COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

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<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Under-recognition and Undertreatment of Depression • Depression – 45% untreated – 44% under treated – 11% treated appropriately Hirschfeld et al., 1997 Underrecognition and Undertreatment: Bipolar Disorder • More than half do not seek treatment 5 years after first experiencing symptoms. • 36 percent did not seek treatment after 10 years. • The correct diagnosis was not made until an average of 8 years after first seeking treatment (NDMDA survey). Undertreatment: Provider Factors (Hirschfeld,et al,1997) • Poor education about the disorders • Limited training in interpersonal skills •Stigma • Inadequate time to evaluate and treat • Failure to consider psychotherapeutic approaches • Inadequate doses of medication for inadequate durations DSM-IV Mood Disorders • Major Depressive Disorder • Dysthymic Disorder • Depressive Disorder NOS • Bipolar I Disorder • Bipolar II Disorder • Mood Disorder Due to a General Medical Condition • Substance-Induced Mood Disorder • Mood Disorder NOS Comorbidity is Common (Kessler et al,1996) • Most people with 1 mental disorder suffer from 1 or more other disorders • Mood disorders are risk factors for medical illness • Both psychiatric and medical comorbidities are especially common in those with bipolar disorder Some Comorbid Conditions • Substance related disorders – Alcohol abuse/dependence most common • Anxiety disorders • Impulse Control Disorders (Bipolar disorder) – Pathological Gambling and Kleptomania most common • Eating Disorders (Bipolar disorder) • Personality Disorders 2
<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Causes of Mood Disorders • Biological diseases • Caused by changes in brain chemistry • No single cause of changes in brain chemistry – Episodes occur as a result of genetic, biological, and psychological influences combined with life stresses Common Pathway Hypothesis (Reinecke & Davison, 2002) • Interactive model • Behavioral manifestation of a new psychobiological state • Various interlocking processes at the: – Neurophysiological & – Biochemical & – Experiential & – Behavioral levels Common Pathway Hypothesis (con’t) BIOPSYCHOSOCIAL-SPIRITUAL MODEL (Adapted from Sands, 1991) BIOLOGICAL • Affects the limbic-diencephalic-prefrontal cortex connection • Builds over many years • Weaving together of biological, social and psychological factors PSYCHOLOGICAL Genetics Psychopharmacology Neurophysiology Cognition Emotions Behaviors Interactions Transactions SPIRITUAL SOCIAL Factors Considered in the Common Pathway Hypothesis • Genetic vulnerability • Predisposing temperament • Character traits • Age and gender • Physical illness Factors Considered in the Common Pathway Hypothesis (con’t) • Aging • Developmental events • Socio-cultural context • Major trauma (single event or ongoing traumatic events) 3
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Program Description: The Commonweal
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Conference Information: The Pennsyl
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MONDAY May 15 th , 2006
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Monday Morning Plenary Session “S
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COSIG Co-Occurring Disorders Confer
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M01: The Addiction Psychiatry Couns
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5. Criminal Logic: This is a 3- to
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12 Roadblocks of Communication 1 Or
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3 G.R.A.C.E. G- For Gap. Often our
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5 _________________________________
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7 Overall, what do you gain by drug
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9 2. What time of day would be best
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11 10. What good things would happe
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13 Decisional Balance for Drug Use
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15 ________________________________
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17 Drug use: Antecedents, Consequen
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Certificate of Achievement Temple U
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M06: An Overview: Co-Occurring Diso
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Requirements for CCDP Employment CC
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ecertification cycle (PCB approved
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Page 122 and 123: TABLE OF CONTENTS Purpose of the Ca
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Page 152 and 153: REFERENCES The following resources
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Page 158 and 159: 2004 PA Certification Board (PCB).
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M15: TIP 42 Treatment for Persons w
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M16: Housing Implications for the O
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DRAFT - Community Based and Recover
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are perceived as necessary for stat
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esponsibility shared with consumers
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or provided at other rehab programs
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Supportive housing is a successful,
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Living on the Edge: Substance Use a
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M26: Dual Recovery: 12-Step Program
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Using Dialectical Behavior Therapy
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Using Dialectical Behavior Therapy
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TUESDAY May 16 th , 2006
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Article by Kenneth Minkoff, MD and
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RESOURCE BIBLIOGRAPHY (2005) 1. Ame
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38. Foundation Associates, Making M
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71. Minkoff K & Cline C, Developing
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co-occurring psychiatric and substa
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T31: Implementing Evidence-Based Pr
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T32: Berks County Adolescent Pilot
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T35: CCISC Implementation in Pennsy
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Volume 1, Issue 5 The Trainers meet
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Volume 1, Issue 1 BLAIR COUNTY’S
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Volume 1, Issue 1 Vision/Mission CO
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Volume 1, Issue 1 3. The population
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Volume 1, Issue 1 Complete
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Volume 1, Issue 1 The forgoing Cons
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Volume 1, Issue 1 Language for Inte
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Volume 1, Issue 1 Language for Inte
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T36: The Co-Occurring Distinction:
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Integration or Occupation? •QUEST
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Coming to a Balance “Rather shall
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T41: Offering Positive Incentives t
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Motivational Incentives for Enhance
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T43: Prison to Community: Reducing
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T45: Workforce Issues and Co-occurr
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T46: Creation of Local Housing Opti
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Fetal alcohol spectrum disorders fo
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MY 9-YR-OLD SON’S HISTORY OF MEDI
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Don’t Ask My Child to Fly Bruce R
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1 Multisystemic Therapy MST Model H
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3 NCFAS RESULTS: Adolescents & Pare
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Adelphoi Village Multisystemic Ther
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DISCHARGES PER AGENCY TOTAL DISCHAR
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T53: Using Change Theory to Assess
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The following questionnaire is desi
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THE STAGES OF CHANGE APPLIED TO COU
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T55: Creating Co-Occurring Centers
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12. What is the diagnosis: |___| 1
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Fact Sheet A Project to Establish A
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Planning and Implementing a Welcomi
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All organizations signing this memo
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3. Region I organizations will assi
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e) Link organizations with websites
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Planning and Implementing a Welcomi
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Welcome to the Johnson Institute ht
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johnsoninstitute.com - History http
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johnsoninstitute.com - President's
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MISA PILOT TAKES FLIGHT: A PILOT AP
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In Flight Changes for COD in Washin
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Crisis & Counseling Centers Co-occu
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Fact Sheet A Project to Establish A
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Mental Health Network Co-Occurring
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100% Treatment Team Improvement in
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T67: Antisocial Personality Disorde
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Wednesday Morning Plenary Session
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Cultural Clashes in Co-Occurring Di
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W72: Use of Animal Assisted Therapy
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W74: Therapy for Women Facing Traum
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HIEN, COHEN, MIELE, ET AL. for the
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HIEN, COHEN, MIELE, ET AL. TABLE 2.
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HIEN, COHEN, MIELE, ET AL. TABLE 4.
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W75: The MISA/COD Pilot Projects: L
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THE BEAVER COUNTY MODEL • Targets
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Additional Information Contact: Nan
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W81: The Pennsylvania COSIG Evaluat
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W83: Beaver County Forensic COD Ini
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W84: Improving Assessment and Treat
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Improving Assessment and Treatment
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W86: Fairweather Lodge - An Evidenc
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Housing, Employment, Social and Aut
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Principle VI. Successful Lodges res
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Fidelity to Autonomy Principles 1.
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W87: Physical Disorders and Persons
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W91: Collaborative Care for Concurr
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W96: Stigma & Co-occurring Disorder
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