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9780789018014

Treating Co-Occurring Disorders: A Handbook for Mental Health and Substance Abuse Professionals

by ; ;
  • ISBN13:

    9780789018014

  • ISBN10:

    0789018012

  • Format: Hardcover
  • Copyright: 2004-03-26
  • Publisher: Routledge
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Summary

In the real world, caseloads include clients with substance abuse, psychiatric, and co-occurring disorders. Here you'll find reliable information and informative case examples to help you manage your caseload more effectively! Caseloads that include mental health, substance use, and co-occurring disorders are becoming more and more common, yet most texts in this area focus on one specific type of disorder. This unique handbook reflects the reality facing mental health and substance abuse professionals in their daily practices, focusing on how to effectively manage caseloads that include individuals with vastly differing levels of functioning. Providing diagnostic criteria, treatment regimens, and a great deal more, Treating Co-Occurring Disorders: A Handbook for Mental Health and Substance Abuse Professionals is an exceptional single source for useful information on handling all of these types of cases and clients. Treating Co-Occurring Disorders: A Handbook for Mental Health and Substance Abuse Professionals describes the psychiatric and substance use disorders that commonly co-occur and examines the evolution of co-occurring concepts and treatment. It provides an overview of relapse prevention and symptom management models for use with clients with co-occurring disorders and another covering mental health and substance abuse recovery movements. Treating Co-Occurring Disorders: A Handbook for Mental Health and Substance Abuse Professionals will bring you closer to topics that impact day-to-day practice, including: conducting comprehensive assessments for individuals with psychiatric and substance use symptoms providing individual, group, family, and case management interventions for clients of differing levels of function who exhibit psychiatric and substance abuse symptoms identifying standard interventions for all clients with co-occurring disorders measuring change and establishing reasonable treatment outcome performance standards for these clients supervising staff who work with multifarious caseloads From the authors: Currently, most mental health and substance abuse professionals are aware of how to effectively assess and treat individuals with diagnoses for which they were trained. However, few therapists exclusively have clients who manifest only psychiatric or substance abuse symptoms. This book provides information and case examples concerning how to effectively manage a caseload composed of individuals with substance abuse, psychiatric, and co-occurring disorders. It presents strategies for providing comprehensive assessments for these individuals. Additionally, it describes how to provide effective case management as well as individual, group, and family treatment for individuals with multiple disorders and levels of function, and provides information on interacting effectively with the mental health and substance abuse recovery communities.” Tables, figures, and a generous portion of intriguing case descriptions will help you apply the information in this useful volume to your own work.

Author Biography

Edward L. Hendrickson, MS, LMFT, LSATP, is retired as a clinical supervisor with the Arlington County, Virginia, Alcohol and Drug Treatment Program Marilyn S. Schmal, MA, LPC, LSATP, is program manager of Dual Diagnosis Services for Arlington County, Virginia, Division of Behavioral Healthcare Sharon C. Ekleberry, MSW, LCSW, LSATP, is Division Director of the Adult Community Services Division of Fairfax County Mental Health Services in Virginia

Table of Contents

Preface xi
Chapter 1. The New Reality: Multifarious Caseloads 1(22)
Prevalence of Co-Occurring Disorders
1(1)
Types of Clients Found in a Multifarious Caseload
2(1)
Essential Philosophical View
3(2)
Essential Knowledge and Skills
5(3)
Integrated Treatment
8(2)
A Competency-Based Focus
10(2)
Treatment Goals
12(1)
Standard Interventions for All Clients with Co-Occurring Disorders
13(8)
Conclusion
21(2)
Chapter 2. Then and Now: Concepts and Treatment of Co-Occurring Disorders 23(12)
Genesis and Early Concepts
25(2)
Early Treatment Activities and National Acceptance
27(2)
Factors Affecting the Development of Services for Individuals with Co-Occurring Disorders
29(2)
Building the Infrastructure for a System of Care for Individuals with Co-Occurring Disorders
31(2)
Current Conditions and the Future
33(2)
Chapter 3. Frequently Co-Occurring Axis I Psychiatric and Substance Use Disorders 35(26)
Substance-Related Disorders
36(2)
Mood Disorders
38(4)
Anxiety Disorders
42(5)
Psychotic Disorders
47(3)
Disruptive Behavior Disorders
50(3)
Dissociative Disorders
53(2)
Eating Disorders
55(2)
Impulse Control Disorders
57(1)
Conclusion
58(3)
Chapter 4. Personality Disorders That Frequently Co-Occur with Substance Use Disorders 61(16)
Personality Disorders: Definition
61(1)
Personality Disorders and Co-Occurring Substance Use and Mental Disorders
62(1)
Cluster B Personality Disorders
63(6)
Cluster A Personality Disorders
69(4)
Cluster C Personality Disorders
73(3)
Conclusion
76(1)
Chapter 5. Assessment 77(20)
Identifying a Substance Use Problem
78(3)
Differentiating Substance-Induced Disorders from Co-Occurring Disorders
81(3)
Subgroups of Individuals with Co-Occurring Disorders
84(2)
Consequences of Substance Use
86(1)
Motivation for Continued Substance Use
87(4)
History of Approach to Treatment and Recovery
91(2)
Matching Treatment Needs with Treatment Possibilities
93(2)
Conclusion
95(2)
Chapter 6. Introduction to Treatment: Goals and Themes 97(10)
Treatment Goals
97(1)
Treatment Themes
98(7)
Conclusion
105(2)
Chapter 7. Psychoeducation and Group Therapy 107(22)
Psychoeducation
107(1)
Promoting Personalization of Psychoeducation Material
108(1)
Participant Limitations in Psychoeducation Settings
109(1)
Designing Psychoeducation Programs for Multifarious Caseloads
110(3)
The Role of the Leader
113(1)
Reasonable Goals for a Psychoeducation Program
113(1)
Group Therapy
114(1)
Group Membership
115(2)
Operating Rules for the Group
117(6)
Group Logistics
123(3)
A Typical Group Session for More-Impaired Individuals
126(1)
A Typical Group Session for Less-Impaired Individuals
127(1)
Conclusion
127(2)
Chapter 8. Individual Therapy and Case Management 129(14)
Individual Therapy
129(4)
Case Management
133(2)
Functions of Case Management
135(3)
Models of Case Management
138(2)
Individual Treatment and Case Management with a Multifarious Caseload
140(2)
Conclusion
142(1)
Chapter 9. Family Interventions 143(26)
Family Intervention Methods
143(3)
Factors That Hinder Family Involvement in Treatment
146(2)
Promoting Family Involvement
148(2)
Important Family Treatment Concepts
150(4)
A Model for Identifying Family Change
154(4)
Stuck Points in the Family Change Process
158(8)
Conclusion
166(3)
Chapter 10. Promoting Long-Term Stability: Relapse Prevention and Symptom Management 169(10)
Cluster of Interventions for Prerecovery and Antitreatment Clients
170(2)
Cluster of Interventions for Early Recovery and Treatment-Engaged Clients
172(4)
Cluster of Interventions for Later Recovery and Minimal or Posttreatment Clients
176(1)
When Knowledge and Skills Do Not Work
177(1)
Conclusion
177(2)
Chapter 11. Substance Abuse and Mental Health Recovery Movements 179(14)
Mental Health and Substance Dependency Recovery Concepts
179(4)
Similarities and Differences Between Substance Dependence and Mental Health Recovery Concepts
183(3)
Recovery Concepts for Co-Occurring Disorders
186(1)
Self-Help Groups of the Recovery Movements
187(2)
Treatment Providers and the Recovery Movements
189(3)
Conclusion
192(1)
Chapter 12. Supervising Staff with Multifarious Caseloads 193(16)
Issues That Deal with Client Needs
193(3)
Issues That Deal with Staff Needs
196(5)
Issues That Deal with Treatment System Needs
201(6)
Conclusion
207(2)
Chapter 13. Measuring Change: Reasonable Outcome and Performance Standards 209(10)
Benefits of Treatment
209(2)
Measuring Client Change
211(3)
Predicting Treatment Outcome
214(1)
Retention Rates
215(1)
Readmission Rates
215(1)
Reasonable Performance Standards
216(1)
Conclusion
217(2)
References 219(16)
Index 235

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