Co-Occurring Disorders
|
|
- Nathan Kelly
- 1 years ago
- Views:
Transcription
1 Co-Occurring Disorders PACCT 2011 CAROLYN FRANZEN Learning Objectives List common examples of mental health problems associated with substance abuse disorders Describe risk factors that contribute to the progression of mental health problems associated with substance abuse disorders Identify appropriate screening and assessment tools and evidence-based treatment practices for clients with COD 1
2 Students will be able to demonstrate: Understanding of implementation of evidence-based practices for Co- Occurring Disorders. Practice through role-play screening and assessment techniques to assist identification of COD. Articulate and apply overarching principles used to address the unique treatment challenges and needs of persons with COD. Cultural Competence Define cultural competence and facilitate dialogue on cultural competence as applied to assessment and treatment of clients with COD. Discuss clinical implications of racial and cultural oppression. Discuss mental health service disparities for racial and ethnic minorities and how these needs may be addressed. 2
3 REFERENCES AND RESOURCES Definition Co-occurring disorder: Diagnosis occurs when at least one disorder of each type can be established independent of the other, and not simply a cluster of symptoms resulting from one disorder. 3
4 Co-occurring Disorder DEFINITION CO-OCCURRING DISORDERS: ONE OR MORE MENTAL DISORDERS AS WELL AS ONE OR MORE DISORDERS RELATING TO THE USE OF ALCOHOL AND/OR DRUGS. SAMHSA/CSAT 2006 Terminology Dual Diagnosis Earlier term Is now Co-occurring disorders COD DSM-IV-TR: The concurrent diagnosis of a SUBSTANCE USE DISORDER (SUD) and a PSYCHIATRIC DIAGNOISIS 4
5 Barriers to identifying and treating Low rates of screening, correct diagnosis, and appropriate referral Client denial Client reluctance to talk to provider Clinician attitudes Inadequate training Time constraints Challenges: Client factors Reluctance to discuss lifestyle or emotional issues Tendency to report only somatic symptoms Fear of being labeled I m not a.. alcoholic addict I m not crazy (not all in my head 5
6 Challenges: General system barriers Not enough time of conduct psychosocial assessment Not enough mental health providers Separate location and facilities Specialization leading to separation, isolation, turf issues Negative outcomes of COD Continuing alcohol/drug use Homelessness Disruptive behavior (re)hospitalization incarceration medication non-compliance suicide (higher rate in this group) 6
7 Prevalence of COD Challenges: Diagnostic clarity easy in the DSM, but difficult when you are with the person! Severity of illness Is it abuse or dependence? 7
8 ABUSE VS. DEPENDENCE ABUSE DEPENDENCE DSM-IV Disorders Mood disorders Anxiety disorders Psychotic disorders Personality disorders Substance induced disorders Substance Use Disorders Alcohol and/or drug -abuse -dependence Also use, misuse, unsafe use Is it ok for this client to use? Is abuse moving toward dependence? There is no way to know until after, later, retrospectively understood. Can t say, On a scale of 1 to 10, what is the severity? 8
9 Psychotic disorders: Delusions Hallucinations These clients constitute what is commonly referred to as the serious and persistent mentally ill population Schizophrenia Paranoid type Disorganized type Catatonic type Undifferentiated type Residual type Mood and Anxiety disorders Mood disorder Depression Mania Bipolar disorder Anxiety disorders Social phobia Panic disorders Post traumatic stress disorder (PTSD) 9
10 Stigma Providers Family, friends Community A source of denial A source of guilt Interferes with: admission of problem, seeking help, social functioning Impact of COD Medical and health Psychiatric status Psychological: anger, grief, personal distress Family Social interpersonal relationships and social activities Legal Occupational and academic Economic costs business, society Spiritual guilt, shame, loss of meaning, in life, loss of values 10
11 Etiology: cause or origin Why do substance use disorders and mental health disorders commonly cooccur? Determinants of health: Health care: 10% Genetic: 30% Behavior: 40% Environment: 20%: drugs, stress, trauma 11
12 Reasons why SUDs and MH disorders commonly co-occur Overlapping genetic vulnerabilities Overlapping environmental triggers Involvement of similar brain regions Substance abuse and mental illness are developmental disorders Etiology issues One disorder fosters another disorder One increase the risk for other Medicating negative affect states SUD reveals increased symptoms and severity of MHD Overlapping neurobiological pathways Underlying genetic factors Vulnerability 12
13 Risk Factors Family history Common neurotransmitters Disease interaction Impulse control STRESS DEFINE 13
14 Screening and Assessment ASSESSMENT IS A PROCESS NOT AN EVENT Co-Occurring Disorders Screening Assessment Does not identify the kind of problem or its severity For determining the nature of the problem and to develop treatment strategy 14
15 Structured Assessment Process 1. Engage the client 2. Identify and contact collaterals to gather additional information 3. Screen for and detect COD 4. Determine quadrant and locus of responsibility 5. Determine level of care 6. Determine diagnosis 7. Determine disability and functional impairment 8. Identify strengths and supports 9. Identify cultural and linguistic needs and supports 10. Identify problem domains 11. Determine stage of change 12. Plan treatment SAMHSA Assessment Must be structured Assessment and observation over time Crisis stabilization must occur first Psychiatric symptoms related to SU will remit with abstinence Atypical presentations of symptoms of both mental illness and substance abuse are indicators of COD Bio-psycho-social Mental status evaluation 15
16 Screening Screening considers impact and severity Screening Have you ever had a problem with alcohol or drugs? When was your last drink? Have you ever tried to cut down on your use of alcohol or drugs? 16
17 CAGE screening questions Have you ever felt a need to Cut down on your alcohol/medication/drug use? Do you ever feel Annoyed when someone mentions your use? Do you ever feel Guilty about your alcohol/medication/drug use? Do you ever have an Eye-opener? (use to relieve withdrawal symptoms or to get going) Screening tools for alcohol/drug use CAGE AUDIT 20 Questions MAST SASSI ASI DALI Dartmouth Assessment of Lifestyle DAST Drug Abuse Screening Test SADD Short Alcohol Dependence Data Questionnaire MIDAS Mental Illness Drug & Alcohol Screening 17
18 Mental Health Screening and Assessment Diagnostic Interview Screening and Assessment Screen for safety issues Mental Health Screening PHQ Patient Health Questionnaire Zung/Beck Inventory SCL-90 Symptom Checklist SCID Structured Clinical Interview MHSF-III Mental Health Screening Form BPRS Brief Psychiatric Rating Scale 18
19 Screening Practice MIDAS COD safety screening Suicide Violence Care for self or others Infectious disease Risky behaviors Danger of victimization 19
20 Safety Ask! Monitor closely client who express suicidal intention Ask about thoughts as a routine part of every session with a depressed person Immediately follow up appointments missed MH diagnosis with active alcohol/drug use: Recommend 2 4 weeks of abstinence before establishing a diagnosis. APA, ASAM 20
21 Cultural Competence Cultural competence as applied to assessment and treatment Clinical implications of racial and cultural oppression Addressing mental health service disparities Treatment 21
22 12 Step COD Assessment Process 1. Engage the client 2. Identify & contact collaterals to gather additional info 3. Screen for COD 4. Determine quadrant and locus of responsibility 5. Determine level of care 6. Determine diagnosis 7. Determine disability and functional impairment 8. Identify strengths and supports 9. Identify cultural and linguistic needs and supports 10. Identify problem domains 11. Determine stage of change 12. Plan treatment Treatment Phases Process of Treatment Phase 1: Stabilization and assessment Detox Acute psychiatric symptoms Phase 2: Engagement Motivation enhancement Engagement in treatment Stages of Change Phase 3: Prolonged stabilization Active treatment Symptom free Medication compliance Phase 4: Recovery and rehabilitation Stability and sobriety (long term goal) 22
23 COD treatment Correcting physiological deficiencies Building social support Improving family functioning Prompting and reinforcing positive behavior Increasing client functional abilities Encouraging productive thinking patterns Increasing awareness COD treatment challenges Increase use of the ER Lack of social support High risk of suicide Legal problems Medication compliance issues 23
24 COD treatment models Sequential: participation in one system, then the other (not ideal) Parallel: participation in two systems simultaneously Integrated: participation in a single unified and comprehensive program (ideal) COD therapeutic techniques Motivational Enhancement Stages of change Improving stage Matching therapy to stage of change 24
25 Relapse prevention/maintena nce Precontemplation Action Contemplation Preparation Prochaska s Stages of Chang Change Motivational Enhancement Motivational Interview 25
26 Variable that make a difference in treatment Motivation to change Other services (case management) Social supports Length of treatment ** Relationship with the counselor** = most important variable Review Questions and discussion 26
Chapter 7. Screening and Assessment
Chapter 7 Screening and Assessment Screening And Assessment Starting the dialogue and begin relationship Each are sizing each other up Information gathering Listening to their story Asking the questions
Co-Occurring Disorders
Presented by Pamela Messore LICSW, LCDP Co-Occurring Disorder - formerly Dual Diagnosis - was once a challenge to providers. Historically, clients were treated in separate modalities - even separate agencies.
Integrating Treatment For Co-occurring Disorders SCREENING & ASSESSMENT
Integrating Treatment For Co-occurring Disorders SCREENING & ASSESSMENT Integrating Treatment for Co-Occurring Disorders Brought to you by: Effective Treatment CLIENT FACTORS 40% THERAPY RELATIONSHIP 30%
Topics In Addictions and Mental Health: Concurrent disorders and Community resources. Laurence Bosley, MD, FRCPC
Topics In Addictions and Mental Health: Concurrent disorders and Community resources Laurence Bosley, MD, FRCPC Overview Understanding concurrent disorders. Developing approaches to treatment Definitions
Minnesota Co-occurring Mental Health & Substance Disorders Competencies:
Minnesota Co-occurring Mental Health & Substance Disorders Competencies: This document was developed by the Minnesota Department of Human Services over the course of a series of public input meetings held
information for service providers Schizophrenia & Substance Use
information for service providers Schizophrenia & Substance Use Schizophrenia and Substance Use Index 2 2 3 5 6 7 8 9 How prevalent are substance use disorders among people with schizophrenia? How prevalent
Co-Occurring Substance Use and Mental Health Disorders. Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs
Co-Occurring Substance Use and Mental Health Disorders Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs Introduction Overview of the evolving field of Co-Occurring Disorders Addiction and
POLL. Co-occurring Disorders: the chicken or the egg. Objectives
Co-occurring Disorders: the chicken or the egg Christopher W. Shea, MA, CRAT, CAC-AD Clinical Director Father Martin s Ashley Havre de Grace, Maryland chrismd104@yahoo.com Objectives To identify what is
UNDERSTANDING CO-OCCURRING DISORDERS. Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015
UNDERSTANDING CO-OCCURRING DISORDERS Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015 CO-OCCURRING DISORDERS What does it really mean CO-OCCURRING
opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 Ranked #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380
opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 ed #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380 effects of alcohol in the brain 100 Top 30 698 heroin addiction 100
Susan Littrell, LICSW, LADC, Certified Co-Occurring Disorders Professional Diplomate Hennepin County Community Outreach for Psychiatric Emergencies
Susan Littrell, LICSW, LADC, Certified Co-Occurring Disorders Professional Diplomate Hennepin County Community Outreach for Psychiatric Emergencies (COPE) Discuss the prevalence of co-occurring disorders
PSYCHOSOCIAL ISSUES AND HIV/AIDS. TIHAN Training for Care & Support Volunteers
PSYCHOSOCIAL ISSUES AND HIV/AIDS TIHAN Training for Care & Support Volunteers WHAT IS PSYCHOSOCIAL? Psychology + Sociology Psychosocial development is how a person's mind, emotions, and maturity level
Q&A. What Are Co-occurring Disorders?
What Are Co-occurring Disorders? Some people suffer from a psychiatric or mental health disorder (such as depression, an anxiety disorder, bipolar disorder, or a mood or adjustment disorder) along with
SCREENING FOR CO-OCCURRING DISORDERS USING THE MODIFIED MINI SCREEN (MMS) USER S GUIDE. (Rev. 6/05)
SCREENING FOR CO-OCCURRING DISORDERS USING THE MODIFIED MINI SCREEN (MMS) USER S GUIDE (Rev. 6/05) ACKNOWLEDGEMENTS This user guide was developed by the NYS Practice Improvement Collaborative (PIC) under
LEVEL I SA: OUTPATIENT INDIVIDUAL THERAPY - Adult
LEVEL I SA: OUTPATIENT INDIVIDUAL THERAPY - Adult Definition The following is based on the Adult Criteria of the Patient Placement Criteria for the Treatment of Substance-Related Disorders of the American
Mental Illness and Substance Abuse. Eric Goldberg D.O.
Mental Illness and Substance Abuse Eric Goldberg D.O. Objectives Item 1 Define and understand Co-Occurring Disorder (COD) Item 2 Item 3 Item 4 Define substance abuse, substance dependence and, Substance
Co-Occurring Disorders: A Basic Overview
Co-Occurring Disorders: A Basic Overview What is meant by Co-Occurring Disorders (COD)? Co-Occurring Disorders (COD) refers to two diagnosable problems that are inter-related and occur simultaneously in
Clinical Training Guidelines for Co-occurring Mental Health and Substance Use Disorders
Winnipeg Region Co-occurring Disorders Initiative Clinical Training Guidelines for Co-occurring Mental and Substance Use Disorders September 2003 Clinical Training Guidelines for Co-occurring Mental and
Integrating Treatment for Co-Occurring Disorders. Brought to you by:
Integrating Treatment for Co-Occurring Disorders Brought to you by: Today s Moderators Marty Harding Director of Training and Consultation Hazelden Publishing Gerald McCleery, Ph.D VP for Business Development
CRITERIA CHECKLIST. Serious Mental Illness (SMI)
Serious Mental Illness (SMI) SMI determination is based on the age of the individual, functional impairment, duration of the disorder and the diagnoses. Adults must meet all of the following five criteria:
Mental Health Ombudsman Training Manual. Advocacy and the Adult Home Resident. Module V: Substance Abuse and Common Mental Health Disorders
Mental Health Ombudsman Training Manual Advocacy and the Adult Home Resident Module V: Substance Abuse and Common Mental Health Disorders S WEHRY 2004 Goals Increase personal comfort and confidence Increase
Understanding Stress, Anxiety, Depression & Burnout
Understanding Stress, Anxiety, Depression & Burnout Data Deliver over 18,000 hours of counselling and psychological assessments mental health trends emerge. Depression drives the most cases as primary
Conceptual Models of Substance Use
Conceptual Models of Substance Use Different causal factors emphasized Different interventions based on conceptual models 1 Developing a Conceptual Model What is the nature of the disorder? Why causes
Dual diagnosis: working together
Dual diagnosis: working together Tom Carnwath RCGP conference Birmingham 2007 DSM-IV & cocaine Cocaine intoxication Cocaine withdrawal Cocaine-induced sleep disorder Cocaine-induced sexual dysfunction
5. The average alcoholic dies years earlier than he or she would otherwise. 6. It is said that alcoholic patients have two sides. What are they?
Chapter One Study Guide - Help for Alcoholics This Key Study Guide is to be used as study guide for Course 414: Help for Alcoholics. Use this guide to take chapter and submit to your instructor as directed.
LEVEL III.5 SA: SHORT TERM RESIDENTIAL - Adult (DUAL DIAGNOSIS CAPABLE)
LEVEL III.5 SA: SHT TERM RESIDENTIAL - Adult (DUAL DIAGNOSIS CAPABLE) Definition The following is based on the Adult Criteria of the Patient Placement Criteria for the Treatment of Substance-Related Disorders
Mental Health 101 for Criminal Justice Professionals David A. D Amora, M.S.
Mental Health 101 for Criminal Justice Professionals David A. D Amora, M.S. Director, National Initiatives, Council of State Governments Justice Center Today s Presentation The Behavioral Health System
Building the Continuum of Integrated Treatment for Co-Occurring Disorders 2015 AMHCA CONFERENCE PHILADELPHIA, PA
Building the Continuum of Integrated Treatment for Co-Occurring Disorders 2015 AMHCA CONFERENCE PHILADELPHIA, PA 1 THE AFFORDABLE CARE ACT The Patient Protection and Affordable Care Act (ACA) aims to expand
2) Recurrent emotional abuse. 3) Contact sexual abuse. 4) An alcohol and/or drug abuser in the household. 5) An incarcerated household member
Co Occurring Disorders and the on Children: Effectively Working with Families Affected by Substance Abuse and Mental Illness Definition (Co-Occurring also called Dual Dx) A professional diagnosis of addictive/substance
Washington State Regional Support Network (RSN)
Access to Care Standards 11/25/03 Eligibility Requirements for Authorization of Services for Medicaid Adults & Medicaid Older Adults Please note: The following standards reflect the most restrictive authorization
9/25/2015. Parallels between Treatment Models 2. Parallels between Treatment Models. Integrated Dual Disorder Treatment and Co-occurring Disorders
Integrated Dual Disorder Treatment and Co-occurring Disorders RANDI TOLLIVER, PHD HEARTLAND HEALTH OUTREACH, INC. ILLINOIS ASSOCIATION OF PROBLEM-SOLVING COURTS OCTOBER 8, 2015 SPRINGFIELD, IL Parallels
Substance Abuse and Serious Mental Illness (SMI)
(SMI) Topics > What is a dual diagnosis > Warning Signs > Causes > Risk Factors > Substance Abuse with Serious (SMI) and Serious and Persistent (SPMI) > Relationship Between Substance Use and > Types of
4.401 Substance Use Partial Hospitalization Program (Adults and Adolescents)
4.40 STRUCTURED DAY TREATMENT SERVICES 4.401 Substance Use Partial Hospitalization Program (Adults and Adolescents) Description of Services: Substance use partial hospitalization is a nonresidential treatment
Working with young people who have mental health and substance use issues. Samar Zakaria
Working with young people who have mental health and substance use issues. Samar Zakaria Main points Challenges faced while treating young adults in a dual diagnosis rehab unit Define dual diagnosis in
Handout for. A Videotaped Lecture Produced by:
Handout for DUAL DIAGNOSIS: An Integrated Model for the Treatment of People with Co-occurring Psychiatric and Substance Disorders in Managed Care Systems Kenneth Minkoff, M.D. A Videotaped Lecture Produced
Mental Health Needs Assessment Personality Disorder Prevalence and models of care
Mental Health Needs Assessment Personality Disorder Prevalence and models of care Introduction and definitions Personality disorders are a complex group of conditions identified through how an individual
Management of depression in young people
Management of depression in young people A guide for primary care health professionals For young people not in immediate danger of suicidal behaviour, management of major depressive disorder is likely
Identifying and Treating Dual-Diagnosed Substance Use and Mental Health Disorders. Presented by: Carrie Terrill, LCDC
Identifying and Treating Dual-Diagnosed Substance Use and Mental Health Disorders Presented by: Carrie Terrill, LCDC Overview What is Dual Diagnosis? How Common is Dual Diagnosis? What are Substance Use
Test Content Outline Effective Date: October 25, 2014. Psychiatric and Mental Health Nursing Board Certification Examination
Board Certification Examination There are 175 questions on this examination. Of these, 150 are scored questions and 25 are pretest questions that are not scored. Pretest questions are used to determine
ADOLESCENT CO-OCCURRING DISORDERS: TREATMENT TRENDS AND GUIDELINES AMANDA ALKEMA, LCSW BECKY KING, LCSW ERIC TADEHARA, LCSW
ADOLESCENT CO-OCCURRING DISORDERS: TREATMENT TRENDS AND GUIDELINES AMANDA ALKEMA, LCSW BECKY KING, LCSW ERIC TADEHARA, LCSW INTRODUCTION OBJECTIVES National and Utah Statistics Best Practice Guidelines
Depression and Bipolar Disorder
The Canadian Mental Health Association (CMHA) is a nation-wide, charitable organization that promotes the mental health of all and supports the resilience and recovery of people experiencing mental illness.
DIAGNOSIS, ASSESSMENT, AND TREATMENT PLANNING COUN 550 Fall 2013 Syllabus. Course and Instructor
DIAGNOSIS, ASSESSMENT, AND TREATMENT PLANNING COUN 550 Fall 2013 Syllabus Course and Instructor Instructors: Dr. Barry Watts, LCPC Office hours: by appointment barry@bvcounseling.com Course Number: COUN
MOVING TOWARD EVIDENCE-BASED PRACTICE FOR ADDICTION TREATMENT
MOVING TOWARD EVIDENCE-BASED PRACTICE FOR ADDICTION TREATMENT June, 2014 Dean L. Babcock, LCAC, LCSW Associate Vice President Eskenazi Health Midtown Community Mental Health Centers Why is Evidence-Based
Falling Between Two Stools. Dual Diagnosis: The need for multidisciplinary awareness and cooperation. Eoin Stephens
Falling Between Two Stools Dual Diagnosis: The need for multidisciplinary awareness and cooperation Eoin Stephens PCI College Dual Diagnosis Ireland www.pcicollege.ie www.dualdiagnosis.ie Dual Diagnosis
Mental Health and Substance Use: Concurrent Disorders Capacity and Harm Reduction
Mental Health and Substance Use: Concurrent Disorders Capacity and Harm Reduction 2012 Ontario Harm Reduction Conference Allison Potts, MSW, RSW Concurrent Disorders System Integration Lead Mental Health
SOMERSET DUAL DIAGNOSIS PROTOCOL OCTOBER 2011
SOMERSET DUAL DIAGNOSIS PROTOCOL OCTOBER 2011 This document is intended to be used with the Somerset Dual Diagnosis Operational Working guide. This document provides principles governing joint working
Agency of Human Services
Agency of Human Services Practice Guidelines for the Identification and Treatment of Co-occurring Mental Health and Substance Abuse Issues In Children, Youth and Families The Vermont Practice Guidelines
ADVANCED BEHAVIORAL HEALTH, INC. Clinical Level of Care Guidelines - 2015
The Clinical Level of Care Guidelines contained on the following pages have been developed as a guide to assist care managers, physicians and providers in making medical necessity decisions about the least
ABOUT US. and Expressive Therapy (Dance/Movement, Art, Drama) in addition to individual, group and family therapy by skilled therapists.
ABOUT US n Riveredge Hospital maintains the treatment philosophy of Trauma Informed Care. n Our commitment to providing the highest quality of care includes offering Animal Assisted Therapy, and Expressive
Schizoaffective disorder
Schizoaffective disorder Dr.Varunee Mekareeya,M.D.,FRCPsychT Schizoaffective disorder is a psychiatric disorder that affects about 0.5 to 0.8 percent of the population. It is characterized by disordered
WORKERS COMPENSATION PROTOCOLS WHEN PRIMARY INJURY IS PSYCHIATRIC/PSYCHOLOGICAL
WORKERS COMPENSATION PROTOCOLS WHEN PRIMARY INJURY IS PSYCHIATRIC/PSYCHOLOGICAL General Guidelines for Treatment of Compensable Injuries Patient must have a diagnosed mental illness as defined by DSM-5
Assessment of depression in adults in primary care
Assessment of depression in adults in primary care Adapted from: Identification of Common Mental Disorders and Management of Depression in Primary care. New Zealand Guidelines Group 1 The questions and
Dikran J. Martin Introduction to Psychology. Lecture Series: Chapter 15 Psychological Disorders Pages: 26
Dikran J. Martin Introduction to Psychology Name: Date: Lecture Series: Chapter 15 Psychological Disorders Pages: 26 TEXT: Lefton, Lester A. and Brannon, Linda (2003). PSYCHOLOGY. (Eighth Edition.) Needham
mental health-substance use
mental health-substance use recognition and effective responses from General Practice Gary Croton Eastern Hume Dual Diagnosis Service www.dualdiagnosis.org.au This talk: 25 minutes The territory 5 minutes
Mental Health and Stress Management
Mental Health and Stress Management In recent years, psychologists have become more interested in positive psychology Focus on positive emotions, characteristics, strengths, and conditions that create
Addiction: Disease or Choice?
Addiction: Disease or Choice? Presented by Michael Coughlin RN October 18, 2012 Introduced by Melanie Willows B.Sc. M.D. C.C.F.P. C.A.S.A.M. C.C.S.A.M. Assistant Professor University Of Ottawa Clinical
Treating Co-Occurring Disorders. Stevie Hansen, B.A., LCDC, NCACI Chief, Addiction Services
Treating Co-Occurring Disorders Stevie Hansen, B.A., LCDC, NCACI Chief, Addiction Services Implementing SAMHSA Evidence-Based Practice Toolkits Integrated Dual Diagnosis Treatment (IDDT) Target group:
SYLLABUS. TITLE: Counseling Techniques
CODE: PSYC 215 TITLE: Counseling Techniques INSTITUTE: Business and Social Sciences DEPARTMENT: Psychology COURSE DESCRIPTION: Students will study and practice basic strategies for helping within the context
Children, youth and families with co-occurring mental health and substance abuse issues are welcomed in every contact, and in every setting.
Practice Guidelines for the Identification and Treatment of Co-occurring Mental Health and Substance Abuse Issues In Children, Youth and Families June, 2008 This document is adapted from The Vermont Practice
Abnormal Psychology PSY-350-TE
Abnormal Psychology PSY-350-TE This TECEP tests the material usually taught in a one-semester course in abnormal psychology. It focuses on the causes of abnormality, the different forms of abnormal behavior,
Unit 4: Personality, Psychological Disorders, and Treatment
Unit 4: Personality, Psychological Disorders, and Treatment Learning Objective 1 (pp. 131-132): Personality, The Trait Approach 1. How do psychologists generally view personality? 2. What is the focus
Personality Disorders (PD) Summary (print version)
Personality Disorders (PD) Summary (print version) 1/ Definition A Personality Disorder is an abnormal, extreme and persistent variation from the normal (statistical) range of one or more personality attributes
Who We Serve Adults with severe and persistent mental illnesses such as schizophrenia, bipolar disorder and major depression.
We Serve Adults with severe and persistent mental illnesses such as schizophrenia, bipolar disorder and major depression. We Do Provide a comprehensive individually tailored group treatment program in
Supports for Professionals. and Mental Health Issues. Dublin, 28 th January 2010
Supports for Professionals working with Substance Abuse and Mental Health Issues Dublin, 28 th January 2010 Eoin Stephens MA, MIACP, MIAAAC President, PCI College Co-founder, Dual Diagnosis Ireland Supports
INPATIENT SERVICES. Inpatient Mental Health Services (Adult/Child/Adolescent)
INPATIENT SERVICES Inpatient Mental Health Services (Adult/Child/Adolescent) Acute Inpatient Mental Health Services represent the most intensive level of psychiatric care and is delivered in a licensed
Integrating Dual Diagnosis Treatment: Achieving Positive Public Safety and Public Health Outcomes for Offenders with Co- Occurring Disorders
Integrating Dual Diagnosis Treatment: Achieving Positive Public Safety and Public Health Outcomes for Offenders with Co- Occurring Disorders Fred Osher, M.D. Director, Health Systems and Services Policy
CO-OCCURRING DISORDERS. Michaelene Spence MA LADC 8/8/12
CO-OCCURRING DISORDERS Michaelene Spence MA LADC 8/8/12 Activity Chemical Health? Mental Health? Video- What is Addiction HBO Terminology MI/CD: Mental Illness/Chemical Dependency IDDT: Integrated Dual
Provider Training. Behavioral Health Screening, Referral, and Coding Requirements
Provider Training Behavioral Health Screening, Referral, and Coding Requirements Training Outline I. Behavioral Health Screening Requirements and Referrals II. Healthy Behaviors Substance and Alcohol Abuse
Bipolar Disorder Clinical Practice Guideline Summary for Primary Care
Bipolar Disorder Clinical Practice Guideline Summary for Primary Care DIAGNOSIS AND CLINICAL ASSESSMENT Bipolar Disorder is categorized by extreme mood cycling; manifested by periods of euphoria, grandiosity,
Dual Diagnosis in Addiction & Mental Health. users, family & friends
Dual Diagnosis in Addiction & Mental Health An introduction for Service users, family & friends You walk down the street and collapse. The hospital diagnoses a broken leg which is treated and fixed Yet
Substance Abuse and Sexual Violence:
Substance Abuse and Sexual Violence: The Need for Integration When Treating Survivors Kelli Hood, M.A. Objective To understand the necessity for therapeutic strategies in clients with cooccurring Substance
C HAPTER 9 T RAUMA AND P OST-TRAUMATIC S TRESS D ISORDER IN P ATIENTS W ITH HIV/AIDS
C HAPTER 9 T RAUMA AND P OST-TRAUMATIC S TRESS D ISORDER IN P ATIENTS W ITH HIV/AIDS Exposure to a traumatic event is normally accompanied by distress. For most individuals such distress resolves spontaneously
DSM-5: A Comprehensive Overview
1) The original DSM was published in a) 1942 b) 1952 c) 1962 d) 1972 DSM-5: A Comprehensive Overview 2) The DSM provides all the following EXCEPT a) Guidelines for the treatment of identified disorders
Dual Diagnosis Nursing Care: Treating the Patient with Co-Occurring Addiction & Mental Health Disorders. Deborah Koivula R.N.
Dual Diagnosis Nursing Care: Treating the Patient with Co-Occurring Addiction & Mental Health Disorders. Deborah Koivula R.N. Webinar Overview & Objectives I. Review current trends in co-occurring disorders
The Field of Counseling. Veterans Administration one of the most honorable places to practice counseling is with the
Gainful Employment Information The Field of Counseling Job Outlook Veterans Administration one of the most honorable places to practice counseling is with the VA. Over recent years, the Veteran s Administration
County of San Diego Health and Human Services Agency (HHSA) Mental Health Services Policies and Procedures MHS General Administration
MHS FINAL Subject: Referenc Specialty for Clients with Co-occurring CCR Title 9; Co-occurring Psychiatric and Substance Abuse Disorders Consensus Document No: 01-02-205 Formerly: 01-06-117 Page: 1 of 7
Presently, there are no means of preventing bipolar disorder. However, there are ways of preventing future episodes: 1
What is bipolar disorder? There are two main types of bipolar illness: bipolar I and bipolar II. In bipolar I, the symptoms include at least one lifetime episode of mania a period of unusually elevated
Delivery of Tobacco Dependence Treatment for Tobacco Users with Mental Illness and Substance Use Disorders (MISUD)
Delivery of Tobacco Dependence Treatment for Tobacco Users with Mental Illness and Substance Use Disorders (MISUD) Learning Objectives Upon completion of this module, you should be able to: Describe how
Clinical Perspective on Continuum of Care in Co-Occurring Addiction and Severe Mental Illness. Oleg D. Tarkovsky, MA, LCPC
Clinical Perspective on Continuum of Care in Co-Occurring Addiction and Severe Mental Illness Oleg D. Tarkovsky, MA, LCPC SAMHSA Definition Co-occurring disorders may include any combination of two or
Location of Service: 707 Broadway NE # 500, Albuquerque NM 87102
Department: Service Name: Type of Service: Out Patient Services NMS Outpatient Services Mental Health Out Patient Services Location of Service: 707 Broadway NE # 500, Albuquerque NM 87102 Description of
treatment effectiveness and, in most instances, to result in successful treatment outcomes.
Key Elements of Treatment Planning for Clients with Co Occurring Substance Abuse and Mental Health Disorders (COD) [Treatment Improvement Protocol, TIP 42: SAMHSA/CSAT] For purposes of this TIP, co occurring
Going crazy a reasonable response to domestic violence? The relationship between mental illness and domestic violence.
Going crazy a reasonable response to domestic violence? The relationship between mental illness and domestic violence. Introduction Recent research into the relationship between domestic violence and mental
American Society of Addiction Medicine
American Society of Addiction Medicine Public Policy Statement on Treatment for Alcohol and Other Drug Addiction 1 I. General Definitions of Addiction Treatment Addiction Treatment is the use of any planned,
Performance Standards
Performance Standards Co-Occurring Disorder Competency Performance Standards are intended to provide a foundation and serve as a tool to promote continuous quality improvement and progression toward best
Obsessive-Compulsive Disorder Clinical Practice Guideline Summary for Primary Care
Obsessive-Compulsive Disorder Clinical Practice Guideline Summary for Primary Care CLINICAL ASSESSMENT AND DIAGNOSIS (ADULTS) Obsessive-Compulsive Disorder (OCD) is categorized by recurrent obsessions,
ASAM 101: How to complete the ASAM Placement Form
ASAM 101: How to complete the ASAM Placement Form What is the ASAM? The ASAM Placement Form is a document required by contract The ASAM Form is an ASSESSMENT tool as well as a PLACEMENT tool It seeks to
NCPTSD: Mission and Vision Mission: To promote the best clinical care and functional status of Veterans through research, education, and training rela
Questions and Answers about PTSD: Posttraumatic Stress Disorder Laurie Slone, PhD Associate Director for Research and Education NCPTSD: Mission and Vision Mission: To promote the best clinical care and
Scope of Services provided by the Mental Health Service Line (2015)
Scope of Services provided by the Mental Health Service Line (2015) The Mental Health Service line provides services to Veterans with a wide variety of mental health needs at its main facility in Des Moines
Wesley Mental Health. Depression and Anxiety Programs. Wesley Hospital Ashfield. Journey together
Wesley Mental Health Depression and Anxiety Programs Wesley Hospital Ashfield Journey together Mission Continuing the work of Jesus Christ in Word and deed Wesley Mission is an organisation with a long
Dual Diagnosis Capability
Checklist: Dual Diagnosis Capability Agency / Service Level A tool for any Mental Health or Substance Treatment service to self-assess, reflect on and plan around their service s level of dual diagnosis
Sunderland Psychological Wellbeing Service
Sunderland Psychological Wellbeing Service Information for Referrers Offering a range of psychological therapies across Sunderland. To make a referral call 0191 566 5454 A partnership between Northumberland,
seeking the certification education requirements as an Addiction Counselor through either the
180-Hour Training Series: Addiction Counselor Program The Addiction Certification Program is designed to provide the coursework necessary for those Evidence-Based & Best Practices seeking the certification
[KQ 804] FEBRUARY 2007 Sub. Code: 9105
[KQ 804] FEBRUARY 2007 Sub. Code: 9105 (Revised Regulations) Theory : Two hours and forty minutes Q.P. Code: 419105 Maximum : 100 marks Theory : 80 marks M.C.Q. : Twenty minutes M.C.Q. : 20 marks 1. A
2014 FLORIDA SUBSTANCE ABUSE LEVEL OF CARE CLINICAL CRITERIA
2014 FLORIDA SUBSTANCE ABUSE LEVEL OF CARE CLINICAL CRITERIA SUBSTANCE ABUSE LEVEL OF CARE CLINICAL CRITERIA Overview Psychcare strives to provide quality care in the least restrictive environment. An
Psychosis Psychosis-substance use Bipolar Affective Disorder Programmes EASY JCEP EPISO Prodrome
Dr. May Lam Assistant Professor, Department of Psychiatry, The University of Hong Kong Psychosis Psychosis-substance use Bipolar Affective Disorder Programmes EASY JCEP EPISO Prodrome a mental state in
Psychiatric Day Rehabilitation MH - Adult
Psychiatric Day Rehabilitation MH - Adult Definition Day Rehabilitation services are designed to provide individualized treatment and recovery, inclusive of psychiatric rehabilitation and support for clients
AH: Welcome to today s #AHchat! Our topic is Alcohol Complications for those struggling with Dual Diagnosis Issues
Tweet Chat Script from Andre Evans of Sovereign Health Treatment Center discussing Alcohol Complications for Those Struggling with Dual Diagnosis February 12, 2015 AH: Welcome to today s #AHchat! Our topic
Children s Community Health Plan INTENSIVE IN-HOME MENTAL HEALTH / SUBSTANCE ABUSE SERVICES ASSESSMENT AND RECOVERY / TREATMENT PLAN ATTACHMENT
Children s Community Health Plan INTENSIVE IN-HOME MENTAL HEALTH / SUBSTANCE ABUSE SERVICES ASSESSMENT AND RECOVERY / TREATMENT PLAN ATTACHMENT Please fax with CCHP prior authorization form to 608-252-0853
Community, Schools, Cyberspace and Peers. Community Mental Health Centers (Managing Risks and Challenges) (Initial Identification)
Community Mental Health Centers (Managing Risks and Challenges) Inpatient Hospitalization (New Hampshire Hospital) (Assessment, Treatment Planning/Discharge) Community, Schools, Cyberspace and Peers (Initial
Investigations Involving Victims Engaged in High Risk Behaviors
Investigations Involving Victims Engaged in High Risk Behaviors Catherine Johnson North Carolina Justice Academy (828) 685-3600 X223 office (816) 588-6380 cell CJJohnson@ncdoj.gov The Accused Training