Articles & Publications

Why More Families Are Adding the Word ‘Addict’ to Obituaries

Keeping the dark side of a person’s life out of their obituary traditionally has been done out of respect for the deceased. Conventional wisdom says when a person is laid to rest, it’s best to lay their troubles to rest too. But more and more families are choosing to bring the addiction that killed their […]

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Alcohol, Drugs and Aggression

Cardwell C. Nuckols, Ph.D.Anger, aggression and addiction are intertwined in many ways, Anger has been implicated in relapse as stated in the language of Alcoholics Anonymous. For decades the self-help programs have warned those in recovery from addiction to avoid becoming hungry, angry, lonely, and tired. These emotions are also a confounding factor in situations […]

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Self-Help and Consumer-Run Alternatives

Dual Diagnosis An Integrated Model for the Treatment of People with Co-occurring Psychiatric and Substance Disorders, by Kenneth Minkoff, M.D. Co-Occurring Disorders Among Adolescent Treatment Populations by By Norman G. Hoffmann, Ph.D., – Todd W. Estroff, M.D., – Susan D. Wallace, M.S., LCDS COFD Update from CSAT’s Co-Occurring and Other Functional Disorders Cluster Group Gender […]

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Dual Diagnosis Task Force

Serving the Needs of People with Dual Disorders Joseph A. Rogers, President and CEO, Mental Health Association of Southeastern Pennsylvania Jeanie Whitecraft, Program Director, The Friends Connection The Friends Connection is a peer support and counseling program for people with mental illnesses and substance abuse disorders. On the theory that individuals with mental illnesses become […]

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Advocating Positive Change

Vickie Harden, CMSW As part of an initiative requested by the Tennessee Statewide Mental Health Planning Council and the Dual Diagnosis Recovery Network, providers, consumers and other stakeholders across the State of Tennessee came together for a series of meetings to address issues related to co-occurring disorders. Through this initiative, the Task Force on Co-occurrence […]

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Dual Recovery, Self-Help Support (Part One)

Andrea Flowers, Tennessee Voices for Children; Craig Anne Heflinger, Ph.D., Vanderbilt University Co-occurring mental and substance use disorders are typically not recognized or treated as a distinct problem among adolescents in TennCare or in publicly-funded treatment programs. One quarter (27%) of youth entering Tennessee’s publicly-funded treatment programs for substance use problems met the criteria for […]

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A Need For Dual Recovery Self-Help

by Tim Hamilton New Self-Help Over a decade ago, men and women in dual recovery began forming new self-help programs in various regions of the country. Gradually, several organizations independently developed their own twelve step approaches and began to provide meetings. Today, these organizations include, Double Trouble in Recovery, Dual Disorders Anonymous, and Dual Recovery […]

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Techniques in an Integrated Residential Service Model

by Michele J. Eliason, Ph.D. and Stephan Arndt, Ph.D. As substance abuse treatment professionals recognize that the majority of their clients have co-occurring disorders, they are seeking better treatment approaches to address the needs of these clients (Helzer & Pryzbeck, 1988; Regier et al, 1990; Ross, 1995). There are several barriers to implementing more effective […]

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Traumatic Abuse, Depression and Addictiveness

by Pam Raby, MSSW; Thomas W. Doub, Ph.D.; Michael Cartwright While the concept of integrated treatment is increasingly recognized as preferential over sequential and parallel models for individuals with co-occurring disorders, research and attendant documentation on integrated approaches is still in an infancy stage. Hence, providers continue to aspire to operationalize what it means to […]

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Gender Specific Issues in Working With Women: A Holistic Approach

by John Bradshaw Many neuroses and addictions are rooted in traumatic abuse and the changes in brain chemistry that result from such abuse. The National Center for Post Traumatic Stress Disorder completed a 10-year study on the effects of PTSD. Among other things, this study suggested that even one catastrophic experience that occurs when one […]

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CSAT’s Co-Occurring and Other Functional Disorders Cluster Group

Colleen Clark, Ph.D Florida Mental Health Institute Tampa, Florida One of the newest buzzwords in mental health and substance abuse these days is “gender-specific” programming. What most people are really talking about are research, programs, training, and treatment for women that are based on a deeper understanding of women. In the past it has been […]

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Co-Occurring Disorders Among Adolescent Treatment Populations

Update from CSAT’s Co-Occurring and Other Functional Disorders Cluster Group SAMHSA’s Center for Substance Abuse Treatment (CSAT) provides funding for many innovative treatment activities across the United States. One CSAT initiative that is having a significant impact in closing the national treatment gap is the Targeted Capacity Expansion Program (TCE). Within the TCE program, CSAT […]

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Co-occurring Psychiatric and Substance Disorders

By Norman G. Hoffmann, Ph.D.; Todd W. Estroff, M.D.; Susan D. Wallace, M.S., LCDS Prevalence Concerns   Varying studies addressing prevalence of co-occurring conditions suggest that the majority of adults seeking either mental health services or treatment for substance dependence manifest corresponding co-occurring mental health or substance use disorders (Lehman, Myers, Corty, & Thompson, 1994; […]

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Assessment and Treatment of Patients with Co-Occurring Psychiatric and Substance Abuse Disorders

Annelle B. Primm, M.D., MPH, Director – Community Services, Johns Hopkins Medicine Recent epidemiologic surveys show that more than 10 million Americans have co-existing substance-related and mental health disorders (SAMHSA Report, 1996). Several researchers pointed out that patients with comorbidity have poorer outcomes than those with single diagnoses, such as increasing psychiatric symptoms, homelessness, higher […]

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Harm Reduction Therapy for Co-occurring Disorders

George A. Parks, Ph.D., Britt K. Anderson, Ph.D., G. Alan Marlatt, Ph.D. Co-Occurring Disorders and the Practice of Psychology Epidemiological research indicates psycho-active substance use is the most prevalent Axis I disorder. In addition, drug and alcohol problems are the most frequent comorbid condition associated with other mental disorders making accurate assessment and effective treatment […]

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Dual Diagnosis: Dilemmas in Assessment and What’s New in the Revised ASAM Patient Placement Criteria

David Mee-Lee, M.D., Assistant Clinical Professor, University of California at Davis School of Medicine, Department of Psychiatry Dilemmas and disagreements about the assessment of persons with dual psychiatric and substance-related disorders frequently revolve around whether to approach the person as suffering from an addiction disorder or a mental health disorder or both. The challenge is […]

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Dual Recovery Self-Help Support (Part Two)

Dual Recovery Self-Help Support (Part Two) Integrating Dual Recovery by Tim Hamilton Dual Recovery Movement In recent years several new dual recovery twelve-step fellowships have been established. Currently, the fellowships continue to grow and are gaining wider national recognition. Today, meetings are held in both community and agency settings in the United States, Canada and […]

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The Double Demons of Depression and Addiction

By Dennis C. Daley, Ph.D Dr. Daley is Professor of Psychiatry and Social Work One of the most moving talks I ever heard was given by former U.S. Senator George McGovern. He spoke eloquently about his daughter Terry, who had both alcoholism and depression. He gave a detailed account of all that he, his wife […]

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Advocating Positive Change & in the Treatment of Dual Disorders

Sheryl McCormick, Advocacy Coordinator Dual Diagnosis Recovery Network If the system that treats and supports persons with dual disorders is not providing what is necessary to achieve the best quality of life possible, we each bear a responsibility to do something to improve the situation. Can anyone honestly say that he or she is satisfied […]

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Promising Treatments for Dual Diagnosis

Brian E. Bride, Ph.D.; Bethany G. Womack, B.A.; Samuel A. MacMaster, Ph.D. In recent years, research supported by the National Institutes of Drug Abuse (NIDA, 1999) has identified a variety of treatment approaches that have been found to be effective in the treatment of drug addiction. A number of those approaches are adaptable to the […]

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Proper Assessment and Diagnosis for Dual Diagnosis Clientele

T.V. Boscarelli, C.A.D.A.C., C.C.S.; Director of Adult Treatment Services – The Council on Alcoholism and Drug Abuse Santa Barbara So much has been written and wrangled about treatment for dual diagnosis clients. Recently, over a two month period, the topic, ?Which Came First, the Chicken Or the Egg? brought tremendous response to a national dual […]

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Gender Specific Issues in Working With Women: A Holistic Approach

Colleen Clark, Ph.D Florida Mental Health Institute Tampa, Florida One of the newest buzzwords in mental health and substance abuse these days is ?gender-specific? programming. What most people are really talking about are research, programs, training, and treatment for women that are based on a deeper understanding of women. In the past it has been […]

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Resource Center

If you or a loved one who is suffering from addiction and mental health disorders is experiencing a crisis situation and is in need of help, please do the following: If the consumer is in immediate danger of hurting himself/herself or others: When the person in recovery may hurt himself/herself or another person, then it […]

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Approaches to Drug Abuse Counseling

Approaches to Drug Abuse Counseling U.S. Department of Health and Human Services, National Institutes of Health Introduction and Overview John J. Boren, Lisa Simon Onken, and Kathleen M. Carroll The consequences of drug and alcohol abuse in the United States are enormously costly. Although the costs can be evaluated in dollars, they are more readily […]

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Dual Diagnosis: An Overview

Research and study of the brain is beginning to unlock the mystery of dual disorders. For years the psychiatric field has either ignored dual diagnosis (a dual diagnosis was impossible prior to DSM III due to exclusionary criteria and DSM I & II forbidding’ multiple diagnoses), or treated personality as the underlying cause of substance […]

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My Story

By Jesse Fortner My story is reflective of the struggles many substance addicts and manic-depressive types endure. I experimented with Budweiser at age 13, LSD at age 14, marijuana and ecstasy at age 18, and crack cocaine at age 21. My mental illness birthed a label of “bipolar” at age 22, right after I had […]

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My Recovery Story

My Recovery Story A Consumer’s Story At school the other children laughed and played during recess while I watched from the shadows. When the other children raised their hands to answer the teacher’s questions, I held my breath trying to be invisible terrified I might be called on to speak out loud. I hated school. […]

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Please Don’t Label Me Crazy

A Consumer’s Story I am sharing my story in the hopes that I will leave a lasting gift and that it will give hope of recovery to my brothers and sisters who come after me. Let me start from the beginning. When I was about four years old, I became aware of feelings that I […]

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Success Stories

These stories have been written by consumers diagnosed with co-occurring disorders, and were published in The Dual Network Journal published by Foundations. They tell the stories of living with a dual diagnosis and the struggle to get the help they needed. Please Don’t Label Me Crazy, A Consumer’s Story My Recovery Story, A Consumer’s Story […]

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Mental Health Organizations

Dual Diagnosis Recovery Network and Foundations Associates can not control the content of the external web sites we link to. We display these links and on subsequent pages as a convenience and possible resource only. Our links to external web sites or organizations does not imply any endorsement or affiliation. Hazelden Foundation Hazelden Foundation is […]

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Dual Diagnosis Recovery Network

Outreach & Advocacy It’s through advocacy and public awareness that we reduce the stigma that is associated with co-occurring disorders. At the Dual Diagnosis Recovery Network, we participate in advocating for better treatment standards for individuals with co-occurring disorders. We work with chemical dependency, mental health, consumer and family advocacy organizations to educate and publicize […]

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National Dialogue on Co-occurring Mental Health and Substance Abuse Disorders

June 16-17, 1998 Washington, DC Sponsored by: National Association of State Mental Health Program Directors (NASMHPD) 66 Canal Center Plaza, Suite 302, Alexandria, VA 22314 (703) 739-9333, FAX (703) 548-9517 National Association of State Alcohol and Drug Abuse Directors (NASADAD) 808 – 17th Street, N.W., Suite 410, Washington, D.C. 20006 – (202) 293-0090, FAX (202) […]

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