This document discusses case management and family approaches in addiction counseling using the Minnesota Model. It outlines the core functions of addiction counseling which include screening, intake, orientation, assessment, treatment planning, problem solving, case management, referral, crisis intervention, education, monitoring, and consultation. The Minnesota Model views addiction as a treatable disease and utilizes a multidisciplinary team and 12-step approach. It also emphasizes involving the family in recovery to facilitate reintegration and increase the chances of staying sober. Counseling is described as a ongoing process. Common family roles in addiction like the alcoholic, mascot, hero, scapegoat, lost child, and enabler are also identified.

1. Case management in addiction
counseling
and
Approaching family as a system in
recovery from addiction
Claudia Varga, addiction counselor

2. Minnesota Model
 Disease concept: addiction is seen as a
treatable disease
 12 Steps: set of spiritual principals adapted
and used in specialized clinical work.

3.  Multidisciplinary team(addiction counselor,peer
counselor, social worker, spiritual counselor,
family consilier, psychologist, medical staff etc.)
 Group and community approach are very
important.
 Involvement of the family in the recovery process
in order to facilitate family reintegration and to
increase the chances of the alcoholic to stay
sober.

4.  Individual counseling planning the treatment and
adapt it to individual needs; according to bio-
psycho-social-spiritual evaluation we anticipate
and prevent the problems that the client might
encounter.
 Using community resources to maintain sobriety
Alcoholics Anonymous and Al-Anon or other self
help groups available.

5. 12 Core Functions
 Screening- the client is deciding if he/she’s got a
problem; tools: tests: CAGE, AUDIT, DRINK
 Intake- introduction to self-awareness
 Orientation – the beginning of change process

6.  Bio- Psycho-social – spiritual
assessment – identify and evaluate
 Treatment planning- strategy for
change, setting priorities.
 Problem solving- going from denial to
recovery

7.  Case management – team work and
bringing together the services
available
 Referral – to other services available
 Crisis intervention- dealing with
unexpected

8.  Education – on the disease concept ,
alcoholism as a family disease, 12
Steps, RET
 Monitoring – taking notes, evaluation
of progress
 Consultation with other specialists

9. Collaboration between treatment programs / Alcoholics
Anonymous and professionals
Medical staff Priest Judge / probation Social
officer worker Psycholog Psychiatri EAP
ist st
Evaluation and treatment
(St. Dimitrie Program)
Alcoholics
Anonymous
After-care
Medical staff Priest Judge / probation Social
officer worker Psycholog Psychiatri EAP
ist st

10. Counselling is a process, not a
single event

11. Family Roles in addcition
Alcoholic
Mascot
Hero
Scapegoat
Lost child
Enabler