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2014 May-Jun renew. reflect. refuel. recharge. You don’t have to sacrifice your standard of living on the journey to wellness. Experience the East Coast’s premier luxury retreat that is a licensed, Joint Commission accredited drug rehab and medical detox center where all treatment is done at one discreet location. Our guests enjoy a living recovery with all the amenities, concierge, access to mobile phones, and a full-service business center. toll-free 24/7 (888) 997-3274 www.seasidepalmbeach.com A Behavioral Health of the Palm Beaches Facility www.counselormagazine.com 1 Laboratory Services Addiction and Treatment We support recovery. Rapid, accuRate, and compRehensive dRug testing Trust your addiction and treatment testing to Alere Toxicology. » Superior analytical methods using state-of-the-art technol- At Alere Toxicology we understand the unique challenges facing addiction ogy, including Immunoassay treatment professionals. Objective monitoring of drug and alcohol use is integral and LC/MS/MS technology to effective treatment strategies and essential for early detection and intervention. » Panels for a broad array of Alere offers customized testing and documentation solutions, scientifically drugs and metabolites, with a credible data interpretation, and world-class service to help addiction dynamic test menu continually professionals individualize therapy and optimize patient outcomes. expanding to include emerging synthetic drugs Call 800.241.0467 or visit aleretoxicology.com/treatment » Access to highly qualified, expert toxicologists » Comprehensive, accurate, easy-to-read reports within 1-2 days » Dedicated client support team © 2013 Alere. All rights reserved. The Alere Logo and Alere are trademarks of the Alere group of companies. 800325 REV1 4/13 2 Counselor · June 2014 CONTENTS Letter from the Editor By Robert J. Ackerman, PhD 8 38 Editor The Hidden Epidemic: Substance Abuse in CAADAC the Elderly Access to Recovery: 10 Presents information about No Addict Left Behind the four subsets of aging By Bob Tyler, BA, LAADC*, addicts, discusses barriers CADC II, ICADC to diagnosis, and provides the best treatment options for the elderly population. By Sylvia Dobrow, IC&RC BS, MPH, ABD Credentialed Living 14 Experience—An Oxymoron? By Kristie R. Schmiege, MPH, ICADC, ICCS, CPC-M 46 Cultural Trends The Character, Appeal, 16 What’s New in the and Diagnosis of Evil DSM-5 for Substance By Maxim W. Furek, Use Disorders MA, CADC, ICADC Provides an overview of the major changes of the DSM- 5, discusses eliminations and additions present Opinion in the new edition, and “Visions”: The Gift 22 explains the benefits of By Bob L. the new DSM in treating substance use disorders. By Gerald Shulman, MA, MAC, FACATA From Leo’s Desk Miracle Uncovered 24 By Rev. Leo Booth Cannabis Concerns, Part II 50 Wellness The Virtue of Patience, Part I 26 Mental Health Treatment By John Newport, PhD and Co-Occurring Cannabis Use Disorders Discusses the reasons for inaccurate reporting of The Integrative Piece cannabis use disorders, Planting Springtime Seeds 28 presents the negative effects of cannabis on By Sheri Laine, LAc, Dipl. Ac mental health, and provides treatment implications for clinical practices. By Jerrold Pollak, PhD www.counselormagazine.com 3 Advisory Board FRANCES L. BRISBANE, PHD PATRICK J. CARNES, PHD A Health Communications, Inc. MICHAEL L. DENNIS, PHD Publication 3201 S.W. 15th Street EDWARD M. HALLOWELL, MD Deerfield Beach, FL 33442-8190 WILLIAM A. HOWATT, PHD, EDD, ICADC (954) 360-0909 • (800) 851-9100 MARY BETH JOHNSON, MSW Fax: (954) 360-0034 E-mail: [email protected] EdWARD J. KHANTZIAN, MD Website: www.counselormagazine.com RHONDA MESSAMORE, CADC II, ICADC WILLIAM COPE MOYERS Counselor (ISSN 1047 - 7314) is published bimonthly (six times a year) and copyrighted CARDWELL C. NUCKOLS, PHD by Health Communications, Inc., all rights CARMINE PECORARO, PSYD, CAP reserved. Permission must be granted by the publisher for any use or reproduction of the DAVID J. POWELL, PHD magazine or any part thereof. Statements of MARSHALL ROSIER, MS, CAC, LADC, MATS, fact or opinion are the responsibility of the au- CDDP-D thors alone and do not represent the opinions, policies or position of COUNSELOR or Health SHAWN CHRISTOPHER SHEA, MD Communications, Inc. KAY SHEPPARD, MA Health Communications, Inc., is located at S. LALA ASHENBERG STRAUSSNER, DSW, COUNSELORMAGAZINE.COM OFFERS 3201 S.W. 15th St., Deerfield Beach, FL MSW, CAS • Easy navigation and optimized 33442 - 8190. MICHAEL J. TALEFF, PHD, CSAC, MAC Subscription rates in the United States are WILLIAM L. WHITE, MA searching capabilities one year $41.70, two years $83.40. Canadian orders add $15 U.S. per year, other interna- JEFF WILBEE, CAE • Social networking tools tional orders add $31 U.S. per year payable • Streamlined CE with order. Medical Advisory Board Florida residents, add 6% sales tax and S TUART GITLOW, MD, MPH, MBA quiz-taking process applicable surtaxes. Periodical postage rate PAUL H. EARLEY, MD, FASAM paid at Deerfield Beach, FL, and additional MARCUS J. GOLDMAN, MD • Expanded content offices. Postmaster: Send address changes to Counselor, P.O. Box 15009, North Hollywood, MEL POHL, MD, FASAM • Interactive capabilities CA 91615 - 5009 EDWIN A. SALSITZ, MD, FASAM • Access to subscriptions, © Copyright 2011, Health DAVID E. SMITH, MD, FASAM articles, and past issues with Communications, Inc. HOWARD WETSmAN, MD Printed in the U.S.A. PENELOPE P. ZIEGLER, MD just one click • Get full access to the website President & Publisher Editor for only $9.95 R OBERT ACKERMAN, PHD PETERO VEGS E -mail: [email protected] Editor Associate Editor R OBERT ACKERMAN, PHD LAHE HONARBAKHSH PLUS Phone: (800) 851-9100 ext. 211 or (954) 360-0909 ext. 211 Executive Editor • Get the digital edition (tablet Fax: (954) 570-8506 and mobile) of Counselor for GARIL Y S. SE D ER E-mail: leah.honarbakhsh@ counselormagazine.com an entire year for only $14.95 3201 S.W. 15th Street Associate Editor (six issues). Subscribe today Deerfield Beach, FL 33442-8190 LAHE HONARBAKHSH at counselormagazine.com! Advertising Sales Director L NARRY ME DOZA Advertising Sales Director • Special limited time offer: Phone: (954) 531-5856 ext. 229 LRNAR Y ME DOZA Fax: (954) 360-0034 Exclusive e-insider’s report E-mail: [email protected] 3201 S.W. 15th Street Art Director ABSOLUTELY FREE when Deerfield Beach, FL 33442-8190 DANE WESOLKO you sign up for a paid digital Conferences & Continuing Education LORRIE KEIP subscription! Production Manager US Journal Training, Inc. G INA JOHNSON Director of Continuing Education Phone: (800) 851-9100 ext. 220 Director Pre-Press Services Fax: (954) 360-0034 E-mail: [email protected] LARISSA HISE HENOCH Website: www.usjt.com 4 Counselor · June 2014 John Briere, PhD Making a Difference SPECIAL FOCUS ON: CO-HOST • Understanding and treating complex PTSD Helen Fisher, PhD • The science of addiction, recovery and relapse • Neural foundations of passion and love addiction • Pain, opioid and opiate addiction • Various therapeutic approaches including MI and reality therapy • Enhancing a clinician’s healing potential PARTICIPATING SPONSOR Doug Bremner, MD Las Vegas Recovery Center www.counselormagazine.com 5 CONTENTS Topics in Behavioral Health Care 30 Motivation from the Inside Out: The Client’s 56 Perspective, Part I By Dennis Daley, PhD Addiction Treatment and Cancer Treatment: Personal Reflections of a Long-Tenured Addiction Research to Practice Professional Do Your Clients Need 32 Explains the author’s Cognitive Rehab? personal experiences in By Michael J. Taleff, cancer treatment and provides suggestions for bettering the PhD, CSAC, MAC addiction treatment process. By William L. White, MA Substance Abuse in Teens Social Emotional Learning 34 as An Evidence-Based Prevention Practice From the Journal of By Fred J. Dyer, MA, CADC Substance Abuse Treatment 64 Ask the Understanding Twelve LifeQuake Doctor 36 Step Involvement from a Research Perspective By Toni Galardi, PhD Explains the use of the Alcoholics Anonymous Affiliation Scale and the Alcoholics Anonymous Inside Books Involvement Scale in Spirit Recovery Medicine 80 measuring Twelve Step involvement and presents Bag: A Transformational implications for clinicians. Guide to Living Happy, Joyous, and Free By John M. Majer, PhD, By Lee McCormick Leonard A. Jason, PhD, and Mary Faulkner and Joe Ferrari, PhD Reviewed by Leah Honarbakhsh ALSO IN THIS ISSUE 70 Relating Clinical Assessment Consider- Ad Index ations to EHR Meaning- 76 ful Use, Part II Discusses concerns of Referral Directory meaningful use (MU) for 77 the behavioral health field, recommends best practices CE Quiz for implementation of EHR, 78 and presents a case study. By LaVerne H. Stevens, PhD, NCC, LPC 6 Counselor · June 2014 FEATURED SPEAKERS Daniel Amen, MD John Briere, PhD Pat Love, EdD Don Meichenbaum, PhD Pat DeChello, PhD Lynn Lyons, LiCSW Reid Wilson, PhD www.counselormagazine.com 7 LETTER FROM THE EDITOR New Generations and Cycles At times we need to remember that This issue also features the second addiction is often a family cycle. At article this year from the Journal of other times we need to remember Substance Abuse Treatment, which that each generation over the past focuses on the research and data of one hundred years and more has Twelve Step involvement. Also, the been challenged to overcome sub- DSM-5 has certainly contributed to stance abuse problems and often the many discussions and debates. Gerald unwanted accompanying behavioral Shulman’s article on the DSM-5 helps health problems as well. The topics in to clarify many changes as they relate this issue of Counselor reflect the need to substance abuse disorders. to provide current and cutting-edge information. At the same time, it is Finally, we are introduced to two new built on the knowledge, research, and subjects for the addiction field. One life experiences of those who walked is substance abuse in the elderly pop- here before. It is an ever-growing ulation—a growing concern in many community.
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