Working With Dual Diagnosis: A Psychosocial Perspective (foundations Of Mental Health Practice)

In the UK it is estimated that a third of patients in mental health services have a substance abuse problem, and that half of patients in drug and alcohol services have a mental health problem. Part of Palgrave's __Foundations of Mental Health__ series, this book explores the intertwined issues of substance use and mental health as a social phenomenon and offers a critical, informative guide to understanding dual diagnosis. Written by authors with extensive experience within mental health and drug treatment services, __Working with Dual Diagnosis__ explores areas that are key to understanding the relationship between the two, including: - Models for understanding substance use, mental health and the correlation of complex social and psychological factors - Treatment processes for working with individuals, groups and families and within a community setting - The historical social, political, economic and legislative context of mental health and substance use - Practice implications for dual diagnosis, including how practitioners can work with and promote better treatment, after care and support for those experiencing dual diagnosis issues. Enriched with reflective exercises, case studies and key points, this book will inform all work related to dual diagnosis populations within health, social and criminal justice service, and is an essential text for social work, nursing, occupational therapy and probation students. Cover Half title Title Copyright Contents List of Tables and Figures Introduction PART I History, Politics and Concepts 1 The Historical Context of Substance Use, Mental Health and Dual Diagnosis Dual diagnosis: a ‘contested’ term and a ‘real’ issue Why do substances and mental health go together? What comes fi rst, mental health symptom or substance use effect? Stimulants Depressants Hallucinogens The global is the local: economic liberalization and the normalizationof substance consumption REfERENcES 2 The Socio-Politics of Dual Diagnosis: Psychiatry, Law and Economics The social and political construction of dual diagnosis: understanding the context of mental health and substance use policy Moral–medical Medical–criminal justice Psychiatric–criminal justice Economic–criminal justice REFERENCES 3 Key Models for Understanding Dual Diagnosis Introduction Critical accounts The main models Psychosocial perspectives The social model of disability in dual diagnosis REFERENCES PART II Working in Practice 4 Working with Individuals: The Broader Picture and Getting Started Introduction The varied and complex nature of the relationship between substance misuse and mental health problems Values-based practice Importance of acknowledging issues of difference and diversity and their impact on treatment The Care Programme Approach – case management Strengths-based models in mental health Strengths-based models for substance use Risk Physical and mental health factors affecting motivation to change Key factors in assessment when working with dual diagnosis Assessing clients and formulation The problem list – a tool for getting started Problem formulation and conceptualization in dual diagnosis Relapse prevention Homework in relapse prevention Relapse prevention in mental health Harm reduction REFERENCES 5 Psychosocial Interventions Motivational interventions (MI) Importance of facilitative conditions What is motivational interviewing? Stages in motivational interviewing Brief interventions and self-help Guided self-help Contingency management Cognitive behavioural therapy (CBT) and formulation Structure in CBT Psychodynamic therapy Psychodynamic understanding of addiction Addiction as transitional phase fixation Medication as transitional objects Self-regulation difficulties Substance use as self-medication Understanding substance use from an attachment theory perspective Repetition compulsion Psychodynamic therapy and what it says about the practitioner in the therapeutic relationship Inpatient, residential settings and the criminal justice system Mindfulness and technology-based interventions Technology-based interventions REFERENCES 6 Working with Groups and Families Introduction Group work modes What is the 12-step programme? Dual diagnosis and 12-step programmes Group interventions and psychotherapy Resistance and challenges to the curative process in group interventions Group ending, separation and focus on relapse prevention Key protocols informing family work perspectives Involving families and carers A five-step approach Behavioural family therapy (BFT) and cognitive behavioural (CB) interventions Behavioural couples therapy Basic family and systemic therapy concepts NICE guidelines (2007) – supporting families and carers Social behaviour and network therapy (SBNT) SBNT stages REFERENCES 7 Working in Community Settings: Dual Diagnosis and the Recovery Movement in a Community Context The lived experience of challenges faced by professionals working in the community Recovery movement within the community Therapeutic communities Integration of harm reduction and recovery-oriented practices The social model of disability: rights of access REFERENCES Conclusion Glossary of Key Terms Index "Taking a unique perspective, this book argues for a psychosocial approach to dual diagnosis and draws on this to highlight practice skills with specific groups including individuals, families and communities. The inclusion of case studies, reflection points and reflective exercises throughout help to aid learning and provide practice insight"-- Provided by publisher