Integrated treatment for cooccurring disorders evidencebased practices ebp kit. The hazelden cooccurring disorders program is the first comprehensive program that provides the best integrated treatment services for people with nonsevere psychiatric disorders that cooccur with substance use disorders. Cooccurring disorders psychoeducation must build knowledge, yet also provide emotional safety, bring comfort, and extend compassion. Cooccurring psychiatric and substance use disorders. Reduction of stigma around addiction and addictionrelated disorders that could impact clinician judgment and reduce accuracy of assessment, treatment planning, and intervention. Addressing the needs of consumers with cooccurring substance use and mental health disorders. Cooccurring mental health and substance abuse disorders. According to results from the 2016 national survey on drug use and health, 8.
A national consensus expert panel was appointed for co occurring disorders, which issued a consensus report managed care initiative panel on co occurring disorders, 1998. Cooccurring disorders treatment manual ii suncoast practice research collaborative sparc. Three continuing education credits ces are offered to licensed professionals for each of the nine modules in the cooccurring disorders. The editor and authors of youth substance abuse and cooccurring disorders take an applied approach that serves the needs of clinicians, clinical researchers, and students in the fields of mental health, public health, and medicine pediatrics, family medicine, and child and adolescent psychiatry, in particular. A comprehensive program for the integrated treatment of co occurring disorders research has shown that the most effective treatment for co occurring disorders is an integrated approach that treats substance use and mental health disorders at the same time. The process of recovery begins as soon as someone enters a dual disorders treatment program or becomes committed to managing their illnesses.
Cooccurring disorders program san luis obispo county. This pamphlet is an excellent reference for clinicians as it contains useful information on medications use to treat behavioral health. Ces are offered to psychologists, clinical social workers, licensed mental health counselors, marriage and family therapists, and addiction professionals. Finding treatment for co occurring disorders having a mental health issue can be an intense experience by itself. I take lots of deep breaths ten at a timeto help me relax. Cooccurring substance use disorder treatment shields. While there are diagnostic criteria for both disorders separately, to date, there is no standardized definition of cod. It is important that the agency director take the lead in promoting the integrated treatment program and addressing any misconceptions. Showing top 8 worksheets in the category family roles in co occurring disorders. Our treatment team of licensed doctorate and masters level clinicians are uniquely qualified to treat co occurring mental health disorders and addiction. Remote client services will enable you to continue program with a certified counselor via a virtual meeting platform called zoom. Integrated dual disorders treatment implementation resource kit draft version 2003 information for families and other supporters dual disorders refers to the presence of both a severe mental illness and a substance use disorder. Resources for families coping with mental and substance. While cooccurring disorders are common, integrated treatment programs are much more rare.
Most common cooccurring disorders with addictionished by the substance abuse and mental health services administration. Schizophrenia is a psychiatric disorder that affects about 1 percent of the population. Cooccurring disorders treatment workbook vii acknowledgements. No matter what the mental health diagnosis, but especially if co occurring disorders are the issue, integrated care is recommended. Its characteristic symptoms include delusions, hallucinations, and bizarre behaviors, as. Formerly referred to as dual diagnosis, someone struggling with a substance use disorder and a mental health disorder at the same time has a cooccurring disorder. Treating cooccurring disorders takes a staff that is committed to and wellversed in dual diagnosis care. But what really helps calm me, especially at the end of the day, is a couple of bowls of weed. Cooccurring mental and substancerelated disorders in a report to congress on the prevention and treatment of cooccurring substance abuse disorders and mental disorders, samhsa defines people with cooccurring disorders as individuals who have at least one mental disorder as well as an alcohol or drug use disorder. The symptoms of bipolar disorder can worsen substance use, and severe addiction can worsen bipolar disorder. The programs create a partnership between consumers, families.
Other factors include family, environment, and life stress, including traumatic life events, poverty, and loss. Family intervention for cooccurring substance use and severe. Integrated dual disorders treatment is effective for both disorders. The program components listed below, include a manual, five 3.
With comprehensive treatment, individuals can recover from addiction and most co occurring mental health disorders. This brief shares findings from a process evaluation of a program that treats women prisoners in illinois with cooccurring disorderssubstance use and mental health disorders. Estimated rates of co occurring mental illness among adolescents with substance use disorders range from 60 to 75 percent. Dual diagnosis or cooccurring disorder cod is a diagnosis of a coexisting mental health disorder mhd and substance use disorder sud. Help and hope for clients and their families this 90minute dvd includes four chapters. Other common co occurring disorders include personality disorders, behavior disorders and psychotic disorders. The second study found that those young people with co occurring disorders who had high rates of participation in a 12step program had higher levels of abstinence from alcohol and drugs years later. An introduction to bipolar disorder and cooccurring. Our cooccurring substance use disorder treatment programs strengthen families through comprehensive and collaborative services including comprehensive case management, individual, group, and family counseling, educational and vocational services, life skills classes, drug and alcohol education, child development and parenting, and urinalysis. Because most people with cooccurring mental and substance use disorders have a biological vulnerability to psychiatric disorders, they tend to be highly sensitive to even small amounts of alcohol and drugs. For these individuals, a treatment program for cooccurring disorders represents a new source of hope. Integrating treatment for cooccurring disorders national council. Cooccurring disorders program behavioral health evolution. Page 2 student learning objectives as a result of this module, students will achieve the following outcomes.
But failing to address co occurring disorders during addiction treatment increases the chances of relapse. Controlled research is underway to evaluate the effects of the fidd program on client and family outcomes. Singlefamily sessions orient people to a loved ones specific. Because thinking processes are temporarily reduced or compromised, weve created program materials that are easier to comprehend, more concrete, more practical, more relevant, and generate more discussion, all. However, compared with severe mental illness alone, cooccurring disorders are associated with a range of negative effects on the family, including greater burden of care24,25 and family conflict. The stressvulnerability model of cooccurring disorders 6.
Family program for people with cooccurring disorders hazelden. Within that group, approximately 7 million also suffer from drug or alcohol addiction. Education, skills, and therapy for families of people with cooccurring disorders, this program helps you teach families about the nature and treatment of cooccurring disorders. Research consistently finds that these youth present with the. Living with cooccurring addiction and mental health disorders. Family intervention for cooccurring substance use and. But what really helps calm me, especially at the end of the day, is a couple of bowls of. The editor and authors of youth substance abuse and co occurring disorders take an applied approach that serves the needs of clinicians, clinical researchers, and students in the fields of mental health, public health, and medicine pediatrics, family medicine, and child and adolescent psychiatry, in particular. This toolkit offers evidencebased practices to help public officials develop family psychoeducation mental health programs. At turning point, we enlist the most current and uptodate research within our treatment consideration. Between 1 and 2 percent of people experience dysthymia or dysthymic disorder at some time during their lives. The term cooccurring disordersalso referred to as dual diagnosis or comorbidityrefers to a diagnosis of two or more mental disorders, including substance use disorders, at the same time.
Early diagnosis and appropriate treatment of bipolar disorder are important because the illness carries a high risk. Pdf download co occurring disorders integrated assessment. Co occurring disorders treatment workbook vii acknowledgements. How will family interventions be provided to families or other supporters of consumers in your program. Substance use and dependence is often driven by an underlying psychiatric disorder, yet, dual diagnosis rehab treatment is a relatively new innovation in the field of addiction recovery.
The prevalence of cooccurring substance use disorders is high in. Providing treatment for youth with cooccurring disorders. These professionals lead counseling sessions, support groups, and classes that foster compassion and understanding for those with a dual diagnosis. The seven components of the cooccurring disorders program are designed for use with adult patients, as well as their family members, who are participating in a residential or outpatient treatment andor mental health program for substance use and nonsevere mental health disorders. Family therapy can help the loved ones of someone struggling with cooccurring disorders to better understand what is happening most dual diagnosis treatment programs will begin laying a foundation for 12step programs, something a person can participate in long after the initial addiction treatment ends. An introduction to bipolar disorder and cooccurring substance use disorders bipolar disorder is a serious, chronic mental illness characterized by unusual changes in mood, energy, and activity levels. Presenter west virginia department of health and human. Integrated treatment works most effectively in the following. Integrated treatment for cooccurring disorders is the key to protecting this group from the poverty, illness, isolation, incarceration and homelessness that often affect dual diagnosis individuals. Unless both issues are addressed at the same time, the outcomes of treatment probably will not be positive.
Co occurring disorders treatment centers are staffed by psychologists, counselors and family therapists who are crosstrained in addiction therapy and mental health care. Family program for people with cooccurring disorders. Mental disorders coinciding with a substance abuse disorder can be extremely hard to beat on your own. Integrated treatment for cooccurring disorders iowa dhs. The seven components of the co occurring disorders program are designed for use with adult patients, as well as their family members, who are participating in a residential or outpatient treatment andor mental health program for substance use and nonsevere mental health disorders. The cooccurring disorders program sheppard pratt health. Using psychoeducation materials for cooccurring disorders. Singlefamily sessions orient people to a loved ones specific psychiatric disorder.
Resources for families coping with mental and substance use disorders while there is no onesizefitsall solution for helping a family member who is drinking too much, using drugs, or dealing with a mental illness, research shows that family support can play a major role in helping a loved one with mental and substance use disorders. For years, a person who presented with an addiction to drugs or alcohol, but who also suffered from another type of disorder, such as a mental health issue, was never able to. Overall, feedback from clients and staff were positive and the program showed reductions in clients posttraumatic stress disorder symptoms and aggression after participation. Someone with substance abuse disorder drugs or alcohol and mental illness depression, ptsd, anxiety, ocd, etc. What is the cooccurring psychiatric and substance use disorder copsd program. Three continuing education credits ces are offered to licensed professionals for each of the nine modules in the co occurring disorders. The program was adapted from the behavioral family therapy model for smi.
The program authors are faculty members of dartmouth psychiatric research center, department of psychiatry, community and family medicine department and dartmouth medical school. No matter what the mental health diagnosis, but especially if cooccurring disorders are the issue, integrated care is recommended. Any combination of mental health disorders and substance abuse or addiction qualifies for this diagnosis. We would like to acknowledge the efforts of the members of the co occurring disorders treatment work group, who worked with staff from the tampa picsuncoast practice and. In order to treat both conditions successfully, a facilitys mental health and recovery services must be integrated. Family componentexamines the important role of family.
Dysthymia is less severe than major depression, but the chronic symptoms. To avoid a delay in completing your treatment program, county of san luis obispo behavioral health will begin offering remote client services. It also offers a predoctoral internship in clinical psychology and a multicultural training program to involve minority students in the mental health field. This program helps you teach families about the nature and treatment of co occurring disorders. Often times there is a genetic risk factor for both substance use and certain mental health disorders, but genes alone usually dont explain all causes of co occurring disorders. Treatment for cooccurring bipolar and substance use disorders. Most common co occurring disorders with addictionished by the substance abuse and mental health services administration. The disorder is usually longterm and can affect behavior, thinking, feelings, and functioning. Cooccurring dual diagnosis addiction treatment amethyst. The co occurring disorders program provides integrated treatment to a wide range of patients with co occurring disorders, which may include a psychiatric diagnosis, as well as addictive and medical issues that exist simultaneously. Co occurring disorders refers to the coexistence of a substance use disorder, such as alcohol or other drugs, and a mental health disorder. Learn more about co occurring disorders, effective treatment and accurate diagnosis from the hazelden betty ford foundation. Without this, a persons wellbeing and chances of success may fall to the wayside.
What every counselor should know a companion piece to a collaborative response. Cooccurring disorders program power point overview behavioral. We work together to ensure all clients remain drugfree and psychiatrically stable to avoid any hospitalizations or more intensive treatment. Cooccurring disorders treatment centers are staffed by psychologists, counselors and family therapists who are crosstrained in addiction therapy and mental health care. Education, skills, and therapy for families of people with co occurring disorders, this program helps you teach families about the nature and treatment of co occurring disorders. Dysthymia is a type of lowgrade depression that lasts for at least two years. Your program is more likely to achieve high fidelity if the agency director is informed and involved in the implementation process from the start. Our treatment team of licensed doctorate and masters level clinicians are uniquely qualified to treat cooccurring mental health disorders and addiction. Coverage provisions and requirements regarding services provided by behavioral health services organizations for substance use disorder treatment and cooccurring disorders. Cooccurring mental health and substance use disorders of.
Cooccurring disorders hazelden betty ford foundation. This is a pdf file of an unedited manuscript that has. An introduction to bipolar disorder and co occurring substance use disorders bipolar disorder is a serious, chronic mental illness characterized by unusual changes in mood, energy, and activity levels. The hazelden cooccurring disorders program cdp is the first innovative. Estimated rates of cooccurring mental illness among adolescents with substance use disorders range from 60 to 75 percent.
Cooccurring disorders and addiction treatment programs. Basics of treatment and interviews with clients and clinicians 4. Family therapy can help the loved ones of someone struggling with co occurring disorders to better understand what is happening most dual diagnosis treatment programs will begin laying a foundation for 12step programs, something a person can participate in long after the initial addiction treatment ends. Cooccurring disorders facts for families hazelden betty ford. Discuss the prevalence of cooccurring disorders in substance abuse treatment programs. Randomized controlled trial of family intervention for co. We would like to acknowledge the efforts of the members of the cooccurring disorders treatment work group, who worked with staff from the tampa picsuncoast practice and research collaborative to develop this treatment workbook. Some of the worksheets displayed are supporting recovery the role of the family, pathways to family reunification and recovery, family to family recovery resource guide, recovering together program, the power of family in addiction recovery, iddt recovery life skills. Cooccurring disorder and dual diagnosis treatment at northpoint recovery. Center for mental health services, substance abuse and mental health services administration, u. Cooccurring disorders and substance abuse rehab spot. Integrated treatment is a comprehensive rehabilitation program that offers all the medical, therapeutic, and holistic resources necessary to help clients heal physically, mentally, emotionally, and spiritually. Single family sessions orient people to a loved ones specific psychiatric disorder.
Stress in the environment can worsen biological vulnerability, worsen symptoms, and cause relapses. The hazelden cooccurring disorders program was developed and authored by national leaders in the research and treatment of cooccurring disorders. Behavioral health medications formerly psychotherapeutic medications. The copsd program serves those diagnosed as having both a major mental illness and chemical dependency. Integrated treatment for cooccurring disorders evidence. Therefore, the most effective treatment for cooccurring bipolar and substance use disorders is integrated treatment. According to psychiatric news, up to 50 percent of psychiatric patients being treated for mental illness also have a substance use disorder, yet relatively few of them receive treatment for both disorders at the same time. The second study found that those young people with cooccurring disorders who had high rates of participation in a 12step program had higher levels of abstinence from alcohol and drugs years later. As more active duty service members see combat situations, more are at risk for developing cooccurring disorders. Integrated dual disorders treatment implementation resource kit. A national consensus expert panel was appointed for cooccurring disorders, which issued a consensus report managed care initiative panel on cooccurring disorders, 1998. An indepth overview of drug use and cooccurring disorders. A family intervention program for dual disorders springerlink.