A paradigm shift in counselor preparation is underway. This change is driven by a number of forces, as highlighted in this article, which are moving chemical dependency counselor preparation toward more formal educational approaches and consequently toward more professionalism. There are important differences between occupational training and more…

East Carolina University has one of the few comprehensive substance abuse counselor education (SACE) programs in the nation that offers an undergraduate, master's, and doctoral level of preparation in substance abuse counseling. This article describes the evolution of this SACE from its beginning in 1972 to its current status. This comprehensive…