Treating Concurrent Disorders


Book Description

This guide prepares addiction and mental health professionals to understand the relationship between substance use and mental health problems, and offers an array of treatment options for different combinations of co-occurring problems. Divided into three sections, covering assessment, practical applications, and tools and techniques, this handbook includes topics such as : concurrent disorders : past, present, and future; identifying, understanding and treating concurrent disorders; providing specialized services to clients; and improving existing services to better serve clients.




Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE)


Book Description

Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE) is a cognitive-behavioral psychotherapy program designed for patients who have posttraumatic stress disorder (PTSD) and a co-occurring alcohol or drug use disorder. COPE represents an integration of two evidence-based treatments: Prolonged Exposure (PE) therapy for PTSD and Relapse Prevention for substance use disorders. COPE is an integrated treatment, meaning that both the PTSD and substance use disorder are addressed concurrently in therapy by the same clinician, and patients can experience substantial reductions in both PTSD symptoms and substance use severity. Patients use the COPE Patient Workbook while their clinician uses the Therapist Guide to deliver treatment. The program is comprised of 12 individual, 60 to 90 minute therapy sessions. The program includes several components: information about how PTSD symptoms and substance use interact with one another; information about the most common reactions to trauma; techniques to help the patient manage cravings and thoughts about using alcohol or drugs; coping skills to help the patient prevent relapse to substances; a breathing retraining relaxation exercise; and in vivo (real life) and imaginal exposures to target the patient's PTSD symptoms.




Concurrent Substance Use and Mental Health Disorders


Book Description

A person with a mental health problem has a higher risk of having a substance use problem, just as a person with a substance use problem has an increased chance of having a mental health problem. This guide: explains the symptoms and causes of concurrent disorder outlines the different kinds of treatments available, including psychosocial and biological treatments describes integrated treatment and how it helps discusses recovery and relapse prevention discusses family involvement gives guidance on how to explain concurrent disorders to children This guide gives a thorough introduction to concurrent disorder treatment options, and sensitive and sound coping skills to help people with concurrent disorders - and their families - toward recovery."




Integrated Treatment for Co-Occurring Disorders


Book Description

Integrated Treatment for Co-Occurring Disorders addresses a complex client population, which presents service providers with significant professional challenges. Underlying personality disorders compromise treatment effectiveness for medical, other psychiatric, or trauma services, as well as the ability these individuals have in adhering to probation, parole, or court-ordered treatment requirements. A co-occuring substance use disorder amplifies the difficulties experienced by personality-disordered individuals, exacerbates the precarious nature of their relationships, and raises the skill level needed by service providers attempting to help them. There can be significant professional satisfaction in working effectively with the interplay of addiction and disorders of personality. The book brings focus to the specifics of assessment and treatment for this type of co-occurring disorder and suggests that greater adaptability, fewer self-sabotaging behaviors, and an abstinent lifestyle are all possible. Recovery from both disorders is the journey these individuals take toward greater maturation, reliable impulse control, and coping skills that are not dependent upon the evasion of the demands of living or use of substances to manage stress or uncomfortable affect. Recovery is possible, and service providers can assist these clients on their path to wellness.




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.




Fundamentals of Addiction


Book Description

Fundamentals of Addiction is an essential reference for counsellors and a comprehensive textbook for college and university level students in courses that address addictions. Written by more than 50 experts in addiction treatment and related fields, each chapter includes case examples, practice tips and print and online resources. This fourth edition of Alcohol & Drug Problems was renamed Fundamentals of Addiction to include behavioural or "process" addictions. Extensively revised, updated and expanded, this new edition is a valuable guide to helping people overcome the harmful, sometimes devastating, effects of addiction. Written by more than 50 experts in addiction treatment and related fields, Fundamentals of Addiction is a comprehensive guide to helping people overcome the harmful, sometimes devastating, effects of addiction.




Psychotherapy Essentials to Go: Motivational Interviewing for Concurrent Disorders (Go-To Guides for Mental Health)


Book Description

A quick-reference, multi-media guide to using Motivational Interviewing (MI) to treat co-occurring disorders. Addiction—whether to alcohol and drugs, sex, gambling, or Internet use—and mental health problems often go hand-in-hand. This concise book summarizes the key principles of a particular therapeutic approach to concurrent disorders, Motivational Interviewing (MI), which guides clients in eliciting and strengthening their desire for change. Laying out a four-stage treatment model—engagement, preparation, active treatment, and continuing care—the book walks readers through key facets of the therapeutic rapport at the heart of MI: working collaboratively on goals; connecting to the patient by understanding his or her strengths, needs, and concerns; and using the core MI skills of open questions, affirmations, reflections, and summaries (“OARS”). Readers are immersed in the spirit of MI through explanations and illustrations, preparing them for the practical challenges of therapeutic work with clients who suffer from addiction and mental health problems. Included in this comprehensive guide are a DVD of sample therapy sessions and clinical explication that describe how to implement the protocol, as well as a laminated pocket reminder card. An on-the-go package of practical tools that busy clinicians won’t want to be without. Please note that the ebook version of this title does not include the DVD.




Co-Occurring Disorders


Book Description

Despite an increased awareness of co-occurring disorders, most current treatment paradigms still focus on one problem or the other, leaving much unassessed, unaddressed, or ignored. Until now - a revolutionary new book from Dr. Charles Atkins that can break the cycles of relapse for those intertwined with substance use and mental illness. Co-Occurring Disorders is a guide to practical assessment and effective treatment approaches for working work with any number of co-occurring disorders. This step-by-step approach, demonstrated through diverse case studies, gives you the tools you need to improve and track your clinical outcomes. This is a must-have resource for both the rubber-meets-the-road clinician, who wants effective strategies and a clear direction for treatment and recovery, and the administrator who creates interventions at the system level with attention to regulatory and reimbursement demands. Also included is a comprehensive state-by-state Guide to Mental Health and Substance Abuse Agencies and Prescription Monitoring Programs Evidence-Based Integrated Treatment, finding the right tool for the job: • Motivational Interviewing • Cognitive-Behavioral Therapy and Strategies • Skills Training • Mindfulness Training • Mutual Self-Help & Peer-Based interventions • Wellness interventions • Recovery based • Family interventions • Assertive Community Treatment and Targeted Case Management • Psychopharmacology including opioid and nicotine replacement strategies Diagnosis-Specific Issues in Co-Occurring Disorders: • ADHD • Depression and Bipolar Disorders • Anxiety and PTSD • Schizophrenia and other Psychotic Disorders • Personality Disorders Substance-Specific Issues in Co-Occurring Disorders: • Alcohol • Opioids • Tobacco • Cocaine and other Stimulants, including "Bath Salts" • Cannabis & Synthetic Cannabis • The Internet and other sources of Drugs Reviews: "A comprehensive, user-friendly compilation of assessment and intervention strategies to be used for clients. It includes a number of worksheets for both clinicians and clients, and is a valuable tool for treatment decision-making." -- Donald Meichenbaum, PhD, noted author and speaker, a CBT founder, and voted one of the 10 most influential psychotherapists of the 20th century "This book is wonderful. I plan to adopt it as a textbook for my MSW Co-Occurring Disorder Program." -- Jaak Rakfeldt, Ph.D., Co-Occurring Disorder Cohort Program, MSW Coordinator, Southern Connecticut State Unviersity Professor "So much valuable information in a user friendly manner, clinicians as well as others will find this book useful in their practice. This resource is a powerful tool and I am especially proud of the way he connects issues related to gender and trauma." -- Colette Anderson, LCSW, CEO The Connecticut Women's Consortium "A clear, concise and straightforward and up to date text on co-occurring disorders has been glaringly lacking in the Behavioral Health Field. Co-Occurring Disorders: The Integrated Assessment and Treatment of Substance Use and Mental Disorders offers students and clinicians at all levels a comprehensive view of the challenges of treating those with a co-occurring mental health and substance use disorder. Written in plain language, Atkins provides a clinical road map beginning with an outline of key issues and ending with treatment planning. Atkins also does what most don’t and that is to stress the importance of peer support, natural supports and self-help. Co-Occurring Disorders: The Integrated Assessment and Treatment of Substance Use and Mental Disorders is an important addition to any educator’s and clinician’s bookshelf." --Eileen M. Russo, MA, LADC, Assistant Professor, Drug and Alcohol Recovery Counselor Program, Gateway Community College, New Haven, CT "As a person that has lived with bipolar disorder for many years and has proudly disclosed my personal journey of recovery, I know there are many people who would greatly benefit from the treatments suggested in this powerful book-co-occurring services are rarely done in such a comprehensive way." -- Dr. Karen A. Kangas, Director of Operations, Advocacy Unlimited, Inc.




Anxiety and Substance Use Disorders


Book Description

Disorders of anxiety and substance use are, for some reason, rarely treated in an integrated fashion by professionals. This timely volume addresses this glaring omission with dispatches from the frontlines of research and treatment. Thirty-four international experts offer findings, theories, and intervention strategies for this common form of dual disorder, across a range of substances and of anxiety disorders, to give the reader comprehensive knowledge in a practical format.




Treating Alcohol and Drug Problems in Psychotherapy Practice


Book Description

This book has been replaced by Treating Alcohol and Drug Problems in Psychotherapy Practice, Second Edition, ISBN 978-1-4625-5086-9.