Chapter 39 co-occurring disorders Flashcards
refers to the presence of comorbid mental illness and a substance use disoder in same person
co-occurring disorders
coordinated substance abuse and mental health interventions requires modifying traditional approaches to both the mental illness and addiction
integrated treatment
using medication usually over counter or substance without professional prescription or supervision to alleviate an illness or condition
self-medicate
reemerging psychiatric symptoms lead to ineffective coping strategies increased anxiety substance use to avoid painful feelings adverse consequences and attempted abistence until psychiatric symptoms reemerge
relapse cycle
conceptual framework that classifies pts. according to symptom severity not diagnoiss
guadrants of care
a period of full remission for min of 8 weeks
remission
entails establishing a treatment relationship and enhancing motivation to make behavior changes and a commitment to treatment
engagement
one to several sessions delivered within a few weeks or less during which a pt. is motivated to become involved in treatment
motivalational interventions
the delivery of serves in the community shared caseloads 24 hour responsibilities for pts. and direct provision
ACT asservtice community treatment
an approach that focuses on prevention recurrence of symptoms
relapse prevention