Integrated Treatment for Dual Disorders

Kim T. Mueser, PhD, is Executive Director of the Center for Psychiatric Rehabilitation and Professor in the Department of Occupational Therapy at Boston University. Dr. Mueser's clinical and research interests include psychiatric rehabilitation for persons with severe mental illnesses, intervention for co-occurring psychiatric and substance use disorders, and the treatment of posttraumatic stress disorder. He has served on numerous editorial boards, has published many journal articles and book chapters, and has coauthored over 10 books. His book The Complete Family Guide to Schizophrenia (with Susan Gingerich) received the National Alliance on Mental Illness NYC Metro Ken Book Award. Douglas L. Noordsy, MD, is Associate Professor of Psychiatry and Associate Director of Education and Training in the Department of Psychiatry, Dartmouth Medical School. He is also Chief of Clinical Research at the Mental Health Center of Greater Manchester and Medical Director of Westbridge, Inc., a private nonprofit organization providing services to individuals with dual disorders and their families. Dr. Noordsy has provided clinical care and leadership across the New Hampshire community mental health system, including active work with dual-diagnosis treatment teams, since 1990. He has lectured and published extensively, especially in the areas of comorbid substance abuse and mental illness and recovery-oriented treatment for people with severe mental illness. Robert E. Drake, MD, PhD, is a community psychiatrist, Professor of Psychiatry at Dartmouth Medical School, and Director of the New Hampshire-Dartmouth Psychiatric Research Center. He has worked with community mental health teams developing and refining approaches to integrated dual-disorder treatments for over 20 years. Lindy Fox Smith, MA, MAC, MCAP, operates her own consulting firm, L. B. Fox and Associates, since retiring as a Research Associate at the New Hampshire-Dartmouth Psychiatric Research Center. She has worked extensively on research projects examining the effectiveness of integrated treatment for people with serious mental illnesses and substance use disorders, including involvement in assessments, treatment, and clinical teaching. Ms. Fox’s expertise has been gained through a combination of formal education, personal experience, and professional focus. She has been a recipient of the services she now participates in designing and evaluating. Ms. Fox has consulted throughout the United States and in other countries including Australia, Canada, England, and Sweden. She has also coauthored several articles, and served on the faculty at Dartmouth College in the Department of Family and Community Medicine.

I. Basics
1. Substance Abuse and Severe Mental Illness
2. Principles of Integrated Treatment
3. Basic Organizational Factors
II. The Assessment Process
4. Assessment I: Detection, Classification, and Functional Assessment
5. Assessment II: Functional Analysis and Treatment Planning
III. Individual Approaches
6. Stage-Wise Case Management
7. Motivational Interviewing
8. Cognitive-Behavioral Counseling
IV. Group Interventions
9. Persuasion Groups
10. Active Treatment Groups
11. Social Skills Training Groups
12. Self-Help Groups
V. Working with Families
13. Family Collaboration
14. Behavioral Family Therapy
15. Multiple-Family Groups
VI. Other Treatment Approaches
16. Residential Programs and Other Housing Options
17. Involuntary and Coerced Interventions
18. Vocational Rehabilitation
19. Psychopharmacology
VII. Research
20. Research on Dual-Disorder Treatment
Epilogue: Avoiding Burnout and Demoralization
Appendices:
A. Dual-Disorder Treatment Fidelity Scale
B. Educational Handouts
C. Assessment Instruments and Other Forms