Dual Diagnosis: Counseling the Mentally Ill Substance Abuser

Overview

The treatment of coexisting chemical dependency and psychiatric disorders has long been a serious challenge for care providers. With the advent of managed care, counselors, case managers, and other professionals increasingly are called upon to treat very ill and troubled clients in outpatient settings. Updated for today's health care climate, the revised and expanded second edition of this popular volume offers a thorough introduction to clinical work with this difficult-to-treat population. Providing a unique ...
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Overview

The treatment of coexisting chemical dependency and psychiatric disorders has long been a serious challenge for care providers. With the advent of managed care, counselors, case managers, and other professionals increasingly are called upon to treat very ill and troubled clients in outpatient settings. Updated for today's health care climate, the revised and expanded second edition of this popular volume offers a thorough introduction to clinical work with this difficult-to-treat population. Providing a unique synthesis of chemical dependency and mental health models, the book articulates a framework for assessment and treatment and describes a range of effective counseling and motivational strategies for adolescents and adults. Updated to DSM-IV, the second edition includes discussions of the latest developments in treatment, sample treatment plans, increased coverage of ways to incorporate 12-step concepts into mental health interventions, and a new section on trauma-based disorders in addicted female adolescents. As in the first edition, the practical utility of the volume is enhanced by numerous clinical vignettes and clearly presented tables to aid in assessment. Appendices feature helpful reproducible forms.

The book contains black-and-white illustrations.

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Editorial Reviews

Booknews
Uses 12-step recovery concepts as the main framework for integrating substance use disorder and mental health treatments. Schizophrenia, dementia, bipolar, ADHD, depression, anxiety, and antisocial personality disorders are all discussed. The second edition adds a section on trauma-based disorders in addicted female adolescents, and deletes the section on passive-aggressive clients. Annotation c. Book News, Inc., Portland, OR (booknews.com)
From the Publisher

"This new edition includes comprehensive literature updates in every chapter, drawing upon the considerable clinical and conceptual advances that have occurred in the field over the last decade. The authors have advanced and expanded upon the dual recovery model, but have retained some of the strongest elements of the first edition, such as modified stepwork exercises for a variety of psychiatric illnesses. They have also retained their clear and descriptive style. Of all the books I have seen, this is the best comprehensive textbook for addiction counselors wishing to develop competency in dual diagnosis. It is also wonderfully accessible for frontline mental health counselors and case managers." --Ken Minkoff, MD, Assistant Clinical Professor of Psychiatry, Cambridge Hospital, Woburn, Massachusetts

"This comprehensive examination of the complex relationship between addictive disorders and other psychiatric conditions will meet the needs of a wide range of audiences. The authors combine research-based recommendations with a richness of detail and insight about the most prevalent coexisting disorders. They write with a vividness that can only be achieved by seasoned clinicians. The book will serve as a valuable guide for practitioners in different disciplines and as a textbook for graduate and postgraduate training." --Joan E. Zweben, PhD, Executive Director, East Bay Community Recovery Project & The 14th Street Clinic, Oakland, CA; Clinical Professor of Psychiatry, University of California, San Francisco

"Evans and Sullivan have done it again--provided a practical, clinically useful book on the treatment of a variety of dually disordered conditions. In this updated second edition they have added new material and approaches gleaned both from the professional literature and their own active clinical experience. A 'must read' for those in the field." --Richard K. Ries, MD, University of Washington and Harborview Medical Center, Seattle, Washington

From The Critics
Reviewer: Sharon L Coleman, PsyD(Cermak Health Services)
Description: This book updates and integrates mental health treatment with substance abuse treatment.
Purpose: The purpose is to update the reader on dual diagnosis and suggested treatment approaches. This book also seems to accurately incorporate other major clinical syndromes with substance abuse disorders. This is an important an necessary endeavor given the prevalence of substance abuse disorders. This book appears to have covered the relevant issues regarding dual diagnosis and treatment.
Audience: This book is written primarily for the practitioner, more specifically those trained in psychology or in mentally ill substance abuse (MISA) treatment. Although the author seems to target a more general audience, including substance abuse counselors, the information relating to other mental disorders and DSM-IV classifications may not be as familiar to this group. I do think that the authors are very credible in this area and provide significant depth of information to the reader.
Features: The book essentially addresses two main areas: dual diagnosis and treatment. It integrates major mental disorders with substance abuse disorders. It outlines the features and dynamics of symptomatology. It also highlights treatment modalities and even offers disorder-specific interventions. The book covers some practical assessment issues and also contains good examples for understanding key issues. The checklists and examples in the appendix are especially helpful. I do think that the book would have benefited from some additional discussion on cultural issues and influences related to dual diagnosis and treatment.
Assessment: This is an excellent addition to the literature on dual diagnosis. It is relatively comprehensive and offers important suggestions on treatment approaches. This book is exceptionally practical from this standpoint. The new edition is necessary since it updates diagnostic information from the current DSM.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780898624502
  • Publisher: Guilford Publications, Inc.
  • Publication date: 1/28/1990
  • Edition description: Older Edition
  • Edition number: 1
  • Pages: 191
  • Product dimensions: 5.98 (w) x 8.99 (h) x 0.62 (d)

Meet the Author


Katie Evans, PhD, NCACII, and J. Michael Sullivan, PhD, are cofounders of the Evans and Sullivan Clinic in Beaverton, Oregon, specializing in the treatment of adults and adolescents with dual disorders. Dr. Evans serves as CEO and Treatment Coordinator and Dr. Sullivan is Clinical Director. Internationally known for their expertise on dual diagnosis issues, they have coauthored numerous articles, client materials, and books, including Treating Addicted Survivors of Trauma.

Katie Evans, PhD, NCACII, has a PhD in clinical psychology and is an Oregon Board Certified alcohol and drug counselor and a nationally credited alcohol and drug counselor. Dr. Evans specializes in counseling survivors of abuse who are chemically dependent. She is currently CEO and Treatment Coordinator at the Evans and Sullivan Clinic, cofounded with J. Michael Sullivan, where she works with adults and adolescents who have coexisting substance abuse and psychological problems. Widely published, Dr. Evans has coauthored several books with J. Michael Sullivan, including Treating Addicted Survivors of Trauma. She also serves on the faculty of Portland State University; conducts workshops and seminars on a variety of mental health and recovery-related topics; and consults to numerous agencies and treatment centers in the United States and Europe.

J. Michael Sullivan, PhD, is a licensed clinical psychologist specializing in the treatment of persons with dual disorders. He is currently Clinical Director at the Evans and Sullivan Clinic. With Katie Evans, he has coauthored dealing with the assessment and treatment of dual disorders. Dr. Sullivan has also given workshops on dual diagnosis in the United States and abroad, and has served as a consultant to various dual diagnosis programs and task forces.

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Table of Contents

Chapter 1. The Nature of the Problem 1
Chapter 2. Models of Treatment 10
Chapter 3. An Integrated Model of Dual Recovery 27
Chapter 4. Assessing Chemical Dependency in the Dually Diagnosed Client 46
Chapter 5. Assessing the Psychiatric Disorder and Planning the Appropriate Level of Care 66
Chapter 6. The Psychotic and Cognitive Disorders 81
Chapter 7. The Affective and Anxiety Disorders 99
Chapter 8. Antisocial and Borderline Personality Disorders 122
Chapter 9. Working with Adolescents 146
Chapter 10. Working with Families 175
Chapter 11. Enhancing the Motivation of Clients (and Counselors, Too!) 193
Appendix 1. Modified Stepwork 209
Appendix 2. A School Behavior Checklist 247
Appendix 3. A Checklist for Parents 249
Appendix 4. A Typical Home Behavior Contract 250
References 255
Index 281
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