Substance abuse includes alcohol dependency, illegal drug use, and illegal use of legal or prescription drugs. Substance abuse is a major problem confronting the US and many other advanced societies around the world. Drugs and alcohol dependency are difficult issues. Because they are powerful addictions, they have a tremendous cost in terms of family disruptions, serious injuries, and deaths.
Counseling is a primary tool in the arsenal against addiction. In the US, treatment and drug education make the basis for reducing drug addiction and alcohol dependency. Counseling takes place in inpatient settings, on an outpatient basis, and in correctional institutions. Substance abuse counselors play a vital role in recovery from addiction and maintenance of sobriety.
Iowa statutes set standards for organizations that provide substance abuse counseling and treatment for prison and jail populations and the public at large. The state does not license counselors; the code refers to an outside public body to perform certifications. Under the current arrangement, the Iowa Board of Certification provides widely accepted certification and credentials for substance abuse counselors. Some rules apply to all applicants and all levels of credential certification. All applicants must submit to a criminal background check, and applications above the entry level must include a supervisor evaluation. The supervisor evaluations are valid if issued by a supervisor previously approved by the ICB.
Communications play an important role in the effectiveness of a Substance Abuse Counselor. He or she must exchange ideas effectively with a variety of relationships and audiences. Counseling involves working closely with mentors, team consultants, patients, and families. The counselor must also play a role in drug education and prevention. He or she must communicate with the public.
Types of Licensure for Iowa Substance Abuse Counselors
Iowa issues four primary substance abuse counselor credentials. They use the (1) Temporary Certified Alcohol and Drug Counselor, the (2) Certified Alcohol and Drug Counselor, the (3) International Alcohol and Drug Counselor, and (4) the International Advanced Alcohol and Drug Counselor.
tCADC is the temporary Certified Alcohol and Drug Counselor certification. It is an entry-level counselor credential aimed at improving the work experience level of an applicant for the CADC. The license is not renewable, and it has no reciprocity or recognition in other states. The advantage of eligibility without experience and no prior supervision permits nearly anyone to apply and try for a credential. This easy entry position is ideal for recovering addicts that wish to contribute their voices of experience to the fight against drug abuse. The applicant must pass the ADC exam.
CADC is the Certified Alcohol and Drug Counselor credential. It is the basic classification for counselors in Iowa. The CADC is not a reciprocal certification, and other states do not have to recognize it as a credential.
IADC is the International Alcohol and Drug Counselor credential. It is a reciprocal certification within the UC&RC system. Applicants must have a minimum of 300 clock hours doing tasks related to Alcohol and Drug Counseling domains. Applicants with associate’s, bachelor ’s, or master’s degrees can reduce the work experience requirement downward from the standard 6,000-hour minimum.
IAADC requires a master’s or other advanced degrees in a related behavioral science field of study. The applicant must have earned 180 clock hours of drug or alcohol-specific education. The knowledge must be current with at least 30 hours earned in the two-year period before the exam. The training domains include the eight requirements for the IADC [ (1) clinical evaluation, (2) treatment plans, (3) referral procedures, (4) continuum of care coordination, (5) counseling, (6) drug and alcohol education, (7) case documentation, and (8) professional ethics and responsibilities], and add (9) clinical supervision (10) design analysis, utilization, and research.
tCADC education requirements
tCADC or Temporary Certified Alcohol and Drug Counselor has no education level required for this entry-level temporary certification. The applicant must have 45 hours of study in counseling theories and techniques; 45 hours of Alcohol and Drug education, six (6) hours of focus on working with special parts of the population, six (6) hours of ethics training, and three (3) hours of racial and ethnic sensitivity training.
CADC education requirements
CADC or Certified Alcohol and Drug Counselor requires a high school diploma or GED. The CADC is not a reciprocal credential, and other states do not recognize the Iowa CADC as a valid credential. Just as with the tCADC, the applicant must have 45 hours counseling theories and techniques; 45 hours of alcohol and drug education, six (6) hours of focus on working with special parts of the population, six hours of ethics training, and three hours of racial and ethnic sensitivity training. Applicants can qualify for Certified Alcohol and Drug Counselor certification through formal education on the education track. The education track requires 1000 hours of related work experience rather than 3000 for the experience track.
IADC education requirements
IADC applicants must have a minimum of 270 hours consisting of 90 hours counseling theories and techniques; 90 hours of alcohol and drug education; three (3) hours of focus on working with special parts of the population; and six (6) hours of ethics training. Applicants must prove a minimum of 300 directly-supervised clock hours of work experience performing or related to the eight ADC domains of clinical evaluation, treatment plans, referral procedures, the continuum of care coordination, counseling, drug and alcohol education, case documentation, and professional ethics and responsibilities.
IAADC education requirements
IAADC or International Advanced Alcohol and Drug Counselor certification is a reciprocal credential. The applicant must have a master’s degree in counseling or a related field. Applicants must prove 180 hours of Alcohol and Drug education, six (6) hours in ethics and professional responsibility, and three (3) hours of course study or training for working with racial and ethnic group members and families.
PRS education requirements
PRS or Peer Recovery Specialist offered by the Iowa Board of Certification provides an opportunity for applicants in recovery to participate as support staff to counselors. It is a reciprocal credential that requires 500 hours of work experience. Volunteer work qualifies as work experience. One must show 10 hours of directly supervised work in Alcohol and Drug counseling support. The education component consists of an approved 40-hour course of Alcohol and Drug education and six (6) hours of ethics.
While this is not a counseling credential, it is a promising and reciprocal certification. The purpose of the credential is to involve recovering addicts in the process of prevention and treatment. Recovering addicts may bring a unique point of view and a voice that patients can find convincing and easily understood.
Testing Process for Iowa
Individuals can download application forms from the Iowa Board of Certification website. The Board processes applications and provides testing dates, instructions, and test prep materials for approved applications. The Board offers upgrade processes for tCADC to CADC and from CADC to ICADC.
Iowa uses a state-specific Alcohol and Drug Counseling exam and the IC & RC exam or reciprocal system. Applicants must request an application and file the required supporting documents. Iowa requires documentation for work experience and proof of academic work through transcripts or other official records.
Iowa requires strict documentation of work experience through letters and business records; the Board requires official documents or transcripts to prove educational attainment. Applicants must pay a fee to cover the test, review of the application, grading, and processing the credential.
Clinical Supervision Explained
The idea of older more experienced members of a profession teaching and encouraging younger, less experienced members is not a new idea. It is relatively new to the substance abuse counseling profession, and it holds promise to improve quality and consistency of services and raise the level of patient outcomes. Clinical supervision is the primary method for improving the quality of counseling-based treatment and care.
Supervision develops professionalism, delivers clear patterns of ethical conduct, and improves patient care. It is a tool for counselors to acquire knowledge and gain confidence in critical thinking and their problem-solving abilities. A clinical setting is an instance of interaction between a counselor and a patient or family. Clinical supervision is a training and professional development process. The goal of clinical supervision is to ensure high-quality care to patients.
Clinical supervisors use observation to assess the counselor’s performance. The clinical supervisor must create a positive working atmosphere in which both can express freely. The observation yields feedback that provides a basis for expanding skills, gaining new skills and increasing knowledge. Counselors get encouragement to further study to improve knowledge and depth of understanding. The goal is a continuous movement of professional growth and self-assessment.
The Iowa Certification Board sets the terms of the certification and the procedure, fees, and times for recertification. The Iowa Board of Certification authorizes two-year terms for the CADC, IADC, and IAADC certifications. The Board requires 40 hours of continuing education within the two-year term of the certification.
Certified substance abuse counselors must perform 40 clock hours of approved continuing education study during the two-year certification term. The IBC posts lists of approved courses for CEU and the value of each in terms of hours creditable to the CEU requirement. A counselor can qualify for recertification if the mix of CEU credits includes studies as described below.
- Perform six (6) clock hours in alcohol and drug-specific courses.
- Perform six (6) clock hours in special populations specific studies.
- Complete three (3) clock hours in Ethics coursework.
Associations for Iowa Substance Abuse Counselors
The Iowa Board of Certification is the accepted source of authority for certification and substance abuse counseling credentials. They provide entry-level through expert credentials, and credential recognized by IC&R chapters outside of Iowa.
Iowa Behavioral Health Association is an advocacy organization that promotes policies that reduce addiction and substance abuse. It consists of leaders for substance abuse and treatment programs. The organization promotes treatment, detection, and education activities throughout the state of Iowa.