List of The Participants; Appendix A

List of Participants: Mental Health and Dual Diagnosis Issues Experts

Washington, D.C., June 16-17, 1998

N.A.S.A.D.D. Robert E. Anderson Director of Research & Program Applications, Research in Mental Health, 808-17th Street, N.W., Suite 410 Washington, DC 20006 (202) 293-0090 FAX (202) 293-1250

Mental Health Services of Rockville 5600 Fishers LaneRockville, Bernard Arons, M.D. 20857 FAX (301) 443-1563 20857 (301) 443-0001

Department of Human Services Sharon Autio 444 Lafayette Road, (612) 297-3510 and FAX (612) 296-7731 St. Paul, MN 55155

Acting Director CSAT/SAMHSA 5600 Fishers Lane, Research in Mental Health, Rockwall II, Suite 618 Rockville, MD 20857 (301) 443-5700 Fax (301) 443-8751Camille Barry, Ph.D

Manny Brandt, Executive Director of the National Center for Cultural Healing 2331 Archdale Rd Reston, VA 20191 (703) 264-1994 FAX (703) 264-1994

*Vice President Clinical Operations Project Return Foundation, Inc. Jack Barry, 10 Astor Place, 7th Floor New York, NY 10003 (212) 979-8800 FAX (212) 979-0100

Director, Office of Managed Care CSAT/SAMHSA 5600 Fishers Lane Rockville, MD 20857 (301) 443-8796 FAX (301) 480-3045 Mady Chalk, Ph.D

*Associate Professor of Family and Community Medicine Dartmouth Medical School, Research in Mental Health, 151 Cheney Newport, NH 03773 (603) 650-1246 FAX (603) 650-1153

Senior Research Analyst National Association of State Alcohol and Drug Abuse Directors 808 – 17th Street, N.W., Suite 410 Washington, D.C. 20006 (202) 293-0090 FAX (202) 293-1250 Phillip Clemmey, Ph.D

Carol Coley CSAT/SAMHSA 5600 Fishers Lane Rockville, MD 20857 (301) 443-6539 FAX (301) 443-3543 Carol Coley

Michael Couty Director Department on Mental Health Division of Alcohol and Drug Abuse 1706 East Elm Street Jefferson City, MO 65101 (573) 751-4962FAX (573) 751-7814

Senior Policy Analyst CMHS/SAMHSA 5600 Fishers Lane, Suite 13C-20 Rockville, MD 20857 (301) 443-3606 FAX (301) 480-7505

National Association of State Mental Health Program Directors 66 Canal Center Plaza, Suite 302 Alexandria, VA 22314 (703) 739-9333, ext. 28 FAX (703) 548-9517 Bruce D. Emery, M.S.W. Director of Technical Assistance

Director Division of Knowledge Development and System Change CMHS/SAMHSA 5600 Fishers Lane, Room 11C-26 Rockville, M.D. 20857 Michael J. English, J.D. (301) 443-3606 FAX: (301) 443-0541

Senior Program Analyst Jennifer Fiedelholtz 5600 Fishers Lane, Room 12C-05 Rockville, MD 20857 (301) 443-5803 FAX (301) 443-1450

Thomas Fritz Director Substance Abuse Specialty Services Department of Mental Health, Mental Retardation, and Substance Abuse Services P.O. Box 1797 Richmond, VA 23218 (804) 786-3906 FAX (804) 371-0091

Lewis E. Gallant, Ph.D. Director Office of Substance Abuse Services Department of Mental Health, Mental Retardation, and Substance Abuse Services P.O. Box 1797 Richmond, VA 23218 (804) 786-3906 FAX (804) 371-0091

George Gilbert Director, Office of Policy Coordination and Planning CSAT/SAMHSA 5600 Fishers Lane, Suite 12-105 Rockville, MD 20857 (301) 443-5051  FAX: (301) 443-6077

National Association of State Mental Health Program Directors 66 Canal Center Plaza, Suite 302 Alexandria, VA 22314 (703) 739-9333, ext. 29 FAX (703) 548-9517

Elizabeth Howell, M.D. Chief/Director of the SA Program, Department of Human Resources Division of MH, MR, and SA 2 Peachtree Street, NW Atlanta, GA 30303 (404) 657-2134 FAX (404) 657-2160

George Kanuck Public Health Analyst Office of Policy Coordination and Planning CSAT/SAMHSA 5600 Fishers Lane Rockville, MD 20857 (301) 443-8642 FAX (301) 443-6077

Deputy Commissioner for Mental Health and Addiction Services Thomas A. Kirk, Ph.D. 410 Capitol Avenue, 4th Floor Hartford, CT 06134 (860) 418-6959 FAX (860) 418-6691

Sherry Knapp, Ph.D. Associate Director of Health Division of Substance Abuse Department of Health 3 Capitol Hill/Cannon Building, Room 105 Providence, RI 02908 (401) 222-4680 FAX (401) 222-4688

Sherry Knapp, Ph.D. Associate Director of Health Division of Substance Abuse Department of Health 3 Capitol Hill/Cannon Building, Room 105 Providence, RI 02908 (401) 222-4680

Director Department of Mental Health Stephen W. Mayberg, Ph.D. 1600 – 9th Street, Suite 151 Sacramento, CA 95814 (916) 654-2309  FAX (916) 654-3198

Noel A. Mazade, Ph.D. Executive Director National Association of State Mental Health Program Directors NASMHPD Research Institute 66 Canal Center Plaza, Suite 302 Alexandria, VA 22304 (703) 739-9333, ext. 13 FAX (703) 548-9517

Averette M. Parker, M.D. CSAP/Minority Health Concerns Office of the Director 5515 Security Lane, Suite 901 Rockville, MD 20857 (301) 443-0316 FAX (301) 443-9140

TIE on Adolescent Chronic Patients, Inc. 120 North Main Street New City, NY 10956 (914) 634-0050 FAX (914) 634-1690 Bert Pepper, M.D.

Director Bureau of Substance Abuse Services Department of Public Health, Research in Mental Health, 250 Washington Street, 3rd Floor Boston, MA 02108 (617) 624-5151 FAX (617) 624-5185

Mr. H. R. Sampson Director Division of State and Community Assistance SAMHSA 5600 Fishers Lane, Rockville, Maryland 20857 (301) 443-7541 FAX (301) 443-8345

Marc Schuckit, M.D. * Associate Professor of Psychiatry SD Veterans Affairs3350 La Jolla Village Drive San Diego, CA 92161 (619) 552-8585 FAX (619) 552-7424

Mental Health Commissioner James L. Stone 44 Holland Avenue Albany, NY 12229 518) 474-4403  FAX (518) 474-2149

Commissioner of Mental Health Marylou Sudders 25 Staniford Street Boston, MA 02114 (617) 727-5600 FAX (617) 727-4350

Director Department of Mental Health Roy C. Wilson, M.D. 1706 East Elm Street Jefferson City, MO 65101 (573) 751-3070 FAX (573) 526-7926

SAMHSA/OPPC 5600 Fishers Lane, Room 12C-05 Rockville, MD 20857 (301) 443-0593 FAX (301) 443-7590 Steve Wing

Schizophrenic symptoms. In: Goldman, H.H., ed., General Psychiatry: An Audit, Third Edition. Appleton and Lange, Norwalk, Connecticut, 1992, pp. 226-241

Association of Mental Health Professionals in the United States of America. Third Edition, Revised Demonstrative and Factual Manual on Drug Misuse and Mental Health Issues American Mental Affiliation, Washington, D.C., 1987

DSM-IV Draft Rules, American Mental Association, 3/1/93. American Mental Affiliation, Washington, D.C., 1993

R.M. Antonelli and M.A. Schuckit. Identifying and treating affective and tension disorders, as well as drug misuse and prescription dependency. Addictive Illnesses Journal 12(3):73-87, 1993

Coordination of administrations related to alcohol, drug misuse, and mental well-being. Arrangement for the Distribution of Specialized Assistance, Research in Mental Health, No. 4. Office for Treatment Improvement, Alcohol, Medication Misuse, and Emotional Well-Being Organization, Washington, D.C., 1991

R.L. Balster. The propensity of buspirone and associated drugs to be abused. Journal of Clinical Psychopharmacology 10(3):31S–37S, 1990

A.T. Beck and J.Beck Ward. Beck Misery Stock. In A.T. Beck, ed., Sadness and Drug Abuse: Causes and Treatment. College of Pennsylvania Press, Philadelphia, 1972

M.W. Bernadt and R.M. Murray. Psychiatric disorders, alcoholism, and drug abuse: what are the connections? English Psychiatric Journal 148:393–400, 1986

S.B. Blume. Dual discovery: Psychoactive drug misuse and personality disorders, Research in Mental Health, 1989, Diary of Psychoactive Medications, 21(2), pp. 139-144

R.L.Identification and office the board of drug misuse and prescription issues in an earthy hue. M.F. Fleming and K.L. Barry, eds., Addictive Issues. Mosby Yearbook, 1992, St. Louis

Earthy in hue, V.B., M.S. Ridgely, B. Pepper, I.R. Levine, and H. Ryglewicz The double crisis: psychological maladjustment and drug misuse, current and potential implications 1989, American Clinician 44(3):565-569

K.J. Bryant, B. Rounsaville, R.L. Spitzer, and J.B. Williams. Reliability of double diagnosis in the context of drug dependence and mental illness. Research in Mental Health, The Journal of Anxiety and Mental Illness 180(4):251-257, 1992

D.D. Consumes. The Feeling Good Handbook. Research in Mental Health, 1989, New York: Penguin Books

E. Carmen and S.M. Brady. AIDS threat and expectation for the persistently mentally ill Research in Mental Health,. Psychiatry in the Medical Clinic and the Local Environment 41(6):652-657, 1990

R. Castaneda, M. Galanter, and H. Franco. Self-medication of alcohol dependency abusers with critical psychiatric illnesses. 1989; 30(1):80-83 in Comprehensive Psychiatry

R. Castaneda, M. Galanter, H. Lifshutz, and H. Franco. Impact of maltreatment drugs on psychological adverse effects of hospitalised schizophrenics. American Journal of Drug and Alcohol Abuse 17(3):313-320, 1991

C.L. Caton, A. Gralnick, S. Drinking binge, and R. Simon. Patients under the age of 18 and drug misuse. Clinic and surrounding region 1989, Psychiatry 40(10):1037-1040

D.A. Ciraulo, J.G. Barnhill, A.M. Ciraulo, D.J. Greenblatt, and R.I. Shader. Parental alcoholism as a risk factor for benzodiazepine misuse: A pilot analysis. 1989, American Journal of Psychiatry, 146:1333-1335

D. A. Ciraulo, J.G. Barnhill, D.J. Greenblatt, R.I. Shader, A.M. Ciraulo, M.F. Tarmey, M.A. Molloy, and M.E. Foti. Abuse risk and clinical pharmacokinetics of alprazolam in drunken men. Research in Mental Health, Psychiatric Clinics in North America 49:333-337, 1988

H.W. Clark and J.E. Zweben. Legal flaws in the handling of patients with synthetically subordinate double conclusion. 1989, Diary of Psychoactive Medications, 21(2), pp. 251-257

G.C. Davis and B. Goldman. Research in Mental Health, Somatic therapies. Audit in General Psychiatry, Third Edition, Goldman, H.H. Appleton and Lange, Norwalk, Connecticut, 1992, pp. 370-390

Dixon, Haas, Weiden, Sweeney, and Frances, 1990, conducted a report in which medical practitioners and Release from Schizophrenia 16(1):69-79

C.S. Dome and P.E. Hayes, “Current Concepts of Specialty Therapeutics: Uncertainty Issues, Research in Mental Health, ” Clinical Drug store 6:196-215, 1987

R.E. Drake, F.C. Osher, and M.A. Wallach. American Therapist, vol. 46, no. 11 (1991), pp. 1149-1158

K. Evans and J.M. Sullivan. Dual Analysis: Guiding the Intellectually Disabled Substance Abusers. Guilford Press, 1990, New York

K. Evans and J.M. Sullivan. A Step-by-Step Guide to Guiding For the Double Scattered Customer. Hazelden Instructive Materials, Focus City, Minnesota, 1990

Fischer, P.J., and Breakey, W.R. The analysis of disease transmission by destitute citizens due to liquor, drug misuse, and Research in Mental Health, American Analyst, vol. 46, no. 11 (November 1991), pp. 1115-1126

M.S. Gold. Uplifting Reports Of Doom. Villard Books, 1987, New York

M.S. Gold. The Encouraging Reports On Medications and Alcohol, Research in Mental Health, Villard Books, 1990, New York

M.S. GoldThe Encouraging News Of Frenzy, Tension, and Fears, Research in Mental Health,1989, New York: Villard Books

M.S. Goldman. Neuropsychological recovery of intoxicated individuals: endogenous and exogenous periods, Research in Mental Health, Clinical and Experimental Investigations of Alcohol Misuse 10(2):136-144, 1986

S.M. Gordon, B.P. Kennedy, and J.D. McPeake. Research in Mental Health, Neuropsychologically impaired moderate drinkers: assessment, medical considerations, and rehabilitation. 5:99-104, 1988, Journal of Substance Misuse Care

D.A. Gorelick. Serotonin reuptake inhibitors and the prevention of alcoholism, Research in Mental Health, Ongoing Advances in Alcohol Dependence, edited by M. Galanter. Plenum Press, New York, 1989, pp. 267-281

N. El-Guebaly. Substance misuse and mental health problems: the concept of double results. Canadian Psychiatric Journal 35:261-267, 1990

D.S. Hasin, J. Endicott, and M.B. Keller. Alcohol disorders in psychiatric and drug dependence patients over a five-year period. Extensive 1991, Psychiatry 32(4):303-316

J.L. Hedlund and M.S. Vieweg. The Michigan Alcohol Addiction Screening Test (Pole). Operational Psychiatry Journal 15:55–64, 1984

E.L. Hendrickson. Treating the dual-diagnosed customer (mental turmoil/substance abuse). 1988, Tie Lines 4(4):1-6

K.L. JensenFamily problems in dealing with the “dual analysed” client. 1990, Tie Lines 7:6-8

Care of patients with co-occurring psychiatric disorders in an inpatient environment. 143(7):867-872, American Journal of Psychiatry, 1986

Is there some approach that might persuade individuals that drug addiction therapy is necessary? Clinic and Surrounding Area 1988, Psychiatry 39(11):1209-1211

H.R. Kranzler and N.R. Liebowitz, Anxiety and grief in psychiatric contexts. Clinical Centers of North America, vol. 72, no. 4 (1988), pp. 867-885

M. Lader, update on beta-adrenoceptor antagonists in neuropsychiatry, Research in Mental Health, Psychiatric Clinics in North America 49:213-223, 1988

M.J. Landry, D.E. Smith, D.R. McDuff, and O.L. Baughman, 3rd. Anxiety disorders: high-risk patients' care. Research in Mental Health, American Journal of Family Practice 4:447-456, 1991

M.J. Landry, D.E. Smith, and J.R. Steinberg. Anxiety, misery, and drug addiction problems: an examination, care, and endorsement in rehearses. Psychoactive Medications Journal 23(4):397-416, 1991

A.F. Lehman, C.P. Myers, and E. Corty, Research in Mental Health, Assessment and treatment of people suffering from psychiatric illness or drug misuse. Clinic and surrounding region 1989; Psychiatry 40(10):1019-1030

D. Mayfield, G. McLeod, and P. Lobby. Research in Mental Health, Acceptance of another liquor addiction monitoring tool, The Enclosure survey. American Journal of Psychiatry, 1974, 131(10):1121-1123

A.T. McLellan. Predicting adverse reactions to alcohol and drug misuse: the function of psychiatric severity. General Psychiatry Documents 40:620-625, 1983

A.T. McLellan, L. Luborsky, G.E. Woody, and C.P. O'Brien, The Dependence Seriousness File 168:26–33, 1980. An improved analytic testing tool for drug dependency patients

P.S. Submissive, H.W. Clark, and V.L. Solana. Neurocognitive disability: the overlooked component of the double conclusion of assault therapy. 1989, Diary of Psychoactive Medications, 21(2), pp. 153-160

E.O. Meltzer. Antihistamines' performance effects. 86(4):613-619, 1990. Research in Mental Health,, Journal of Hypersensitivity and Clinical Immunology 86(4):613-619, 1990

Meyer, R.E. How to grasp the relationship of psychopathology and addiction disorders: another chicken and the egg diagram. Psychopathology and Addiction Issues, edited by R.E. Meyer. Guilford Press, 1986, New York

R.E. Meyer. Objective pharmacotherapy for alcoholism: Possibilities. 1989, Journal of Clinical Psychiatry, 50(11), pp. 403-412

MICA Alert Board, New Jersey Province. Glossary of words used most in MICA therapy. Trenton, New Jersey: New Jersey Province, 1992

N.S. Mill operator and R.K. Ries.Drug, alcohol, and emotional populaces: the need for conclusion, intercession, and preparation. Extensive 1991, Psychiatry 32(3):268-276

K. Minkoff. An integrated therapeutic paradigm for psychosis and compulsion. Emergency clinic and neighbourhood 1989; Psychiatry 40(10):1031-1036

K. Minkoff and R.E. Drake, eds. Dual Analysis of a Serious Psychological Illness and a Substance Addiction Issue. Jossey-Bass, Inc., San Francisco, 1991

A.J. Mooney, A. Eisenberg, and H. Eisenberg The Book on Recuperation. Laborer Distributors, 1992, New York

S.K. Morris and S.P. Schinke. Treatment needs and administrations for mothers with a dual diagnosis of drug dependence and psychiatric maladjustment. S. Chaneles and N.J. Pallone, eds. Clinical Treatment of Criminal Guilty Parties in Outpatient Emotional Health Settings: Novel and Emerging Concepts Perspectives. Haworth Press, New York, 1990, pp. 65–84

E.P. Nace, C.W. Davis, and J.P. Gaspari. Comorbidity on Axis II of drug misuse victimizers. 148(1):118-120, American Journal of Psychiatry, 1991

E.P. Nace, J.J. Saxon, and N. Shore Borderline personality disorder and alcoholism treatment: a one-year follow-up study. Journal of Liquor Studies 47(3):196-200, 1986

F.C. Osher and L.L. Kofoed. Treatment of people that have issues with psychiatric and psychoactive drug dependence. Emergency clinic and neighbourhood 1989; Psychiatry 40(10):1025-1030

D. Padgett, E.L. Struening, and H. Andrews Factors driving destitute adults' use of psychiatric, mental health, alcohol, and medication recovery administrations. Clinical Consideration 28(9), 1980, pp. 805-821

E.C. Penick, B.J. Powell, B.I. Liskow, J.O. Jackson, and E.J. Nickel, The stability of coexisting psychiatric disorders of drunken men after a year. Journal of Liquor Studies 49:395-405, 1988

B. Pepper and H. Ryglewicz. The adolescent's constant patient and drug misuse. 1984, Tie Lines 1(2):1-5

H. Ryglewicz and B. Pepper. Dual-jumble therapy. Maine Double Issues Monographs, Volume 3. Maine Branch of Psychology and Mental Illness, 1989

Somatostatin receptors are indicators that the body needs medication to sustain healthy mood conditions. 1987, Pregnancy and Newborn Care, 25(2), pp. 217-223

When Self-improvement Fails. Quinnet, P. Intersection, 1991, New York

D.A. Regier, J.H. Boyd, J.D. Burke, D.S. Rae, J.K. Myers, M. Kramer, L.N. Robins, L.K. George, M. Karno, and B.Z. Locke, The monthly prevalence of mental health problems in the United States: based on five Epidemiologic Catchment Territory destinations. General Psychiatry Files 45:977-986, 1988

The effect of co-occurring mental health and substance abuse problems: findings from the Epidemiologic Catchment Area (ECA) report. 1990, JAMA 264(19):2511-2518

D.A. Regier, W.E. Restricted, and D.S. Rae, The Epidemiologic Catchment Territory (ECA) familiarity of illness propagation of nervousness disorders. Mental Exploration Journal 24(Suppl. 2):3-14, 1990

W.H. Reid. The Treatment of Mental Disorders. 1989, New York: Brunner/Mazel

V.I. Reus.Mood disorders. Audit in General Psychiatry, Third Edition, Goldman, H.H. Appleton and Lange, Norwalk, Connecticut, 1992, pp. 226-241

A randomised clinical experiment evaluating the efficacy of diazepam, buspirone, and an artist in the treatment of tension. 1982, Journal of Clinical Psychiatry, 43(12), pp. 81-86

Ries, R. Clinical care coordination of templates with people that have been dually analysed. North American Journal of Mental Health Services 16(1):167-175, 1993

Ries, R.K.The dually defined patient exhibits signs of insanity. Addictive Illnesses Journal 12(3):103-122, 1993

Ries, R.K., and Ellingson, T.A pilot assessment of 17 double analysis patients after one month. Emergency clinic and neighbourhood 1990, Psychiatry 41(11):1230-1233

E. Robins, J.E. Helzer, and T.R. Przybeck. Alcohol disorders in the Epidemiologic Catchment Area. R. Rose and J. Barret, eds. Liquor Addiction: Causes and Effects pp. 15–28. New York: Raven Press, 1988

R. Rosenheck, L. Massari, B. Astrachan, and R. Suchinsky. Research in Mental Health, Mentally ill drug misuse victimizers discharged from VA inpatient treatment between 1976 and 1988. 1990, Mental Quarterly 61(4):237-249

H.E. Ross, F.B. Glaser, and T. Germanson. The predominance of behavioural health problems in people with chronic alcohol and other drug consumption practises. General Psychiatry Files 45:1023-1031, 1988

B.J. Rounsaville, S.F. Anton, K. Carroll, D. Budde, B.A. Prusoff, and F. Gawain. Psychiatric conclusions about cocaine victimizers pursuing therapy. General Psychiatry Chronicles 48:43–51, 1991

Psychoeducation: A Flood in the Present. Ryglewicz, H. 1989, Tie Lines

I.M. Salloum, H.B. Greenery, and D.C. Daley. Substance dependence and schizophrenia: impediments to optimal consideration. American Journal of Substance Abuse 17(3):321-336, 1991

C. Salzman. Anti-anxiety doctor treatment. In: Mental Health Medicines. American Mental Affiliation, Washington, D.C., 1989, pp. 2036-2052

B. Schorske and K. Bedard, It is the responsibility of each state to develop a standard of Mental Health treatment for severe psychological maladjustment and synthetic dependence. Locality Encouraging party of individuals 1989, News 6(2):10

M.A. Schuckit, Genetic and psychiatric ramifications of alcoholism and mental distress. The United States

The Expert Panel on Mental Health