1. Personal Details

FOR OFFICE USE ONLY

2. Dates of Employment in Addiction Worker Role

5. Please provide evidence of Theoretical Study in the following area’s either through your course with additional Professional Development Courses:

• Process of Addiction, Theories of Addiction and Models of Treatment, Understanding Harm Reduction.
• Community development approaches to substance misuse issues and understanding the role of voluntary/statutory and community responses.
• Keyworking / Project work / Outreach work skills.
• Process addictions i.e. sex, pornography, gambling, etc.
• Relapse prevention.
• Confidentiality – consent and information sharing.
• Reflective Practice – models and application.
• Self-Care – Understanding and techniques.

Please provide evidence of Skills development and practice in a minimum of two recognised approaches relevant to the role, e.g. Motivational Interviewing / Community Reinforcement Approach / SMART Recovery / Trauma Informed Practice / Family Support 5-Step Model / Community Reinforcement Approach / Understanding and conducting initial and comprehensive assessments / Developing, Monitoring & reviewing care plans

DECLARATION

• I hereby apply to the Addiction Counsellors of Ireland (ACI) for Addiction Worker Supervisor accredited membership
• I agree to adhere to the Code of Ethics & Constitution of ACI
• I enclose photocopies of all relevant documentation mentioned in this application
• I include relevant Supervisors Reports
• I enclose a non-refundable processing fee of €100