Faces of Dual Diagnosis


Book Description

Faces of Dual Diagnosis: A Canadian Perspective Studies reveal that about 1 in every 350 people (perhaps 90,000 Canadians) are affected by both mental health problems and addictions -- a condition referred to as "dual diagnosis" or DD. Although the impacts on society are considerable -- on our health system's resources; on our legal and social welfare programs; on employers, friends, neighbours and family; and on the individual him or herself -- remarkably little has been written in the popular media about this widespread problem. There is also inadequate awareness and training within the health, legal and social welfare systems, contends physician Robert B. Pereira, who specializes in treatment of DD clients. In Faces of Dual Diagnosis: A Canadian Perspective, Pereira explains the various types of mental illnesses and addictions which typically are found in DD. He discusses treatment regimes and offers case studies, based on real patient profiles, to demonstrate his contention that the most successful approach includes a holistic examination and treatment of the client's mental, physical and spiritual health. Pereira discusses his own life path and then presents a case for the creation of a Canadian Center for Policy Research on Dual Diagnosis. Dozens of DD-related resources are listed in the appendix. Dr. Pereira practices medicine in Surrey, BC. In the heat of the mid-day sun I rest by the ocean under the shade of a large tree. At midnight, where there is darkness all around but the light shines just as brightly - I awaken - A creature of darkness I have been. This I have not understood but now accept Light, many things it is An end to the darkness it cannot bring Of darkness is borne the light. -- Robert B. Pereira




Ending Discrimination Against People with Mental and Substance Use Disorders


Book Description

Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.




From Genes to Policy


Book Description




Integrated Treatment for Dual Disorders


Book Description

This comprehensive clinical handbook provides virtually everything needed to plan, deliver, and evaluate effective treatment for persons with substance abuse problems and persistent mental illness. From authors at the forefront of the dual disorders field, the book is grounded in decades of influential research. Presented are clear guidelines for developing integrated treatment programs, performing state-of-the-art assessments, and implementing a wide range of individual, group, and family interventions. Also addressed are residential and other housing services, involuntary interventions, vocational rehabilitation, and psychopharmacology for dual disorders. Throughout, the emphasis is on workable ways to combine psychiatric and substance abuse services into a cohesive, unitary system of care. In a convenient large-size format, the volume includes reproducible assessment forms, treatment planning materials, and client handouts.




Reflections of Dual Diagnosis


Book Description

The sequel to "Faces of Dual Diagnosis" With Foreword by Joseph Eliezer In "Reflections of Dual Diagnosis: A Canadian Perspective", the follow-up to his 2011 book, "Faces of Dual Diagnosis", Dr. Robert Pereira reflects on his own life path, discusses treatment approaches and offers case studies. An estimated 90,000 Canadians are affected by both mental health problems and addictions - a condition referred to as "dual diagnosis" or DD. Although the impacts on society are considerable - on our health system's resources; on our legal and social welfare programs; on employers, friends, neighbours and family; and on the individual him or herself - remarkably little has been written about this widespread problem in the popular media. There is also inadequate awareness and training within the health, legal and social welfare systems. The author, Robert B. Pereira, MD, has a diploma in Addiction Medicine from the American Board of Addiction Medicine, and is accredited by the Canadian Society of Addiction Medicine. Dr. Pereira practices medicine in Surrey and downtown Vancouver, specializing in the treatment of DD clients. I Am That I Am I Am That - Always I Am That is I Am I Am becomes I Am That I Am was before I Am That I Am That then became I Am Therefore, I Am is Always -- That -- Robert B. Pereira




Dual Diagnosis


Book Description

Patients who have both a psychiatric disorder and a substance abuse problem cause most clinicians to throw up their hands in despair. The clinical problems that these "dual diagnosis" patients present are enor mously complex. Diagnostically, how is one to tell if disorders of mood and thinking, for instance, are signs of a mental illness or consequences of substance abuse? How is one to obtain important historic information when the patient may be unable or unwilling to provide it and there are no readily available collateral sources of information? In any case, why bother? Treatments for dually diagnosed patients are ineffective; patients won't stay in treatment; recidivism occurs at a very high rate. To make matters even more difficult, traditional health care reim bursement mechanisms do not provide for the multimodality clinical programs and special services needed by the patient who is both mentally ill and a substance abuser. So the clinician needs an effective bureaucratic strategy as well as a treatment strategy. For the most part, clinicians have handled the problem by ignoring it.




Dual Diagnosis


Book Description

Dual Diagnosis: Practice in Context is a practicalevidence-based guide for practitioners working inmulti-disciplinary mental health and substance misuse servicesettings. Divided into three sections, this comprehensive andinternational text first explores the contemporary contextualissues surrounding the subject area. It then goes on toreview dual diagnosis in some of the ‘special’populations (including people diagnosed with personality disorders,women, young people, and older adults) and contemporary issues(e.g. crystal methamphetamine and mental health). Part three reviews the development of international serviceresponses to dual diagnosis and discusses the development andcommissioning of service models, research and practice development.The text concludes with a chapter outlining priorities for thedevelopment of interventions, service approaches, research andeducation. KEY FEATURES: A authoritative in-depth review of both theoretical,clinical and policy issues within a single text Draws together a range of established contributors from avariety of disciplines, including mental health nurses,occupational therapists, social workers and psychiatrists International in focus, with contributors from the UK, USA,Europe and Australia




Dual Diagnosis


Book Description

Dual diagnosis is a common phenomenon affecting the modern day societies of the world. What is really responsible for the syndrome? There are a few reasons why many societies are witnessing the problem. But what is the meaning of dual diagnosis? How do we deal with the challenges associated with dual diagnosis? To start with, Dual diagnosis can be referred to as that condition that brings about the simultaneous existence and mental illness at the same time, a problem which assumes a dual nature. This condition appears to look like something that can further lead to more heterogeneous problem. However, the issue has led to many debates whether it is possible for someone to suffer similar faith of dual problems and yet still be referred to as a single problem. Experience has however shown that it is very possible for an individual to suffer problems that assume a dual nature other than a single problem. In the distant example we have problems associated with dual diagnosis to be seen to manifest in critical conditions like alcoholism and depression. This is a very good example of a problem that has to do with dual diagnosis. The condition can also be seen in a more serious mental illness like schizophrenia and psychosis. It can also manifest in conditions that has to do with substance misuse when it leads to development of certain disorders too, for instance, when an individual over use cannabis. Other forms of disorders that can lead to dual diagnosis problems are panic disorders, generalized anxiety disorders, and over dependence on drugs. It is however to be noted that substance abuse can on its own lead to a problems which can be regarded as self induced and it exist separately from a pre-existing mental illness or psychiatric. Persons with dual diagnosis problems always face complexities of problems such as a high rate of relapse, frequent hospitalization is a common phenomenon for some parts of the world, it can further lead to homelessness and can even further worsen to non-conforming societal behavior which is abhorred in contacting dreadful diseases such as HIV AIDS, Hepatitis and other sexually transmittable diseases. The causes of co-occurring disorders are yet to be fully determined, but there are several propositions and theories that have been put forward by experts in the field of diagnosis.




The Dual Diagnosis Recovery Sourcebook


Book Description

For those who suffer from a combined psychiatric illness and chemical dependency The six out of one hundred people diagnosed with the dual disorders of addiction and mental disorder face unique challenges on the road to recovery. With comprehensive information and illustrative, inspiring case studies, The Dual Diagnosis Recovery Sourcebook explores the physical, psychological, social, and spiritual approaches to recovering from this often misunderstood and yet surprisingly common condition.




Dual Diagnosis


Book Description