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Assessment of co-occurring addictive and other mental disorder

Kavanagh, David J. & Connolly, Jennifer M. (2009) Assessment of co-occurring addictive and other mental disorder. In Miller, Peter M. (Ed.) Evidence-Based Addiction Treatment. Elsevier/Academic Press, Burlington, pp. 89-117.

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Abstract

Summary Points: * Co-occurring addictive and other mental disorders (AMDs) are common, especially in treatment services, so screening for substance use and mental health symptoms should be routine.----- * Low levels of substance use or psychological problems can have a substantial impact if a companion disorder is severe or if functioning is poor. Screening should not exclusively focus on severe disorder.----- * AMDs are often more than dual, involving multiple substances and mental disorders, and complex life problems. Comprehensive management requires a wide-ranging assessment.----- * Symptoms of disorders often overlap, and a confident diagnosis often requires repeated or retrospective assessments.----- * AMDs sometimes occur in primary–secondary relationships, but often are mutually interacting, and their relationships may change over time. Treatment planning requires consideration of current and future relationships between problems.----- * Several screening instruments have demonstrated utility in detecting AMDs. Detection of substance use can sometimes be increased by the use of biomedical assays or collateral reports, but more accurate self-reports can often be obtained in AMD populations, provided that trust is developed.----- * The range and extent of problems in these populations often appear daunting. A review of strengths is important to maintaining the motivation and confidence of both clients and practitioners.-----

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ID Code: 21207
Item Type: Book Chapter
Additional URLs:
Keywords: Addictive and other mental disorders (AMDs), Substance abuse, Mental disorders, Treatment planning, Screening instruments
ISBN: 9780123743480
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Public Health and Health Services not elsewhere classified (111799)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Psychology & Counselling
Copyright Owner: Copyright 2009 Elsevier/Academic Press
Deposited On: 16 Jun 2009 07:51
Last Modified: 01 Mar 2012 00:07

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