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| Preface | |
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| The New Reality: Multifarious Caseloads | |
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| Prevalence of Co-Occurring Disorders | |
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| Types of Clients Found in a Multifarious Caseload | |
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| Essential Philosophical View | |
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| Essential Knowledge and Skills | |
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| Integrated Treatment | |
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| A Competency-Based Focus | |
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| Treatment Goals | |
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| Standard Interventions for All Clients with Co-Occurring Disorders | |
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| Conclusion | |
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| Then and Now: Concepts and Treatment of Co-Occurring Disorders | |
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| Genesis and Early Concepts | |
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| Early Treatment Activities and National Acceptance | |
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| Factors Affecting the Development of Services for Individuals with Co-Occurring Disorders | |
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| Building the Infrastructure for a System of Care for Individuals with Co-Occurring Disorders | |
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| Current Conditions and the Future | |
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| Frequently Co-Occurring Axis I Psychiatric and Substance Use Disorders | |
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| Substance-Related Disorders | |
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| Mood Disorders | |
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| Anxiety Disorders | |
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| Psychotic Disorders | |
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| Disruptive Behavior Disorders | |
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| Dissociative Disorders | |
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| Eating Disorders | |
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| Impulse Control Disorders | |
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| Conclusion | |
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| Personality Disorders That Frequently Co-Occur with Substance Use Disorders | |
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| Personality Disorders: Definition | |
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| Personality Disorders and Co-Occurring Substance Use and Mental Disorders | |
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| Cluster B Personality Disorders | |
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| Cluster A Personality Disorders | |
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| Cluster C Personality Disorders | |
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| Conclusion | |
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| Assessment | |
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| Identifying a Substance Use Problem | |
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| Differentiating Substance-Induced Disorders from Co-Occurring Disorders | |
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| Subgroups of Individuals with Co-Occurring Disorders | |
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| Consequences of Substance Use | |
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| Motivation for Continued Substance Use | |
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| History of Approach to Treatment and Recovery | |
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| Matching Treatment Needs with Treatment Possibilities | |
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| Conclusion | |
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| Introduction to Treatment: Goals and Themes | |
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| Treatment Goals | |
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| Treatment Themes | |
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| Conclusion | |
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| Psychoeducation and Group Therapy | |
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| Psychoeducation | |
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| Promoting Personalization of Psychoeducation Material | |
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| Participant Limitations in Psychoeducation Settings | |
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| Designing Psychoeducation Programs for Multifarious Caseloads | |
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| The Role of the Leader | |
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| Reasonable Goals for a Psychoeducation Program | |
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| Group Therapy | |
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| Group Membership | |
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| Operating Rules for the Group | |
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| Group Logistics | |
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| A Typical Group Session for More-Impaired Individuals | |
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| A Typical Group Session for Less-Impaired Individuals | |
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| Conclusion | |
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| Individual Therapy and Case Management | |
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| Individual Therapy | |
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| Case Management | |
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| Functions of Case Management | |
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| Models of Case Management | |
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| Individual Treatment and Case Management with a Multifarious Caseload | |
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| Conclusion | |
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| Family Interventions | |
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| Family Intervention Methods | |
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| Factors That Hinder Family Involvement in Treatment | |
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| Promoting Family Involvement | |
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| Important Family Treatment Concepts | |
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| A Model for Identifying Family Change | |
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| Stuck Points in the Family Change Process | |
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| Conclusion | |
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| Promoting Long-Term Stability: Relapse Prevention and Symptom Management | |
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| Cluster of Interventions for Prerecovery and Antitreatment Clients | |
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| Cluster of Interventions for Early Recovery and Treatment-Engaged Clients | |
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| Cluster of Interventions for Later Recovery and Minimal or Posttreatment Clients | |
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| When Knowledge and Skills Do Not Work | |
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| Conclusion | |
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| Substance Abuse and Mental Health Recovery Movements | |
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| Mental Health and Substance Dependency Recovery Concepts | |
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| Similarities and Differences Between Substance Dependence and Mental Health Recovery Concepts | |
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| Recovery Concepts for Co-Occurring Disorders | |
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| Self-Help Groups of the Recovery Movements | |
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| Treatment Providers and the Recovery Movements | |
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| Conclusion | |
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| Supervising Staff with Multifarious Caseloads | |
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| Issues That Deal with Client Needs | |
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| Issues That Deal with Staff Needs | |
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| Issues That Deal with Treatment System Needs | |
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| Conclusion | |
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| Measuring Change: Reasonable Outcome and Performance Standards | |
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| Benefits of Treatment | |
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| Measuring Client Change | |
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| Predicting Treatment Outcome | |
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| Retention Rates | |
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| Readmission Rates | |
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| Reasonable Performance Standards | |
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| Conclusion | |
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| References | |
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| Index | |