Content Areas for the EMAC


  1. Orientation to Treatment Process
    • Advise clients of their rights, including confidentiality
    • Assess compatibility of program services for client
    • Clarify provider/client roles and expectations
    • Complete release of information forms
    • Determine crisis situations existing in client's life
    • Develop a therapeutic relationship with client
    • Explain counseling process to client
  2. Assessment
    • Assess client's addictive behaviors
    • Assess client's biopsychosocial needs
    • Assess client's cultural issues and influences
    • Assess client's developmental disabilities
    • Assess client's educational history
    • Assess client's family addiction histories
    • Assess client's family psychiatric histories
    • Assess client's internal and external motivation for treatment
    • Assess client's interpersonal relationships
    • Assess client's legal issues
    • Assess client's medical history
    • Assess client's medication use profile, including over the counter (OTC)
    • Assess client's mental disorders
    • Assess client's mental health issue(s)
    • Assess client's other addiction(s)
    • Assess client's previous use of community resources
    • Assess client's psychiatric history
    • Assess client's religious perspectives
    • Assess client's risk taking behaviors
    • Assess client's sexual history
    • Assess client's sexual orientation
    • Assess client's sexual preferences
    • Assess client's social support system
    • Assess client's socioeconomic status
  3. Ongoing Treatment Planning and Implementation
    • Analyze clinical assessment data
    • Analyze test based assessment data
    • Collaborate with referral systems
    • Complete diagnostic summary including cultural, biopsychosocial, spiritual, physician, and nursing assessment, if available
    • Construct comprehensive care/treatment plans
    • Determine appropriate level of care according to American Society of Addiction Medicine (ASAM) criteria
    • Determine client's appropriateness for treatment
    • Determine interventions based on person served values and goals
    • Evaluate end of treatment outcomes
    • Evaluate need for appropriate client self-help group referral
    • Evaluate need for client referral for services specific to special issues
    • Explain multiple approaches to recovery and change
    • Formulate DSM-IV-TR classification (Axes I-V)
    • Formulate treatment plans based on assessment results
    • Monitor client progress toward goal attainment
    • Provide ongoing treatment updates
    • Review assessment data with client
    • Use assessment results to develop collaborative treatment plan with client
  4. Addiction Counseling Practices and Prevention
    • Conduct needs assessment
    • Promote healthy life style choices
    • Provide case management services/continuum of care
    • Provide clients, family members, and significant others information on psychoactive substance use and the related health and emotional problems that stem from use
    • Provide counseling to clients with special issues
    • Select evidence based prevention strategies
    • Use Approaches/Techniques/Strategies
    • Use prevention materials for diverse populations
  5. Professional Practice Issues
    • Adhere to established codes of ethics
    • Adhere to Federal, State, and Tribal laws, and agency regulations as related to substance use clients
    • Apply information from current counseling and addictions research literature, and training
    • Consult with other professionals as appropriate
    • Function as a member of a multidisciplinary team
    • Identify and address burnout in self and others
    • Obtain appropriate continuing education
    • Participate in personal and professional development
    • Seek supervision on treatment decisions
    • Use of assessments that are sensitive to basic validity, reliability, and empirical criteria