Integrated Treatment for Dual Disorders; A Guide to Effective Practice

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  • Edition: 1st
  • Format: Paperback
  • Copyright: 2003-04-25
  • Publisher: The Guilford Press

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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. Designed in a convenient large-size format with lay-flat binding for ease of photocopying, the volume contains all needed assessment forms, treatment planning materials, and client handouts, most with permission to reproduce.

Author Biography

Lindy Fox is a Research Associate at the New Hampshire-Dartmouth Psychiatric Research Center.

Table of Contents

Substance Abuse and Severe Mental Illnessp. 3
Principles of Integrated Treatmentp. 16
Basic Organizational Factorsp. 34
The Assessment Process
Assessment I: Detection, Classification, and Functional Assessmentp. 49
Assessment II: Functional Analysis and Treatment Planningp. 65
Individual Approaches
Stage-Wise Case Managementp. 87
Motivational Interviewingp. 108
Cognitive-Behavioral Counselingp. 121
Group Interventions
Persuasion Groupsp. 137
Active Treatment Groupsp. 155
Social Skills Training Groupsp. 168
Self-Help Groupsp. 183
Working with Families
Family Collaborationp. 195
Behavioral Family Therapyp. 205
Multiple-Family Groupsp. 227
Other Treatment Approaches
Residential Programs and Other Housing Optionsp. 239
Involuntary and Coerced Interventionsp. 249
Vocational Rehabilitationp. 267
Psychopharmacologyp. 279
Research on Integrated Dual-Disorder Treatmentp. 301
Epilogue: Avoiding Burnout and Demoralizationp. 307
Referencesp. 311
Dual-Disorder Treatment Fidelity Scalep. 337
Educational Handouts
Understanding Bipolar Disorderp. 357
Understanding Major Depressionp. 360
Understanding Obsessive-Compulsive Disorderp. 363
Understanding Posttraumatic Stress Disorderp. 366
Understanding Schizoaffective Disorderp. 369
Understanding Schizophreniap. 372
Understanding Antidepressant Medicationsp. 375
Understanding Antipsychotic Medicationsp. 378
Understanding Mood-Stabilizing Medicationsp. 382
The Stress-Vulnerability Model of Psychiatric Disordersp. 385
Role of the Familyp. 389
Basic Facts about Alcohol and Drugsp. 392
Alcohol and Drugs: Motives and Consequencesp. 396
Treatment of Dual Disordersp. 402
Communication Skillsp. 406
Infectious Diseasesp. 410
Assessment Instruments and Other Forms
Dartmouth Assessment of Lifestyle Instrument (DALI)p. 417
Alcohol Use Scale--Revised (AUS-R)p. 420
Drug Use Scale--Revised (DUS-R)p. 424
Functional Assessment Interviewp. 430
Drug/Alcohol Time-Line Follow-Back Calendar (TLFBC)p. 440
Payoff Matrixp. 442
Functional Analysis Summaryp. 443
Substance Abuse Treatment Scale--Revised (SATS-R)p. 444
Individual Dual-Disorder Treatment Planp. 445
Individual Treatment Reviewp. 446
Mental Illness Relapse Prevention Worksheetp. 448
Substance Abuse Relapse Prevention Worksheetp. 449
Pleasant Activities Worksheetp. 450
Recovery Mountain Worksheetp. 451
Orientation to Behavioral Family Therapyp. 452
Family Member Interviewp. 453
Summary of Family Assessmentp. 457
Family Treatment Planp. 459
Family Treatment Reviewp. 460
Problem-Solving or Goal-Setting Sheetp. 462
Indexp. 463
Table of Contents provided by Rittenhouse. All Rights Reserved.

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