Integrated Treatment for Dual Disorders; A Guide to Effective Practice

by Mueser, Kim T.; Noordsy, Douglas L.; Drake, Robert E.; Fox Smith, Lindy

• ISBN13: 9781572308503
• ISBN10: 1572308508
• Edition: 1st
• Format: Paperback
• Copyright: 2003-04-25
• Publisher: The Guilford Press

Summary

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.

Author Biography

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

Table of Contents

Basics
Substance Abuse and Severe Mental Illness	p. 3
Principles of Integrated Treatment	p. 16
Basic Organizational Factors	p. 34
The Assessment Process
Assessment I: Detection, Classification, and Functional Assessment	p. 49
Assessment II: Functional Analysis and Treatment Planning	p. 65
Individual Approaches
Stage-Wise Case Management	p. 87
Motivational Interviewing	p. 108
Cognitive-Behavioral Counseling	p. 121
Group Interventions
Persuasion Groups	p. 137
Active Treatment Groups	p. 155
Social Skills Training Groups	p. 168
Self-Help Groups	p. 183
Working with Families
Family Collaboration	p. 195
Behavioral Family Therapy	p. 205
Multiple-Family Groups	p. 227
Other Treatment Approaches
Residential Programs and Other Housing Options	p. 239
Involuntary and Coerced Interventions	p. 249
Vocational Rehabilitation	p. 267
Psychopharmacology	p. 279
Research
Research on Integrated Dual-Disorder Treatment	p. 301
Epilogue: Avoiding Burnout and Demoralization	p. 307
References	p. 311
Appendices
Dual-Disorder Treatment Fidelity Scale	p. 337
Educational Handouts
Understanding Bipolar Disorder	p. 357
Understanding Major Depression	p. 360
Understanding Obsessive-Compulsive Disorder	p. 363
Understanding Posttraumatic Stress Disorder	p. 366
Understanding Schizoaffective Disorder	p. 369
Understanding Schizophrenia	p. 372
Understanding Antidepressant Medications	p. 375
Understanding Antipsychotic Medications	p. 378
Understanding Mood-Stabilizing Medications	p. 382
The Stress-Vulnerability Model of Psychiatric Disorders	p. 385
Role of the Family	p. 389
Basic Facts about Alcohol and Drugs	p. 392
Alcohol and Drugs: Motives and Consequences	p. 396
Treatment of Dual Disorders	p. 402
Communication Skills	p. 406
Infectious Diseases	p. 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 Interview	p. 430
Drug/Alcohol Time-Line Follow-Back Calendar (TLFBC)	p. 440
Payoff Matrix	p. 442
Functional Analysis Summary	p. 443
Substance Abuse Treatment Scale--Revised (SATS-R)	p. 444
Individual Dual-Disorder Treatment Plan	p. 445
Individual Treatment Review	p. 446
Mental Illness Relapse Prevention Worksheet	p. 448
Substance Abuse Relapse Prevention Worksheet	p. 449
Pleasant Activities Worksheet	p. 450
Recovery Mountain Worksheet	p. 451
Orientation to Behavioral Family Therapy	p. 452
Family Member Interview	p. 453
Summary of Family Assessment	p. 457
Family Treatment Plan	p. 459
Family Treatment Review	p. 460
Problem-Solving or Goal-Setting Sheet	p. 462
Index	p. 463
Table of Contents provided by Rittenhouse. All Rights Reserved.