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- •EDITORIAL BOARD
- •TABLE OF CONTENTS
- •Glossary of Selected Terms
- •Preface
- •Introduction
- •Basic concept of Drug Related Health Issues
- •Definitions of Drug and Alcohol Problems
- •Overview of Alcohol
- •References
- •Introduction
- •Alcohol Intoxication
- •References
- •Introduction
- •Basic Concept of Tobacco
- •Pharmacology
- •Chronic System Toxicity
- •Smoking Cessation Strategies
- •References
- •Introduction
- •Overview on Cannabis
- •Pharmacology
- •Amphetamines
- •References
- •Introduction
- •History of Drug Addiction and Drug Abuse
- •What is Drug Abuse and Addiction?
- •What does a Drug and Alcohol Abuse Counselor do?
- •Alcohol Abuse Careers
- •Drug and Alcohol Worker
- •References
- •Index

Drugs Related Health Issues
counselor can perform many jobs during the treatment of a patient; they frequently
work with addicts at every stage, from deep in the clutches of drugs to those in
recovery for years.
Many drug counselors have a master’s or bachelor’s degree in a related area from
a university. Typically, they study psychology, sociology, public health, or medicine.
Some regions also allow drug counselors to practice if they have completed a trade
school or training course that specializes in addiction therapy. It is important to
study the licensing and legal practice guidelines of a region carefully as they can
vary extensively. Check with guidance counselors every semester or quarter to
ensure that requirements are met and the right courses are taken.
Some of the work a drug addiction counselor does is analytical. They try to determine
if an addiction is present and how best to treat the situation. A background in
psychology can be extremely helpful to an addiction counselor, since people react
to drug treatment in varying degrees. An addict who is still actively taking drugs
may lie about use; drug addiction counselors must be adept in reading people and
situations.
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A drug addiction counselor may provide some form of therapy to addicts as well
as friends and family. Addiction is a many headed beast that can cause depression,
anxiety, and even new addictions not only in the primary patient but also in other
family members. Counselors are skilled in seeing not only the forest but the trees;
one goal of addiction treatment is to create a healthy living and social environment
for the addict that will make relapse less likely.
Some drug addiction counselors work with drug treatment centers or rehabilitation
centers. In this job, a counselor may have individual patients or may conduct group

330
therapy sessions with recovering addicts. They often help addicts come up with
goals and plans for the future in order to build a healthier lifestyle, post-rehab.
A drug addiction counselor may also work closely with the justice system in several
capacities. They may be asked to assess a possible addict as part of a trial, or to
be involved in treating addicts that must attend counseling due to a court order or
sentence. Since these patients are not always willing participants, working in this
arena is often considered extremely difficult.
Illustrated Handbook of Drugs & Alcohol Related Health Issues
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What does a Licensed Substance Abuse Counselor do?
A licensed substance abuse counselor seeks to help and support people who are
suffering from drug or alcohol addiction. Often, this help and support will also
extend to the substance abuser’s family. A substance abuse counselor helps his
client to recognize harmful behaviors and learn to overcome them. The counselor
can also provide crisis counseling sessions and refer clients to agencies that can
assist them in other areas. Different states may have different requirements for
becoming a licensed substance abuse counselor, but many require a master’s degree
in psychology or a related field.
While one of the rewards of being a licensed substance abuse counselor is seeing
clients overcome addiction and live a substance abuse-free life, there are also
several difficult downsides to the job. Many people who start in the field drop out
due to the sometimes severe emotional demands. Counselors must be prepared
to watch some of their clients slip back into addiction, go to jail, or even die.
They also must be prepared to be exposed to the difficult and often sad situations
that lead their clients to addiction. In order to help people overcome addiction,
a licensed substance abuse counselor may have group or individual sessions on a

Drugs Related Health Issues
daily or weekly basis. He may also have to develop a personalized plan to help an
abuser cope with his cravings and discontinue harmful behaviors. In addition, the
counselor might offer crisis counseling, which is short term counseling that helps
a person deal with traumatic issues.
Citation: https://www.collegeatlas.org/wp-content/uploads/2016/06/Substance-abuse-
counselor-in-group-meeting.jpg
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In addition to counseling sessions, a licensed substance abuse counselor may need
to help a client find assistance from other agencies. For example, if the abuser has a
health problem, the counselor may refer him to a medical clinic. The counselor may
also run drug tests and help to keep track of a client’s progress, as well as offering
to help the client’s family deal with the effects of substance abuse. In addition,
the counselor may also seek to prevent substance abuse by educating the public.
The way to become a licensed substance abuse counselor varies by jurisdiction,
although many places require a master’s degree in a relevant field. In some areas,
a certain amount of coursework and experience, with or without a college degree,
is enough for a person to achieve a level of certification. Other areas require only
a high school diploma, as well as certification. Since the requirements from each
jurisdiction or state may differ, a person interested in the field should contact the
appropriate authorities to find out more.
What does an Addiction Counselor do?
An addiction counselor is a mental health professional who specializes in helping
patients with addictions. These counselors can work in private practice, as part
of substance abuse clinics, in group practices, and in hospital settings, helping
patients with a range of issues. To become an addiction counselor, someone must
generally complete a training program which includes familiarization with chemical
dependence, psychology, legal issues, and various treatments available to people
struggling with addictions.

332
Many people think of drug dependence on substances like heroin when they hear
the word “addiction,” but addiction counselors also work with people who are
addicted to gambling, shopping, and other activities. Addiction counselors handle
patients with dependencies on a wide variety of substances as well, not necessarily
just illegal drugs. For example, an addiction counselor might help someone quit
smoking or drinking, or assist patients with dependence on pharmaceuticals, including
pharmaceuticals acquired legally by prescription.
Illustrated Handbook of Drugs & Alcohol Related Health Issues
Citation: http://www.careercounselingcenter.org/wp-content/uploads/2016/06/Substance-
Abuse-Counselor.jpg
Some addiction counselors choose to specialize in a particular area of interest,
while others cover a range of addictions. In all cases, addiction counselors meet
with patients in private and group settings to provide therapy, talk about ongoing
issues, and develop treatment plans. Addiction counselors can also work with family
members and facilitate family communication, in addition to running addiction
programs which can range from residential facilities for treatment to community
meetings held to help people cope with addiction.
Every addiction counselor has a unique approach to treatment, which is usually
tailored to the needs of the patient. Many addiction counselors believe that addictions
cannot be cured, but only managed, and treatment is focused on accepting this
and providing patients with tools to manage addiction. Addiction counselors can
provide referrals to other health care providers who may help an addicted person
deal with health issues, and they can also work as part of a patient care team.

Drugs Related Health Issues
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Addiction counseling can be very demanding. Transference can be a problem for
many health care professionals, and in the case of addiction counseling, a patient
may turn a dependence on a substance or activity into a dependence on an addiction
counselor. While addiction counselors need to be able to help their patients, they
must also be able to obtain professional distance.
This kind of work requires empathy, patience, and a high commitment to confidentiality.
Addiction counselors must establish trusting relationships with their clients, and
adhere to very high ethical standards. Many belong to professional organizations
which offer certification to addiction counselors along with continuing education
opportunities which keep people informed about developments in the field and
topics of interest.

334
Illustrated Handbook of Drugs & Alcohol Related Health Issues
ALCOHOL ABUSE CAREERS
Many careers exist in the field of drug abuse treatment and prevention. The drug
abuse treatment field is a rewarding career choice for many people, as it makes a
difference in the lives of millions of people annually. Those who work in this field
use hard work and determination to help patients earn sobriety, which is worth
more than a paycheck to many.
It is unfortunate that 23.5 million people required treatment for drug or alcohol
abuse in 2009 according to the Substance Abuse and Mental Health Services
Administration’s (SAMHSA’s) National Survey on Drug Use and Health. Of these
23.5 million people, only a mere 2.6 million received care at a specialized facility.
The drug abuse treatment field is booming with careers for compassionate, caring
individuals. Careers in drug abuse are based at many locations including detention
centers, research facilities, educational centers, hospitals, methadone clinics, private
practices, detoxification centers, mental health centers and drug rehabilitation
centers. This makes them very available and attainable.
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Finding Drug Abuse Jobs
The first step in finding a drug abuse career is to evaluate how you would like to
help people suffering from drug dependence. There are many careers dealing with
all aspects of drug rehabilitation, from direct care to researching potential cures
for drug addiction and prevention. Evaluating your skill set and interests will help
you make the best career decision.
The most common career in drug abuse work is the addiction counselor. Addiction
counselors are professionals that work with children, teens and adults suffering
from drug abuse problems and other addictions, such as gambling. Together with

Drugs Related Health Issues
the patient, they identify the addiction, point out the associated behaviors and
implement a plan of recovery. With the patient, they work on the problems that drug
abuse causes and confront emotional and behavioral problems that exist. Addiction
counselors treat the addiction at its core and track the progress that the patient
makes along the recovery journey. Addiction counselors keep the patient and the
family of the patient up to date on treatment information, drug information and the
progress being made. It is their job to educate people about drugs, drug treatment
and life after treatment. They also arrange treatment at other facilities if needed,
such as other mental health counseling, healthcare and coordinating services with
other members of staff for their patients. The main focus of an addiction counselor
is the patient’s recovery. Job growth in the addiction counseling sector is expected
to grow an estimate 27 percent according to the Bureau of Labor Statistics.
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Psychiatrists and psychologists also often work with people suffering from drug
abuse problems. Psychologists treat what is going on in the mind through therapy,
while psychiatrists work in medicating disorders that may be occurring in patients.
The decision of which type of therapist to go to depends on the severity of the
drug abuse problem and any underlying mental conditions. Medication is only
used when there is a mental condition that cannot be improved through traditional
therapy methods. Mental illness is often intertwined with substance abuse and
should be treated by such professionals. According to a SAMHSA study on mental
health in 2009, 25.7 percent of adults with serious medical illnesses also suffered

336
from substance abuse at the same time. According to the same study, adults with
mental disorders are 25 percent more likely to abuse drugs than adults without
mental illnesses. Psychiatrists and psychologists treat underlying mental conditions
along with the drug dependency problems.
Careers that focus on direct care with patients include psychiatric nurses, addiction
nurses and detox specialists. These careers focus on treating the patients’ symptoms
that come along with the addiction, the detox, the withdrawal and the after effects.
They administer medications and track the physical progress of the patients. It is
their job to keep the patient as comfortable as possible while nursing his or her
body back to health. These positions are for people who want to directly work by
physically healing and helping those who suffer from drug addiction.
Other career options that are more involved with organizing care, educating and
researching are professors, social workers and researchers. These careers are less
involved with direct care and focus more on the big picture of the epidemic of
drug abuse. It is their job to take the issue and find solutions for it.
Illustrated Handbook of Drugs & Alcohol Related Health Issues
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Social workers work with various agencies to find proper care for those suffering
from substance abuse problems. They are interested in the safety and welfare of
the addict as well as any dependents that the addict may have. According to
the National Institute of Drug Abuse, an estimated 75 percent of drug users are
employed but may change jobs frequently or get fired due to their drug use. This
makes providing for oneself difficult. Social workers also care for problems that
arise such as pregnancies or children that need to be housed and cared for while
their parents are in rehabilitation. It can be a stressful career, but many feel that
the reward is worth it.

Drugs Related Health Issues
Professors work in academic centers teaching about addictions, the mental aspects
of addiction and substance abuse awareness. They teach classes about substance
abuse and educate others that are interested in going into the substance abuse
treatment field. It is an excellent career for those who want to educate others.
Substance abuse researchers study patterns of substance abuse in the general
population. They note where drug addiction is on the rise, what drugs are being
abused the most and what drugs are the most dangerous. They compile data on drug
trends and study patterns in the data. They also research treatments, therapies and
potential cures for substance abuse. They work in medical and psychiatric research
centers and perform many experiments in their daily work that are integral in the
treatment of substance abuse.
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Drug Abuse Employment Training
Careers in the drug abuse sector require different levels of education depending on
the career and the level of responsibility that comes with it. Some require simply
a high school diploma, while others require a degree such as:
■ Associate’s Degree: Requires two years to complete as a full-time student
■ Bachelor’s Degree: Requires four years to complete as a full-time student
■ Master’s Degree: Requires two years additional work after bachelor’s degree
is completed
■ Doctorate Degree: Requires two years of additional studies after master’s
degree
To find work as an addiction counselor, you are expected to at least have a high
school diploma. Some states may require certification that can be earned by attending
special classes. Certain facilities require an addiction counselor to have either an
associate’s degree or a bachelor’s degree.
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stress.jpg

338
Psychiatrists and psychologists require the most education-a doctorate degree is a
must. In addition to the degree, some states require psychiatrists and psychologists
to complete a supervised period of time under a licensed member of their field.
This can range from several weeks to over a year.
Nurses and detoxification specialists carry associate’s degrees or bachelor’s degrees
in their respected career. All states require nurses to carry nursing licenses in the
state that they work in. According to the BLS, nursing is expected to experience a
growth of 26% in the next decade.
Social workers, professors and researchers are all required to have at least a
bachelor’s degree in a related field. Some employers may require a master’s degree
or doctorate degree of study.
Illustrated Handbook of Drugs & Alcohol Related Health Issues
Alcohol and Drug Counselor Certification
Becoming a certified alcohol and drug counselor can be a rewarding career path
for the helping professional. The International Alcohol and Drug Counselor (IADC)
committee sets minimum standards for alcohol and drug counselor certification in
49 states in the United States and several countries. In the US, state boards are
entrusted with adhering to these standards, and certification titles vary regionally. The
most sought after alcohol and drug counselor certification are chemical dependency
professional, certified substance abuse counselor, and alcohol and drug counselor.
In addition to state certifications, the IADC committee issues alcohol and drug
counselor certification in ranked order, from entry level alcohol and drug counselors to
clinical supervisor, for those counselors who would like to advance their credentials.
Specializations offered internationally and at the state level include drug and alcohol
prevention specialist and certified justice addictions professional. Substance abuse
professionals with the US Department of Transportation (DOT) are required to have
international certification.
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