http:www'ncbi'nlm'nih'govbooksbv'fcgiridhstat5'chapter'74073

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• http//www.ncbi.nlm.nih.gov/books/bv.fcgi?ridhsta
  t5.chapter.74073

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Co-Occurring Disorders

• The evolution, prevalence and ways of
  understanding them

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What are co-occurring disorders?

• Two or more mental disorders, at least one of
  which is s Substance Related Disorder.
• Previous terms used
• Dual Diagnosis
• Dual Disorders
• Mentally Ill Chemical Abuser
• Chemically Addicted Mentally Ill
• Double Trouble
• Etc. see page 27 in TIP 42

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Important terms

• Mental disorders
• Serious and persistent mental illness
• Mental health issues
• Substance Use Disorders or SUDs
• Abuse
• Dependence
• Substance Induced Disorders
• Chemical Dependency
• Addiction

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Prevalence of CODSource TIP 42 and
Epidemiology of Co-Occurring Substance Use and
Mental Disorders, SAMHSA
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Similarities and Differences Between the MH and
CD Fields

• Differences
• Varied goals
• Role of medication
• Role of spirituality
• Labeling
• Role of professional
• Idea of powerlessness

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• Similarities
• Biopsychosocial model
• Ongoing treatment
• Family involvement
• Mutual support/self help
• Continuum of care

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Explaining the relationship between m.h. and sud

• Secondary substance abuse
• Secondary psychiatric disorder
• Common factor
• Bidirectional

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Quadrants of care-pg. 29

• Category I Less severe MD, Less severe SUD.
  Primary healthcare setting
• Category II More severe MD, Less severe SUD.
  Mental Health system
• Category III Less severe MD/More severe SUD.
  Chemical dependency system
• Category IV More severe MD/More severe SUD.
  Psych. hospitals, jails, ER, etc.

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Small Group-Reading Review

• Form groups of 4-5.
• Have a go-round-each person contribute one
  important piece of information from ch. 3.
• Discuss each of these to clarify meaning and why
  it is important.
• List on newsprint.
• Do you have questions re reading?