Substance Abuse Providers
Research
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Andrew, S. R., LCSW, LADC. CGP, Group Work with Co-occurring
Disorders
In this article Steven R. Andrew, LCSW, LADC.
CGP, shares his practical experience working with individuals with co-occurring
psychiatric and substance abuse addictions within a group setting. He reviews
the basic principles utilized in the dual diagnosis support group he runs at
Maine Medical Center in Portland. The group has three primary goals; acceptance
and belonging to a group, connection, and mutual aid. Andrew also reviews the
four stages of the recovery process in relation to group work (engaging,
selling, encouraging action, and monitoring). The article provides practical
application knowledge and encouragement for the practitioner seeking additional
information about handling co-occurring disorders in a support group setting.
Gulliver, S. B.; Kamholtz, B. W.; and Helstrom, A. W. Smoking cessation and alcohol abstinence: What do the data tell us? Alcohol Research & Health 29(3): 208-212, 2006
Cigarette smoking and alcohol dependence co-occur at high rates. Research indicates that approximately 80 percent of people with alcoholism smoke cigarettes and that most of these smokers are nicotine dependent (Hughes 1996). Conversely, smokers are at two to three times greater risk for alcohol dependence than nonsmokers (Breslau 1995).
Sciacca, K. 1997.
Removing barriers: dual diagnosis and motivational interviewing. Professional
Counselor 12(1): 41-6.
Sciacca addresses the
barriers for treating mental illness and substance abuse as separate issues in
the dual diagnosis patient. Comparatively, treatment for substance abuse and
alcoholism has been intense and confrontational; whereas, treatment for mental
illness is typically supportive, benign and non-threatening. Sciacca posits
that dual disorder clients who deny substance abuse, who are unmotivated for
substance abuse treatment, and who are unable to tolerate intense
confrontation, require a new model, a non-confrontational approach to the
engagement and treatment of this special population. In this article, Sciacca
reviews such a treatment model, along with the practical application of the
stages of change and motivational interviewing, outlining the goal of providing
nonjudgmental acceptance of all symptoms and experiences related to both mental
illness and substance abuse disorders.
Tobacco Cessation Leadership Network (Jan. 2008) Bringing
Everyone Along Resource Guide.
(Summary taken directly
from document.) The Bringing Everyone Along Resource Guide has been
developed to assist an array of healthprofessionals including tobacco
dependence treatment program directors and treatment specialists, mental health
and substance use treatment program directors and treatment specialists, and
primary care providers to adapt tobacco cessation services to the unique needs
of tobaccousers with mental illness and substance use disorders. The Guide aims
to be a practical resourcebased on existing research, insights and advice
obtained through key informant surveys of professionals, and the interpretation
and recommendations of an Expert Advisory Committee.
The Resource Guide
provides recommendations for adapting all types of tobacco dependence treatment services as
well as specific advice for professionals adapting services in four settings:
1. tobacco dependence
treatment programs available in the community
2. tobacco quitlines
3. mental health treatment
programs
4. substance use treatment programs.We have also included general recommendations
for primary care providers.
*The BEA summary document, provides an executive summary of the points from the primary document.
Treating Tobacco
Use and Dependence: Clinical Practice Guideline. U.S. Department
of Health and Human Services, Public Health Service, 2008
This Guideline concludes that tobacco use presents a rare confluence of circumstances: (1) a highly significant health threat; (2) a disinclination among clinicians to intervene consistently; and (3) the presence of effective interventions.
