Links: Concurrent Disorders

BC and Canadian Resources:

• Rush B et al. Prevalence of co-occurring substance use and other mental disorders in the Canadian population. Canadian Journal of Psychiatry. 2008 Dec;53(12):800-9.
• Best practices: concurrent mental health and substance use disorders. 2002. [PDF, 161 pages] Centre for Addiction and Mental Health (Ontario)

Journal references from PubMed: Diagnosis, dual (psychiatry)

COCE: SAMHSA's Co-Occurring Center for Excellence: This series of overview papers and technical reports aims to "summarize the science base for each topic they address and make recommendations for practice." Links to PDF documents:

1. Definitions and terms relating to co-occurring disorders  
2. Screening, assessment, and treatment planning for persons with co-occurring disorders.  Discusses purpose, staffing, protocols, integrated screening, assessment, and treatment planning for persons with COD, in addition to systems issues and financing 
3. Overarching principles to address the needs of persons with co-occurring disorders. Twelve principles to help guide, but not define, systemic and clinical responses
4. Addressing co-occurring disorders in non-traditional service settings. Examples include primary health, public safety, criminal justice, and social service organizations
5. Understanding evidence-based practices for co-occurring disorders 
6. Services integration for persons with co-occurring disorders
7. Systems integration relevant to co-occurring disorders
8. The epidemiology of co-occurring disorders

Other resources:

• Anger management for substance abuse and mental health clients: a cognitive behavioral therapy manual. [PDF, 52 pages] Teaches anger management techniques in a group setting using a 12-week cognitive behavioral intervention (participants use the accompanying workbook). The manual describes the anger cycle, conflict resolution, assertiveness skills, and anger control plans
• Anger management for substance abuse and mental health clients: participant workbook. [PDF, 49 pages] Provides worksheets and homework assignments using the core concepts of the 12-week group cognitive behavioral therapy provided in the accompanying manual
• Clinical guidelines. Developed by the Behavioral Health Recovery Management Project. Topics include motivational interviewing, psychopharmacological treatment, and service planning
• Comorbidity of mental disorders and substance use. Developed by the Primary Mental Health Care Australian Resource Centre, this site also provides information on shared care, papers on comorbidity, and case examples

• Co-occurring mental disorder & substance use. SAMHSA's Office of Applied Studies

• Dual disorders recovery counseling by Dennis C. Daley. The DDRC model, which integrates individual and group addiction counseling approaches with psychiatric interventions, attempts to balance the focus of treatment so that both the patient's addiction and psychiatric issues are addressed
• Ken Minkoff, M.D. Information on the Comprehensive, Continuous, Integrated System of Care (CCISC), a model developed by Dr. Minkoff
• National Comorbidity Initiative (Australia)
• National GAINS center for people with co-occurring disorders in contact with the justice system. (US) Provides resources, training and publications to promote effective mental health and substance abuse services in justice settings
• PA-Co-Occurring Resource and Information Centre. Gathers the latest news and information from SAMHSA, NIDA and other US sources
• Substance abuse treatment for persons with co-occurring disorders. 2005. Stanley Sacks, Richard K. Ries ; Center for Substance Abuse Treatment. The purpose of this document is to "provide addiction counselors and other practitioners with state-of-the-art information on the rapidly advancing field of co-occurring substance use and mental disorders."

Page last modified or reviewed November 9, 2009