By Thomas Tjornehoj “The hangovers became worse … My family was starting to recognize that I had a severe drinking problem … I didn’t care because I was so numbed by alcohol …The hidden bottles, slurred speech, sleeping all day (passed out) and isolation was a common occurrence, and I was only 22-23 years old,” […]
View ArticlesBy Kathryn Millán, MA, LPC/MHSP Neuroscience and psychology are rapidly changing fields. Every day, new research helps us understand more about the processes and biology behind mental health and addiction, so it is only natural that the terms we use to diagnose and treat them evolve as well. “Dual diagnosis” and “co-occurring disorder” are two […]
View ArticlesKeeping the dark side of a person’s life out of their obituary traditionally has been done out of respect for the deceased. Conventional wisdom says when a person is laid to rest, it’s best to lay their troubles to rest too. But more and more families are choosing to bring the addiction that killed their […]
View ArticlesA recent study published in Annals of Internal Medicine offers a shocking glimpse at just how broken our health care system is when it comes to delivering help to people battling addiction. The research showed that among 3,000 people who suffered nonfatal overdoses while being prescribed opioids for pain over a 12-year period, 91 percent […]
View ArticlesGeorge 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 […]
View ArticlesBy 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; […]
View ArticlesCardwell C. Nuckols, Ph.D.Anger, aggression and addiction are intertwined in many ways, Anger has been implicated in relapse as stated in the language of Alcoholics Anonymous. For decades the self-help programs have warned those in recovery from addiction to avoid becoming hungry, angry, lonely, and tired. These emotions are also a confounding factor in situations […]
View ArticlesDual Diagnosis An Integrated Model for the Treatment of People with Co-occurring Psychiatric and Substance Disorders, by Kenneth Minkoff, M.D. Co-Occurring Disorders Among Adolescent Treatment Populations by By Norman G. Hoffmann, Ph.D., – Todd W. Estroff, M.D., – Susan D. Wallace, M.S., LCDS COFD Update from CSAT’s Co-Occurring and Other Functional Disorders Cluster Group Gender […]
View ArticlesServing the Needs of People with Dual Disorders Joseph A. Rogers, President and CEO, Mental Health Association of Southeastern Pennsylvania Jeanie Whitecraft, Program Director, The Friends Connection The Friends Connection is a peer support and counseling program for people with mental illnesses and substance abuse disorders. On the theory that individuals with mental illnesses become […]
View ArticlesVickie Harden, CMSW As part of an initiative requested by the Tennessee Statewide Mental Health Planning Council and the Dual Diagnosis Recovery Network, providers, consumers and other stakeholders across the State of Tennessee came together for a series of meetings to address issues related to co-occurring disorders. Through this initiative, the Task Force on Co-occurrence […]
View ArticlesThe origins of the consumer/ family alcohol & drug and mental health advocacy movements Sheryl McCormick, Advocacy Coordinator The more things change, the more they stay the same. Under the banner, “The Law Must Recognize a Leading Fact: Medical Not Penal Treatment Reforms the Drunkard,” the Keeley League, a national patient mutual aid society that […]
View ArticlesColleen 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 […]
View ArticlesT.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 […]
View ArticlesBrian 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 […]
View ArticlesSheryl 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 […]
View ArticlesBy Dennis C. Daley, Ph.D Dr. Daley is Professor of Psychiatry and Social Work 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 […]
View ArticlesPatients 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 […]
View ArticlesDual 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 […]
View ArticlesDavid 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 […]
View ArticlesAndrea Flowers, Tennessee Voices for Children; Craig Anne Heflinger, Ph.D., Vanderbilt University Co-occurring mental and substance use disorders are typically not recognized or treated as a distinct problem among adolescents in TennCare or in publicly-funded treatment programs. One quarter (27%) of youth entering Tennessee’s publicly-funded treatment programs for substance use problems met the criteria for […]
View ArticlesAnnelle 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 […]
View Articlesby 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 […]
View ArticlesUpdate 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 […]
View ArticlesColleen 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 […]
View Articlesby 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 […]
View Articlesby 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 […]
View Articlesby 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 […]
View ArticlesA Consumer’s Story I am sharing my story in the hopes that I will leave a lasting gift and that it will give hope of recovery to my brothers and sisters who come after me. Let me start from the beginning. When I was about four years old, I became aware of feelings that I […]
View ArticlesThese stories have been written by consumers diagnosed with co-occurring disorders, and were published in The Dual Network Journal published by Foundations. They tell the stories of living with a dual diagnosis and the struggle to get the help they needed. Please Don’t Label Me Crazy, A Consumer’s Story My Recovery Story, A Consumer’s Story […]
View ArticlesIf you or a loved one who is suffering from addiction and mental health disorders is experiencing a crisis situation and is in need of help, please do the following: If the consumer is in immediate danger of hurting himself/herself or others: When the person in recovery may hurt himself/herself or another person, then it […]
View ArticlesApproaches to Drug Abuse Counseling U.S. Department of Health and Human Services, National Institutes of Health Introduction and Overview John J. Boren, Lisa Simon Onken, and Kathleen M. Carroll The consequences of drug and alcohol abuse in the United States are enormously costly. Although the costs can be evaluated in dollars, they are more readily […]
View ArticlesResearch and study of the brain is beginning to unlock the mystery of dual disorders. For years the psychiatric field has either ignored dual diagnosis (a dual diagnosis was impossible prior to DSM III due to exclusionary criteria and DSM I & II forbidding’ multiple diagnoses), or treated personality as the underlying cause of substance […]
View ArticlesBy Jesse Fortner My story is reflective of the struggles many substance addicts and manic-depressive types endure. I experimented with Budweiser at age 13, LSD at age 14, marijuana and ecstasy at age 18, and crack cocaine at age 21. My mental illness birthed a label of “bipolar” at age 22, right after I had […]
View ArticlesMy Recovery Story A Consumer’s Story At school the other children laughed and played during recess while I watched from the shadows. When the other children raised their hands to answer the teacher’s questions, I held my breath trying to be invisible terrified I might be called on to speak out loud. I hated school. […]
View ArticlesThis publication is part of the Substance Abuse Prevention and Treatment Block Grant technical assistance program. All material appearing in this volume except quoted passages from copyrighted sources is in the public domain and may be reproduced or copied without permission from the Center for Substance Abuse Treatment (CSAT) or the authors. Citation of the […]
View ArticlesDual Diagnosis Recovery Network and Foundations Associates can not control the content of the external web sites we link to. We display these links and on subsequent pages as a convenience and possible resource only. Our links to external web sites or organizations does not imply any endorsement or affiliation. Hazelden Foundation Hazelden Foundation is […]
View ArticlesOutreach & Advocacy It’s through advocacy and public awareness that we reduce the stigma that is associated with co-occurring disorders. At the Dual Diagnosis Recovery Network, we participate in advocating for better treatment standards for individuals with co-occurring disorders. We work with chemical dependency, mental health, consumer and family advocacy organizations to educate and publicize […]
View ArticlesJune 16-17, 1998 Washington, DC Sponsored by: National Association of State Mental Health Program Directors (NASMHPD) 66 Canal Center Plaza, Suite 302, Alexandria, VA 22314 (703) 739-9333, FAX (703) 548-9517 National Association of State Alcohol and Drug Abuse Directors (NASADAD) 808 – 17th Street, N.W., Suite 410, Washington, D.C. 20006 – (202) 293-0090, FAX (202) […]
View ArticlesIntegrated Treatment of Substance Abuse & Mental Illness