Issues settings models of care for persons with co occurring disorders
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Issues, Settings & Models of Care for Persons with Co-occurring Disorders.


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Issues, Settings & Models of Care for Persons with Co-occurring Disorders. Arthur J. Cox, Sr., DSW, LCSW “2005 National Forum on Clinical Skill Building for Co-occurring Disorders September 22-23, 2005 Orlando, FL. Arthur J. Cox, Sr., DSW, LCSW. President/CEO
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Issues, Settings & Models of Care for Persons with Co-happening Disorders Arthur J. Cox, Sr., DSW, LCSW “2005 National Forum on Clinical Skill Building for Co-happening Disorders September 22-23, 2005 Orlando, FL

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Arthur J. Cox, Sr., DSW, LCSW President/CEO The Mid-Florida Center for Mental Health and Substance Abuse Services, Inc. P. O. Box 33 Avon Park, FL 33826 (863) 452-6818 Fax (863) 452-6617 E-mail: midfloridacenter@earthlink.net Website: www.midfloridacenter.com

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COD Resources SAMHSA’s Co-Occurring Center for Excellence at www.coce.samhsa.gov Co-Occurring Dialogs Discussion List : Membership is free and unhindered and should be possible by sending an email to dualdx@treatment.org . Co-Occurring State Incentive Grants (COSIG) and Policy Academies : see SAMHSA site for data at www..samhsa.gov Reports (see COCE site)

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MFC:A Fully Integrated Treatment Organizations for Co-happening Disorders One program that gives treatment to both issue. Client’s mental and substance related issue are dealt with by the same clinicians. Clinicians are consistently broadly educated to treat various issue. Center is on counteracting uneasiness as opposed to getting through foreswearing. Organization offers stagewise & motivational guiding. 12 Step care groups participation are obliged or accessible. Psychiatric assessments and psychpharmacotherapies are accessible

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COCE Core Products and Services The COCE Web Site www.coce.samhsa.gov Overview papers, specialized reports, and different items Technical Assistance Direct solicitations to: Email: samhsacoce@cdmgroup.com Phone: 301-951-3369 Meetings and gatherings Pilot assessment of the Performance Partnership Grant (PPG) measure

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Overview of Co-happening Disorders Prevalence & Trends Heterogeneity & Special Populations Shift towards Integrated Assessment and Treatment Effective methodologies, Models & Strategies Training Needs Recent Development at Federal, state and group levels

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Use drink/utilization to be social and on social events (at times alluded to as social or recreational utilization) periodically drink or utilization for the inebriating impacts drink/utilize at times, for instance a few times each month to a few times each year regularly drink 1 - 2 drinks for each drinking event, now and then more; may leave drinks unfinished drink or utilization to inebriation just once in a while; scenes of inebriation don't meddle with life working have never experienced life issues as a consequence of drinking or utilizing

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ABUSE drink or utilization for the impact of feeling plastered or high every now and again toast inebriation and utilization to the point of noteworthy hindrance have encountered no less than one life issue connected with the utilization of medications or liquor keep on utilizing in spite of life issues connected with utilizing are beginning to experience expanded resistance to liquor and medications of misuse frequently drink or utilize alone so as to evade bothers from family or companions drink or utilization on weekends so as to maintain a strategic distance from disturbances to work or school calendars participate in unlawful movement identified with utilization; captures/legitimate issues coming about because of utilization See TIP 42, PP 22-23, Burton, Cox & Fleisher-Bond, 2001

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DEPENDENCE drink or utilization in view of an impulse, (i.e. “have to”) drink or utilize continually, regularly day by day quite often toast inebriation and utilization to the point of noteworthy hindrance drink or utilization to keep away from withdrawal have encountered various issues in a few territories of life working and keep on utilizing in spite of these issues experience the ill effects of the infection of habit, stamped by loss of control have checked resistance to liquor and medications of misuse may encounter withdrawal when utilization is ended TIP 42, P.23, Burton, Cox, & Fleisher-Bond, 2001, P. 23

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Defining Loss of Control utilizing more than planned or over a more extended timeframe than expected unsuccessful endeavors to lessen, control or suspend use, (i.e. being not able to hush up about guarantees and others to stop, backsliding after treatment mediations) extreme time spent getting substances, utilizing them and/or recuperating from their belongings keeping on utilizing regardless of the vicinity of extraordinary physical and/or mental issues made or declined by utilization (APA, 1994), TIP 42, PP 21-23.

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Physiological Dependence expanded resilience : obliging more of a substance so as to get the coveted impact, (i.e. “I used to catch a buzz on maybe a couple brews, now I can drink a six pack and not so much feel it.”); diminish in the fancied impact when the same measure of a substance is taken (APA, 1994) withdrawal : encountering physical side effects of the withdrawal disorder for the particular substance taken after stopping utilize; the side effects cause disability in working; keeping on utilizing a substance as a part of request to maintain a strategic distance from withdrawal (APA, 1994)

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Mental Disorders . Scatters are characterized by: sets of side effects that, happen after some time, and lead to a powerlessness to work the way a man needs to or is obliged to. Further, they don't happen solely throughout substance utilize, and are worse represented by restorative conditions

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Classifying Mental Disorders Psychotic Disorders : schizophrenia, numerous types; other maniacal issue Mood Disorders : depressive issue, various types; bipolar issue, different kinds Anxiety Disorders : fears, PTSD, summed up uneasiness issue, frenzy issue Behavioral Disorders : identity issue, assorted types (bunches A, B, and C) TIP 42, PP23-26, Burton, Cox, Fleisher-Bond 2001, PP 35-42

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QUADRANTS OF CARE Category I –Mental & substance related issue are both less extreme –primary wellbeing. Classification II – half of behavioral wellbeing customers – mental issue – cmhc Category III – Majority of COD – SA/MH/Jails Category IV – Chronic MI/SA - ??? Figure 2-1 Tip 42, p29

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Components of Integrated Treatment: Basic Competencies* What Substance Abuse Professionals Need to Know the way of mental issue and their advancement symptomatology of mental issue and other utilitarian issue psychosocial challenges coming about because of mental issue the need of psychotherapeutic drugs in the treatment of maladjustment powerful psychiatric treatment intercessions substance misuse treatment mediations that may demonstrate negative to persons with mental issue

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Components of Integrated Treatment What Mental Health Professionals Need to Know the way of addictive issue and their treatment manifestations and signs of addictive issue psychosocial troubles that emerge from incessant substance use psychotherapeutic operators that may demonstrate adverse to persons with substance-related issue viable substance misuse treatment mediations emotional well-being treatment mediations that may demonstrate hindering to persons with substance-related issue

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What Professionals from Both Fields Need to Know the way of substance misuse and dysfunctional behavior as they co-happen procedures for meeting the unique treatment needs of persons with co-happening issue essential skills for surveying other practical issue that effect the clinical picture techniques for offering treatment mediations for other useful issue methodologies for appraisal and differential determination; evaluating for ‘multiple disorders’ basic myths and misguided judgments about co-happening issue routines for mixing treatment intercessions and creating equipped programming extensive comprehension of backslide when issue co-happen how best to survey/treat exceptional populaces (ladies, youth the elderly, elective way of life, HIV/AIDS, persons of shading)

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Questions Questions and Com