Substance Abuse Final (ch 4?)

Until recently, substance misusers who have coexisting developmental, physical, or cognitive disabilities have been

largely ignored in treatment settings, research, professional training, and public awareness (people with disabilities face barriers to treatment)

People with Disabilities are

less likely to go to treatment

"No Wrong Door"

phrase to describe integrated treatment

The goal of persuasion within the Stage-Wise Treatment is

to have clients think about their goals. It has to do with opening up opportunities for the consumer to think about their own life goals and whether substance use or mental health symptoms deter them in achieving these goals

People with mental illness are more likely to

use alcohol

Quadrant Model

(True) used to address the challenge of matching the treatment of persons with co-occuring disorders to their different needs.

Assertive Community Treatment (ACT)

(best practice) has been recognized as a best practice model by the American Psychological Association for serious mental illness

Stage Wise Treatment Stages include

1) Engagement, 2) Persuasion, 3) Active treatment, and 4) Relapse prevention

5%

COD (co-occuring diagnosis)

Homeless Assessment Report ot Congress found

about 50% (of the homeless) have co-occurring disorders (so if you have a dual diagnosis you're more likely to be homeless)

Integrated treatment does not

focus on one problem at a time

Research has found that Integrated treatment practices

result in stable remission rates that went from 5% per year under traditional system to 10-20% per year