Concurrent Disorders - Addiction

A concurrent disorder refers to any combination of addiction (drugs, eating disorder, alcoholism, etc...) existing at the same time as a mental health illness (anxiety, bipolar disorder, or a stress-related condition such as PTSD). One disorder can be more intense than the other - for example, a person can be experiencing severe mental health issues, but only mild alcoholism - or vice versa. How intense one disorder is does not depend on how intense the other one is. However, they are both present at the same time. Have you, or someone you know, been seeking treatment for an addiction without success? Or do you feel as though there could be more going on than just an addiction or mental health illness itself? Diagnosing BOTH conditions is necessary in order to gain proper treatment - often times an addiction can be identified, but if the underlying mental health issue isn’t also treated, it is much harder to achieve long term recovery. Let us help you find a professional who is trained to evaluate the whole picture, or resources within your community that can help with a complete diagnosis and treatment plan.

You are not alone. Connect with others who may be going through the same thing, find professional help and resources near you. The Kinjunxion community is here to help.

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Treating Concurrent Disorders

A Guide for Counsellors

Diagnosing and Treating Addictions

An Integrated Approach to Substance Use Disorders and Concurrent Disorders

An in-depth look at the disease of addiction and how to treat it. Diagnosing and Treating Addictions provides clinicians, counselors, doctors and families with a clear and concise understanding of substance use disorders. Written by a leading psychiatrist, Dr. Merville Vincent has over twenty years' experience treating addiction and concurrent mental health disorders. Based on the most recent research, Dr. Vincent guides you through the process of screening and diagnosing a patient with a substance use disorder all the way to the treatment phase. He explains different treatment options and therapies, including a detailed examination of residential rehabilitation. Dr. Vincent's expertise lies in concurrent mental health disorders and he explains how some of the most common disorders interact with addiction. Illustrated with case studies, Diagnosing and Treating Addictions contains everything professionals need to know to help those suffering with addiction. Topics include: What causes addiction? Pharmacology Screening methods for clinicians Behavioural addictions Withdrawal and detoxification An extensive section on concurrent disorders such as anxiety, depression, eating disorders and psychosis Treatment options and outcomes Hot topics such as prescription opiate addiction, medical marijuana and occupational addiction

Concurrent Substance Use and Mental Health Disorders

An Information Guide

A person with a mental health problem has a higher risk of having a substance use problem, just as a person with a substance use problem has an increased chance of having a mental health problem. This guide: explains the symptoms and causes of concurrent disorder outlines the different kinds of treatments available, including psychosocial and biological treatments describes integrated treatment and how it helps discusses recovery and relapse prevention discusses family involvement gives guidance on how to explain concurrent disorders to children This guide gives a thorough introduction to concurrent disorder treatment options, and sensitive and sound coping skills to help people with concurrent disorders - and their families - toward recovery."

A Family Guide to Concurrent Disorders

Concurrent substance use and mental health problems affect the person experiencing the problems, and also his or her family members and friends. Families need help to deal with the impact of concurrent disorders, but families are also a key to finding effective solutions. This guide can help families to support their family member with concurrent disorders, and also to support themselves. Based on materials developed for a family education support group at CAMH, The Family Guide to Concurrent Disorders includes: * information about substance use problems, mental health problems and how they interact * information on the impact of concurrent disorders on family life, on self-care strategies for family members and understanding and coping with the effects of stigma * an exploration of options for treatment and support for people affected by concurrent disorders, including psychosocial and medication treatment * tips on recognizing and planning for relapses, and on anticipating and coping with crisis situations * guidance on the journey to recovery.

Co-occurring Addictive and Psychiatric Disorders

A Practice-Based Handbook from a European Perspective

This book provides a comprehensive, state of the art overview that covers both the diagnosis and the treatment of dual disorders – joint psychiatric and substance use disorders associated with a worse outcome and disease progression than single psychiatric or addictive disorders. The book is designed to be highly relevant to clinical work and the organization of care systems and meets the real need for a European perspective on dual disorders that takes into account the realities of European treatment organization. All chapters have been written by European authors on the basis of existing European treatment programs or guidelines and European research. The book will be invaluable for all health professionals working in mental health and addiction care, who are increasingly confronted with patients suffering from dual disorders.

Psychotherapy Essentials to Go: Motivational Interviewing for Concurrent Disorders

A quick-reference, multi-media guide to using Motivational Interviewing (MI) to treat co-occurring disorders. Addiction—whether to alcohol and drugs, sex, gambling, or Internet use—and mental health problems often go hand-in-hand. This concise book summarizes the key principles of a particular therapeutic approach to concurrent disorders, Motivational Interviewing (MI), which guides clients in eliciting and strengthening their desire for change. Laying out a four-stage treatment model—engagement, preparation, active treatment, and continuing care—the book walks readers through key facets of the therapeutic rapport at the heart of MI: working collaboratively on goals; connecting to the patient by understanding his or her strengths, needs, and concerns; and using the core MI skills of open questions, affirmations, reflections, and summaries (“OARS”). Readers are immersed in the spirit of MI through explanations and illustrations, preparing them for the practical challenges of therapeutic work with clients who suffer from addiction and mental health problems. Included in this comprehensive guide are a DVD of sample therapy sessions and clinical explication that describe how to implement the protocol, as well as a laminated pocket reminder card. An on-the-go package of practical tools that busy clinicians won’t want to be without. Please note that the ebook version of this title does not include the DVD.

Psychotherapy Essentials to Go: Motivational Interviewing for Concurrent Disorders

A quick-reference, multi-media guide to using Motivational Interviewing (MI) to treat co-occurring disorders. Rigorously field-tested by on-the-ground clinicians, this guidebook provides an easy-to-use, evidence-based summary of using MI to treat dual disorders, generally substance abuse and another disorder, like depression or anxiety. MI is a counseling approach that works to facilitate and engage intrinsic motivation within clients to bring about behavior change. This concise guide—one of five in the “Psychotherapy Essentials To Go” series—lays out the basics of MI so any clinician can implement it with their clients. Self-questionnaires, case studies, role play transcripts, diagrams, exercises, and worksheets make it easy for front-line case workers and therapists of all kinds to learn the fundamentals of this treatment modality and put it to use immediately.

Dialectical Behavior Therapy in Clinical Practice

Applications across Disorders and Settings

First developed to treat suicidal individuals with borderline personality disorder, dialectical behavior therapy (DBT) has since been adapted to a range of settings and populations. This practical book--edited by close collaborators of DBT originator Marsha M. Linehan--presents applications for depression, substance dependence, eating disorders, psychosis, suicidal and assaultive behaviors, and other complex problems. Leading contributors, including Linehan herself, describe how to implement this evidence-based treatment with adults, adolescents, couples and families, and forensic clients. Issues in establishing and maintaining an effective DBT program are also addressed. Over a dozen reproducible worksheets and forms can be downloaded and printed in a convenient 8 1/2" x 11" size. See also Doing Dialectical Behavior Therapy: A Practical Guide, by Kelly Koerner, which demonstrates DBT techniques in detail.

Psychiatric & Mental Health Nursing for Canadian Practice

Meet the challenges of mental health nursing—in Canada and around the world. Optimized for the unique challenges of Canadian health care and thoroughly revised to reflect the changing field of mental health, Psychiatric & Mental Health Nursing for Canadian Practice, 4th Edition, is your key to a generalist-level mastery of fundamental knowledge and skills in mental health nursing. Gain the knowledge you need to deliver quality psychiatric and mental health nursing care to a diverse population. • Discover the biological foundations of psychiatric disorders and master mental health promotion, assessment, and interventions for patients at every age. • Explore current research and key topics as you prepare for the unique realities of Canadian clinical practice. • Gain a deeper understanding of the historical trauma of Aboriginal peoples and its implications for nursing care. • Online Video Series, Lippincott Theory to Practice Video Series: Psychiatric-Mental Health Nursing includes videos of true-to-life patients displaying mental health disorders, allowing students to gain experience and a deeper understanding of mental health patients.

Sweet Acceptance Versus Bitter Resistance

Overcoming Addiction & Bad Habits Using Psychology, Spiritualism & Law Of Attraction Combined!

This book uses 3 tenets for treating addiction: Psychology, spiritualism and law of attraction. When readers apply the proven principles in this book, they will be able to overcome any kind of addiction, bad habit as well as set positive, productive belief systems.

Right Now Enough is Enough!

Overcoming Your Addictions and Bad Habits For Good...

This is a book for anyone who suffers from addiction, contends with bad habits, possesses negative thinking patterns, or is held captive by their addictive personality. Information and methods in this book for treating addictions and habits have taken a decade to put together compiling information, insights and ideas from recovering alcoholics, substance abusers, addiction sufferers, mental health sufferers and world leading practitioners in addictions and mental health. The principles when applied have a tremendous success rate! Using cognitive behavioral therapy techniques along with the law of intention, this book breaks new ground in combining psychology with spirituality for overcoming addiction. Furthermore, it employs the principles from the law of attraction, teaching individuals how to become what they most want to be in life, as well as showing them how to receive what they want! Anyone desiring to develop new positive thinking patterns should definitely read this book. Once you apply the principles in the book, you will definitely be on the road to recovery, as well as finding the "you" that you have been looking for!

Introduction to Mental Health-substance Use

Mental health-substance use is a complex interrelation, with equally complex implications for individuals and their families, health professionals and society. Although its international recognition as an issue of critical importance is growing, clear guidance for professionals on mental health-substance use and its treatment is hard to find. The Mental Health-Substance Use series has been written to address this need, concentrating on concerns, dilemmas and concepts that impact on the life and well-being of affected individuals and those close to them, and the future direction of practice, education, research, services, interventions, and treatment. This first book outlines the specific health issues, experiential aspects, treatment options and wider implications of mental health-substance use, as well as defining the field, through contributions from international experts and practitioners. This Introduction and the subsequent volumes will challenge concepts and stimulate debate, exploring all aspects of the development in treatment, intervention and care responses, and the adoption of research-led best practice. They are essential reading for mental health and substance use professionals, students and educators.

Jewelry Addicts

Eating Disorders

Autoimmune Disorders

Schizoaffective Disorder

Personality Disorder

Autism spectrum disorders

Bead Addicts

Sex Addiction

Concurrency

St. Joseph's Healthcare Hamilton - Halton Seniors Mental Health Outreach Program - Burlington

A program providing specialized service to older adults with complex mental health and addiction needs.

Clients may include seniors who have:
* behavioural disturbances or mental health problems associated with cognitive impairment
* mental health and/or addiction problems accompanied by significant medical illness or functional needs
* chronic mental illness who develop complicating age-related physical or mental health disorders
* late-onset severe mental illness
* the program involves specialists in geriatric psychiatry, nursing, social work, occupational therapy, and education
* outreach service available for those unable to access traditional services
* prospective clients require a family physician

The Halton program is also staffed with a seniors concurrent disorder worker through a local partnership with Halton Alcohol Drug and Gambling Assessment Prevention and Treatment Services (ADAPT)

The program also has staff called Psychogeriatric Resource Consultants (PRCs) who:
* provide a targeted educational and community development service and support for health providers
* provide education, facilitation and system support to staff in Long-Term Care facilities and staff of LTC funded community support agencies

Cognitive Behavioural Therapy (CBT) Group for Depression In the Older Adult:
* a variety of group and CBT strategies and skills are aimed at assisting seniors to reduce their level of depression and anxiety and develop coping strategies to manage symptoms

St. Joseph's Healthcare Hamilton - Halton Seniors Mental Health Outreach Program - Burlington

A program providing specialized service to older adults with complex mental health and addiction needs.

Clients may include seniors who have:
* behavioural disturbances or mental health problems associated with cognitive impairment
* mental health and/or addiction problems accompanied by significant medical illness or functional needs
* chronic mental illness who develop complicating age-related physical or mental health disorders
* late-onset severe mental illness
* the program involves specialists in geriatric psychiatry, nursing, social work, occupational therapy, and education
* outreach service available for those unable to access traditional services
* prospective clients require a family physician

The Halton program is also staffed with a seniors concurrent disorder worker through a local partnership with Halton Alcohol Drug and Gambling Assessment Prevention and Treatment Services (ADAPT)

The program also has staff called Psychogeriatric Resource Consultants (PRCs) who:
* provide a targeted educational and community development service and support for health providers
* provide education, facilitation and system support to staff in Long-Term Care facilities and staff of LTC funded community support agencies

Cognitive Behavioural Therapy (CBT) Group for Depression In the Older Adult:
* a variety of group and CBT strategies and skills are aimed at assisting seniors to reduce their level of depression and anxiety and develop coping strategies to manage symptoms

Joseph Brant Hospital - Community Mental Health Outpatient Services - Burlington - Joseph Brant Community Health Centre (Brant Centre)

Community Mental Health provides a continuum of care from assessment or consultation, to specialized treatment supports for clients with complex and serious mental health disorders.

Child and Adolescent Clinic (CAP)
Provides support to children/youth under the age of 18 years.
* Child and Adolescent Psychiatrist works with Social Worker to assess and provide treatment recommendations on complex cases.

Concurrent Disorders Clinic (Addictions & Mental Illness)
Specialized assessments of clients with co-occurring mental health and addictions disorders.
* psychiatrists work with Social Worker to identify clients who would benefit from longer term individual treatment.
* clinic staff also provide "Health & Hope Group," a 10-week psycho-educational support group for people who experience difficulties with both a mental health issue and substance abuse issue.

Early Intervention in Psychosis (Phoenix)
Regional clinical program provides service to clients 14-40 years of age experiencing a first episode of psychosis.
* jointly managed by Joseph Brant Hospital, Oakville Trafalgar Memorial Hospital, North Halton Mental Health Clinic, ADAPT, and the Halton-Peel Schizophrenia Society.
* for more information, see separate record here

General Psychiatrist Consultation Clinic
Assessment, medication review, and treatment recommendations via a "shared care" model with family physicians.
* follow up appointments provided as necessary for more complex cases to ensure the efficacy of medications prescribed and that the recommended treatment plan is working for the client.

Geriatric Psychiatric Consultation Service
Supports clients aged 65 and older who are residents of Burlington, for more details see separate record here

Halton Homes (homelessness service)
Provides clinical support to Halton Homes service which targets mental health clients at risk of being homeless and provides both clinical case management and housing supports.
* Ontario Ministry of Health supportive housing initiative, lead agency is Summit Housing and Outreach Program.
* for more information see separate records here

PACT (Program of Assertive Community Treatment)
Community outreach program of Halton Region, is housed at Joseph Brant serving all Halton residents, see separate record here

PHAST (Prioritizing Health through Acute Stabilization and Treatment)
Access to mental health and addiction services for individuals 16 and older with mental health and/or addiction concerns who have an urgent need for acute stabilization and intervention
* multidisciplinary model, which includes the services of a registered nurse, addictions specialists, social workers, a child and youth intensive worker, a peer support worker, an occupational therapist, a transitional age youth social worker, a case manager and clerical support
* treatment includes stabilization and referral to social service agency partners through a combination of group and one-on-one sessions for individuals and their families

Treatment Services
Available through referral from a physician:
1. Short Term Treatment
Meets the needs of individuals who are experiencing mental health issues such as mood or anxiety disorders.
* assessment, psychiatric evaluation, treatment planning, skill development and coordination of community resources.
* an average of 12 therapy sessions is offered.
* clinicians also offer treatment via several groups, e.g. Cognitive Behavioural Therapy (CBT) for clients with depression or anxiety.

2. Intensive Case Management
Inter-professional team offers comprehensive outreach services to adult clients and their families.
* addresses the multiple needs of clients with predominantly psychotic or severe mood disorders (eg. bipolar) and focuses on the client's goals and effective community reintegration.

3. Medication Clinic
Operates with both RN and Psychiatrist support for the follow up of primarily a chronic population.
* goals are to facilitate the optimal use of psychotropic medications with a view to prevent/reduce hospitalizations and Emergency Department visits, ensure client stability in the community and support clients in maintaining adequate functioning and an enhanced quality of life.

ADAPT: Halton Alcohol, Drug and Gambling Assessment, Prevention and Treatment Service - Addiction Assessment and Treatment, Burlington Office - Burlington Office

Services include assessment, treatment, individual and group counselling as well as educational services with respect to alcohol, drug and gambling related issues

Programs include:
* community withdrawal management
* Days Ahead Youth program
* parent program/parent education group
* problem gambling
* problem gambling day treatment
* family and group counselling
* opioid treatment and outreach
* concurrent disorders/Halton Homes
* first episode psychosis/ Phoenix program
* Know The D.E.A.L. (Drugs, Education, Alcohol & the Law)
* community justice programs
* community consultation and education
* Transitional Aged youth Outreach Program (TAYOP)
* Back-on-Track (remedial measures program for those convicted of impaired driving)
* referrals and aftercare
* peer support

McMaster Children's Hospital - Pediatric Eating Disorders Program - Ron Joyce Children's Health Centre, Level 4

Provides comprehensive, multidisciplinary assessment for all new patients with eating problems on an in-patient, out-patient, day-treatment basis. Families and caregivers are integral to the treatment process. Further information is available from the National Eating Disorders Information Centre at 1-866-NEDIC-20 or www.nedic.ca

Halton Healthcare - Mental Health - Eating Disorders Clinic - Oakville Trafalgar Memorial Hospital

Provides services for youth and adults struggling with eating disorders, including anorexia nervosa and bulimia nervosa * helps to eliminate or reduce symptoms of their eating disorder and develop adaptive strategies * as a member of Central West Eating Disorder Program (CWEDP), the team works in partnership with Treillis Mental Health and Developmental Services, Trillium Health Partners and William Osler Health System

Services include:
  • psychiatric assessment and treatment
  • individual, group and family counselling
  • nutritional assessment and counselling
  • family support and education

Joseph Brant Hospital - Community Mental Health Outpatient Services - Burlington - Joseph Brant Community Health Centre (Brant Centre)

Community Mental Health provides a continuum of care from assessment or consultation, to specialized treatment supports for clients with complex and serious mental health disorders.

Child and Adolescent Clinic (CAP)
Provides support to children/youth under the age of 18 years.
* Child and Adolescent Psychiatrist works with Social Worker to assess and provide treatment recommendations on complex cases.

Concurrent Disorders Clinic (Addictions & Mental Illness)
Specialized assessments of clients with co-occurring mental health and addictions disorders.
* psychiatrists work with Social Worker to identify clients who would benefit from longer term individual treatment.
* clinic staff also provide "Health & Hope Group," a 10-week psycho-educational support group for people who experience difficulties with both a mental health issue and substance abuse issue.

Early Intervention in Psychosis (Phoenix)
Regional clinical program provides service to clients 14-40 years of age experiencing a first episode of psychosis.
* jointly managed by Joseph Brant Hospital, Oakville Trafalgar Memorial Hospital, North Halton Mental Health Clinic, ADAPT, and the Halton-Peel Schizophrenia Society.
* for more information, see separate record here

General Psychiatrist Consultation Clinic
Assessment, medication review, and treatment recommendations via a "shared care" model with family physicians.
* follow up appointments provided as necessary for more complex cases to ensure the efficacy of medications prescribed and that the recommended treatment plan is working for the client.

Geriatric Psychiatric Consultation Service
Supports clients aged 65 and older who are residents of Burlington, for more details see separate record here

Halton Homes (homelessness service)
Provides clinical support to Halton Homes service which targets mental health clients at risk of being homeless and provides both clinical case management and housing supports.
* Ontario Ministry of Health supportive housing initiative, lead agency is Summit Housing and Outreach Program.
* for more information see separate records here

PACT (Program of Assertive Community Treatment)
Community outreach program of Halton Region, is housed at Joseph Brant serving all Halton residents, see separate record here

PHAST (Prioritizing Health through Acute Stabilization and Treatment)
Access to mental health and addiction services for individuals 16 and older with mental health and/or addiction concerns who have an urgent need for acute stabilization and intervention
* multidisciplinary model, which includes the services of a registered nurse, addictions specialists, social workers, a child and youth intensive worker, a peer support worker, an occupational therapist, a transitional age youth social worker, a case manager and clerical support
* treatment includes stabilization and referral to social service agency partners through a combination of group and one-on-one sessions for individuals and their families

Treatment Services
Available through referral from a physician:
1. Short Term Treatment
Meets the needs of individuals who are experiencing mental health issues such as mood or anxiety disorders.
* assessment, psychiatric evaluation, treatment planning, skill development and coordination of community resources.
* an average of 12 therapy sessions is offered.
* clinicians also offer treatment via several groups, e.g. Cognitive Behavioural Therapy (CBT) for clients with depression or anxiety.

2. Intensive Case Management
Inter-professional team offers comprehensive outreach services to adult clients and their families.
* addresses the multiple needs of clients with predominantly psychotic or severe mood disorders (eg. bipolar) and focuses on the client's goals and effective community reintegration.

3. Medication Clinic
Operates with both RN and Psychiatrist support for the follow up of primarily a chronic population.
* goals are to facilitate the optimal use of psychotropic medications with a view to prevent/reduce hospitalizations and Emergency Department visits, ensure client stability in the community and support clients in maintaining adequate functioning and an enhanced quality of life.

St. Joseph's Healthcare Hamilton - Rapid Access Addiction Medicine - 225 James St

Short-term outpatient addiction clinic providing consultation and stabilization for individuals with substance use disorders.

Services include:

* One on one counselling
* Connecting with a physician at the clinic
* Referrals to community resources

Hamilton. Public Health Services - Alcohol, Drug, and Gambling Services - Cooper Building

Provides information, counselling and programs on alcohol and drugs.

Programs & Services:
* Concurrent Disorders Groups
* Group and Individual Counselling
* Relapse Prevention Program
* Older, Wiser Lifestyles (OWL)
* Specialized group treatments
* Skills for Change
* Skills To Enhance Personal Success (STEPS)
* Methadone case management

ADAPT: Halton Alcohol, Drug and Gambling Assessment, Prevention and Treatment Service - Addiction Assessment and Treatment, Oakville Office - Oakville Office

Services include assessment, treatment, individual and group counselling as well as educational services with respect to alcohol, drug and gambling related issues

Programs include:
* community withdrawal management
* Days Ahead Youth program
* parent program/parent education group
* problem gambling
* problem gambling day treatment
* family and group counselling
* opioid treatment and outreach
* concurrent disorders/Halton Homes
* first episode psychosis/ Phoenix program
* Know The D.E.A.L. (Drugs, Education, Alcohol & the Law)
* community justice programs
* community consultation and education
* Transitional Aged youth Outreach Program (TAYOP)
* Back-on-Track (remedial measures program for those convicted of impaired driving)
* referrals and aftercare
* peer support

St. Joseph's Healthcare Hamilton - Eating Disorder Program - Charlton Campus

Offers an outpatient group program for people with eating disorders.

Addiction Centre Toronto - Addiction Centre Toronto, 225 John St - 225 John St

Offers methadone treatment, counselling and therapy for those addicted to street and prescription drugs.