By Hermine L. Graham
This interesting new publication addresses the real factor of ways to supply built-in psychological wellbeing and fitness and substance misuse remedy of people with those co-occurring problems. Combining either thought and perform, via illustrative scientific case fabric, it presents a survey of other methods to the mixing of psychological health and wellbeing and substance misuse prone. a distinct selection of chapters, from authors who're specialists within the box and pioneering cutting edge techniques, presents a world point of view (including united kingdom, Germany, Australia, united states, Canada) of treatment.
Arranged in 5 sections, part 1 presents an advent to the difficulty of substance misuse among people with psychosis. part 2 introduces a variety of built-in provider types from various nations. The 3rd part presents a realistic hands-on consultant to evaluation and therapy. The fourth part addresses the explicit remedy wishes of specified inhabitants teams (including kids, forensic teams, homeless humans and people with HIV/AIDS). the ultimate part examines therapy final result reviews and implications for the future.
Clinical psychologists, psychiatrists, nurses, case managers, and psychiatric social employees in education and perform in sanatorium, clinic and group settings will locate this booklet a vital useful source for operating with participants (and their households) with co-occurring problems
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Additional info for Cognitive-Behavioural Integrated Treatment
Social The experience of severe mental health problems is often associated with significant feelings of loss. People often lose a social role, and they can be excluded from the normative routes of gaining pleasure and social contact due to the associated stigma of mental health problems. , 1990), and substance use may facilitate social interactions with peers (Drake, Brunette & Mueser, 1998; Salyers & Mueser, 2001). , 2001). All of these factors can present as obstacles to engaging clients in treatment and behaviour change.
HOW TO KNOW WHEN TO MOVE ON TO THE NEXT PHASE The four treatment phases in C-BIT (that is, engagement, negotiating behaviour change, early relapse prevention, and relapse prevention/management) roughly correspond to the four stages in the ‘‘stages of treatment’’ as described by Mueser, Drake and Noordsy (1998) and Mueser et al. (2003) (that is, engagement, persuasion, active treatment and relapse prevention). 1 provides a guide to determine how engaged in treatment the client is and which C-BIT treatment phase/interventions are most likely to be useful at a given point.
People with severe mental health problems, notably schizophrenia, experience significant cognitive impairment (Bellack & Gearon, 1998), some of which may be due in part to the side effects of medication. Specific deficits in the areas of attention, memory, complex cognitive processes and ability for self-reflection are likely to impair utilisation of the standard cognitive and behavioural skills to change alcohol/drug use (Bellack & DiClemente, 1999; Bellack & Gearon, 1998). Social The experience of severe mental health problems is often associated with significant feelings of loss.