Addiction Counselor Continuing Education by Distance
Learning
October 10, 2000
Guy C. Lamunyon RN, CARN, CADC, ICADC, NCACII, CAS
Reported here are
literature search and survey results which are being prepared in APA format for
submission to major journals and publications in the addictions field to report
the results of this distance learning survey.
Addictions counseling
associations and certification/ licensing bodies on both state and national
levels have varying positions, restrictions and limitations on distance
learning by continuing education. This article will investigate the research
basis for such positions on distance learning for continuing education and
survey addictions counselors reasons for and responses to continuing education
by distance learning as compared with traditional continuing education.
Distance learning courses
for addictions counselors are available from entry level through doctoral
studies in basic or advances studies and continuing education courses.
Limitations and restriction on continuing education by distance learning seem
contrary to the modern and future oriented trend in distance learning trend.
Continuing education for
many professions may be completed entirely by distance learning. Many other
professions accept distance learning for basic education. In the state of
California, for instance, one may become a lawyer, psychologist or registered
nurse by distance learning. These professionals may counsel clients with all
forms of disorders, including the addictions.
LITERATURE REVIEW
An online literature review
was conducted using MEDLINE (NLM), PSYCHINFO (APA) and CINAHL using keywords
alcohol counselor and drug counselor with education, credentialing, outcome and
effectiveness. No outcome based research was available on addiction counselor
continuing education by distance learning. Addiction counselor education was
not found to influence outcome measures. Never addicted, recovering,
paraprofessionals and degreed professionals had similar outcomes with clients.
No outcome based research on addiction counselor credentialing was found,
despite models for counselor credentialing having been available for over 20
years. Counselor benefits were found to be reduced risk of relapse for trained
counselors and increased salaries for credentialed counselors. A distance
learning article in the November/December 1999 issue of The Counselor magazine
cited many advantages to distance learning, including a study which found that
students in Web-based virtual learning tested 20 percent better than students
who learned the material in a traditional classroom. No disadvantages to
counselor education by distance learning were cited.
SURVEY METHODS
Providers of continuing
education by distance learning were requested to distribute a survey to
counselors completing continuing education by distance learning. Counselors
returned these survey forms over a period of fifteen (15) months to the state
credentialing organization, often with applications for renewal of counselor
certification. The Likert type survey, with a scale from one (1) to five (5),
asked seventeen questions comparing distance learning with traditional
education and the reasons for counselors choosing distance learning.
RESULTS
Distance learning courses
are used by a small number of counselors (N=22) who have difficulty taking time
away from their job or practice to fulfill specific requirement or meet renewal
deadlines. These counselors indicate that attending onsite workshops would
create hardships for them. Respondents report they learn more from distance
learning courses than onsite workshops and that distance learning materials are
more useful for future reference than workshop materials. Respondents indicated
that they have sufficient interaction with other counselors apart from onsite
workshops and seminars and that the lack of interaction with other counselors
is not a detractor in distance learning courses. Computer data analysis
(T-tests) by SPSS found all results were statistically significant at
p<.001.
COMPARSON WITH TRADITIONAL
LEARNING:
MEASURE |
DISTANCE |
TRADITIONAL |
Learning |
4.23 |
2.14 |
Convenience |
4.18 |
1.45 |
Cost Effectiveness |
4.95 |
1.55 |
Materials |
4.82 |
3.59 |
Workplace Friendly |
4.18 |
1.95 |
Interactions |
4.23 |
2.27 |
REASONS FOR CHOOSING
DISTANCE LEARNING:
1. To fulfill specific
renewal requirements (ethics, AIDS, etc). 4.32
2. Cost effectiveness. 4.27
3. Meet renewal deadlines.
4.27
4. Onsite workshops and
seminars not available geographically. 2.95
SUMMARY AND CONCLUSIONS
The addictions field has
failed to validate the process of counselor education and counselor
credentialing. A literature search found no research to substantiate that
counselor credentialing or counselor education improves outcome in any way.
Levels of education (basic, advanced and continuing) have not been proven
effective in retaining clients in treatment and/or reducing rates of relapse.
Distance learning has been found superior to traditional learning. The results
of this survey serve to validate previous finding regarding distance learning.
There is no scientific rationale for restrictions on distance learning.
Contrarily, the results of this and other research indicate that distance
learning should to be encouraged, rather than discouraged.
Recommendations for future
research include repeating the distance learning survey reported here on a
national and perhaps international basis. Pilot programs comparing outcomes for
counselors trained by distance learning and traditional education need to be
conducted, for all levels of counselor education, including basic education,
advanced education and continuing education. Of perhaps greater importance is
the need for external validation of the entire counselor certification process.