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Core Values of Integrated Treatment

  • Shared decision making
  • Individual plays a vital role in determining and progress towards goals
  • Emphasis on illness self management, quality of life, and recovery
  • Acknowledges critical role of families
  • Enhances adherence, knowledge, competence, self management and better outcomes.

Integrated Treatment Approach

Final Thoughts...

Integration

Comprehensiveness

Assertiveness

Reduction of Negative Consequences

Long Term Perspective

Motivation Based Treatment

Multiple Psychotherapeutic Modalities

Needs

Concurrent disorders is an EXPECTATION not an EXCEPTION.

Finding Employment

Improve Relationships

Housing

Leisure Activities (Inclusion)

Coping Skills

Social Skills

Relapse Prevention

Harm Reduction

Medication Adherence

References

CAMH (2012). What are Concurrent Disorders? Retrieved from http://www.camh.ca/en/hospital/health_information/a_z_mental_health_and_addiction_information/concurrent_disorders/concurrent_substance_use_and_mental_health_disorders_information_guide/Pages/what_are_cd_infoguide.aspx#notes

Kalles, S. (2015). Concurrent Disorders [powerpoint presentation]. Retrieved from https://elearn.mohawkcollege.ca

Mueser, K. (2003). Principles of Integrated Treatment. In D, Barlow (ed.). Integrated Treatment for Dual Disorders (pgs 16-33). New York: The Guilford Press.

Impacts on Individuals and Families

What does Concurrent Disorders mean?

Higher levels of:

Hospitalization

Relapse

Suicide Risk

Homelessness and Poverty

Criminal Behaviour, Legal Issues

Relationship Breakdown, Violence

Unemployment

Financial Instability

Stigma

Discrimination

Isolation

Health Issues

?? Any thoughts or ideas??

Definition

CAMH: In broad terms, a person who has a mental health and substance use problem.

In diagnostic terms, a person with a mental health and a substance use disorder.

Also referred to as: dual disorders, dual diagnosis and co-occurring substance use and mental health problems.

Prevalence

Prevalence cont'd...

Studies show:

30% of people who have a mental health disorder will have a substance use disorder at some point in their life.

53% of people who have a substance use disorder (not alcohol) will have a mental health disorder at some point in their life.

37% of people who have an alcohol disorder will have a mental health disorder at some point in their life.

24% of people with an anxiety disorder will have a substance use disorder in their lifetime.

27% of people with depression will have a substance use disorder in their lifetime.

56% of people with bipolar disorder will have a substance use disorder in their lifetime.

47% of people with schizophrenia will have a substance use disorder in their lifetime.

Concurrent Disorders presented by: Melissa Durst

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