CO OCCURRING DISORDERS

TONY HORNES, THOMAS EDWARDS, CATHERINE O’NEIL, GREG LARUE, TONYA MCNAIR, LASHANDA THOMPSON
FAYETTEVILLE STATE UNIVERSITY
ALCOHOL, TOBACCO, & OTHER DRUGS: SOCIAL WORK PRACTICE WITH CULTURALLY DIVERSE POPULATION
SWRK 632
DENNIS E. CORBIN, MSW, PH.D.
MARCH 5, 2015

OUTLINE  What is Co-Occuring disorders  Epidemiology  Populations Affected  Best Practices / Evidence Based Practice  Ethical / Legal Issues  Toolbox/ Interventions .

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What Co-occurring Disorders Substance Use Disorder – Alcohol or Drug Abuse & Dependence Mental Health Disorder – Mood or Anxiety related disorders & Severe Mental Illness .

ADULTS AND CO-OCCURRING DISORDER .

Populations Affected  YOUTH UNDER AGE 21  COLLEGE AGE YOUNG ADULTS  SENIOR CITIZENS  WOMEN  ETHNIC AND RACIAL MINORITIES .

According to SAMHSA. THAT IS. the national Substance Abuse & Mental Health Services Administration in the United States: NEARLY 10 MILLION PEOPLE HAVE CO-OCCURRING DISORDERS. THEY HAVE BOTH MENTAL AND SUBSTANCE ABUSE DISORDERS .

Adults with SERIOUS mental illness and SA disorder – 2.8 million (25.8 million adults with SA Dependence) had cooccurring mental illness .7% of all 45. Among adults with ANY substance use dependence – 8.8 million (19.9 million (42.1 million adults with ANY mental illness 2. Adults with ANY mental illness and SA disorder – 9.According to the National Survey on Drug Use and Health (NSDUH):  Four percent of all adults have co-occurring disorders 1.8% of all 20.7% of all 11 million adults with SERIOUS mental illness 3.

ADOLESCENTS CO-OCCURRING DISORDER .

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youtube.com/watch?v=2kwtcADn-yM .BEST PRACTICE / EVIDENCE BASED PRACTICES  https://www.

.COGNITIVE BEHAVORIAL THERAPY COGNITIVE BEHAVIORAL THERAPY DOES NOT TELL A PERSON HOW THEY SHOULD FEEL OR ACT. ADDRESSING BOTH THE MENTAL ILLNESS AND THE SUBSTANCE USE DISORDER AS CHRONIC. RELAPSING CONDITIONS THAT REQUIRE LONG-TERM SUPPORT.

TREATMENT STRATEGIES  Residential Treatment Programs  Outpatient Treatment Options  Individual Therapy  Medication Therapy  Peer Support Groups  Education and Counseling for families   Holistic Therapies Ongoing Support After Rehab .

ETHICAL/ LEGAL ISSUES .

   . motivational enhancement family interventions 12-Step  Integrated Treatment .TOOLBOX / INTERVENTIONS  Maintain a recovery perspective  Manage countertransference  Monitor psychiatric symptoms  Use supportive and empathic counseling  Employ culturally appropriate methods  Increase structure and support Relapse Prevention Strategies    Cognitive–Behavioral Approaches  Develop and use a therapeutic alliance to engage the client in treatment Support Groups ( 12-Step programs).  Self Help individual or group counseling.

267-275. treatment practices.d. from http://www. Addiction Treatment Services and Co-Occurring Disorders: Prevalence Estimates.org/treatment-therapies-for-dual-diagnosis-patients/cognitive-beh avioral-therapy /  Co-occurring Disorders Treatment | Dual Diagnosis. Journal of Substance Abuse Treatment.).dualdiagnosis. M.dualdiagnosis. 2015. Retrieved February 21.References  Cognitive Behavioral Therapy (CBT) |Dual Diagnosis. (2005). (n. & Xie.niaa..  Treatment.gov/alcohol-health/special-populations-co-occurring-disorders .org/public/co-occurring_overview  www. C. from http://www.nih.). (31).nlm. H. Retrieved February 21.nih.org/co-occurring-disorders-treatment/  McGovern.).ncbi. from http://www.d. 2015. 2015.bhevolution. (n. Retrieved February 21. (n. and barriers.gov/books/NBK64201/# A741  www.d.

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