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

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
The Surgeon General (2001) observed…
• “…few clinical trials have evaluated response of
African-Americans [and other minorities] to evidencebased
treatments.”
• “ …few studies have examined the impact of
treatments on African-American [and other minorities]
delivered under the usual conditions of community
treatment.”
• “More remains to be learned about when and how
treatment must be modified…”
The Surgeon General (2001) Mental Health: Culture, Race and Ethnicity.
U.S. Department of Health and Human Services.
Some facts…
• Approximately 2% substance users have mental
health problems.
• Of the 2% with mental health problems
• Only 8% treated for SUD problems.
• Only 7% treated for MH problems.
• Of the 3% substance users with serious mental health
problems
• 24% treated for SUD conditional on treatment of MH
difficulties.
• 46% treated for MH conditional on treatment of SUD
problems.
Analysis of 2001-2002 National Survey of Drug Use & Health (N = 90,277;
Harris & Edmund, 2005)
More…
Behavioral treatments for SUD appear effective…
• Drug users with mental health problems and
without health insurance most frequently are
treated by self-help groups or in human service
settings.
Analysis of 1999 National Household Survey Survey on Drug Abuse (N
= 24,282; Wu & Ringwalt, 2005)
• All studies demonstrate that patients who remain in treatment the
longest have the best outcomes (DATOS; Simpson et al 1997)
• Greater frequency of individual and group counseling reduces
relapse (McLelland et al, 1988; Fiorentine and Anglin, 1996).
• Participation in Motivational Enhancement Therapy, Relapse
Prevention and Community Reinforcement Approaches (voucherbased)
are addiction therapies with demonstrated effectiveness.
• Participating in AA/NA and other self-help improves drug use
outcome (Project MATCH Research group, 1997).
• Supplemental social services decrease likelihood of relapse
(McLelland et al 1997).
• Proper medication (Strain, 1996).
Some current evidence-based treatments are…
What are the features of Relapse Prevention…
• Two decades of research has supported the idea that brief
therapies for substance using individuals are as effective those of
longer durations (Project MATCH, NIAAA).
• The addictions field endeavors to describe the critical conditions
necessary and sufficient to induce change.
• Motivational Enhancement Therapy, Relapse Prevention
Community Reinforcement Approaches are addiction therapies
designed to incorporate the critical components of change into a
brief therapeutic intervention.
• Foster motivation for abstinence.
• Teach coping skills: recognize high-risk situations
and develop alternatives.
• Train in management of urges to use.
• Recognize situations increasing negative affect and
provide means for managing these situations.
• Improve interpersonal functioning and enhance
social support.
• Change reinforcement contingencies: alter
lifestyle.
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