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 handouts and forms.
Table of Contents
1. The Nature of the Problem
2. Models of Treatment
3. An Integrated Model of Dual Recovery
4. Assessing Chemical Dependency in the Dually Diagnosed Client
5. Assessing the Psychiatric Disorder and Planning the Appropriate Level of Care
6. The Psychotic and Cognitive Disorders
7. The Affective and Anxiety Disorders
8. Antisocial and Borderline Personality Disorders
9. Working with Adolescents
10. Working with Families
11. Enhancing the Motivation of Clients (and Counselors, Too!)
1. Modified Stepwork
2. A School Behavior Checklist
3. A Checklist for Parents
4. A Typical Home Behavior Contract
"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....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, University of California, San Francisco
"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....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, The Cambridge Hospital
"This is an excellent text for teaching this complicated material. It works well for beginners who have limited background working with this population, as well as for more advanced practitioners."
-Linda Lemas, MA, NCAC, LPC, Lewis & Clark State College (on the first edition)
from the publisher's website