Publications

Gender Specific Issues in Working With Women: A Holistic Approach
Colleen Clark, Ph.D Florida Mental Health Institute Tampa, Florida One of the newest buzzwords in mental health and substance abuse these days is ?gender-specific? programming. What most people are really talking about are research, programs, training, and treatment for women that are based on a deeper understanding of women. In the past it has been assumed that ?one size fits all.? One approach was to design all programs for men and women and ignore differences....
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Proper Assessment and Diagnosis for Dual Diagnosis Clientele
T.V. Boscarelli, C.A.D.A.C., C.C.S.; Director of Adult Treatment Services - The Council on Alcoholism and Drug Abuse Santa Barbara So much has been written and wrangled about treatment for dual diagnosis clients. Recently, over a two month period, the topic, ?Which Came First, the Chicken Or the Egg? brought tremendous response to a national dual diagnosis website. The debate centered, of course, on whether substance abuse caused mental illness, or mental illness caused...
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Promising Treatments for Dual Diagnosis
Brian E. Bride, Ph.D.; Bethany G. Womack, B.A.; Samuel A. MacMaster, Ph.D. In recent years, research supported by the National Institutes of Drug Abuse (NIDA, 1999) has identified a variety of treatment approaches that have been found to be effective in the treatment of drug addiction. A number of those approaches are adaptable to the treatment of individuals with co-occurring disorders in a variety of settings. The purpose of this article is to provide a brief...
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Advocating Positive Change & in the Treatment of Dual Disorders
Sheryl McCormick, Advocacy Coordinator Dual Diagnosis Recovery Network If the system that treats and supports persons with dual disorders is not providing what is necessary to achieve the best quality of life possible, we each bear a responsibility to do something to improve the situation. Can anyone honestly say that he or she is satisfied with the present treatment and support structures in place across the country for consumers and their families? Is everyone who...
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The Double Demons of Depression and Addiction
Dennis C. Daley, Ph.D One of the most moving talks I ever heard was given by former U.S. Senator George McGovern. He spoke eloquently about his daughter Terry, who had both alcoholism and depression. He gave a detailed account of all that he, his wife and many others did to help Terry recover, only to be shocked and saddened late one December evening when a police officer and minister came to his home to tell the McGoverns that Terry was dead. She had gotten drunk,...
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Improved Outcome And Quality of Life in dual recovery patients receiving case management
Patients with co-occurring substance abuse and mental illness present significant challenges to their counselors and doctors. The Harris County Dual Disorders Project has shown that case managers can add to the effectiveness of the treatment team. In this study, patients who were followed by case managers significantly reduced their utilization of expensive psychiatric resources; the savings to the public agency more than made up the salaries of the case managers, and freed up...
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Dual Recovery Self-Help Support (Part Two)
Dual Recovery Self-Help Support (Part Two) Integrating Dual Recovery by Tim Hamilton Dual Recovery Movement In recent years several new dual recovery twelve-step fellowships have been established. Currently, the fellowships continue to grow and are gaining wider national recognition. Today, meetings are held in both community and agency settings in the United States, Canada and abroad. The purpose of this series is...
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Assessment and Treatment of Patients with Co-Occurring Psychiatric and Substance Abuse Disorders
Annelle B. Primm, M.D., MPH, Director - Community Services, Johns Hopkins Medicine Recent epidemiologic surveys show that more than 10 million Americans have co-existing substance-related and mental health disorders (SAMHSA Report, 1996). Several researchers pointed out that patients with comorbidity have poorer outcomes than those with single diagnoses, such as increasing psychiatric symptoms, homelessness, higher risk for relapse, institutionalization, worse...
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Harm Reduction Therapy for Co-occurring Disorders
George A. Parks, Ph.D., Britt K. Anderson, Ph.D., G. Alan Marlatt, Ph.D. Co-Occurring Disorders and the Practice of Psychology Epidemiological research indicates psycho-active substance use is the most prevalent Axis I disorder. In addition, drug and alcohol problems are the most frequent comorbid condition associated with other mental disorders making accurate assessment and effective treatment of these psycho-logical problems more difficult....
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Dual Diagnosis: Dilemmas in Assessment and What's New in the Revised ASAM Patient Placement Criteria
David Mee-Lee, M.D., Assistant Clinical Professor, University of California at Davis School of Medicine, Department of Psychiatry Dilemmas and disagreements about the assessment of persons with dual psychiatric and substance-related disorders frequently revolve around whether to approach the person as suffering from an addiction disorder or a mental health disorder or both. The challenge is to be guided by assessment principles that see the ?dual? in dual diagnosis not...
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