductions & Interest in this Course
  • Discussion 2: Comparing Codes of Ethics (EPAS 1)
  • Choose between 2 films to use as a case study.
  • Assignment: Screening Tools (EPAS 7)
  • Preview all course assignments.

Week 2: Diagnostic Impression and Fragmentation as an Adaptive Response

Assignments & Discussions

  • Discussion: Fragmentation as an Adaptive Response (EPAS 4)
  • Assignment: Biopsychosocial Assessment (EPAS 6, 7, & 8)
  • Assignment: Reflective Journal—Parts (EPAS 4)
     

Week 3: Affected Others and Treatment Planning

Assignments & Discussions

  • Discussion 1: Outcomes of Clinical Assessment (EPAS 4)
  • Discussion 2: Affected Others (EPAS 4, 6, 7, & 8)
  • Assignment: Preliminary Treatment Plan (EPAS 8)

Week 4: A Parts Approach

Assignments & Discussions

  • Discussion 1: Parts Approach (EPAS 8)
  • Discussion 2: Role of Learning in Addiction (EPAS 8)
  • Assignment:  Attend an open self-help meeting. Reflective Paper due at the end of Week 5 (EPAS 1)

Week 5: Medication-Assisted Treatment and Alternative Approaches: The Psychedelic Renaissance and the Age of Reason

Assignments & Discussions

  • Discussion: Psychedelic-Assisted Treatment (EPAS 3, 4 & 8)
  • Assignment:  Submit Reflective Paper on Self-Help (EPAS 1)

Week 6: Motivational Interventions and Parts Work

Assignments & Discussions

  • Discussion: Motivational Interventions and Parts Work (EPAS 7 & 8)
  • Assignment: Motivational Interventions Role Play (EPAS 7 & 8)

Week 7: Mindfulness-Based Interventions and Working With Parts

Assignments & Discussions

  • Discussion: Mindfulness-Based Interventions (EPAS 7 & 8)
  • Assignment: Final Treatment Plan (EPAS 9)

Week 8: Reflective Practice

Assignments & Discussions

  • Discussion: Changes in Your Understanding of Course Concepts (EPAS 1, 4, 6, & 7)

Student Resources

Online Student Support

Your Student Support Specialist is a resource for you. Please don't hesitate to contact them for assistance, including, but not limited to course planning, current problems or issues in a course, technology concerns, or personal emergencies.

Questions? Visit the Student Support Social Work page

UNE Libraries:

Information Technology Services (ITS)

ITS Contact: Toll Free Help Desk 24 hours/7 days per week at 1-877-518-4673

Accommodations

Any student who would like to request, or ask any questions regarding, academic adjustments or accommodations must contact the Student Access Center at (207) 221-4438 or pcstudentaccess@une.edu. Student Access Center staff will evaluate the student's documentation and determine eligibility of accommodation(s) through the Student Access Center registration procedure.

Policies

Essential Academic and Technical Standards

Please review the essential academic and technical standards of the University of New England School Social Work (SSW): https://online.une.edu/social-work/academic-and-technical-standards-une-online-ssw/

Technology Requirements

Please review the technical requirements for UNE Online Graduate Programs: Technical Requirements

Confidentiality Statement

Student and faculty participation in this course will be governed by standards in the NASW Code of Ethics relating to confidentiality in sharing information from their placement sites and practice experiences. Students should be aware that personal information they choose to share in class, class assignments or conversations with faculty does not have the status of privileged information.

Attendance Policy

Online students are required to submit a graded assignment/discussion prior to Sunday evening at 11:59 pm ET of the first week of the term. If a student does not submit a posting to the graded assignment/discussion prior to Sunday evening at 11:59 pm ET, the student will be automatically dropped from the course for non-participation. Review the full attendance policy.

Late Policy

Assignments: Late assignments will be accepted up to 3 days late; however, there is a 10% grade reduction (from the total points) for the late submission. After three days the assignment will not be accepted.

Discussion posts: If the initial post is submitted late, but still within the discussion board week, there will be a 10% grade reduction from the total discussion grade (e.g., a 3 point discussion will be reduced by 0.3 points). Any posts submitted after the end of the Discussion Board week will not be graded.

Please make every effort ahead of time to contact your instructor and your student support specialist if you are not able to meet an assignment deadline. Arrangements for extenuating circumstances may be considered by faculty.

Student Handbook Online - Policies and Procedures

The policies contained within this document apply to all students in the College of Graduate and Professional Studies. It is each student's responsibility to know the contents of this handbook.

UNE Online Student Handbook

UNE Course Withdrawal

Please contact your student support specialist if you are considering dropping or withdrawing from a course. The last day to drop for 100% tuition refund is the 2nd day of the course. Financial Aid charges may still apply. Students using Financial Aid should contact the Financial Aid Office prior to withdrawing from a course.

Academic Integrity

The University of New England values academic integrity in all aspects of the educational experience. Academic dishonesty in any form undermines this standard and devalues the original contributions of others. It is the responsibility of all members of the University community to actively uphold the integrity of the academy; failure to act, for any reason, is not acceptable. For information about plagiarism and academic misconduct, please visit UNE Plagiarism Policies.

Academic dishonesty includes, but is not limited to the following:

  1. Cheating, copying, or the offering or receiving of unauthorized assistance or information.
  2. Fabrication or falsification of data, results, or sources for papers or reports.
  3. Action which destroys or alters the work of another student.
  4. Multiple submissions of the same paper or report for assignments in more than one course without permission of each instructor.
  5. Plagiarism, the appropriation of records, research, materials, ideas, or the language of other persons or writers and the submission of them as one's own.

Charges of academic dishonesty will be reviewed by the Program Director. Penalties for students found responsible for violations may depend upon the seriousness and circumstances of the violation, the degree of premeditation involved, and/or the student’s previous record of violations.  Appeal of a decision may be made to the Dean whose decision will be final.  Student appeals will take place through the grievance process outlined in the student handbook.