Working with young people who have mental health and substance use issues. Samar Zakaria

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Working with young people who have mental health and substance use issues. Samar Zakaria"

Transcription

1 Working with young people who have mental health and substance use issues. Samar Zakaria

2 Main points Challenges faced while treating young adults in a dual diagnosis rehab unit Define dual diagnosis in this context Describe the dual diagnosis rehab service Name the challenges currently faced

3 Objectives Describe the challenges faced by young adults with a dual diagnosis Explore the potential complications of substance use Discuss harm reduction approaches to supporting young adults in their recovery journey

4 Co occurring Disorders Dual diagnosis is a term used to refer to coexisting conditions. This is also sometimes referred to comorbidity. Today we are specifically referring to the existence of a mental disorder or illness and a substance use disorder (licit and /or illicit drugs).

5 Definition of comorbidity Comorbidity refers to : Situations where people have problems related both to their use of substances (from hazardous through to harmful use and/or dependence) and to their mental health (from problematic symptoms through to highly prevalent conditions, such as, depression and anxiety, to the low prevalence disorders such as psychosis). The NSW Clinical Guidelines for the Care of Persons with Comorbid Mental Illness and Substance Use Disorders in Acute Care Settings 2009 pg7

6 Dual Diagnosis Service Inpatient service patients are admitted under the Mental Health Act; usually referred from community mental health services or other inpatient acute mental health services years of age Rehabilitation inpatient rehabilitation offered during assessment (even though patients will be under the Mental Health Act). Willingness to attend program activities is an important stage of treatment.

7 Dual Diagnosis Service cont. Treatment resistant Schizophrenia usually about to work up for Clozapine or may be in early days of treatment. Or may require review of current treatment. Substance abuse or dependence history of continued substance use/ abuse/ dependence complicating management / treatment

8 Harms associated with a Dual Diagnosis Poorer physical health Poorer social and occupational functioning Greater drug use severity Increased risk of self harm and suicide Poorer mental health Increased homelessness Increased risk of violence Increased stress on relationships One person, diverse needs: living with mental health and alcohol and drug difficulties. National Mental Health Commission s report card on mental health and suicide prevention. A review of best practice produced by the NHMRC Centre of Research Excellence in Mental Health and Substance Use

9 We see Greater symptom severity and polydrug use, repeated hospital admissions. As well as poorer social and interpersonal functioning. Greater instability with accommodation and homelessness. Increased risk of relapse.

10 Main points Providing a safe and therapeutic environment for young adults with a dual diagnosis to continue along their recovery journey Mental Health Act Mental Health Review Tribunal Drug and alcohol philosophy The individual recovery journey

11 Main points Information on the use of harm reduction strategies to support the recovery journey Define recovery Describe harm reduction strategies currently used Name the challenges faced

12 Harm Reduction/Minimisation Harm reduction is a set of practical strategies that reduce negative consequences of substance use and mental illness This includes methods of safer use to managed use to abstinence Offer of pharmacotherapy / assist through pharmacology

13 Recovery as a concept Personal view Individual experience A journey Gaining hope Self determination Social identity Self management Living a meaningful life

14 Main Points Challenges Inpatient, locked/contained environment Continued substance use Active psychosis No smoking policy Risk of aggression

15 Continued Substance Use Complicates treatment Medication compliance Prolonged active psychosis Lower level of engagement in offered activities Higher level of risk of aggression

16 Case Example Young man aged 23 with a history of psychosis (not well managed), substance abuse, self harm attempts, isolated, poor engagement with services (repeated admissions). Poor compliance with treatment/meds, continued substance use.

17 Case Example cont. Offer of rehab (locked unit); following is what we saw: Poor engagement Withdrawal liked his psychosis Absconding Further attempts to self harm Craving for substances

18 Challenges Abstinence is the expectation or the goal that everyone needs to strive for. Rudimentary harm reduction strategies. Community engagement Risk aversion Transition into the community Community services as hurdles

19 Opportunity Our young man Opportunity to continue on to a cottage (open) based environment Transition into the community Connection with community based services Employment opportunity

20 Progression Long term residential treatment opportunity Rehab setting Allied health input Pharmacology review MI CBT An integrated approach

SOMERSET DUAL DIAGNOSIS PROTOCOL OCTOBER 2011

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

More information

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 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

More information

Replacement. Replaces: C/YEL/cm/18 (Dual Diagnosis Policy 2011) Kenny Laing Deputy Director of Nursing

Replacement. Replaces: C/YEL/cm/18 (Dual Diagnosis Policy 2011) Kenny Laing Deputy Director of Nursing Clinical Dual Diagnosis Policy Document Control Summary Status: Replacement. Replaces: C/YEL/cm/18 (Dual Diagnosis Policy 2011) Version: v1.0 Date: March 2016 Author/Owner/Title: Kenny Laing Deputy Director

More information

information for consumers Schizophrenia & Substance Use

information for consumers Schizophrenia & Substance Use information for consumers Schizophrenia & Substance Use Schizophrenia and Substance Use Index 2 3 4 5 6 7 Why do people with schizophrenia use drugs and alcohol? How can using substances affect you if

More information

information for service providers Schizophrenia & Substance Use

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

More information

mental health-substance use

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

More information

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 Topics In Addictions and Mental Health: Concurrent disorders and Community resources Laurence Bosley, MD, FRCPC Overview Understanding concurrent disorders. Developing approaches to treatment Definitions

More information

Mental Health Services

Mental Health Services Mental Health Services At Maitland Private Hospital our team of professionals are committed to providing comprehensive assessment, treatment and support of people experiencing mental health issues. Located

More information

Improving the Rehabilitation and Recovery Service Model in Leeds

Improving the Rehabilitation and Recovery Service Model in Leeds Improving the Rehabilitation and Recovery Service Model in Leeds Presenters: Emma Brown (Care Coordinator) James Byrne (Recovery Worker Leeds Mind) Nigel Whelan (Care Coordinator) Introduction Provide

More information

Complex mental health & substance misuse Dual Diagnosis. Ian Wilson

Complex mental health & substance misuse Dual Diagnosis. Ian Wilson Complex mental health & substance misuse Dual Diagnosis Ian Wilson Aims & objectives Aim: To underline the importance of effective working with dually diagnosed clients Objectives: To define dual diagnosis

More information

Safer prisons: the challenge of mental ill-health and wider dual diagnosis. Sean Duggan, Chief Executive 21 March 2013

Safer prisons: the challenge of mental ill-health and wider dual diagnosis. Sean Duggan, Chief Executive 21 March 2013 Safer prisons: the challenge of mental ill-health and wider dual diagnosis Sean Duggan, Chief Executive 21 March 2013 Dual diagnosis Dual diagnosis can mean A primary mental health problem that provokes

More information

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 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

More information

Improving Inpatient Psychiatric Payment Methods

Improving Inpatient Psychiatric Payment Methods Improving Inpatient Psychiatric Payment Methods Donald M. Steinwachs, Ph.D Professor and Director Health Services Research and Development Center Bloomberg School of Public Health Funded by NIMH Grant

More information

EPIDEMIOLOGY OF OPIATE USE

EPIDEMIOLOGY OF OPIATE USE Opiate Dependence EPIDEMIOLOGY OF OPIATE USE Difficult to estimate true extent of opiate dependence Based on National Survey of Health and Mental Well Being: 1.2% sample used opiates in last 12 months

More information

Public Health England. Alcohol & alcohol related harm

Public Health England. Alcohol & alcohol related harm Public Health England Alcohol & alcohol related harm Mission To protect and improve the nation s health and to address inequalities, working with national and local government, the NHS, industry, academia,

More information

Building on a century of compassionate care, shaping the future of behavioral health.

Building on a century of compassionate care, shaping the future of behavioral health. Carrier Clinic has earned The Joint Commission s Gold Seal of Approval. Building on a century of compassionate care, shaping the future of behavioral health. For more than a century, Carrier Clinic has

More information

information for families Schizophrenia & Substance Use

information for families Schizophrenia & Substance Use information for families Schizophrenia & Substance Use Schizophrenia and Substance Use Index 2 3 5 6 7 8 9 10 Why do people with schizophrenia use drugs and alcohol? What is the impact of using substances

More information

Co-occurring Disorder Treatment for Substance Abuse and Compulsive Gambling

Co-occurring Disorder Treatment for Substance Abuse and Compulsive Gambling Co-occurring Disorder Treatment for Substance Abuse and Compulsive Gambling Midwest Conference on Problem Gambling and Substance Abuse 2006 Problem Gambling and Co-occurrence: Improving Practice and Managing

More information

HOPE HELP HEALING. A Place of Hope, Help and Healing Since 1910

HOPE HELP HEALING. A Place of Hope, Help and Healing Since 1910 HOPE HELP HEALING A Place of Hope, Help and Healing Since 1910 For more than a century, Carrier Clinic has opened its hearts and its doors as a trusted, sought-after place of hope, help and healing for

More information

HOPE HELP HEALING. A Place of Hope, Help and Healing Since 1910

HOPE HELP HEALING. A Place of Hope, Help and Healing Since 1910 HOPE HELP HEALING A Place of Hope, Help and Healing Since 1910 For more than a century, Carrier Clinic has opened its hearts and its doors as a trusted, sought-after place of hope, help and healing for

More information

Handout for. A Videotaped Lecture Produced by:

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

More information

Treatment of Alcoholism

Treatment of Alcoholism Treatment of Alcoholism Why is it important Prevents further to body by getting people off alcohol. Can prevent death. Helps keep health insurance down. Provides assistance so alcoholics don t t have to

More information

DUAL DIAGNOSIS PARTNERSHIP FRAMEWORK

DUAL DIAGNOSIS PARTNERSHIP FRAMEWORK DUAL DIAGNOSIS PARTNERSHIP FRAMEWORK Authors Debra Bretherton Howard Thistlethwaite Gary Nichols Roy Butterworth Yvonne Guilfoyle Acknowledgements Leeds Dual Diagnosis Network C) 2009 Lancashire Care NHS

More information

Substance Abuse & TBI

Substance Abuse & TBI Page 1 Substance Abuse & TBI John D. Corrigan, PhD Department of Physical Medicine & Rehabilitation Wexner Medical Center at The Ohio State University Financial Disclosure I have no other financial relationships

More information

RN Care Manager Assessment: The 4 Domains

RN Care Manager Assessment: The 4 Domains RN Care Manager Assessment: The 4 Domains Access to Care Experience with Provider(s) Getting Needed Services Coordination of Care Medical Home / Services Risk Medical Neighborhood Social Support Home Environment

More information

A Breakthrough Approach to Integrating Substance Use and Mental Health Treatment. Susan Whitley, MD Director of Chemical Dependency Services

A Breakthrough Approach to Integrating Substance Use and Mental Health Treatment. Susan Whitley, MD Director of Chemical Dependency Services A Breakthrough Approach to Integrating Substance Use and Mental Health Treatment Susan Whitley, MD Director of Chemical Dependency Services Date: September 17-21, 2012 In spite of the high percentage of

More information

TREATMENT MODALITIES. May, 2013

TREATMENT MODALITIES. May, 2013 TREATMENT MODALITIES May, 2013 Treatment Modalities New York State Office of Alcoholism and Substance Abuse Services (NYS OASAS) regulates the addiction treatment modalities offered in New York State.

More information

- UNDERSTANDING - Dual Diagnosis

- UNDERSTANDING - Dual Diagnosis - UNDERSTANDING - Dual Diagnosis TABLE OF CONTENTS Introduction 3 The Link Between Mental Illness and Substance Abuse 4 Characteristics of an Effective Dual Diagnosis Treatment Plan 6 Dual Diagnosis Treatment

More information

2014 FLORIDA SUBSTANCE ABUSE LEVEL OF CARE CLINICAL CRITERIA

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

More information

DUAL DIAGNOSIS PARTNERSHIP FRAMEWORK

DUAL DIAGNOSIS PARTNERSHIP FRAMEWORK DUAL DIAGNOSIS PARTNERSHIP FRAMEWORK Authors Debra Bretherton Howard Thistlethwaite Gary Nichols Roy Butterworth Yvonne Guilfoyle Acknowledgements Leeds Dual Diagnosis Network C) 2009 Lancashire Care NHS

More information

WORKING WITH THE DUAL DIAGNOSED. Presenter Cherie A. Hunter Executive Director

WORKING WITH THE DUAL DIAGNOSED. Presenter Cherie A. Hunter Executive Director WORKING WITH THE DUAL DIAGNOSED Presenter Cherie A. Hunter Executive Director VIDEO Today s Overview : At the end of the workshop participants will be able to: 1 Review the Prevalence Data 2 Understand

More information

ADVANCED BEHAVIORAL HEALTH, INC. Clinical Level of Care Guidelines - 2015

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

More information

SPECIFICATION FOR THE LOCAL COMMISSIONED SERVICE FOR THE MANAGEMENT ALCOHOL MISUSE

SPECIFICATION FOR THE LOCAL COMMISSIONED SERVICE FOR THE MANAGEMENT ALCOHOL MISUSE SPECIFICATION FOR THE LOCAL COMMISSIONED SERVICE FOR THE MANAGEMENT OF ALCOHOL MISUSE Date: March 2015 1 1. Introduction Alcohol misuse is a major public health problem in Camden with high rates of hospital

More information

Psychiatric Comorbidity in Methamphetamine-Dependent Patients

Psychiatric Comorbidity in Methamphetamine-Dependent Patients Psychiatric Comorbidity in Methamphetamine-Dependent Patients Suzette Glasner-Edwards, Ph.D. UCLA Integrated Substance Abuse Programs August11 th, 2010 Overview Comorbidity in substance users Risk factors

More information

Individual Therapies Group Therapies Family Interventions Structural Interventions Contingency Management Housing Interventions Rehabilitation

Individual Therapies Group Therapies Family Interventions Structural Interventions Contingency Management Housing Interventions Rehabilitation 1980s Early studies focused on providing integrated treatment for individuals who have dual diagnosis (adding SA counseling to community MH treatment) Early studies also showed that clients did not readily

More information

TABLE OF CONTENTS 2 10 QUESTIONS TO ASK

TABLE OF CONTENTS 2 10 QUESTIONS TO ASK TABLE OF CONTENTS Do You Offer Treatment Programs for People Who Have a Dual-Diagnosis Disorder? What Role Will My Family Play in the Rehabilitative Process? Do You Have Medical Personnel Available to

More information

MOVING TOWARD EVIDENCE-BASED PRACTICE FOR ADDICTION TREATMENT

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

More information

Health Care Service System in Thailand for Patients with Alcohol Use Disorder

Health Care Service System in Thailand for Patients with Alcohol Use Disorder Health Care Service System in Thailand for Patients with Alcohol Use Disorder Health Care Service System In Thailand Screening for alcohol use disorder and withdrawal syndrome AUDIT MAST CAGE CIWA or AWS

More information

[KQ 804] FEBRUARY 2007 Sub. Code: 9105

[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

More information

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) 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

More information

Corl Kerry - Referral and Assessment for Residential Treatment (Tier 4) Introduction Types of Tier 4 Services Services provided at Tier 4

Corl Kerry - Referral and Assessment for Residential Treatment (Tier 4) Introduction Types of Tier 4 Services Services provided at Tier 4 Corl Kerry - Referral and Assessment for Residential Treatment (Tier 4) This document seeks to name the criteria that can guide referrals to residential tier 4 facilities (Part A). It provides guidance

More information

Dual diagnosis: working together

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

More information

Simon Community Northern Ireland welcomes the opportunity to respond to the Alcohol and Drug Commissioning Framework for Northern Ireland 2013-2016

Simon Community Northern Ireland welcomes the opportunity to respond to the Alcohol and Drug Commissioning Framework for Northern Ireland 2013-2016 Simon Community Northern Ireland welcomes the opportunity to respond to the Alcohol and Drug Commissioning Framework for Northern Ireland 2013-2016 About the Simon Community Simon Community Northern Ireland

More information

AH: Welcome to today s #AHchat! Our topic is Alcohol Complications for those struggling with Dual Diagnosis Issues

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

More information

Schizoaffective Disorder

Schizoaffective Disorder FACT SHEET 10 What Is? Schizoaffective disorder is a psychiatric disorder that affects about 0.5 percent of the population (one person in every two hundred). Similar to schizophrenia, this disorder is

More information

Impact of Financial Crisis on Mental Health- June 2013. Carol Moore info@dualdiagnosis.ie

Impact of Financial Crisis on Mental Health- June 2013. Carol Moore info@dualdiagnosis.ie Impact of Financial Crisis on Mental Health- An Irish Dual Diagnosis perspective June 2013 Carol Moore info@dualdiagnosis.ie What is Dual Diagnosis? A person who has both an alcohol or drug problem and

More information

Dual Diagnosis Dr. Ian Paylor Senior Lecturer in Applied Social Science Lancaster University

Dual Diagnosis Dr. Ian Paylor Senior Lecturer in Applied Social Science Lancaster University Dual Diagnosis Dr. Ian Paylor Senior Lecturer in Applied Social Science Lancaster University Dual diagnosis has become a critical issue for both drug and mental health services. The complexity of problems

More information

Questions to Ask Each Rehab Facility. Includes Notes and Recommendations

Questions to Ask Each Rehab Facility. Includes Notes and Recommendations Questions to Ask Each Rehab Facility Includes Notes and Recommendations Finding the right rehab can be grueling. Admissions personnel are there to convince you that their program is the best. It is your

More information

Treatment for Co occurring Disorders

Treatment for Co occurring Disorders Wisconsin Public Psychiatry Network Teleconference (WPPNT) This teleconference is brought to you by the Wisconsin Department of Health Services (DHS) Bureau of Prevention, Treatment, and Recovery and the

More information

What is CCS? Eligibility

What is CCS? Eligibility What is CCS? Department of Health Services Division of Mental Health and Substance Abuse Services Bureau of Prevention, Treatment and Recovery Services Comprehensive Community Services (CCS) Comprehensive

More information

Behavioral Health Medical Necessity Criteria

Behavioral Health Medical Necessity Criteria Behavioral Health Medical Necessity Criteria Revised: 7/14/05 2 nd Revision: 9/14/06 3 rd Revision: 8/23/07 4 th Revision: 8/28/08; 11/20/08 5 th Revision: 8/27/09 Anthem Blue Cross and Blue Shield 2 Gannett

More information

Drug Treatment Considerations In The Elderly

Drug Treatment Considerations In The Elderly Drug Treatment Considerations In The Elderly by Gordon Mallarkey Download Drug Treatment Considerations In The Elderly online in pdf Here you can see related and other interesting book : Pharmacotherapy

More information

Co-Occurring Disorders

Co-Occurring Disorders 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

More information

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE Schizophrenia: core interventions in the treatment and management of schizophrenia in primary and secondary care (update) 1.1

More information

POLL. Co-occurring Disorders: the chicken or the egg. Objectives

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

More information

St. Catharines School for Girls, K.T.

St. Catharines School for Girls, K.T. St. Catharines School for Girls, K.T. Topic 2- Health and Social Care in the Local and the Global Contexts 2B Contemporary issues of vulnerability 1. Drugs additions Prepared by Yeung Yeung Wai Yi What

More information

SHARC would like thank the committee for the opportunity to appear before you today and to contribute to this important Inquiry.

SHARC would like thank the committee for the opportunity to appear before you today and to contribute to this important Inquiry. Presentation by the Self Help Addiction Resource Centre (SHARC) to the Law Reform, Drugs & Crime Prevention Committee into the Inquiry into supply and use of methamphetamines, particularly ice. Monday

More information

Topic Area - Dual Diagnosis

Topic Area - Dual Diagnosis Topic Area - Dual Diagnosis Dual Diagnosis is a challenging problem for both mental health and substance misuse services. People with mental health problems, who also suffer from substance misuse are at

More information

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 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

More information

AN OVERVIEW OF TREATMENT MODELS

AN OVERVIEW OF TREATMENT MODELS AN OVERVIEW OF TREATMENT MODELS The 12-step Programs: Self-led groups that focus on the individual s achievement of sobriety. These groups are independent, self-supported, and are not aligned with any

More information

Future Service Directions

Future Service Directions Alcohol, Tobacco and Other Drug Services Tasmania Future Service Directions A five year plan 2008/09 2012/13 Department of Health and Human Services Contents Foreword... 5 Introduction... 6 Australian

More information

a five-day medically supervised residential detoxification programme

a five-day medically supervised residential detoxification programme Substance PICU and Acute Misuse and Services Detox Services Psychiatric Cygnet Hospital Intensive Harrogate Care and Acute services a five-day medically supervised residential detoxification programme

More information

Psychiatric Residential Treatment Facility (PRTF): Aligning Care Efficiencies with Effective Treatment. BHM Healthcare Solutions 2013 1

Psychiatric Residential Treatment Facility (PRTF): Aligning Care Efficiencies with Effective Treatment. BHM Healthcare Solutions 2013 1 Psychiatric Residential Treatment Facility (PRTF): Aligning Care Efficiencies with Effective Treatment 1 Presentation Objectives Attendees will have a thorough understanding of Psychiatric Residential

More information

Mental Health Needs Assessment Personality Disorder Prevalence and models of care

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

More information

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 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

More information

Brief Review of Common Mental Illnesses and Treatment

Brief Review of Common Mental Illnesses and Treatment Brief Review of Common Mental Illnesses and Treatment Presentations to the Joint Subcommittee to Study Mental Health Services in the 21st Century September 9, 2014 Jack Barber, M.D. Medical Director Virginia

More information

Treatment of Substance Abuse and Co-occurring Disorders in JRA s Integrated Treatment Model

Treatment of Substance Abuse and Co-occurring Disorders in JRA s Integrated Treatment Model Treatment of Substance Abuse and Co-occurring Disorders in JRA s Integrated Treatment Model Henry Schmidt III, Ph.D. Cory Redman John Bolla, MA, CDP Washington State Juvenile Rehabilitation Administration

More information

Today s Topics. Session 2: Introduction to Drug Treatment. Treatment matching. Guidelines: where should a client go for treatment?

Today s Topics. Session 2: Introduction to Drug Treatment. Treatment matching. Guidelines: where should a client go for treatment? Session 2: Introduction to Drug Treatment Today s Topics Level of care determination How to know when treatment works What does treatment include Description of treatment modalities Naomi Weinstein, MPH

More information

Mental Health Fact Sheet

Mental Health Fact Sheet Mental Health Fact Sheet Substance Abuse and Treatment Branch (SATB), Community Supervision Services Re-Entry and Sanctions Center (RSC), Office of Community Justice Programs Adult Probationers / Parolees

More information

Wesley Mental Health. Drug and Alcohol Addiction Program. Wesley Hospital Ashfield. Journey together

Wesley Mental Health. Drug and Alcohol Addiction Program. Wesley Hospital Ashfield. Journey together Wesley Mental Health Drug and Alcohol Addiction Program Wesley Hospital Ashfield Journey together Mission Continuing the work of Jesus Christ in Word and deed Wesley Mission is an organisation with a long

More information

Alcohol-use disorders: alcohol dependence. Costing report. Implementing NICE guidance

Alcohol-use disorders: alcohol dependence. Costing report. Implementing NICE guidance Alcohol-use disorders: alcohol dependence Costing report Implementing NICE guidance February 2011 (February 2011) 1 of 37 NICE clinical guideline 115 This costing report accompanies the clinical guideline:

More information

Clinical Training Guidelines for Co-occurring Mental Health and Substance Use Disorders

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

More information

RN Care Manager Assessment: The 4 Domains

RN Care Manager Assessment: The 4 Domains RN Care Manager Assessment: The 4 Domains Access to Care Experience with Provider(s) Getting Needed Services Coordination of Care Medical Home / Services Risk Medical Neighborhood Social Support Home Environment

More information

3.50 CASE MANAGEMENT 3.504 Intensive Case Management (Child/Adolescent)

3.50 CASE MANAGEMENT 3.504 Intensive Case Management (Child/Adolescent) Clinical 3.50 CASE MANAGEMENT 3.504 Intensive Case Management (Child/Adolescent) Description of Services: Intensive Case Management provides for a single point of coordination/accountability in managing

More information

McLean Ambulatory Treatment Center Adult Partial Hospital and Residential Program for Alcohol and Drug Abuse 115 Mill Street Belmont, MA 02478-9106

McLean Ambulatory Treatment Center Adult Partial Hospital and Residential Program for Alcohol and Drug Abuse 115 Mill Street Belmont, MA 02478-9106 Program Description Staffed by highly experienced psychiatrists, psychologists, social workers, nurses and addiction specialists, we are committed to working collaboratively with referring providers. Program

More information

McLean Ambulatory Treatment Center Adult Partial Hospital and Residential Program for Alcohol and Drug Abuse 11 Mill Street Belmont, MA 02478-9106

McLean Ambulatory Treatment Center Adult Partial Hospital and Residential Program for Alcohol and Drug Abuse 11 Mill Street Belmont, MA 02478-9106 Program Description Staffed by highly experienced psychiatrists, psychologists, social workers, nurses and addiction specialists, we are committed to working collaboratively with referring providers. Program

More information

Opiate Addiction, Pharmacological Treatment Approaches CO-OCCURRING MENTAL HEALTH DISORDERS JOSEPH A. BEBO MA, CAGS, LADC1

Opiate Addiction, Pharmacological Treatment Approaches CO-OCCURRING MENTAL HEALTH DISORDERS JOSEPH A. BEBO MA, CAGS, LADC1 Opiate Addiction, Pharmacological Treatment Approaches CO-OCCURRING MENTAL HEALTH DISORDERS JOSEPH A. BEBO MA, CAGS, LADC1 Disclosure Statement Prevalence of Opioid Addiction 100 Individuals Die Every

More information

DUAL DIAGNOSIS PARTNERSHIP FRAMEWORK

DUAL DIAGNOSIS PARTNERSHIP FRAMEWORK DUAL DIAGNOSIS PARTNERSHIP FRAMEWORK Authors Debra Bretherton Howard Thistlethwaite Gary Nichols Roy Butterworth Yvonne Guilfoyle Acknowledgements Leeds Dual Diagnosis Network C) 2009 Lancashire Care NHS

More information

Who We Serve Adults with severe and persistent mental illnesses such as schizophrenia, bipolar disorder and major depression.

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

More information

The Department of Children and Families Substance Abuse Program

The Department of Children and Families Substance Abuse Program The Department of Children and Families Substance Abuse Program Florida Supplement To the American Society of Addiction Medicine Patient Placement Criteria For the Treatment of Substance-Related Disorders

More information

Update and Review of Medication Assisted Treatments

Update and Review of Medication Assisted Treatments Update and Review of Medication Assisted Treatments for Opiate and Alcohol Use Disorders Richard N. Whitney, MD Medical Director Addiction Services Shepherd Hill Newark, Ohio Medication Assisted Treatment

More information

Breaking Down the Barriers - Masterclass training package and modules

Breaking Down the Barriers - Masterclass training package and modules Breaking Down the Barriers - Masterclass training package and modules Assessment of a patient with urgent mental health needs in an emergency department Module 1 Module 2 Mental health awareness training

More information

Treatment Programs The Westover Model of Care

Treatment Programs The Westover Model of Care Treatment Programs The Westover Model of Care Substance Dependence Program 19 Days There is help for you or a loved one. The treatment program at Westover provides the tools you need to restore real life

More information

Wesley Mental Health. Depression and Anxiety Programs. Wesley Hospital Ashfield. Journey together

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

More information

Northside West Clinic

Northside West Clinic Northside West Clinic Contents Overview Treatments Inpatient Services Day Programs The Clinic What are the Costs? How to Get Started The Northside Group of Clinics How to Find Us Overview At some point

More information

Dual Diagnosis and Integrated Treatment of Mental Illness and Substance Abuse Disorder

Dual Diagnosis and Integrated Treatment of Mental Illness and Substance Abuse Disorder Dual Diagnosis and Integrated Treatment of Mental Illness and Substance Abuse Disorder What are dual diagnosis services? Dual diagnosis services are treatments for people who suffer from co-occurring disorders

More information

Appendix D. Behavioral Health Partnership. Adolescent/Adult Substance Abuse Guidelines

Appendix D. Behavioral Health Partnership. Adolescent/Adult Substance Abuse Guidelines Appendix D Behavioral Health Partnership Adolescent/Adult Substance Abuse Guidelines Handbook for Providers 92 ASAM CRITERIA The CT BHP utilizes the ASAM PPC-2R criteria for rendering decisions regarding

More information

Cannabis and residential treatment

Cannabis and residential treatment Cannabis and residential treatment Professor Jan Copeland Director Overview Patterns of cannabis use, dependence & treatment Withdrawal management Non-residential settings: pharmacotherapies & CBT Treatment

More information

Dual Diagnosis. Dual Diagnosis Good Practice Guidance, Dept of Health (2002);

Dual Diagnosis. Dual Diagnosis Good Practice Guidance, Dept of Health (2002); Dual Diagnosis Dual Diagnosis is a challenging problem for both mental health and substance misuse services. People with mental health problems, who also suffer from substance misuse are at an increased

More information

Counselors are standing by 24/7 waiting for your free call 1-800-861-1768 thewatershed.com

Counselors are standing by 24/7 waiting for your free call 1-800-861-1768 thewatershed.com Counselors are standing by 24/7 waiting for your free call 1-800-861-1768 thewatershed.com Believe Again in Life. In The future. In Yourself. At The Watershed, our passion is helping addicts and alcoholics

More information

The Goals of Rehab: Relapse Prevention & Sobriety

The Goals of Rehab: Relapse Prevention & Sobriety Common Drug Rehab Concerns Does drug rehab work? How do I find the right treatment program for my loved one s needs? Does my loved one need to detox prior to entering rehab? Can my loved one leave rehab

More information

Drug and Alcohol Assessment

Drug and Alcohol Assessment Drug and Alcohol Assessment Engagement the first step What is engagement? building a working relationship Showing that you care (do you?) Working towards mutually acceptable goals building rapport building

More information

Drugs PSYCHOSIS. Depression. Stress Medical Illness. Mania. Schizophrenia

Drugs PSYCHOSIS. Depression. Stress Medical Illness. Mania. Schizophrenia Drugs Stress Medical Illness PSYCHOSIS Depression Schizophrenia Mania Disorders In preschool children imaginary friends and belief in monsters under the bed is normal (it may be normal in older developmentally

More information

Parent s Guide to Choosing a Teen Treatment Center. Questions parents should think about before selecting a teen rehab

Parent s Guide to Choosing a Teen Treatment Center. Questions parents should think about before selecting a teen rehab Parent s Parent s Guide to Guide Choosing to Choosing a Teen a Teen Questions parents should think about before selecting a teen rehab Parent s Parent s Guide to Guide Choosing to Choosing a Teen a Teen

More information

Screening, Brief Intervention, and Referral to Treatment Core Curriculum

Screening, Brief Intervention, and Referral to Treatment Core Curriculum Screening, Brief Intervention, and Referral to Treatment Core Curriculum Acknowledgments The material included in this course is based largely on the works of previously funded SAMHSA grantees. Other information

More information

VAMC Durham Substance Abuse Overview: Greg Hughes, MSW, LICSW Chief, Social Work Services Population Served Approximately 50,000 unique patients served through Durham, Raleigh, Greenville and Morehead

More information

Intake Consultation and Assessment Before Detox. What Happens During Drug Detox?

Intake Consultation and Assessment Before Detox. What Happens During Drug Detox? What Happens During Drug Detox? Many addicts and alcoholics believe they can quit using substances on their own. But after a few painful and confidence-crushing failed attempts, the need for an inpatient

More information

Milton Keynes Drug and Alcohol Strategy 2014-17

Milton Keynes Drug and Alcohol Strategy 2014-17 Health and Wellbeing Board Milton Keynes Drug and Alcohol Strategy 2014-17 www.milton-keynes.gov.uk 2 Contents Foreword 4 Introduction 5 National context 6 Local context 7 Values and principles 9 Priorities

More information

Dual Diagnosis in Older Adults: Implications for Services

Dual Diagnosis in Older Adults: Implications for Services Dual Diagnosis in Older Adults: Implications for Services Adam Searby Case Manager, Caulfield Hospital Mobile Aged Psychiatry Service PhD Candidate, RMIT University, Victoria, Australia Outline Dual diagnosis

More information

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 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:

More information