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

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<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Suicide : Bipolar Disorder • Lifetime risk = 15xs higher in bipolar disorder than in general population – Highest risk = young men in early phase of illness who have made previous attempts or who abuse alcohol – Risk increased if psychotic and depressed concurrent with mania – Increased risk if abusing substances • 10-19% commit suicide – 79% of these suicides occurred while depressed Substance Induced Mood Disorders A disturbance in mood characterized by either (or both) of the following: 1) depressed mood r diminished interest and pleasure in activities; or 2)elevated, expansive or irritable mood. Alcohol inhalant amphetamine opioid cocaine hallucinogen phencyclidine Other e.g. ecstasy, Marijuana Substance- Related Disorders (Kessler et al. 1996) • More than 60% of individuals with bipolar disorder meet lifetime criteria for a substance-related disorder – Greater than in any other Axis 1 disorder • 34-67% rate of major depression in alcohol abusers Substance Abuse Disorders Cont’d • It is one of the major factors in medication noncompliance and suicidality. • Symptoms of the disorders mimic each other • These individuals have a more difficult course of illness and are the most treatment resistant. Substance Abuse Disorders Cont’d • In around 10% of persons with co-occurring disorders the depression persists after acquiring sobriety (Nunes et al.1993) • Both disorders can exist independently of each other in the same individual and treatment of the mood disorder yields improvement in both conditions (Zickler, 2000; Grant, 1999) • Those persons with co-occurring disorders are much more likely to seek treatment with resulting higher costs (Druss & Rosenheck, 2000) General Treatment Approaches • Use evidence-based guidelines and management tools for treating • Medication • Psychotherapy – Integrated for co-occurring, including individual and group – Intensive outpatient • Psychoeducation • Self-help, including 12 step and Dual Recovery 8
<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Examples of Psychotherapy Options (Kahn et al,2000) (Klerman et al,1984) • Cognitive Therapy • Behavior Therapy • Interpersonal Therapy • Group therapy incorporating above Psychoeducational Issues (Keltner,2003) • Focus on wellness – Learn to minimize stress – Balance sleep and activity patterns – Adverse effects of medication and/or substances • Genetic risks • Avoid alcohol or illicit drugs – Identify triggers – Problem solving and harm reduction strategies • Advance directives Psychosocial Issues (Cont’d) Example of Treatment Phases and Goals For Depression (APA, 2002) • Improve coping skills – Enlist family and friends • Acceptance of illness • Signals of relapse – Learn to recognize “early warning signs” of new mood episode Phase Acute Continuation Length 6-12 (16) weeks 4-9 (12) months Tx Goal Achieve Remission Prevent Relapse Maintenance Varies Protect against Recurrence Depression: Evidence-Based Beneficial Interventions • Cognitive therapy (in mild to moderate depression) • Continuation treatment with antidepressant drugs (reduces risk of relapse in mild to moderate depression) • Electrconvulsive therapy severe depression) • Prescription antidepressant drugs for all levels of severity 9
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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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Work Experience Verification Applic
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Code of Ethical Conduct UNLAWFUL CO
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psychoactive substance impairs the
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Page 122 and 123: TABLE OF CONTENTS Purpose of the Ca
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Page 134 and 135: COUNSELING Task 1 - Provide a safe,
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Page 140 and 141: disciplinary codes of ethics and st
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Page 148 and 149: elationship is established with the
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Page 152 and 153: REFERENCES The following resources
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Page 156 and 157: Stern, T., Herman, J., & Slavin, P.
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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W96: Stigma & Co-occurring Disorder
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