Co-Occurring Disorders: Integrated Assessment and Treatment of Substance Use and Mental Disorders

Charles Atkins, MD

PESI Publishing & Media, Nov 3, 2014 - Psychology - 315 pages

 Despite an increased awareness of co-occurring disorders, most current treatment paradigms still focus on one problem or the other, leaving much unassessed, unaddressed, or ignored. Until now - a revolutionary new book from Dr. Charles Atkins that can break the cycles of relapse for those intertwined with substance use and mental illness.

Co-Occurring Disorders is a guide to practical assessment and effective treatment approaches for working work with any number of co-occurring disorders. This step-by-step approach, demonstrated through diverse case studies, gives you the tools you need to improve and track your clinical outcomes. This is a must-have resource for both the rubber-meets-the-road clinician, who wants effective strategies and a clear direction for treatment and recovery, and the administrator who creates interventions at the system level with attention to regulatory and reimbursement demands. Also included is a comprehensive state-by-state Guide to Mental Health and Substance Abuse Agencies and Prescription Monitoring Programs

Evidence-Based Integrated Treatment, finding the right tool for the job:

• Motivational Interviewing
• Cognitive-Behavioral Therapy and Strategies
• Skills Training
• Mindfulness Training
• Mutual Self-Help & Peer-Based interventions
• Wellness interventions
• Recovery based
• Family interventions
• Assertive Community Treatment and Targeted Case Management
• Psychopharmacology including opioid and nicotine replacement strategies

 Diagnosis-Specific Issues in Co-Occurring Disorders:

• ADHD
• Depression and Bipolar Disorders
• Anxiety and PTSD
• Schizophrenia and other Psychotic Disorders
• Personality Disorders

Substance-Specific Issues in Co-Occurring Disorders:

• Alcohol
• Opioids
• Tobacco
• Cocaine and other Stimulants, including "Bath Salts"
• Cannabis & Synthetic Cannabis
• The Internet and other sources of Drugs

Reviews:

"A comprehensive, user-friendly compilation of assessment and intervention strategies to be used for clients. It includes a number of worksheets for both clinicians and clients, and is a valuable tool for treatment decision-making."
-- Donald Meichenbaum, PhD, noted author and speaker, a CBT founder, and voted one of the 10 most influential psychotherapists of the 20th century

"This book is wonderful. I plan to adopt it as a textbook for my MSW Co-Occurring Disorder Program."
-- Jaak Rakfeldt, Ph.D., Co-Occurring Disorder Cohort Program, MSW Coordinator, Southern Connecticut State Unviersity Professor

"So much valuable information in a user friendly manner, clinicians as well as others will find this book useful in their practice. This resource is a powerful tool and I am especially proud of the way he connects issues related to gender and trauma."
-- Colette Anderson, LCSW, CEO The Connecticut Women's Consortium

"A clear, concise and straightforward and up to date text on co-occurring disorders has been glaringly lacking in the Behavioral Health Field. Co-Occurring Disorders: The Integrated Assessment and Treatment of Substance Use and Mental Disorders offers students and clinicians at all levels a comprehensive view of the challenges of treating those with a co-occurring mental health and substance use disorder. Written in plain language, Atkins provides a clinical road map beginning with an outline of key issues and ending with treatment planning. Atkins also does what most don’t and that is to stress the importance of peer support, natural supports and self-help. Co-Occurring Disorders: The Integrated Assessment and Treatment of Substance Use and Mental Disorders is an important addition to any educator’s and clinician’s bookshelf."
--Eileen M. Russo, MA, LADC, Assistant Professor, Drug and Alcohol Recovery Counselor Program, Gateway Community College, New Haven, CT

"As a person that has lived with bipolar disorder for many years and has proudly disclosed my personal journey of recovery, I know there are many people who would greatly benefit from the treatments suggested in this powerful book-co-occurring services are rarely done in such a comprehensive way."

-- Dr. Karen A. Kangas, Director of Operations, Advocacy Unlimited, Inc.

Contents

• Overview Terms and Key Concepts: 3
• Personal Psychiatric Family and Social Histories and the Mental Status Examination: 19
• Substance Use Medical Histories and Collateral Sources of Information: 41
• Stage of Change and Level of Motivation for Change: 59
• Creating a ProblemNeed List and Setting Goals and Objectives: 65
• Treatment and Recovery Plans: 79
• Levels of Care: 91
• Key Psychotherapies Mutual SelfHelp and Natural and Peer Supports: 103
• Mental Disorders Their Presentations and Treatment Approaches with CoOccurring Substance Use Disorders: 119
• CoOccurring Attention Deficit Hyperactivity Disorder and Related Disorders: 121
• Depressive Disorders and CoOccurring Substance Use Disorders: 139
• Bipolar Disorder and CoOccurring Substance Use Disorders: 155
• Anxiety Disorders and CoOccurring Substance Use Disorders: 179
• Posttraumatic Stress Disorder and CoOccurring Substance Use Disorders: 195
• Schizophrenia Other Psychotic Disorders and CoOccurring Substance Use Disorders: 211
• Personality Disorders and CoOccurring Substance Use Disorders: 241
• SubstanceSpecific Topics and Treatments: 255
• Alcohol: 257
• Tobacco: 267
• Opioids: 271
• Selected Topics for Other Substances: 281
• Statebystate Guide to Mental Health and Substance Abuse: 289

About the author

Charles Atkins, MD is a board-certified psychiatrist, published author, clinical trainer, and the Chief Medical Officer for Community Mental Health Affiliates. He has extensive experience working with individuals with a broad-range of co-occurring disorders, has been a member of the Yale clinical faculty, and is a past regional medical director for the Department of Mental Health and Addiction Services (CT). Dr. Atkins has written both non-fiction and fiction, including books on Bipolar Disorder and Alzheimer's disease, as well as numerous published novels.

Bibliographic information

• Title: Co-Occurring Disorders: Integrated Assessment and Treatment of Substance Use and Mental Disorders
• Author: Charles Atkins, MD
• Edition: reprint
• Publisher: PESI Publishing & Media, 2014
• ISBN: 1936128543, 9781936128549
• Length: 315 pages
• Subjects: Education / Counseling / General; Psychology / Clinical Psychology; Psychology / Psychopathology / Addiction