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Addressing Viral Hepatitis in People With Substance Use Disorders

A continuing education course for 7 ces

consisting of reading and taking a post-test on:

Addressing Viral Hepatitis in People With Substance Use Disorders

Who Should Attend

Fulfills CA BBS & BOP mandatory substance abuse training and mandated prelicensure requirement


An estimated 3.5–5.3 million people in the United States live with
chronic viral hepatitis (Institute of Medicine [IOM], 2010). Viral
hepatitis is often a silent disease whose symptoms and signs become
evident only after the disease has caused severe liver damage. The
symptoms of hepatitis can take decades to manifest, so many people
who are infected with hepatitis are unaware that they have the disease
and therefore do not seek treatment. As a result, between 2010
and 2020, an estimated 150,000 people in the United States could
die of liver cancer or other hepatitis-related liver disease (IOM,
2010). For many of these people, substance use will be a major factor
that contributes to or worsens their hepatitis-related outcomes.

All people who use or have used illicit substances are at risk of
contracting viral hepatitis. Injection drug use (IDU) is the primary
way of contracting hepatitis C, and people who use substances are at
risk for contracting other forms of viral hepatitis. Substance use disorders
(SUDs) do not cause viral hepatitis, but people can contract
or spread some types of viral hepatitis by sharing needles and other
drug paraphernalia. In people who have chronic hepatitis, continued
use of alcohol contributes to and frequently accelerates liver damage
(Bhattacharya & Shuhart, 2003), increasing the likelihood that the
individuals will develop cirrhosis or liver cancer.

In 2010, the U.S. Department of Health and Human Services (HHS)
convened an interagency working group on viral hepatitis, comprised
of experts throughout HHS to develop a
comprehensive strategy for addressing the
prevention, screening, and treatment of viral
hepatitis, and for improving the coordination
of care and treatment of individuals infected
with viral hepatitis. The working group broadened
the scope of expertise even further by
soliciting information from other government
agencies, professional organizations, community
organizations, and members of the general
public. As a result of many months of work by
this diverse group of experts, HHS recently
released Combating the Silent Epidemic of
Viral Hepatitis: U.S. Department of Health and
Human Services Action Plan for the Prevention,
Care and Treatment of Viral Hepatitis (also
called the Viral Hepatitis Action Plan) (HHS,

This TIP supports the goals and objectives
of the Viral Hepatitis Action Plan by
providing information on the prevention and
treatment of viral hepatitis and by encouraging
behavioral health professionals to recommend
hepatitis screening for their clients who might
be at risk for hepatitis infection.
Viral hepatitis can be prevented and treated.
Counselors, health professionals, and administrators
in SUD treatment settings play an
important role in promoting the prevention
and treatment of viral hepatitis among their

is approved by the:

American Psychological Association to sponsor continuing education for psychologists - www.psychceu.com maintains responsibility for this program and its content.
Board of Registered Nursing (#13620)
California Board of Behavioral Science accepts our CE Provider Approvals through APA, NASW, and NBCC. Course meets the qualifications for hours of continuing education credit for LMFTs, LCSWs, LPCCs, and/or LEPs as required by the California Board of Behavioral Science
Florida Board of Clinical Social Work, Marriage and Family Therapy, Mental Health Counseling (BAP 753 )
NAADAC - The Association for Addiction Professionals (#575)
National Board for Certified Counselors - www.psychceu.com has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6055. Programs that do not qualify for NBCC credit are clearly identified. www.psychceu.com is solely responsible for all aspects of the programs. (ACEP #6055)
Texas State Board of Examiners of Professional Counselors (#1761)
The Texas Board of Social Work Examiners (#6246)

maintains responsibility for the program.



how it works

Due to the wonders of technology, the minute you submit your order over our secure line, it is encrypted, and processed safely and securely by Authorize.net, a secure web processor. Or, if you prefer, call us toll-free 888-777-3773.

You will immediately receive confirmation of your order, your password and how to access the course material. (Please do not block e-mails from classes@psychceu.com, orders@psychceu.com and info@psychceu.com)

If you ordered an online course, you can begin to take the course immediately.

You will receive instructions, via e-mail, on how to take your test online.

Contact us or call if you need technical support.

Your test will be graded online, so the moment you have passed, you may print out your certificate of completion.

That's it! You are done!


Learning Objectives

Clinicians will:

  • Gain an overview of the most common types of viral hepatitis.
  • Provide detailed information on screening for hepatitis and evaluation to at-risk clients.
  • Define factors to consider when helping a client decide whether to undergo hepatitis
  • Discuss the treatment processes for viral hepatitis.
  • Describe the counseling approaches for treating clients who have SUDs (Substance Use Disorders) and viral hepatitis.
  • Suggest recommendations for administrators on how to add or improve hepatitis services



This TIP is organized into two parts:
Part 1 is for counselors and administrators of behavioral health programs providing substance
abuse treatment. It comprises seven chapters and emphasizes steps substance abuse treatment
counselors and administrators can take to educate clients, prevent new hepatitis infections,
and help clients who have viral hepatitis recover from their substance use disorders (SUDs).
Information is provided at a basic level so that it can be understood by readers without
medical training.

  • Chapter 1 presents an overview of the most common types of viral hepatitis.
  • Chapters 2 and 3 provide detailed information on screening for hepatitis and evaluation,
  • Factors to consider when helping a client decide whether to undergo hepatitis
    treatment are addressed in Chapter 4;
  • the treatment process is explained in Chapter 5.
  • Chapter 6 describes counseling approaches for treating clients who have SUDs and viral
  • Chapter 7 offers recommendations for administrators on how to add or improve
    hepatitis services, showcasing programs with proven track records. Note: Many people
    in treatment for SUDs are affected by mental disorders prior to the start of hepatitis
    treatment; mental disorders also may arise through the course of hepatitis treatment.
  • Guidance for addressing co-occurring mental disorders is included throughout the TIP.
  • Hepatitis-related issues specific to the treatment of mental disorders, not in the context of
    co-occurring SUDs, are covered in Appendix F.

    Part 2 is an online literature review for clinical supervisors, program administrators, and
    counselors interested in reviewing the medical literature on which this TIP is based. The
    literature review, available at http://www.kap.samhsa.gov, will be updated every 6 months
    for 5 years following publication of this TIP.


Treatment Improvement Protocols (TIPs)

Treatment Improvement Protocols (TIPs) are developed by the Center for Substance Abuse
Treatment (CSAT), part of the Substance Abuse and Mental Health Services Administration
(SAMHSA) within the U.S. Department of Health and Human Services (HHS). Each TIP
involves the development of topic-specific best-practice guidelines for the prevention and treatment
of substance use and mental disorders. TIPs draw on the experience and knowledge of
clinical, research, and administrative experts of various forms of treatment and prevention. TIPs
are distributed to facilities and individuals across the country. Published TIPs can be accessed via
the Internet at http://www.kap.samhsa.gov.
Although each consensus-based TIP strives to include an evidence base for the practices it
recommends, SAMHSA recognizes that behavioral health is continually evolving, and research
frequently lags behind the innovations pioneered in the field. A major goal of each TIP is
to convey “front-line” information quickly but responsibly. If research supports a particular
approach, citations are provided.



APA Ethics

We do adhere to the American Psychological Association's Ethical Principles of Psychologists. Our courses are carefully screened by the Planning Committee to adhere to APA standards. We also require authors who compose Internet courses specifically for us follow APA ethical standards.

Many of our courses contain case material, and may use the methods of qualitative research and analysis, in-depth interviews and ethnographic studies. The psychotherapeutic techniques depicted may include play therapy, sandplay therapy, dream analysis, drawing analysis, client and therapist self-report, etc. The materials presented may be considered non-traditional and may be controversial, and may not have widespread endorsement within the profession. www.psychceu.com maintains responsibility for the program and its content.

All material included in this course is either in the public domain, or used with express permission.

Cost of the 7 unit course is $88

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