CCD- Cognitive Behavioral Therapy
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DIVISION OF BEHAVIORAL HEALTH (DBH)
DBH APPROVED TRAINER PROGRAM
COGNITIVE BEHAVIORAL THERAPY
DATE: January 1, 2009
TITLE OF COURSE: COGNITIVE BEHAVIORAL THERAPY (CBT)
DESCRIPTION: CAC Level II Required Class: 2 days – 14 hours
CLASS SIZE LIMITS: Maximum: 24 students Minimum 6
1. OVERVIEW OF TRAINING:
a. Cognitive-behavioral therapy (CBT) is a treatment approach that has gained widespread
application in the treatment of addictions and mental disorders. Several important features of
CBT make it particularly promising as a treatment for substance abuse and dependence. CBT
has been extensively researched and has solid empirical support as an evidence-based treatment
for addictions. CBT is structured, goal-oriented, and focused on the immediate problems
faced by substance abusers entering treatment who are struggling to control their substance use.
It is a flexible, individualized approach that can be adapted to a wide range of clients and a
wide range of treatment settings and formats. It works well with individuals as well as group
therapy. Participants in this course will learn and practice effective ways to integrate tools
specific to CBT in a comprehensive treatment strategy.
b. All required classes seek to enhance the ability of the counselor to offer treatment services in a
manner that respects gender, race and ethnicity, sexual orientation, cultural, familial, systemic
and socioeconomic diversity.
2. QUALIFICATIONS OF APPROVED TRAINERS:
a. Must be credentialed and in good standing as a CAC III or LAC in Colorado.
b. Must have a minimum of a Masters degree in a behavioral health field.
c. Must have at least three years experience providing training/education to adult learners.
d. Must use DBH-approved core competencies in the development of the curriculum for each
e. Must submit an original application, meet all application requirements, and be approved by the
Division of Behavioral Health. The application will include a statement of specific experience
relating to the training class.
f. Must submit a prepared PowerPoint presentation on a CD or flash drive. All other materials
will be at the discretion of the trainer.
g. Must administer an examination as a measurement of learning with a minimum passing score
of 70%, results to be reported on the DBH Course Report form and submitted within two weeks
of class delivery. The examination will be in a multiple choice, true/false, or fill-in-the-blank
format, or some combination of these.
h. Must use course reports, evaluation instruments, and certificate formats as posted on the DBH
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3. REQUIREMENTS FOR CLASS DELIVERY:
a. There will be an emphasis on experiential learning in conjunction with academic material using
dyads, triads and groups and other experiential methods to reinforce the tools presented.
b. Student participation is expected in group discussions and presentations of case studies.
c. Presentation of material will include use of a PowerPoint and may include other resources
either printed or online for further study.
d. The PowerPoint presentation, agenda and examination must be updated once every two years
and submitted to DBH for approval.
e. The trainer is responsible for passing or failing students. If a student fails the skills
demonstration but passes the written exam, the student will be required to retake the class. If
the student passes the skills demonstration but fails the written exam, trainer discretion may be
used in offering a retest one time only.
4. REQUIRED COURSE CONTENT:
a. Definitions of CBT
b. Research in support of CBT for substance use disorders and other problems
c. Therapeutic attitudes compatible with CBT regarding change, relationship between thoughts,
feelings and behavior, maladaptive behaviors, conditioning, reinforcement, etc.
d. Theoretical foundations for CBT: Cognitive Therapy & Behavioral Therapy
e. History of development and implementation of CBT
f. Essential/active ingredients of CBT:
i. Collaborative, empathic relationship between therapist and client
ii. Training in recognizing & coping with cravings, managing thoughts, problem solving,
critical thinking skills, planning for emergencies, planning for anniversaries, recognizing
seemingly irrelevant decisions, refusal skills
iii. Examination of client’s cognitive processes related to substance use and/or current
iv. Giving homework & encouragement & review of extra-session implementation of skills
v. Practice of skills within sessions
vi. The structure and format of sessions
vii. Compatibility of CBT with other therapies
g. Consideration of the three levels of thinking or cognition: 1) automatic thoughts, 2)
assumptions, and 3) core beliefs or schema
i. The process of constructing a cognitive case conceptualization
j. Use of tools such as the Thought Record
5. DEMONSTRATION OF COMPETENCIES:
Upon completion of this training class, as measured by skill demonstration and examination, the
participant will be able to:
a. Define CBT and describe its theoretical foundation
b. Describe the use of CBT for managing thoughts, de-escalating cravings and triggers, and
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c. Describe how the use of CBT helps clients increase their capacity to change thoughts, attitudes,
behaviors and core beliefs
d. Recognize that thoughts, feelings and behaviors are interconnected
e. Recognize that lasting change occurs outside of therapy
f. Convey to clients that core beliefs and maladaptive behaviors are learned and can be unlearned,
and/or replaced with adaptive, pro-social behaviors
g. Complete a cognitive case conceptualization that includes strengths, deficits and client needs
and a treatment plan that addresses goals for changes in the client’s cognition and behavior
h. Know how to use a thought record with a client to help change cognition and behavior
6. SUGGESTED REFERENCES:
a. Beck, A., Wright F., Newmand, C. & Liese, B. Cognitive Therapy of Substance Abuse. New
York: Guilford Press, 1993.
b. Beck, J.S. Cognitive Therapy: Basics and Beyond. New York: Guilford Press, 1995.
c. Carroll, K.M. NIDA Therapy Manuals for Drug Addiction: Manual 1: A Cognitive-Behavioral Approach:
Treating Cocaine Addiction. #98-4308.
d. Dobson, K.S. Editor. Handbook of Cognitive-Behavioral Therapies: Second Edition. New York: Guilford Press,
e. Leahy, R.L. Overcoming Resistance in Cognitive Therapy. New York: Guilford Press, 2003.
f. Leahy, R.L. Roadblocks in Cognitive-Behavioral Therapy: Transforming Challenges into Opportunities for
Change. New York: Guilford Press, 2003.
g. Miller, W. & S. Rollnick. Motivational Interviewing: Preparing People to Change Addiction Behaviors, 2nd
Edition. New York: Guilford Press, 2002.
h. NIDA #98-4308. Therapy Manuals for Drug Addiction, Manual 1. A Cognitive-Behavioral Approach: Treating
i. SAMHSA/CSAT Treatment Improvement Protocols. TIP 8: Intensive Outpatient Treatment for Alcohol and
Other Drug Abuse.
j. SAMHSA/CSAT Treatment Improvement Protocols. TIP 21: Combining Alcohol and Other Drug Abuse
Treatment with Diversion for Juveniles in the Justice System.
k. SAMHSA/CSAT Treatment Improvement Protocols. TIP 34: Brief Interventions and Brief Therapies for
l. SAMHSA/CSAT Treatment Improvement Protocols. TIP 39: Substance Abuse Treatment and Family
m. Straussner, S.L.A. Clinical Work with Substance Abusing Clients, 2nd
Edition. New York: Guilford Press,
n. Wright, J.H., Basco, M.R., & Thase, M.E. Learning Cognitive-Behavior Therapy: An Illustrated Guide.
Washington, DC: American Psychiatric Publishing, Inc., 2006.