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Drugs Related Health Issues
Most states follow the general outline of requirements set forth by the IADC for
obtaining an alcohol and drug counselor certification. Work or volunteer experience
is required in the substance abuse field at a minimum of 4,000 hours. Education may
be substituted for work experience at the associates, bachelors, and masters’ level.
Additionally, 315 hours of education or six courses is required in the modalities
of professional counseling.
After an application is approved and all requirements met, a national or state test
will need to be taken for certification. For example, the California Association of
Alcoholism and Drug Abuse Counselors (CAADAC) administer the test in that state.
There is also a National Association of Drug Abuse Counselors test for those seeking
national certification in the US. Both boards offer manuals online. Maintaining an
alcohol and drug counselor certification entails earning 40 hours of continuing
educational credits every two years.
For the education requirements, junior or two-year colleges commonly offer programs
with courses that can be applied towards alcohol and drug counselor certification.
Programs are approximately one to two years in length, although some programs
may be completed in six months. Generally, six courses are required, including a
field practicum course that can be combined as part of the work experience. Some
colleges require that the applicants have six months to one year of experience in
human services prior to admission in a counseling program. Better schools provide
career placement services that will aid students in matching their interests and
needs with an employer.
339
Citation: https://www.northpointrecovery.com/blog/wp-content/uploads/2017/02/addiction_
facts_about_tacoma_washington.jpg
Addiction counseling is known as a particularly stressful occupation. Clients of a
counselor with drug and alcohol addictions often have co-occurring disorders, such
as mental illness or homelessness, that compound their situation. Counseling in this
specialization requires a high degree of compassion and dedication. On the other
340
hand, alcohol and drug counseling can give the personal satisfaction of making a
direct impact on people’s daily lives.
Exposure to the substance abuse field will enable prospective students to make
a well informed choice as to which certification to obtain. Drug and alcohol
counselors work in many settings, including hospitals, correctional facilities, youth
organizations, and treatment centers. These organizations offer work and volunteer
opportunities regularly to those that are not yet certified.
Illustrated Handbook of Drugs & Alcohol Related Health Issues
DRUG AND ALCOHOL WORKER
Drug and alcohol workers help people tackle their drug, alcohol or solvent misuse
problems.
If you want to help people and you have an understanding of substance misuse
issues, this job could be ideal for you. In this job you would need to be calm and
caring, and able to build trust with vulnerable people.
Volunteering is a great way to build skills and experience. No formal entry requirements
apply but you would be expected to gain qualifications in substance misuse. You
would also need a Disclosure and Barring Service (DBS) check.
Citation: https://www.addictionhope.com/wp-content/uploads/2015/02/
Fotolia_38577168_M.jpg
Drugs Related Health Issues
341
The Work
As a drug and alcohol worker (also known as a substance misuse worker), you
would help people tackle and recover from their dependence on illegal, prescription
and over-the-counter drugs, alcohol or solvents.
You would help clients to access services such as counselling, healthcare and
education. Your job could vary widely depending on your interests and qualifications
and could include:
■ outreach work – visiting substance users and helping with immediate needs
such as temporary accommodation
■ drop-in center work - talking to clients about their needs and finding ways
of supporting them towards recovery
■ counselling and rehabilitation - giving support and dealing with the causes
of substance misuse
■ arrest referral work - supporting clients arrested for drug-related offences
■ education and training - helping clients access services to help them with
reading, writing, math, computer and job search skills
■ healthcare - working as a specialist nurse in an addiction clinic prescribing
medication and supervising detox programmes
■ advocacy - helping clients to use housing, employment and healthcare
services
■ needle exchange - providing clean sharps and giving advice on how to
use substances safely and reduce harm to self and society
■ prison ‘CARAT’ work - Counselling, Assessment, Referral, Advice and
Through care in prisons and remand centers, including support with detox
programmes
■ youth work - giving emotional support and help with education, employment
and training
In some jobs you may cover several areas of these areas or you might specialize.
You could also have other tasks, such as carrying out risk assessments, designing
training and care programmes, and providing ongoing support for clients while they
deal with their substance misuse issues.
342
Illustrated Handbook of Drugs & Alcohol Related Health Issues
Citation: https://i0.wp.com/www.calpeculiarities.com/wp-content/uploads/
sites/221/2016/02/iStock_000083763085_Full.jpg
Working Hours
In a full-time job you would work 35 to 40 hours a week. Your hours may be
irregular and unsocial, and you may need to be on call. Part-time paid and voluntary
work is widely available.
Your workplace would depend on your job. In the justice system, you would be
based in a prison or remand center. In outreach work, you would travel around your
district, visiting centers and schools. You could also be based at a health center,
residential rehabilitation unit or housing association office.
Income
Employment officers, outreach and drop-in center workers earn between £21,000
and £25,000 a year, with senior practitioners earning up to £28,000.
Counsellors and specialist nursing staff can earn between £26,000 and £34,000 a
year, and team leaders and local service managers can earn up to £40,000 or more.
Unqualified but experienced workers can earn around £17,000 to £19,000 a year.
Volunteers may receive expenses such as travel costs,
Some contracts may be short-term and pay an hourly rate ranging from £14 to £17.
Entry Requirements
You may come into this work from a variety of backgrounds, such as nursing, criminal
justice, social care, youth work or counselling. For example, you may have dealt
Drugs Related Health Issues
with drug or alcohol-dependent patients as a nurse, or worked in the probation
service dealing with offenders after their release. If you have personal experience of
addiction or dependency you could also apply for this type of work, as applications
are usually welcome from people who have been through treatment successfully.
Volunteering is an excellent way to gain relevant experience, make contacts and
eventually find paid work. It gives the employer a chance to see your skills and motivation,
and lets you decide whether this is the career for you. Most drug and alcohol support
organizations offer volunteering opportunities and training.
You can find volunteering opportunities by contacting local substance misuse
organizations. You can also visit the Do-it or Frank websites to search for organizations
by postcode or town.
Employers often ask for between six months and two years’ relevant experience,
whether paid or unpaid, and the ability to work with vulnerable people. Employers may
sometimes ask for professional qualifications in social work, nursing or counselling,
depending on the job.
You can also enter this profession as a support worker with few qualifications,
providing you have enough experience. There are some introductory courses in
substance misuse which may be available at local colleges.
343
You will need enhanced background checks by the Disclosure and Barring Service
(DBS) for most jobs.
Citation: https://www.omicsonline.org/journal-highlight-images/genomics-and-drug-
development.jpg
344
Illustrated Handbook of Drugs & Alcohol Related Health Issues
Training and Development
Most organizations will offer you on-the-job training, whether you are volunteering
or in paid employment. Your training will be based on the skills needed for your
particular job. It may include short sessions on a particular aspect of your role, or
the chance to gain formal work-based qualifications.
Level 3 is the minimum level of study for a drug and alcohol worker role. Courses
you could take include:
■ Level 3 Award in Substance Misuse Awareness
■ Level 3 Certificate in Tackling Substance Misuse
■ Level 3/4 Certificate in Working with Substance Misuse
Federation of Drug & Alcohol Professionals (FDAP) offers a range of qualifications
and accreditation for substance abuse practitioners, counsellors and managers.
You could also take a university course in subjects such as drug and alcohol
counselling or addictive behaviors. Courses can range from foundation degree to
postgraduate level, and are available full-time, part-time and through distance learning
from several universities around the world. Drug charities strongly recommend that
you check that courses include work placements, so that you can gain practical
experience.
It is important to keep developing your skills throughout your career, which you
can do through further training and networking events.
Citation: http://www.cdrd.ca/wp-content/uploads/Davy3.jpg
Drugs Related Health Issues
345
Skills, Interests and Qualities
To become a drug and alcohol worker, you will need:
■ empathy and a calm, caring approach
■ an understanding of substance misuse issues and their impact on people
■ a non-judgmental attitude
■ the ability to build trusting relationships
■ the ability to work alone and as part of a team
■ excellent communication and listening skills
■ the ability to work closely with a range of different organizations
■ respect for confidentiality
Opportunities
You can find work with a range of organizations including:
■ charities
■ housing associations
■ health agencies
■ local authorities
■ the probation service
■ prisons
With experience, you could become a volunteer coordinator or project team leader.
You could also specialize in working with a particular group, for example young
people.
REFERENCES
1. https://www.wlu.edu/student-life/health-and-safety/student-health-andcounseling/health-library/alcohol-and-other-drugs/health-and-behavioralrisks-of-alcohol-and-drug-use
2. http://www.infoplease.com/encyclopedia/science/drug-addiction-drug-abusehistory.html
3. http://drugabuse.com/library/drug-abuse-careers/
4. http://www.wikihow.com/Understand-Why-People-Use-Drugs
5. http://recovergateway.org/substance-abuse-resources/drug-addiction-effects/
6. https://nationalcareersservice.direct.gov.uk/advice/planning/jobprofiles/Pages/
drugandalcoholworker.aspx
7. http://drugabuse.com/library/drug-abuse-counselors/
8. http://www.rileyguide.com/careers/drug-abuse-counselors.shtml
INDEX
A
Addiction counselor 328, 329, 330, 331,
332, 333, 334, 335, 337
Adenosine triphosphate (ATP) 210
Agency for Health Care Policy and Re-
search (AHCPR) 53
Alcohol abuse 307, 327, 328, 334
Alcohol and other drug (AOD) 38, 40
Alcohol by volume (ABV) 103
Alcohol dependence 120, 122, 123, 132,
133, 134, 135, 136, 139, 140
Alcohol energy 309
Alcohol-related brain damage (ARBD)
157
Alcohol-Related Brain Injury (ARBI) 152,
153
Alcohol withdrawal syndrome (AWS) 130
Aldehyde dehydrogenase (ADLH) 88
Amphetamine 3, 8, 9, 14, 22, 23, 25,
252, 287, 288, 289, 290, 292, 293,
297, 298, 301, 302, 303
Anatomical Therapeutic Chemical Classifi-
cation System (ATC) 2
C
Cardiopulmonary resuscitation (CPR) 220
Cardiovascular disease (CVD) 199, 201
Central nervous system (CNS) 84, 143
Cerebrovascular disease (CVD) 198
Chemical Classification System (ATC) 5
Chewing tobacco 162
Chronic obstructive pulmonary disease
(COPD) 204
Cognitive behavioral therapy (CBT) 234
Communication 327, 332, 345
Coronary artery diseases (CAD) 199
D
Decision Balance Worksheet 241, 242
Department of Transportation (DOT) 338
Disclosure and Barring Service (DBS) 340,
343
Drug & Alcohol Professionals (FDAP) 344
E
Electrocardiogram (EKG) 203
Environmental Protection Agency (EPA)
223, 226
Environmental tobacco smoke (ETS) 192,
221
California Association of Alcoholism and
Drug Abuse Counselors (CAADAC)
339
Carbon monoxide (CO) 182
F
Federal Trade Commission (FTC) 192
Food and Drug Administration (FDA) 40
348
Illustrated Handbook of Drugs & Alcohol Related Health Issues
G
Gamma-aminobutyric acid (GABA) 143
Gamma-aminobutyric-acid (GABA) 55
Gross national product (GNP) 84
H
Harmful behavior 313, 330, 331
Harm reduction 3, 41, 52
Health and Human Services (HHS) 34
I
Intensive care unit (ICU) 220
International Alcohol and Drug Counselor
(IADC) 338
International Classification of Diseases
(ICD) 183
International Organization of Standardiza-
tion (ISO) 192
L
Long-term abstinence (LTA) 186
M
Mental effects 307
Mental health 306, 331, 334, 335
Michigan Alcohol Screening Test (MAST)
116
N
National Institute for Occupational Safety
and Health (NIOSH) 225
Nicotine replacement therapy (NRT) 189,
227, 243
Nicotine-replacement therapy (NRT) 181
O
Occupational Safety and Health Adminis-
tration (OSHA) 225
Opioid replacement therapy (ORT) 41
Opioid substitution therapy (OST) 41
Opioid Substitution Therapy (OST 41
P
Pharmaceutical Benefits Scheme (PBS) 61
Pharmacology 86, 87, 88, 157
Physical symptom 231
Post-traumatic stress disorder (PSTD) 234
Prohibited Substance Testing Program
(PSTP) 258
Psychological 307, 310, 314, 317, 318,
319
Psychological symptom 231, 232
S
Sidestream smoke (SS) 191
Smoking 160, 161, 165, 166, 167, 168,
171, 175, 176, 177, 178, 179, 181,
182, 183, 184, 185, 186, 190, 191,
192, 193, 194, 202, 212, 219, 221,
222, 223, 224, 225, 226, 227, 228,
229, 230, 231, 232, 233, 235, 236,
237, 238, 239, 240, 241, 242, 243,
244, 245, 246, 247, 249
Social impairment 233
Stumbling drunk 308
Substance 307, 309, 311, 312, 319, 323,
324, 327, 328, 330, 331, 333, 335,
336, 337, 338, 339, 340, 341, 343,
344, 345
Substance Abuse and Mental Health Ser-
vices Administration’s (SAMHSA’s)
334
Sudden infant death syndrome (SIDS)
215, 224
T
Tetrahydrocannabinol (THC) 253, 266,
271
Therapeutic Goods Administration (TGA)
73, 75
Tobacco industry 164, 165, 167, 169,
170, 172
Total particulate matter (TPM) 192
Traditional Chinese medicine (TCM) 30
Treatment field 334, 337