The Durham Center Substance Abuse Workforce Development A commitment by Durham County to train a highly professional substance abuse workforce in order to assure an effective service delivery system within the community.

The Durham Center Substance Abuse Workforce Development Substance Abuse Certification Training - Training series to help professionals obtain certification/licensing (Oct – Jan) Substance Abuse Best Practices – Training series highlights effective practices and latest research on addiction (Jan – June)

The Durham Center Substance Abuse Workforce Development Teaching Case Conferences – Clinical “case studies” discussed by providers and panel of experts; consultation on individual cases, system-level issues, and service delivery (Nov 2006 – June 2007)

The Durham Center Substance Abuse Workforce Development Incentives – Ideas for recruiting and maintaining qualified counselors in Durham County: scholarships, stipends *Please Complete Survey*

How to Get Certified/Licensed as a Substance Abuse Professional In North Carolina Bart Grimes LCAS, CCS The Durham Center Substance Abuse Consultant

North Carolina Substance Abuse Professional Practice Board NCSAPPB Alcohol Certification Board was established Drug Abuse Certification Board was established in Substance Abuse Certification board established 8/84. Combined the Alcohol and Drug Abuse Boards to form one addictions Board Practice Board established 8/05 Offers six credentials. CSAC, LCAS, CCS, CSAPC, CRFD and CCJP

NCSAPPB Approximately 1800 certified professionals holding over 2500 certifications/licenses. The Board is charged with protecting the public from incompetent substance abuse practitioners and establishing appropriate standards of practice. Member of the International Certification and Reciprocity Consortium/Alcohol and Other Drug Abuse---ICRC/AODA

International Certification and Reciprocity Consortium (ICRC) Founded in 1981 North Carolina became a member in 1991 Over 20,000 credentialed individuals worldwide General Requirements for Counselor Credentialing: –Pass the ICRC Written Exam –Pass the ICRC CPM Oral Exam –Obtain 6000 hours of professional experience –Have clinical supervision throughout training period

Why Should I Pursue Certification/Licensure Assures that a standardized process has be followed and that credentialed professionals have demonstrated competency to perform the responsibilities of a substance abuse professional. State Office of Personnel recognizes the CSAC as a Mental Health professional which translates to a starting salary that is higher than a SAC. CSAC meets Qualified Professional (QP) competency requirements LCAS can practice independently and bill 3 rd party insurance. Establishes professionalism in the substance abuse treatment field. Only a CSAC or LCAS can complete the necessary substance abuse tasks in order for DWI clients to become relicensed. DOT referred clients must have services provided by a credentialed counselor.

The First Step Registration To begin the registration process an applicant must request in writing an application package and send a check or money order for $25.00 to: –P.O. Box Raleigh, North Carolina –Phone (919) –Web address:

Registrant Each credential requires that the individual seeking a SA Credential be registered with the Board. Once the registration is completed the individual is considered a Registrant

Registrant At a minimum, Registration is now required for ALL persons who provide substance abuse services Complete registration forms found in the registration application process Documentation of highest level of education, high school diploma, completion of GED, Baccalaureate or advance degree.

Registrant A signed supervision contract documenting the proposed supervision process by a substance abuse clinical supervisor (CCS). (Contract forms are included in the registration/application package.) A Registrant, if serving in a counseling position, must have supervision at a ratio of 1: 10 hours and obtain supervised experience required for full certification, unless a practicum has been completed. A signed form attesting to the applicant’s commitment to adhere to the Ethical Principles of Conduct of the Board. (verification statements also included in package)

Registrant A check or money order in the amount of (non-refundable) made payable to NCSAPPB. A letter of acknowledgment and report of status will be forwarded to the Registrant. Registration Status may be maintained for 5 years.

Substance Abuse Counselor Intern Have met all Registrant requirements Documentation verifying the successful completion of 300 hours of Supervised Practical Training. A check or money order in the amount of (non-refundable) made payable to NCSAPPB in order to sit for the written exam. Achieve a passing score on the written exam. Criminal background check.

Substance Abuse Counselor Intern Once recognized as a substance abuse intern, the individual may function as a counselor under the supervision of a clinical supervisor at a ratio of 1:40 Supervised Practical training is defined as supervision which seeks to teach the knowledge and skills related to professional substance abuse counseling. Highly structured process and must cover all 12 core functions of the Substance abuse Counselor. The supervisor must verify and document that the supervisee has practiced at least 10 hours of practice, under supervision in each of the 12- core functions

Certified Substance Abuse Counselor CSAC A total of three (3) years full-time, paid or volunteer, supervised experience (6,000 hours) must be documented (18 months for graduates of NCSAPPB approved master's program) Two hundred seventy (270) clock hours of board approved academic/didactic education must be completed in the following manner: 190 hours specifically directed to substance abuse of which no more than 100 hours can be in one substance.

CSAC Twelve (12) hours of HIV training and six (6) hours of professional ethics are required as part of the 270 hours. Up to 80 hours can be directed towards professional skill building to enhance counselor development. No more than 25% of 270 hours [67.5 hours] may be in- service education received within your organization by a staff at the same facility of the same employment

CSAC $100 for the Case Presentation Method (CPM) The oral examination/case presentation will be administered by board members or representatives. After evaluation of the oral exam by the board. The applicant will be notified in writing of their status in the certification process. A Certified Substance Abuse Counselor certificate and number will be awarded to successful candidates. Substance Abuse Counselor will be recognized as a fully certified counselor by the Board and ICRC. Can practice under the supervision of a LCAS, CCS or CCS-I hours of practice.

LICENSED CLINICAL ADDICTIONS SPECIALIST LCAS There are several different ways persons may apply to be licensed as a clinical addictions specialist. In order to become licensed with this credential, the applicant must meet ONE (1) of the following criteria:

Criteria A Criteria A: A-1. A minimum of a master's degree with a clinical application in a human services field; A-2. Two years post-graduate supervised substance abuse counseling experience; A-3. Three letters of reference from licensed clinical addictions specialists or certified substance abuse professionals who hold a master’s degree; A-4. Achievement of a combined score set by the Board on master's level written and oral examinations administered by the Board; A hours of substance abuse specific training as defined in the statute and in policy statement of the Board; A-6. Signed verification statements attesting to the intention to adhere fully to the ethical standards of the Board; A-7. That the applicant is not and has not engaged in any practice or conduct that would be grounds for disciplinary action under this statute; A-8. Payment of fees.

Criteria B Criteria B: B-1. Minimum of a master's degree with clinical application in a human services field; B-2. Current certification as a substance abuse, alcoholism, or drug abuse counselor; B-3. One year of post-graduate supervised substance abuse counseling experience; B-4. Achievement of a passing score on a master's level written examination administered by the Board; B-5. Three letters of reference from Licensed Clinical Addiction Specialists or Certified Substance Abuse Professionals who hold a master’s degree; B-6. Signed verification statements attesting to the intention to adhere fully to the ethical standards of the Board; B-7. That the applicant is not and has not engaged in any practice or conduct that would be grounds for disciplinary action under this statute; B-8. Payment of fees.

Criteria C C-1. Minimum of a master's degree in a human services field with a substance abuse specialty that includes 180 hours of substance abuse specific training / education; C-2. One year of post-graduate supervised substance abuse counseling experience; C-3. Achievement of a passing score on an oral examination administered by the Board; C-4. Three letters of reference from Licensed Clinical Addiction Specialists or Certified Substance Abuse Professionals who hold a master’s degree; C-5. Signed verification statements attesting to the intention to adhere fully to the ethical standards of the Board; C-6. That the applicant is not and has not engaged in any practice or conduct that would be grounds for disciplinary action under this statute; C-7. Payment of fees.

Criteria D Criteria D: D-1. The applicant must be a member of a professional discipline granted deemed status by the Board; D-2. The applicant must be licensed, certified or otherwise recognized by that discipline as having met the standards of a substance abuse specialist; and D-3. Must hold a substance abuse certification from that professional discipline which has been granted deemed status by the North Carolina Substance Abuse Professional Certification Board; D-4. Certification may be obtained through the process as described, and by payment of certification fees.

Suggested Reading List Loosening the Grip 6 th Ed, Kinney, Jean Drugs and Society, Glen Hanson and Peter Venturelli The Twelve Core Functions of the Substance Abuse Counselor, John Herdman DSM IV, American Psychiatric Assoc. Drugs, Society and Human Behavior 8 th Ed, Ray, Oakley Ethics for Addiction Professionals, Bissell, LeClair Psychotherapy in Chemical Dependence Treatment, Buelow, George

CERTIFIED CLINICAL SUPERVISOR (CCS) Must be a Licensed Clinical Addictions Specialist (applicant must maintain counselor credential in order to maintain supervisor credential) 8,000 hours (four years) and a master's degree in a human services field with a clinical application from a regionally accredited college or university (10,000 hours in order to be reciprocal through the IC&RC/AODA, Inc.) 4,000 hours (two years) experience as a substance abuse clinical supervisor.

CCS Thirty(30) hours) of substance abuse clinical supervision specific education/training for initial certification. These hours should be reflective of the twelve core functions in their clinical application and practice. One letter of reference from the applicant's current supervisor. Three letters of reference: one from a professional who can attest to supervisory competence and two from either counselors who have been supervised by the candidate or professionals who can attest to the applicant's competence.

CCS Successful completion of IC&RC written examination. Payment of all fees. $25.00 should be submitted to the Board with a letter of intent in order to receive the application packet. $ should be submitted to the Board when application packet is completed and mailed ($ registration fee and $ written test fee).

Certified Substance Abuse Prevention Consultant (CSAPC) In response to the ever increasing needs of our field, the North Carolina Substance Abuse Professional Practice Board offers the Certified Substance Abuse Prevention Consultant Certification. This certification is offered to those persons who do not provide direct treatment/counseling with persons who have substance abuse problems. Rather, it is offered to those persons who identify and work with people in high risk categories and/or in alcohol and other drug education settings (i.e.: human service agencies, drug and alcohol educators, high school guidance counselors, etc.)

CSAPC Three (3) years full-time experience in the field or two (2) years if applicant has a bachelor's degree or higher in a human services field. 270 hours of board approved academic/didactic training divided in the following manner: a. 170 hours in the area of primary prevention and life skills training; and b. 100 hours in substance abuse specific material. c. Twelve (12) hours of HIV training and six (6) hours of professional ethics are required. A minimum of 300 board approved practicum hours documented by a qualified alcohol, drug or substance abuse professional.

CSAPC Evaluations from a supervisor on this practicum as well as two evaluations from colleagues/co-workers. Successful completion of a written examination. Signed verification statements confirming that applicant will abide by high ethical standards as defined by the Board and that applicant has been free of addictive use of alcohol and other drugs for a minimum of two (2) years. $250 registration/testing fee. Application Packet-$25.00

Certified Substance Abuse Residential Facility Director (CSARFD) The Certified Substance Abuse Residential Facility Director certification is one that is obtained in addition to the Certified Substance Abuse Counselor. A person must already be a certified counselor in order to obtain the residential facility director certification. 50 hours of NCSAPCB approved academic/didactic management specific training. Positive recommendation of applicant's current supervisor. Positive recommendation of a colleague or co-worker of the applicant Registration/application fee of $ Application Packet-$25.00

For information about Durham Center’s Workforce Development Initiative, contact Tina Howard – Or Bart Grimes

The First Step Registration To begin the registration process an applicant must request in writing an application package and send a check or money order for $25.00 to: –P.O. Box Raleigh, North Carolina –Phone (919) –Web address:

Evaluation Complete evaluation and participant surveys Place surveys on table before you leave Thank you