1. What are some of the medical and sexual health issues that may have to be addressed in treatment,
including high risk behaviors for health disorders? How would you go about helping the client to address them?
How would you help promote an HIV/AIDS client’s knowledge and skills of positive health and recovery? How
would you assist the client in maintaining those skills?
2. Clients are often recommended to take medication to support recovery for severe opioid use disorders.
Clients may also be prescribed medication for mood or anxiety disorder as treatment for a co-occurring
disorder. Clients and some professionals often state taking medication for treatment is replacing one
medication for another. Why may medication assisted treatment be important? What are benefits and potential
risks for at least two of these medications? What education and resources can you provide? What
professionals would you collaborate with to help the client make an informed decision about treatment options
to include medication? Review NIDA Commonly Abused medications chart and SAMSHA’s MAT resource in
the study materials to inform your discussion.
3. Assume you are working at an agency with both inpatient and outpatient services. Mary is a client of yours in
inpatient so you will be working with her one-on-one at least once a week in inpatient treatment then she will
transfer levels (from level III to Level II.I) at which point you will also be her counselor in intensive outpatient.
Using your knowledge of effective treatment interventions (review Chapter 8), how could you integrate a
variety of treatment interventions that target emotional, environmental and irrational thinking triggers into both
inpatient and outpatient treatment. Her diagnoses include Alcohol Use Disorder, Opiate Use Disorder, and
Generalized Anxiety Disorder (GAD). Use headings: Inpatient interventions, and Outpatient interventions.
4. You have been asked by the clinical director of your agency to create a counseling program for a recently
arrived group of immigrants from Central America. Part of the goal of this counseling program is to assist the
newly-arrived immigrants to acculturate into your community. What are the issues surrounding acculturation
should you be aware of in creating this program? Provide at least one scholarly reference to support your
response.
5. How does understanding intergenerational/historic trauma and unresolved grief assist the counselor to be
aware of unspoken issues in the counseling session. Give examples. Provide at least one scholarly reference.
6.How should a culturally competent counselor approach the processes of assessment and diagnosis when
dealing with clients from minority populations? Support your answer with at least one scholarly reference and
review cultural syndromes from the latest version of the DSM.