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

The field distinction of
Co-Occurring Disorders
(Dual Diagnosis)
CD/ SUD
Psych
MICA
Myths and Misdirections
Jim Cowser
MISA
Learning Objectives
•Evaluate the importance of the Co-occurring
distinction.
•Identify how a specialization focus may
impact practice .
•Reveal the dominant myths we wrestle with in
practice and their benefits and barriers .
•Identify implications for continued self
reflection and field evaluation.
What is the Co-Occurring
Distinction?
An evolving narrative resulting from
reflections on practice. By nature, it
is a slippery separation.
Supports specific treatment
approaches to address the
pervasive co-morbidity of
substance use disorders and
psychiatric illnesses.
Co-Occurring Field Separation.
Specific discussions and research
began in the early 1980s e.g. Sciacca
and the NYC integrated model efforts.
Fueled by allegations that there has
been a lack of programs for the Dually
Diagnosed client.
The Value of the Co-occurring
Distinction
•The diagnostic clusters are not as
responsive to the separate psych/CD
models.
•Identifies the specific complications
of co-morbidity .
•Supports the need for individualized
care.
The distinction as “Eraser”
•Deconstruction (theory).
•Reconstruction (practice).
•Dissolves the separation, but not the
value in the traditions.
1