CJ 246 - Alcohol Use and Abuse

2. Identify and analyze historical trends significant to the development of laws governing the use of alcohol on both a local and national level.

3. Identify and explain the impact of alcohol use on different cultural, racial, and ethnic groups, emphasizing the importance of cultural competence in working with those populations.

4. Examine the physiological effects of the use of alcohol on the central nervous, respiratory, muscular, digestive, and cardiovascular systems and organs of the body.

5. Examine the effect of alcohol on fetal development and pregnancy as well as the physiological, behavioral, and psychological effects of fetal alcohol syndrome and alcohol related neuromuscular development on children.

6. Examine the genetic, psychological and sociological reasons for alcohol use and its impact on society.

7. Explain the state and federal laws regarding the use of alcohol, including driving related offenses, alcohol’s impact on other criminal behavior, enforcement tools, and legal guidelines.

8. Examine models of alcohol behavior, including the medical and psychoanalytic models.

9. Identify and analyze the impact of alcohol use on special groups, including but not limited to the elderly, female, adolescent, LGBTQ, and co-occurring populations.

10. Examine and understand the defense mechanisms of alcoholism, including enabling, denial, and co-dependence.

11. Examine the impact of alcoholism on the family structure and accommodations made by the family to enable the alcoholic.

12. Describe and understand the family roles that the children and spouse adopt to survive in an alcoholic home.

13. Identify and analyze the effect of alcoholism on the children and grandchildren of alcoholic parents.

14. Explain the methods of interviewing and assessment used to determine the extent and type of alcohol use by the individual.and to make recommendations for treatment

15. Explain the various methods of treatment for an alcohol problem, including residential and outpatient, self-help and medical interventions.

16. Analyze and explain the federal confidentiality guidelines regarding the treatment of alcohol abuse.

17. Research, compare, and analyze research information and be able to present a summary of the information in written or oral form.  

18. Clearly and completely state and describe a problem/issue. (CT1)

19. Identify quality sources for data and information pertinent to a problem or issue being examined. (CT6)

20. Adapt to change by developing new ideas or finding improved ways of doing things. (PR1)

A. Review of Current Alcohol Use Trends

B. Definition of Terms

C. Process of Alcohol Manufacture

1. Proof

2. Differences in alcohol levels/beverages

D. Outside Influences

1. Advertising

2. Peer Pressure

3. Family Groups

4. Media and Public Figures

E. Cultural/Gender/Racial/Ethnic/Age Differences

1. Ethnic and Racial Differences in Use Patterns

2. Gender Differences

3. Age (Youth/Older Adult) Differences

4. Sexual Orientation Differences

F. Historical Trends

1. Pre-1900

2. 1900-1975

3. 1975-1995

4. 1995-2005

5. 2005-present

II. Physiological Effects of Alcohol

            A. Definition of Terms

            B. Metabolism of Alcohol

1. Process and Absorption

2. Blood Alcohol Concentration

3. Withdrawal

4. Tolerance and Overdose

C. Systemic Effects

1. Central Nervous System and Brain

2. Respiratory, Gastrointestinal, Cardiovascular, and Muscular-Skeletal Systems

3. Reproductive System

D. Diseases Influenced by Alcohol

E. Fetal Development

            1. Fetal Alcohol Syndrome

a. Physiological Effects

b. Learning Disabilities

c. Prognosis

2. Alcohol Related Neurodevelopmental Disability

a. Diagnosis

b. Learning Disabilities

c. Prognosis

F. Genetic Influences on Alcohol Use

III. Alcoholism Models

           A. Medical Model of Alcoholism

1. Disease Determination

2. Jellinek Chart

3. Genetic Predisposition

B. Psychoanalytic Model of Alcoholism

C. Moral/Legal Models of Alcoholism

IV. Psychological Effects of Alcoholism

             A. Theories of Causation

             B. Enabling and Defense System

             C. Co-Dependence

             D. Dry Drunks

V. Sociological Theories of Alcoholism

            A. Theoretical Perspective

            B. Political/Societal Influence on Use Pattern

VI. Legal Implications of Alcohol Use

           A. Federal and State Laws Governing Alcohol Use

1. Legal Possession

2. Driving Under the Influence

3. Other Offenses

            B. Law Enforcement/Court Response

1. Alcohol Level Testing/Field Sobriety

2. Charges

3. Penalties

C. Confidentiality of Client Records

D. Historical Impact

E. Political/Social Influence

VII. Special Populations

            A. Gender Differences in Causation and Response

            B. Adolescence

1. Physiological Differences

2. Psychological Effects

3. Family and Peer Influence

4. Legal Implications

5. Treatment

C. Elderly Population

1. Medication

2. Special Issues

3. Treatment

D. Sexual Orientation

1. Differences in Causation and Response

2. Treatment

E. Co-Occurring Disorders

1. Treatment Issues

2. Medication

VIII. Alcoholism as a Family Disorder

            A. Environmental Issues Influencing Use

            B. Parent/Child Alcohol Use

            C. Family Roles/Rules

            D. Physical/Emotional/Sexual Abuse

            E. Adult Children of Alcoholics

1. Adaptation

2. Employment Issues

3. Parenting Issues

4. Multi-Generational Effects

5. Family Reaction to Alcoholism

6. Phases of alcohol use in the family

IX. Assessment

           A. Methodologies for Screening and Objective Testing

           B. Assessment

           C. Interviewing Techniques

1. General Question/Red Flags

2. Verbal and Non-verbal Cues

3. Confrontation Techniques for Denial

D. Certification Required for Assessments

1. Michigan Certification Board for Addiction Professionals

2. Professional Requirements

3. Addiction Studies

X. Treatment

A. Treatment Programming

1. Community Based Treatment

2. Twelve Step/Self-Help Programs

3. Residential Programs

4. Pharmacology

5. Detoxification

6. Sober Living Units/ Sobriety Courts

7. Relapse Prevention

            B. Disease Identification and Prevention

            C. Success/Failure Rates

            D. Future Trends

            E. Local Programs                  

            F. Prevention

Course aligned with performance standards required by the Michigan Certification Board for Addiction Professionals (MCBAP)

Mediated Instruction: 5-10%

Group Exercises: 10-15%

Guest Speakers: 5-10%

Case Studies: 10-15%

Field Trip: 5-8%

Facilitated Discussion: 5-15%