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Integrated Treatment for Dual Disorders : A Guide to Effective Practice - Kim T. Mueser

Integrated Treatment for Dual Disorders

A Guide to Effective Practice

Paperback Published: 25th April 2003
ISBN: 9781572308503
Number Of Pages: 470

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This comprehensive clinical handbook provides virtually everything needed to plan, deliver, and evaluate effective treatment for persons with substance abuse problems and persistent mental illness. From authors at the forefront of the dual disorders field, the book is grounded in decades of influential research. Presented are clear guidelines for developing integrated treatment programs, performing state-of-the-art assessments, and implementing a wide range of individual, group, and family interventions. Also addressed are residential and other housing services, involuntary interventions, vocational rehabilitation, and psychopharmacology for dual disorders. Throughout, the emphasis is on workable ways to combine psychiatric and substance abuse services into a cohesive, unitary system of care. Designed in a convenient large-size format with lay-flat binding for ease of photocopying, the volume contains all needed assessment forms, treatment planning materials, and client handouts, most with permission to reproduce.

"An outstanding resource for clinicians. The text is remarkable for its comprehensiveness, clarity, practical suggestions, and wealth of reproducible forms and handouts. Social workers will find the book especially useful, as it covers many aspects of treatment that are frequently overlooked, such as case management, family work, residential programs, and employment. This book will serve as a blueprint for providing integrated treatment for dual disorders."--Susan Gingerich, MSW, independent consultant and trainer, Narberth, Pennsylvania

"Mueser and his colleagues--all internationally recognized experts in their field--have given us a comprehensive, state-of-the-art volume to address empirically validated treatment for co-occurring disorders. With its treatment fidelity checklist and implementation guidelines, this book should be required reading for all program managers and mental health administrators who seek to design an effective, integrated system of care or improve existing service delivery. Grounded in practical clinical experience and well informed by first-rate scholarship, the text includes a variety of client handouts and detailed, step-by-step advice on adopting 'best practice' standards. This outstanding book is an invaluable resource for administrators, supervisors, clinicians, and trainers in social work and other mental health fields. I find it to be very valuable in training new staff. In addition, I highly recommend this book as a text for advanced practice courses in social work, psychology, psychosocial rehabilitation, and psychiatric nursing."--Margaret V. Sherrer, MSW, Project Director, Co-Occurring Addictive and Mental Disorders Program, South Shore Mental Health Center, Charlestown, Rhode Island; designated trainer, RI Council of Community Mental Health Centers, Inc.

"Providing meaningful help to the addicted client with major mental illness is the most difficult and challenging task that mental health clinicians face. Mueser and colleagues have provided us with a truly helpful and empowering guide. It is the best book in its field"--George E. Vaillant, MD, Harvard Medical School

"Individuals with severe mental illness and substance abuse are the most neglected group of psychiatric patients. This comprehensive textbook fills a major void and will be infinitely useful to clinicians, administrators, and clinicians-in-training. The authors have a national reputation for pioneering efforts to develop treatment models, and they have laid out a detailed plan for the rest of us to follow. Finally, clinicians have a cure for their dual diagnosis despair!"--E. Fuller Torrey, MD, The Stanley Medical Research Institute, Bethesda, MD

"Helping clients with dual disorders represents one of the most challenging tasks for mental health clinicians and administrators. While there is an extensive scientific literature on the topic, few programs offer integrated, evidence-based treatment. This book has the potential to change that. Written by the experts on the topic, it is a comprehensive, well-written, state-of-the-art manual that explains what needs to be done and then describes how it should be done. This book should find a home in every mental health program that works with dually diagnosed clients, and should be required reading for every new clinician and program administrator."--Alan S. Bellack, PhD, ABPP, Mental Illness Research Education Clinical Center (MIRECC), VA Capitol Health Care Network, Baltimore, MD; Department of Psychiatry, University of Maryland School of Medicine

Substance Abuse and Severe Mental Illnessp. 3
Principles of Integrated Treatmentp. 16
Basic Organizational Factorsp. 34
The Assessment Process
Assessment I: Detection, Classification, and Functional Assessmentp. 49
Assessment II: Functional Analysis and Treatment Planningp. 65
Individual Approaches
Stage-Wise Case Managementp. 87
Motivational Interviewingp. 108
Cognitive-Behavioral Counselingp. 121
Group Interventions
Persuasion Groupsp. 137
Active Treatment Groupsp. 155
Social Skills Training Groupsp. 168
Self-Help Groupsp. 183
Working with Families
Family Collaborationp. 195
Behavioral Family Therapyp. 205
Multiple-Family Groupsp. 227
Other Treatment Approaches
Residential Programs and Other Housing Optionsp. 239
Involuntary and Coerced Interventionsp. 249
Vocational Rehabilitationp. 267
Psychopharmacologyp. 279
Research on Integrated Dual-Disorder Treatmentp. 301
Epilogue: Avoiding Burnout and Demoralizationp. 307
Referencesp. 311
Dual-Disorder Treatment Fidelity Scalep. 337
Educational Handouts
Understanding Bipolar Disorderp. 357
Understanding Major Depressionp. 360
Understanding Obsessive-Compulsive Disorderp. 363
Understanding Posttraumatic Stress Disorderp. 366
Understanding Schizoaffective Disorderp. 369
Understanding Schizophreniap. 372
Understanding Antidepressant Medicationsp. 375
Understanding Antipsychotic Medicationsp. 378
Understanding Mood-Stabilizing Medicationsp. 382
The Stress-Vulnerability Model of Psychiatric Disordersp. 385
Role of the Familyp. 389
Basic Facts about Alcohol and Drugsp. 392
Alcohol and Drugs: Motives and Consequencesp. 396
Treatment of Dual Disordersp. 402
Communication Skillsp. 406
Infectious Diseasesp. 410
Assessment Instruments and Other Forms
Dartmouth Assessment of Lifestyle Instrument (DALI)p. 417
Alcohol Use Scale--Revised (AUS-R)p. 420
Drug Use Scale--Revised (DUS-R)p. 424
Functional Assessment Interviewp. 430
Drug/Alcohol Time-Line Follow-Back Calendar (TLFBC)p. 440
Payoff Matrixp. 442
Functional Analysis Summaryp. 443
Substance Abuse Treatment Scale--Revised (SATS-R)p. 444
Individual Dual-Disorder Treatment Planp. 445
Individual Treatment Reviewp. 446
Mental Illness Relapse Prevention Worksheetp. 448
Substance Abuse Relapse Prevention Worksheetp. 449
Pleasant Activities Worksheetp. 450
Recovery Mountain Worksheetp. 451
Orientation to Behavioral Family Therapyp. 452
Family Member Interviewp. 453
Summary of Family Assessmentp. 457
Family Treatment Planp. 459
Family Treatment Reviewp. 460
Problem-Solving or Goal-Setting Sheetp. 462
Indexp. 463
Table of Contents provided by Rittenhouse. All Rights Reserved.

ISBN: 9781572308503
ISBN-10: 1572308508
Series: Treatment Manuals for Practitioners
Audience: Tertiary; University or College
Format: Paperback
Language: English
Number Of Pages: 470
Published: 25th April 2003
Publisher: Guilford Publications
Country of Publication: US
Dimensions (cm): 27.3 x 21.0  x 2.54
Weight (kg): 1.11