The increasing number of individuals with co-existing substance misuse and psychiatric disorders presents a key challenge to mental health and addiction nurses. This practice-based text focuses on the management and intervention strategies to effectively meet the needs of this client group in both community and residential settings. Dual Diagnosis Nursing is a comprehensive text for practitioners on contemporary approaches to working with dual disorder and dual diagnosis patients. It explores both clinical and theoretical perspectives in a variety of different care and treatment settings, addressing key issues such as needs of special populations, multi-dimensional assessment, dealing with emergencies, prescribing and medication management, nursing and psychological interventions, spiritual needs, carers’ interventions and professional development.

Dual Diagnosis: Practice in Context is a practicalevidence-based guide for practitioners working inmulti-disciplinary mental health and substance misuse servicesettings. Divided into three sections, this comprehensive andinternational text first explores the contemporary contextualissues surrounding the subject area. It then goes on toreview dual diagnosis in some of the ‘special’populations (including people diagnosed with personality disorders,women, young people, and older adults) and contemporary issues(e.g. crystal methamphetamine and mental health). Part three reviews the development of international serviceresponses to dual diagnosis and discusses the development andcommissioning of service models, research and practice development.The text concludes with a chapter outlining priorities for thedevelopment of interventions, service approaches, research andeducation. KEY FEATURES: A authoritative in-depth review of both theoretical,clinical and policy issues within a single text Draws together a range of established contributors from avariety of disciplines, including mental health nurses,occupational therapists, social workers and psychiatrists International in focus, with contributors from the UK, USA,Europe and Australia

Dual Disorders: Essentials for Assessment and Treatment is a practical handbook for the assessment and clinical management of patients with addiction and psychiatric disorders. Addictions counselors, prevention specialists, and chemical dependency nurses will use this book to understand the nature of psychiatric disorders and uncover valuable guidelines on their treatment and management in the context of primary addictions treatment. It includes an introduction to the rationale and clinical approaches of cognitive therapy; a special section on psychiatric medications; and coverage of mood, anxiety, psychotic, cognitive, eating, and personality disorders.Dual Disorders: Essentials for Assessment and Treatment contains information that is vital and fundamental to effective treatment. It fills a void in the training and education of addictions counselors, helping you become a better diagnostician, develop better treatment plans, and communicate more meaningfully with psychiatrists and other mental health professionals. It will also increase your understanding of psychopathology and psychotherapy and decrease the frustration that can arise from a lack of understanding and planning. Specifics that you need to know to do this are thoroughly covered, including: elements of a comprehensive assessment of dual disorders clinical considerations in the treatment of the depressed addict pitfalls of treating patients with personality disorders the borderline patient--what to do and what not to do the psychopathic patient--anticipating and effectively addressing manipulation practical approaches in treating patients with eating disorders effective treatment of sexual trauma cognitive therapy approaches to treating dual disorders what to expect when your patient is referred to a psychiatrist for psychotropic medicationUnlike other books on this topic, Dual Disorders: Essentials for Assessment and Treatment is not a summary of research on dual diagnosis nor an overview of general programmatic considerations in treatment delivery. Rather, it is directed specifically to addictions counselors involved in the day-to-day treatment of dually diagnosed patients, providing detailed descriptions of the major psychiatric disorders as well as useful guidelines and treatment approaches.

This comprehensive clinical handbook provides virtually everything needed to plan, deliver, and evaluate effective treatment for persons with substance abuse problems and persistent mental illness. From authors at the forefront of the dual disorders field, the book is grounded in decades of influential research. Presented are clear guidelines for developing integrated treatment programs, performing state-of-the-art assessments, and implementing a wide range of individual, group, and family interventions. Also addressed are residential and other housing services, involuntary interventions, vocational rehabilitation, and psychopharmacology for dual disorders. Throughout, the emphasis is on workable ways to combine psychiatric and substance abuse services into a cohesive, unitary system of care. In a convenient large-size format, the volume includes reproducible assessment forms, treatment planning materials, and client handouts.

Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.

Accompanying CD-ROM has blank concept diagrams and care plans.

Manual of Psychiatric Nursing Skills guides nursing students and practicing nurses towards enhancing fundamental psychiatric nursing skills competency in specific assessment and interventions for the selected psychiatric disorders. A nursing skill book in a manual format, this text is handy at the clinical site and encourages readers to translate their theoretical knowledge and psychiatric nursing skills into clinical practice. Topics include therapeutic communication techniques, assessment and interventions for depression, bipolar disorder, schizophrenia, and suicide attempts, and crisis management skills for psychiatric emergencies. Included in the appendices are essential insights into ego defense mechanisms, Erickson’s Psychosocial Developmental Stages, Freud’s Stages of Psychosexual Development, and Piaget’s Stages of Cognitive Development.

This handbook addresses behavior problems and mental health disorders in persons with intellectual disabilities. It provides an overview of the history of dual diagnosis and related theories, ethics, diagnostic systems, mental health disorders, and challenging behaviors. The handbook examines general clinical issues, such as the effects of cognitive performance on the choice of assessment and treatment methods, service delivery systems, education models, risk factors, functional assessment, and structured interviews. Chapters provide a much-needed reference for practitioners and practitioners in training. The applied focus of the book continues with assessment/diagnosis sections of mental health disorders, and challenging behaviors. In addition, chapters describe treatments for discrete mental health and behavior problems, such as intellectual disabilities, severe psychopathology, autism, ADHD, substance abuse, and aggression. Topics featured in this handbook include: Genetic disorders and dual diagnosis. Assessment of anxiety in persons with dual diagnosis. Aging with intellectual disabilities. Feeding problems and assessment in individuals with dual diagnosis. Pica in individuals with intellectual disability. Treatment of social skills in dual diagnosis. The Handbook of Dual Diagnosis is an essential reference for researchers, graduate students, clinicians and related therapists and professionals in clinical child and school psychology, child and adolescent psychiatry, social work, developmental psychology, behavioral therapy/rehabilitation, pediatrics, and special education.

Nurses are acknowledged as key agents in addressing alcohol and drug misuse at individual, family, and community levels. Addiction nursing is central to the assessment, management, and care of people with problematic use of psychoactive substances (both legal and illegal). Work takes place in a wide range of settings, from traditional hospital clinics and wards to community locations such as police custody suites and needle exchange facilities. Addiction for Nurses is a comprehensive textbook for students, explaining the role of the nurse at each stage of intervention. Early chapters approach the subject from sociological, historical, and cultural perspectives, covering significant topics such as the nature of addiction, its social context, and addiction theory. The book then presents vital information about each of the main areas of addiction (nicotine, alcohol, opiates, cannabis, psychostimulants, and hallucinogens) with clinical and practical guidance on recognition, assessment, and treatment intervention strategies. Further chapters consider dealing with emergencies, blood-borne viruses, harm reduction, and work with specific client groups (for instance, black and ethnic minority communities, or those with special needs). This book is an essential resource for all those who come into contact with alcohol and drug misusers and for specialist addiction nurses preparing for practice in this complex and rewarding field.

In the UK it is estimated that a third of patients in mental health services have a substance abuse problem, and that half of patients in drug and alcohol services have a mental health problem. Part of Palgrave's Foundations of Mental Health series, this book explores the intertwined issues of substance use and mental health as a social phenomenon and offers a critical, informative guide to understanding dual diagnosis. Written by authors with extensive experience within mental health and drug treatment services, Working with Dual Diagnosis explores areas that are key to understanding the relationship between the two, including: - Models for understanding substance use, mental health and the correlation of complex social and psychological factors - Treatment processes for working with individuals, groups and families and within a community setting - The historical social, political, economic and legislative context of mental health and substance use - Practice implications for dual diagnosis, including how practitioners can work with and promote better treatment, after care and support for those experiencing dual diagnosis issues. Enriched with reflective exercises, case studies and key points, this book will inform all work related to dual diagnosis populations within health, social and criminal justice service, and is an essential text for social work, nursing, occupational therapy and probation students.