ValueOptions Provider Data Sheet

Print current page Print all pages Close

8. EAP COUNSELOR ONLY

Are you interested in participating in the EAP specialty network?	Yes	No
If yes, go on.
Do you meet the minimum VO criteria for your licensure level AND the criteria for the specialty EAP network?	Yes	No
If yes, complete the following for the EAP specialty network in its entirety.

A. KNOWLEDGE/WORK EXPERIENCE OF EAP CORE TECHNOLOGY BY:

Active status as a Certified Employee Assistance Professional (CEAP); or

Two (2) years of verifiable experience as an internal EAP Counselor, and/or as external EAP Consultant to other organizations.

On the grid below, please fill in the column "Type" with one of the following numbered options:

Type 1:

Management and/or union representative consultation on impact of personal problems on performance issues, appropriate use of constructive confrontation and role of EAP.

Type 2:

Direct care function of EAP practice including assessment/referral, short-term counseling and linkages to treatment and/or community resources.

Type 3:

Crisis Intervention including critical incident stress management (CISM) services.

Type 4:

Training and experience in organizational dynamics/development, human resource management or industrial social work/ psychology.

Type 5:

Assessment and identification of drug alcohol abuse/dependency problems and appropriate treatment interventions.

Edit	Type	From(MM/YYYY)	To(MM/YYYY)	Title	Employer	Employer Address	Delete

No Records Found

B. KNOWLEDGE/WORK EXPERIENCE IN ASSESSMENT/TREATMENT OF SUBSTANCE ABUSE

Active status as a Certified Employee Assistance Professional (CEAP) with an acceptable level of experience in the assessment and/or treatment of chemical dependency; or

Possess one (1) year experience in a substance abuse treatment facility; or

Completed a state-level certification acceptable to support eligibility for the National Certified Addiction Counselor (NCAC) credential; or

Possess International Certified Alcohol and Drug Counselor Certification (ICADC); or

Possess a minimum of six (6) units of continuing education (CEU's, PDH's) in chemical dependency assessment/treatment; or

Completed three (3) graduate level hours of coursework in chemical dependency. (Attach copies of the certificates)

Edit	Certification Type	Certificate #	Expiration Date	Delete

No Records Found

Indicate one (1) year of experience in a substance abuse treatment facility below: If you meet this criteria, please complete the following work history section even if this information is contained on your resume!

Edit	From(MM/YYYY)	To(MM/YYYY)	# Hours/Week	Title	Employer	Description of Position	Delete

No Records Found

� 2012 ValueOptions^® ProviderConnect v3.27.00