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Previous Issues
An Integrated Model for the Treatment of People with Co-occurring Psychiatric and Substance Disorders by Kenneth Minkoff, M.D.; Choate Health Management, Woburn, Massachusetts, USA Mental illness and addiction frequently occur together but have traditionally been treated separately ? often in isolation and unsuccessfully. Dr. Kenneth Minkoff, a dynamic speaker and nationally known expert in dual diagnosis, outlines how care can be integrated despite differences in...
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Co-occurring Psychiatric and Substance Disorders
By Norman G. Hoffmann, Ph.D.; Todd W. Estroff, M.D.; Susan D. Wallace, M.S., LCDS Prevalence Concerns Varying studies addressing prevalence of co-occurring conditions suggest that the majority of adults seeking either mental health services or treatment for substance dependence manifest corresponding co-occurring mental health or substance use disorders (Lehman, Myers, Corty, & Thompson, 1994; Hien, Zimberg, Weisman, First, & Ackerman, 1997; Milling,...
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Co-Occurring Disorders Among Adolescent Treatment Populations
Update from CSAT's Co-Occurring and Other Functional Disorders Cluster Group SAMHSA?s Center for Substance Abuse Treatment (CSAT) provides funding for many innovative treatment activities across the United States. One CSAT initiative that is having a significant impact in closing the national treatment gap is the Targeted Capacity Expansion Program (TCE). Within the TCE program, CSAT requires each grantee to collect specific accountability data and to produce research...
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CSAT's Co-Occurring and Other Functional Disorders Cluster Group
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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Gender Specific Issues in Working With Women: A Holistic Approach
by John Bradshaw Many neuroses and addictions are rooted in traumatic abuse and the changes in brain chemistry that result from such abuse. The National Center for Post Traumatic Stress Disorder completed a 10-year study on the effects of PTSD. Among other things, this study suggested that even one catastrophic experience that occurs when one is powerless is enough to permanently change the victim?s brain chemistry. A catastrophic experience may be quite different for...
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Traumatic Abuse, Depression and Addictiveness
by Pam Raby, MSSW; Thomas W. Doub, Ph.D.; Michael Cartwright While the concept of integrated treatment is increasingly recognized as preferential over sequential and parallel models for individuals with co-occurring disorders, research and attendant documentation on integrated approaches is still in an infancy stage. Hence, providers continue to aspire to operationalize what it means to deliver practice-based integrated services. Foundations Associates, based in...
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Techniques in an Integrated Residential Service Model
by Michele J. Eliason, Ph.D. and Stephan Arndt, Ph.D. As substance abuse treatment professionals recognize that the majority of their clients have co-occurring disorders, they are seeking better treatment approaches to address the needs of these clients (Helzer & Pryzbeck, 1988; Regier et al, 1990; Ross, 1995). There are several barriers to implementing more effective treatment. For example, there is no one acknowledged "best" practice for clients with...
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Co-Occurring Disorders Initiatives in the Iowa Practice Improvement Collaborative
Annelle B. Primm, M.D., MPH, Director Community Services, Johns Hopkins Medicine George A. Parks, Ph.D., Britt K. Anderson, Ph.D., G. Alan Marlatt, Ph.D. Cardwell C. Nuckols,...
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Volume 1, Edition 3
by Tim Hamilton New Self-Help Over a decade ago, men and women in dual recovery began forming new self-help programs in various regions of the country. Gradually, several organizations independently developed their own twelve step approaches and began to provide meetings. Today, these organizations include, Double Trouble in Recovery, Dual Disorders Anonymous, and Dual Recovery Anonymous. Currently, dual recovery self-help meetings are being held in agency...
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