Enhanced Skills Program: Addiction Medicine_Residential Treatment Rotation Goals and Objectives

By the end of the rotation, the Addiction Medicine resident will be able to:

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Use patient assessment, along with consultation with members of the treatment team and other treatment professionals, to devise an individualized plan for optimal psychosocial treatment for individual patients
Match the level of psychosocial treatment to the treatment needs of individual patients.
Integrate the use of pharmacological treatment with psychosocial treatments in the management of individuals with addictive disorders.
Demonstrate competence in the performance of accepted psychosocial treatments for substance use disorders, in particular:
Motivational interviewing
Motivational enhancement therapy
Cognitive-behavioral therapy
Family therapy (for individuals with addictions and their families)
Contingency management therapy, as it is used in the management of addictive disorders
Be familiar with and able to work effectively with available community resources, such as 12-Step programs and other mutual help programs, and demonstrate a familiarity with 12-step facilitation
Demonstrate skill as a therapeutic group co-leader.

Effectively facilitate a family meeting in the residential treatment setting.
Discuss with patients in lay language, the neurobiology of addictive disorders.
Use facilitation skills to discuss group norms, and mediate conflict in group sessions.

Work as part of a team involved in intensive case management of individuals with addictive disorders, including the assessment of the need for intensive case management.
Demonstrate skill in working collaboratively with consultants and colleagues involved in individual or group psychosocial treatment delivery.
Respectfully communicates and collaborates with senior colleagues.

Demonstrate knowledge of the factors affecting residential treatment availability, and the principles of managing this limited resource.

Support health of patients/families by appropriate referrals to aftercare following residential treatment.

Facilitate the education of other health professionals by providing knowledge of clinical context relevant to patient presentation.

Communicate with the patient the parameters and terms of their professional relationship (i.e. sets boundaries), such as role clarity, after-hour care, availability or lack of availability via telephone and email correspondence