The treatment of coexisting chemical dependency and psychiatric disorders has long been a serious challenge for care providers. With the advent of managed care, counsellors, case managers, and other professionals increasingly are called upon to treat very ill and troubled clients in outpatient settings. Updated and revised, this edition offers an introduction to clinical work with this difficult-to-treat population. Providing a synthesis of chemical dependency and mental health models, the book articulates a framework for assessment and treatment and describes a range of effective counselling and motivational strategies for adolescents and adults. The book includes discussions of developments in treatment, sample treatment plans, increased coverage of ways to incorporate 12-step concepts into mental health interventions, and a section on trauma-based disorders in addicted female adolescents.
"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 "Individual chapters on psychotic and cognitive disorders, affective and anxiety disorders, antisocial and borderline personality disorders give the reader useful insights into the application of 12-Step treatment approaches to these conditions, from the author's clinical experience....This book is highly recommended for those working with substance misusers and managers of services. It is a very readable practical guide, which should be included in the reading list of training [programs] to complement the various texts dealing with this set of complex needs."--"Addiction Biology"
.,."a book written by clinicians for clinicians. There is enough general information for the novice, enough wise and practical guidance for the more experienced practioner. I strongly recommend this book."--"Alcohol & Alcoholism"
.,."intended for professionals, but laypersons can easily understand and learn from it. It remains essential because of its presentation of information needed by many families."--"NAMI Advocate"
PRAISE FOR THE PREVIOUS EDITION
"In an eminently readable format, the authors describe a coherent, conceptually integrated model of assessment, diagnosis and treatment of dual diagnosis patients....Each chapter is replete with pragmatic clinical techniques that can be readily applied by clinicians of various backgrounds and levels of training....Recommended reading."--"Journal of Studies on Alcohol"
"Now a comprehensive guidebook is available for front-line service providers who need practical information....[It] is a welcome addition to the literature and provides a readable, accessible, and practical introduction to providing services for people with co-existing mentalillness and substance abuse disorders....Should be very effective as a tool for cross-training mental health and substance abuse staff members or as a textbook in pre-professional training. It is an excellent general introduction for practitioners."--"Psychosocial Rehabilitation Journal"
"Well researched and instructive....'--"Alcohol & Alcoholism"