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

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
Mood Disorders
Anxiety Disorders
• Major depressive disorder most common
• Later onset than substance abuse
• Bipolar Disorder
• Prominent mood liability and dyscontrol
• Onset of psychopathology preceded or
coincided with SU for other disorders
• Most common – Post Traumatic Stress
Disorder (PTSD)
• More commonly identified in females
• Males tend to be more hidden
• Usually associated with Child Abuse & Neglect and
Sexual Abuse
• High Incidence of Self Medicating
Recommendations for Practice
(Riggs, 2003)
• Strengths-based perspective
– Notice all positive statements and behaviors
• Empathy, respect, non-judgmental stance
• Joining rather than “expert” model
• Offer of, and peer group support availability for
family (beyond 12-step)
• Data-based information/education
• Engender hope & focus on competence
• Keep an “over time” perspective
Research-Based Interventions
for SUD in Adolescents (Riggs, 2003)
• Behavioral/Psychosocial
• Motivational enhancement therapy
• Family-based interventions
• Behavioral therapy approaches
• Cognitive-behavioral therapy
• Community reinforcement therapy
• Pharmacological – not enough research
Effective Treatment
Service Characteristics
• Has well trained multidisciplinary staff with
population age specific competencies
• Has intensive and sufficient duration to achieve
attitude and behavior changes
• Provides continuing next level of care services
or strong community based services linkages to
provide adequate transition and continuity to
reinforce changes
• Has flexibility of approaches within multiple domains of
young person’s life
(Bukstein, 1995; Fleisch, 1991; Friedman & Beschner,1985)
Effective Treatment
Service Characteristics – Cont.
• Sensitive to cultural and socioeconomic realities
of family, child, community
• Encourages family involvement
– working with families to improve
communication, parenting skills, issues of
parental substance use disorders
• Uses wide range of social services to help
youth and family prepare for drug-free life
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