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 8½" x 11" format, the volume contains all needed assessment forms, treatment planning materials, and client handouts, most of which include permission to photocopy.
Photocopy Rights: The Publisher grants individual book purchasers nonassignable permission to reproduce selected materials in this book for professional use. For details and limitations, see copyright page.
* The first book to present an evidence-based integrated treatment framework for dual disorders.
* Authors have national reputation; Mueser speaks often.
* Tons of reproducibles, handouts, assessments for real clinical practice.
* Comprehensive: every aspect of treatment addressed.
* For both psychiatric and addictions professionals.
Table of Contents
1. Substance Abuse and Severe Mental Illness
2. Principles of Integrated Treatment
3. Basic Organizational Factors
II. The Assessment Process
4. Assessment I: Detection, Classification, and Functional Assessment
5. Assessment II: Functional Analysis and Treatment Planning
III. Individual Approaches
6. Stage-Wise Case Management
7. Motivational Interviewing
8. Cognitive-Behavioral Counseling
IV. Group Interventions
9. Persuasion Groups
10. Active Treatment Groups
11. Social Skills Training Groups
12. Self-Help Groups
V. Working with Families
13. Family Collaboration
14. Behavioral Family Therapy
15. Multiple-Family Groups
VI. Other Treatment Approaches
16. Residential Programs and Other Housing Options
17. Involuntary and Coerced Interventions
18. Vocational Rehabilitation
20. Research on Integrated Dual-Disorder Treatment
· Epilogue: Avoiding Burnout and Demoralization
A. Dual-Disorder Treatment Fidelity Scale
B. Educational Handouts
C. Assessment Instruments and Other Forms
"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
"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, VA Capitol Health Care Network and Department of Psychiatry, University of Maryland School of Medicine
"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, Maryland