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College of EducationDepartment of Psychology and Counseling

Spring, 2017

COUN 5693 – 30186 PHARMACOLOGY: DUAL DIAGNOSIS

Chris Carver Ph.D., LPC (MO) Instructor E-mail: [email protected] Instructor Phone: 918.449.6447 (office) 417.872.8403 (cell) Office Location: BAED 246

o Office Hours: Tuesday 12:00 – 2:00 p.m. (online) Wednesday 2:00 – 4:30 p.m. (BA) Thursday 4:30 – 7:20 p.m. (TQ) Other times by appointment

Course Delivery Mode: Face to face Blended Online __X__

Class Days / Times This is an online course

Course Prerequisites and/or Co-requisites: Graduate admission

Catalog Description: This course provides a solid background in the principles and practice of psychopharmacology. Topics to include the study of disease and a more detailed review of neurotransmitters such as serotonin, monoamines, acetylcholine, GABA, and glutamate. Additional topics include presentation of the clinical pharmacology of antipsychotic, antidepressant, and antianxiety drugs, as well as drug interactions and psychopharmacology in special populations such as children and older adults.

Course Purpose / Goals: Program requirement

Approved by Academic Council – May 3, 1994 Updated – January 27, 2010 Approved by President’s Cabinet – February 23, 2010Revised Fall 2015

mailto:[email protected]

Student Learning OutcomesIn accordance with CACREP best practices standards for all counselors-in-training development, the following areas will be promoted in this course:

CACREP Standard Activity SLOsCommon Core for all students:

a. Ethical standards of professional organizations and credentialing bodies, and applications of ethical and legal considerations in professional counseling (IIF1i);

Case Studies SLO1

b. theories and etiology of addictions and addictive behavior (IIF3d)

Case Studies SLO1

c. biological, neurological, and physiological factors that affect human development, functioning, and behavior (IIF3e)

Case Studies SLO1

d. evidence-based counseling strategies and techniques for prevention and intervention (IIF5j)

Case Studies SLO1

Standards for Clinical Mental Health Counseling (CMHC) track

1. potential for substance use disorders to mimic and/or co-occur with a variety of neurological, medical, and psychological disorders (CMHC:2e)

Case Studies SLO1

2. etiology, nomenclature, treatment, referral, and prevention of mental and emotional disorders (CMHC:2b)

Case Studies SLO1

3. classifications, indications, and contraindications of commonly prescribed psychopharmacological medications for appropriate medical referral and consultation (CMHC:2h)

Current Topics Paper SLO3

4. techniques and interventions for prevention and treatment of a broad range of mental health issues (CMHC:3b)


5. neurobiological and medical foundation and etiology of addiction and co-occurring disorders (CMHC:1d)

Annotated Bibliography

SLO2

6. impact of biological and neurological mechanisms on mental health


SLO2


(CMHC:2g)Standards for Addiction Counseling (AC) track

1. evaluating and identifying individualized strategies and treatment modalities relative to clients’ stage of dependence, change, or recovery (AC:3g)

Case Studies SLO1

2. Recognizes the potential for addictive disorders to mimic a variety of medical and psychological disorders and the potential for medical and psychological disorders to coexist with addiction and substance abuse (AC:A7);

Case Studies SLO1

3. theories and models of addiction related to substance use as well as behavioral and process addictions (AC:1b)


4. classifications, indications, and contraindications of commonly prescribed psychopharmacological medications for appropriate medical referral and consultation (AC:2h)medication evaluations and so that the side effects of such mediations can be identified (AC:G4);


SLO2

5. factors that increase the likelihood for a person, community, or group to be at risk for or resilient to psychoactive substance use disorders (AC:2c)


SLO2

Standards for School Counseling (SC) track

1. school counselor roles as leaders, advocates, and systems change agents in P-12 schools (SC:2a)

Current Topics Paper

SLO3

2. models of school-based collaboration and consultation (SC:1d)


3. signs and symptoms of substance abuse in children and adolescents as well as the signs and symptoms of living in a home where substance use occurs (SC:2i)

Case Studies SLO1

4. competencies to advocate for school counseling roles (SC:2f)



5. skills to critically examine the connections between social, familial, emotional, and behavior problems and academic achievement (SC:3h)


SLO2

Instructional Methods / Strategies The expected course outcomes will be realized through a variety of experiences including discussion boards, writing assignments, internet research, case studies and current topics paper. Each student will present a topic of interest, relevant to the subjects being discussed. The instructor can suggest topics. Video/DVD and other digital media will be utilized as appropriate.

Learning Outcome Assessment Methods Case Studies (20 points x 2 = 40 points): Students will be asked to complete 4 case studies regarding psychopharmacological medications and mental health/addictive disorders. Specific information regarding the case studies will be given by the course instructor prior to students completing the assignment. Through case studies, students will demonstrate an understanding of differential diagnosing, co-occurrence of mental health/addictive issues, cultural considerations to diagnosing, as well as ethical considerations for best practice recommendations of treatment.

Journals (4 x 10 points = 40 points) Students will complete four journals covering a variety of concepts related to pharmacology.

Annotated Bibliography (25 points): Students will be required to select a specific diagnosis or a current professional issue relevant to their designated counseling track (CMHC, AC, or SC) that they are interested in learning about. They will then find a minimum of 5 research articles on that area and write an annotated bibliography on each article. These five articles can address etiology, populations at risk and those who are resilient, treatment modalities, and a thorough review of the medications involved in the treatment process. Pay particular attention to both the clinical efficacy of the medication as well as the untoward effects. These annotated bibliographies should be written with proper citation; a summary of the article in two or three sentences, followed by the student’s opinion on the value of the article as a contribution to the subject matter. This assignment can be used as part of your research for your Current Topics Paper.

Current Topics Paper (50 points): Students will research a current professional issue relevant to their designated counseling track (CMHC, AC, or SC) with regard to psychopharmacology and mental health/addictive disorders. The paper should be written using APA 6th edition stylistic and formatting considerations. Minimum length is 6 pages of text with 7 outside sources cited. This is due at end of semester but you would be well advised to pick a topic and start this assignment in order to keep the assignment both manageable and scholarly. Contact me if you need help identifying a topic.

Unit Exams (3 x 50 points each = 150 points): Students will complete unit exams covering course content discussed through the text and lecture. NO make-up tests will be


allowed without faculty approval prior to the test date.

EVALUATION OF STUDENT ACHIEVEMENT AND LEARNING OUTCOMES:

Journals x 4 40Case Studies x 2 40Current Topics Paper 50Annotated Bibliography 20UNIT Exams x 3 150Total 300

Grading scale90-100% = A80-89% = B70-79% = C60-69% = D59-0% = F

Instructional Materials R. Elliott Ingersoll & Carl F. Rak.(2016). Psychopharmacology for Helping Professionals: An Integral Exploration, 2nd Edition. Brooks-Cole: Cengage Learning, U.S.A. ISBN- 10:0534611826 or ISBN-13:9780534611828. 400 Pages.

BlackboardYou should have a Blackboard account already set up and you have already been added to this course on Blackboard. If you do not know or remember your Blackboard username and password, please e-mail [email protected] or call 444-5678. Another way to retrieve your password is to click on “Forgot Your Password?” and follow the instructions. IMPORTANT NOTE: Make sure you use your NSU e-mail account for Blackboard, forward your NSU e-mail to another account, or update your Blackboard account to send e-mail to an account you check

Class and Instructor Policies Assignment Policies:

1. All written assignments must be written in APA format, typed, and double-spaced in a 12-point (Times New Roman or Arial only) font with 1” margins. Page requirements listed in assignment descriptions are the MININUM required for successful completion of the assignment. Points will be deducted for improper formatting. Title, abstract, and reference pages do not count toward page totals.

2. Students are expected to follow standard citation requirements (APA) when quoting or utilizing outside information in their assignments.

3. Assignments and dates are subject to change in the event of unusual circumstances. Students will be informed of changes by class announcements and/or email.


4. Late assignments will be graded only by consent of instructor and will have point penalties assigned (it is typical to have a letter grade deducted for every day it is late).

5. Any assignments turned in after the Friday immediately prior to finals week (Dead Day) will not be accepted without prior made arrangements, and will be given a zero (0).

6. It is your responsibility to maintain an active email account. If you do not use the University email system, please provide me with your current email.

Electronic Communication: Please allow a 24-hour response time for all emails sent during the week, and 48 hours for all emails sent over the weekend.

IF YOU HAVE DIFFICULTIES PLEASE CONTACT ME AS SOON AS THEY ARISE!!

VERBALS AND NON-VERBALSIt is important to remember that you will not have the non-verbal cues that you get in thetraditional face-to-face classroom and neither will your instructor.

Your instructor cannot see the confused, frustrated, or unhappy expressions on your face if you encounter problems. You MUST communicate with your instructor so that he/she can help. To make the experience go smoothly, remember that you’re responsible for:· Initiating more contact· Being direct, persistent, and vocal when you don’t understand something· Communicating often and early

TECHNICAL ASSISTANCEIf you need technical assistance at any time during the course or to report a problem with Blackboard you can:· Call the Help Desk Xt 5678

Syllabus Changes:The syllabus represents the course as it was planned prior to the beginning of the class. Students will be notified of changes to the syllabus in the event of extenuating circumstances if they arise.


Academic Policies / Required InformationPlease go to http://offices.nsuok.edu/academicaffairs/SyllabiInformation.aspx for required information pertaining to:

Academic Misconduct American Disabilities Act Compliance Inclement Weather/Disaster Policy Release of Confidential Information Student Handbook Teach Act Textbook Information Title IX


http://offices.nsuok.edu/academicaffairs/SyllabiInformation.aspx

Class Calendar with Assignment Due Dates

Week Topic Due1 Introduction Introduction Thread2 Unit 1 - Chapters 1 & 2 Journal 1 (1-22-17)3 Unit 1 - Chapter 34 Unit 1 - Chapter 4 Journal 2 (2-5-17)5 Unit 1 Exam Unit 1 Exam (2-12-17)6 Unit 2 - Chapter 57 Unit 2 - Chapter 6 Annotated Bibliography

(2-26-27)8 Unit 2 - Chapter 79 Unit 2 - Chapter 8 Case Studies 1 & 2 (3-12-17)

Spring Break10 Unit 2 Exam Unit 2 Exam (3-26-17)11 Unit 3 - Chapter 912 Unit 3 - Chapter 10 Journal 3 (4-9-17)13 Unit 3 - Chapter 1114 Unit 3 - Chapter 13 Journal 4 (4-23-17)15 Unit 3 - Chapter 12 Current Topics Paper

(4-30-17)16 Finals Week Unit 3 Exam

Due by Midnight on Thursday 5-4


Student Learning Outcomes (SLOs) Grading Rubric

Competence

Case Studies (SLO1)No (1)

Some (2)

Basic (3)

Above Average

(4)

Superior (5)

1. Ethical standards of professional organizations and credentialing bodies, and applications of ethical and legal considerations in professional counseling (IIF1i);

2. theories and etiology of addictions and addictive behavior (IIF3d)

3. biological, neurological, and physiological factors that affect human development, functioning, and behavior (IIF3e)

4. evidence-based counseling strategies and techniques for prevention and intervention (IIF5j)

5. potential for substance use disorders to mimic and/or co-occur with a variety of neurological, medical, and psychological disorders (CMHC:2e)

6. etiology, nomenclature, treatment, referral, and prevention of mental and emotional disorders (CMHC:2b)

7. evaluating and identifying individualized strategies and treatment modalities relative to clients’ stage of dependence, change, or recovery (AC:3g)

8. Recognizes the potential for addictive disorders to mimic a variety of medical and psychological disorders and the potential for medical and psychological disorders to coexist with addiction and substance abuse (AC:A7);

9. signs and symptoms of substance abuse in children and adolescents as well as the signs and symptoms of living in a home where substance use occurs (SC:2i)



Competence

Annotated Bibliography (SLO2)No (1)

Some (2)

Basic (3)

Above Average

(4)

Superior (5)

1. neurobiological and medical foundation and etiology of addiction and co-occurring disorders (CMHC:1d)

2. impact of biological and neurological mechanisms on mental health (CMHC:2g)

3. classifications, indications, and contraindications of commonly prescribed psychopharmacological medications for appropriate medical referral and consultation (AC:2h)medication evaluations and so that the side effects of such mediations can be identified (AC:G4);

4. factors that increase the likelihood for a person, community, or group to be at risk for or resilient to psychoactive substance use disorders (AC:2c)

5. skills to critically examine the connections between social, familial, emotional, and behavior problems and academic achievement (SC:3h)



Competence

Current Topics Paper (SLO3)No (1)

Some (2)

Basic (3)

Above Average

(4)

Superior (5)

1. classifications, indications, and contraindications of commonly prescribed psychopharmacological medications for appropriate medical referral and consultation (CMHC:2h)

2. techniques and interventions for prevention and treatment of a broad range of mental health issues (CMHC:3b)

3. theories and models of addiction related to substance use as well as behavioral and process addictions (AC:1b)

4. school counselor roles as leaders, advocates, and systems change agents in P-12 schools (SC:2a)

5. models of school-based collaboration and consultation (SC:1d)

6. competencies to advocate for school counseling roles (SC:2f)


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