University of Texas at El Paso PACE / Instituto de Medicina y Tecnologia Avanzada de la Conducta/ Binational Center for Addictions Education and

d Prevention Certificate Program

SPECIALIZATION PROGRAM

2006 PROGRAM DESCRIPTION

Contact Hours: 1000 Ceus: 100

Addictions Medicine and Prevention Specialist

Program Summary This specialization program is designed to furnish professionals, in the disciplines of psychology, medicine and related areas, with in depth knowledge and the skills necessary for working effectively in addictions medicine with an integral bio-psico-social and spiritual approach: Education, Prevention, Treatment and Rehabilitation. The program seeks to provide participants with the kwnoledge, skills and attitudes to confront the incresing problem of drug addiction internationally. This program, also seeks to enhance the regional response to challenges associated with substance abuse through training and the development of a lasting network of professional in this field. The intention of this program is to improve the environment and the quality of care and service for the clients and benefactors with these types of issues. Substance missuse (abuse and/or dependence) is pervassive through out the world, creating an enormous burden on the health care systems. The deaths, illnesses and disabilities from substance missuse are far more than seen from any other preventable health condition. Though, all segments of society are involved disadvantage groups are disproportionately affected with substance use and dependence among adolescents being a particular concern. The relationship between the grant and illicit drugs use increases the significant of the problem facing countries through out the world. Moreover, at the family level the increase in substance abuse represents a very serious challenge to families, instructors and institutions. They must be face with an integral approach in order to reduce the demand. Therefore decreasing the social impact of drugs, legal or illegal within the families and the society at large via a comprehensive program which will not only emphazise the traditional treatment approaches, but which will also furnish the professional for the most important part of reducing the demand Aim This specialization, in Addictions Medicine and Prevention Specialist seeks to provide the medical and mental health professional with the necessary tools to diagnose, treat, manage, educate and prevent the use of drugs among the general population. The multidisciplinary approach will consider bio-psicosocial, legal, economic, physiological, and educational of the complexity of the phenomenom of drug use in order to create projects of treatment and prevention socially viable.

Overall General Goals To train Professionals in the medical, mental and health related areas in addictions medicine in the context of a model which emphasizes an integral approach to the treatment of addictions in a bio-psycho-social and spiritual framework. Also, providing these professionals with the necessary scientific tools for the understanding of addictions, their etiology, diagnosis, treatment and prevention in order to reduce demand and provide patients with a high quality treatment program. Graduates of this program will have the necessary knowledge, skills and attitudes to identify, solve and prevent problems and disorders related to drug addiction in the context of a medical-psychological context.

Specific Goals The overall goals of the program are: To provide evidence-base, culturally sensitive methods of prevention, treatment and management of substance missuse. To establish appropriate standards of care and practice, and to standarized approchment of treatment and rehabilitation. To establish appropriate frameworks for prevention and rehabilitation in especific target groups. To provide a minimum package of knowledge of interdisciplinary approaches to treatment and prevention that is meaningful and useful. Through this program participants will learn about: The concepts of drugs, their use, and how they affect the brain and the body The epidemiology, and bio-socio-cultural impacts of drugs in society The complexity and socio-cultural milieu in which drug addiction takes place and their bio-psico-social etiologies. Learn about the medical and psychological models for the treatment and management of patients with a substance abuse problem. How to asses and evaluate the substance abuse dependent patient. The diagnosis of patients with a co-ocurrent disorder. The different educational models and strategies to most efectively teach about drugs in a developmental context. Learn abilities about the design of effective, culturally based, prevention strategies. The laws regulating the creation and distribution of licit and illicit drugs in a particular context and the laws regulating treatment. The ethical management of the patent in a medical-psychological context.

Module Description Module I Foundations of Addictions (60 Hrs.) This course will address a general overview of addictions, such as the current status of drug addiction in the national and International policies. The main introductory concepts on addictions such as definitions of addictions, addictive behavior, theories of addictions, substance abuse, dependence, developmental stages of substance abuse and substance recovery. Module II Etiologies and Epidemiology of Addictions (60 Hrs.) Current theories of the addicted personality will be addressed, explaining why some people become addicted while others do not. This module will look at different geographical areas of the world and will attempt to explain why some areas of the world are hot beds for addiction while others are not. Also, national and International statistical and epidemiological trends will be addressed. Module III Historical and Socio-Cultural Dimensions of Addictions (60 Hrs.) The main historical developments and landmarks of the use of drugs in different cultures will be addressed, from the ritualistic use of drugs by religious groups to the common use drugs in modern times. The socio-cultural aspects and the impact and influence of drugs in society will be emphasized. Module IV Addictions and the Law: (60 Hrs.) This course will deal with a general overview of the legislation regarding the production, commercialization, consumption of licit and illicit drugs according to the legal framework worldwide. For instance, the impact of the law in the design and execution of national policies related to education, security, national defense and commercial relations, international agreements, strategies to confront the problem of drugs and related problems. To include how legal systems deal with the criminalization and legalization of drugs. Module V Biochemical, Neurophysiologic and Physiological Basis of Addictions (60 Hrs.) This section presents nervous system's structures and functions necessary for understanding addiction. The course will also present the foundations of the biological mechanisms and genetic influences which takes place in the human body of the drug addict. For instance, the molecular changes of the brain, the metabolic processes and the influence of these changes in behavior such as the reward mechanism Module VI : Medical, Psychological and Social Models of Addictions (60 Hrs.)

Research will be presented on the evidence regarding the multi-causality of dependence to psychoactive drugs. The perspective of the medical model, which emphasizes genetic and biological etiologies, will be addressed. The psychological and social dimension of the course will include the psychological factors which influence the development of addictions along with the psychological vulnerability, its genesis and psychological disorders. The social aspects such as culture, economy, environment, drug market and their impact in the development of addictions Module VII Assessment, Screening, Interview Techniques and Treatment Planning (60 Hrs.) This module will review some of the commonly used assessment tools such as clinical and medical histories used in assessing substance abuse disorders. Intervention strategies will be explored and skills in writing treatment plans will be developed. This course draws on the global criteria established by the profession in the area of screening and intake to develop the counselor's understanding and skill level in conducting a meaningful screening interview for client intake. Major screening instruments and interview techniques and their application are practiced as well. Module VIII Pharmacology of Alcohol and other Psychoactive Substances (60Hrs.) The pharmacology and pharmaceutics of psychoactive drugs will be addressed. The connection of psychoactive drugs to the autonomic nervous system will also be discussed. This course, also, provides an overview of the major classes of drugs and their pharmacological & psychological effects on functioning. Module IXTreating Co-Occurring Disorders in Addictions (60 Hrs.) This module will look at some of the more common psychiatric disorders as found in the DSM and will address appropriate treatment strategies in working with clients who have both a substance abuse disorder and a psychiatric disorder. Module X Medical Treatment of Addictions (60 Hrs.) Medical interventions in a residential and ambulatory treatment programs will be addressed. Specifically, the medical management of hospitalization, such as clinical history, medical screening and pharmacological approaches used will also be addressed. The latest medical technology such as new drugs and pharmacological protocols such as Buprenorphine will also be evaluated. Module XI Counseling Theories (60 Hrs.) Both classical and contemporary theories of psychotherapies will be studied. This module will identify which of the counseling theories works best for addiction issues. From psychodynamic approaches to Behavioral and Cognitive Therapy Approaches will be addressed along with the 12 step program and other spiritual approaches, commonly used at drug rehabilitation centers. Module XII Psychological Treatments of Addictions (60 Hrs.)

Major psychological interventions will be addressed in the context of the current psychological models such as psychoanalytic, psychiatric, cognitive, behavioral as well as others related approaches such as psychosocial. Also, the different intervention strategies, such as individual, group and family therapy will be addressed. The different phases of the process of psychological interventions such as: motivation to change, detoxification, dis-habituation, maintenance, etc. Module XIII Legal and Ethical Issues in Addictions (40 Hrs.) Both legal and ethical issues in the medical practice and counseling of addictions medicine will be explored. Concerns specific to ethical codes and regulations will be addressed in a comparative context of parameters used at local, national and International levels. Module XIV Designs and Implementation of Addiction Prevention Programs (60 Hrs.) In this course the student will learn how to design prevention programs suited to the socio-cultural and developmental conditions of the target population. He will learn how to asses the needs of the population for which the program is designed and will apply and implement these prevention models in the schools and community. It will also include a special module on how to prevent high risk behaviors which may lead to addictions Module XV Theories and Techniques of Group Intervention (60 Hrs.) Group interventions constitute a major part of the success of treatment programs in ambulatory as well as residential programs. This course will address the major group interventions used by groups such as the AA program and religious organizations, as well as other models and techniques used in the context major psychological orientations. It will also deal with the psychological and sociological dynamics which explain the success, effectiveness and limitations surrounding these techniques. Module XVI Analysis and Research Methods in Addictions (60 Hrs.) This course will deal with the analysis of current research, scientific data on addictions, and evaluative studies of claims made on effectiveness on these research and publications. It will address specific research methodologies and techniques which can be applied in the creation of research protocols applied in the area of addictions. Module XVII Complementary Medicine Approaches (60 Hrs.) The newly model proposed by Alternative and Complementary Medicine such as Hypnosis, Biofeedback/Neurofeedback, Herbal remedies, Acupuncture, Homeopathy as well as other related therapies will be addressed. The myths and claims made by this therapy regarding their efficiency in the treatment of addictions. Finally, the models most supported by rigorous scientific data will be emphasis.

Academic Coordinator
Stanley Krippner, Ph.D.,(Web page: StanleyKrippner.com) He, currently, holds the

position of Associate Professor of Psychology at Saybrook Graduate School and Research Center in San Francisco California. Also, he has been an instructor in the Addictions Specialization Program at the Center for Advanced Mind Technologies in El Paso Texas and Juarez Mexico. Moreover, he has served has served as a Director for the Maimonides Medical Center Dream Laboratory, in N.Y. In addition, he has served as Director of the Child Study Center Kent State University. Furthermore, he has been a lecturer on psychology for the Chinese Academy of Sciences and the Academy of Pedagogical Sciences in Russia. He has been honored with The Doctor of Humane Letters by the University Of Humanistic Studies Of San Diego. He has been President of Division 30 of the American Psychological Association, and has authored over 700 scientific papers and books on psychology and related areas, among them Personal Mythology, A Psychiatrist in Paradise, etc.

Medical Coordinator
Ignacio Arroniz Medina MD. Internal Medicine and Cardiology Specialist. He obtained his medical degree as General Surgeon from the Universidad Nacional Autnoma de Mexico (UNAM), and his specialization at Hospital Siglo XX ISSSTE in Mexico City. He also, holds the position of Medical Director of the Addictions Treatment Program at the Center for Advanced Mind Technologies at Hospital Poliplaza Mdica in Juarez, Mexico. Moreover, he is certified by the Mexican Association of Internal Medicine and Cardiology.

___________________________ Stanley Krippner, Ph.D. Academic Coordinator of Program Binational Center for Addictions Education and Prevention

___________________________ Octavio Gonzalez University of Texas at El Paso-PACE

Assistant Director Professional Programs