Table of Contents

Preface. The New Reality: Multifarious Caseloads. Prevalence of Co-Occurring Disorders. Types of Clients Found in a Multifarious Caseload. Essential Philosophical View. Essential Knowledge and Skills. Integrated Treatment. A Competency-Based Focus. Treatment Goals. Standard Interventions for All Clients with Co-Occurring Disorders. Conclusion. Then and Now: Concepts and Treatment of Co-Occurring Disorders. Genesis and Early Concepts. Early Treatment Activities and National Acceptance. Factors Affecting the Development of Services for Individuals with Co-Occurring Disorders. Building the Infrastructure for a System of Care for Individuals with Co-Occurring Disorders. Current Conditions and the Future. Frequently Co-Occurring Axis I Psychiatric and Substance Use Disorders. Substance-Related Disorders. Mood Disorders. Anxiety Disorders. Psychotic Disorders. Disruptive Behavior Disorders. Dissociative Disorders. Eating Disorders. Impulse Control Disorders. Conclusion. Personality Disorders that Frequently Co-Occur with Substance Use Disorders. Personality Disorders: Definition. Personality Disorders and Co-Occurring Substance Use and Mental Disorders. Cluster B Personality. Cluster A Personality Disorders. Cluster C Personality Disorders. Conclusion. Assessment. Identifying a Substance Use Problem. Differentiating Substance-Induced Disorders from Co-Occurring Disorders. Subgroups of Individuals with Co-Occurring Disorders. Consequences of Substance Use. Motivation for Continued Substance Use. History of Approach to Treatment and Recovery. Matching Treatment Needs with Treatment Possibilities. Conclusion. Introduction to Treatment: Goals and Themes. Treatment Goals. Treatment Themes. Conclusion. Psychoeducation and Group Treatment. Psychoeducation. Promoting Personalization of Psychoeducation Material. Participant Limitations in Psychoeducation Settings. Designing Psychoeducation Programs for Multifarious Caseloads. The Role of the Leader. Reasonable Goals for a Psychoeducation Program. Group Therapy. Group Membership. Operating Rules for the Group. Group Logistics. A Typical Group Session for More-Impaired Individuals. A Typical Group Session for Less-Impaired Individuals. Conclusion. Individual Therapy and Case Management. Individual Therapy. Case Management. Functions of Case Management. Models of Case Management. Individual Therapy and Case Management with a Multifarious Caseload. Conclusion. Family Interventions. Family Intervention Methods. Factors That Hinder Family Involvement in Treatment. Promoting Family Involvement. Important Family Treatment Concepts. A Model for Identifying Family Change. Stuck Points in the Family Change Process. Conclusion. Promoting Long-Term Stability: Relapse Prevention and Symptom Management. Cluster of Interventions for Prerecovery and Antitreatment Clients. Cluster of Interventions for Early Recovery and Treatment-Engaged Clients. Cluster of Interventions for Later Recovery and Minimal or Posttreatment Clients. When Knowledge and Skills Do Not Work. Conclusion. Substance Abuse and Mental Health Recovery Movements. Mental.

About the Author

Sharon Ekleberry