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Online Learning

Co-Occurring Disorders: The Integrated Assessment & Comprehensive Treatment of Substance Use & Mental Disorders


Credit Available - See CEUs tab below.

Faculty:
Charles Atkins
Duration:
6 Hours
Format:
Audio and Video
Original Program Date :
13 Feb, 2015
SKU:
POS047870
Media Type:
Online Learning


Description

  • Are you ignoring the 50% of your clients who have co-occurring substance use and mental disorders?
  • Get the proven 3-step process to craft meaningful, effective, and reimbursable treatment and recovery plans
  • Access dozens of no-cost assessment tools to enhance diagnostic accuracy and to measure outcomes
  • In one day transform your practice – become the “go-to therapist”!

I was well into my career as a psychiatrist, both clinical and administrative, when it sank in that well-over half the people who came to me for help had significant co-occurring substance use and mental disorders.

Sadly, what happens is that current assessment and treatment paradigms focus primarily on one problem or the other, leaving much unassessed, unaddressed, or ignored.

For anyone who has watched a client or family member struggle with drugs or alcohol, achieve abstinence in a rehab facility, only to relapse within days to weeks after discharge, this point is made flesh. What happened? They were doing so well. What happened is that their anxiety, depression, impulsivity, and so forth, led to urges and cravings that they were unequipped to manage. In the millisecond it took for their mind to connect a first drink, pill, snort, or shot of heroin to a reduction in anxiety and other negative emotions, a month's worth of 12-step became nothing but a memory.

All of which led me to want a consistent and effective approach to assess and work with individuals with any number of co-occurring combinations. It's clear that what we need for the homeless woman, with intravenous opioid use and schizoaffective disorder, is different from the insurance executive who sucks down a daily fifth of whiskey to keep his anxiety and panic at bay, or the teen who cuts herself and misuses her brother's stimulants to both decrease her appetite, and her overwhelming feelings of sadness and emptiness.

This day-long training provides practical assessment and treatment strategies, which can be deployed across the co-occurring continua. Whether you are an administrator who creates interventions at the system level, or a rubber-meets-the-road clinician, the step-by-step approaches we will discuss and use (lots of case studies) will give you the tools you need to both improve and track your clinical outcomes.

OUTLINE

Co-Occurring

  • Key concepts: The Recovery Movement, harm reduction and abstinence models
  • The historical perspective of Co-Occurring Disorders and the "No Wrong Door Policy"
  • The quadrants of care
  • Stages of treatment, and sequential, parallel and integrated treatment
  • Integration of behavioral health, substance use, and primary care
    • Rise of the Behavioral Health Home Model
  • Co-occurring and the DSM-5®, the ICD-9, and the ICD-10

The MOST Comprehensive Co-Occurring Assessment and State-of-the-Art Tools

  • The Intake
  • High-risk areas for misdiagnoses and missed diagnoses, and how to navigate them
  • The utility of standardized assessment tools and when to use them
  • How and where to obtain no-cost, and well-validated, diagnosis-specific instruments
  • Pitfalls in obtaining the history: The importance of wide-net information gathering
  • Objective data and how and when to access prescription monitoring databases
  • The assessment of dangerousness
  • Assessing Readiness for Change, and stage-of-change theory
  • How to approach level of care decisions

Co-Occurring Treatment/Recovery Plans in 3 Easy Steps

  • Creating the Problem/Need List
  • Setting goals and objectives that meet client and regulatory needs
  • Developing fully integrated treatment/recovery plans

Evidence-Based Integrated Treatment for Co-Occurring Disorders

  • Motivational Interviewing
  • Cognitive-Behavioral Therapy and strategies
  • Skills training
  • Mindfulness
  • Mutual self-help & peer-based interventions
  • Wellness
  • Family interventions
  • Assertive community treatment and targeted case management
  • Psychopharmacology including replacement strategies

Master Diagnosis-Specific Issues in Co-Occurring Disorders

  • ADHD
  • Depression and Bipolar Disorders
  • Anxiety and PTSD
  • Schizophrenia and other Psychotic Disorders
  • Personality Disorders

Substance-Specific Issues in Co-Occurring Disorders

  • Alcohol
  • Opioids
  • Tobacco
  • Cocaine and other stimulants, including "Bath Salts"
  • Cannabis & Synthetic Cannabis
  • The internet and other sources of drugs

OBJECTIVES

  • Identify the signs and symptoms of clinically relevant withdrawal states, and how these can mimic other disorders.
  • Identify DSM-5® diagnoses where metrics (standardized assessment tools) can be used to aid in the assessment and outcomes measurement of specific disorders.
  • List key differences between abstinence and harm-reduction models, and the relative merits of each.
  • Be able to formulate treatment and recovery goals and objectives that are desirable, measurable, behavioral, CMS and Joint Commission compliant, and specific to the client.
  • Identify high-risk situations in co-occurring disorders, and how these influence level-of-care decision making.
  • Identify strategies for working with opioid dependent individuals, including replacement therapies, overdose rescue kits, and working with pregnant women.

To order the book, Co-Occurring Disorders: Integrated Assessment and Treatment of Substance Use and Mental Disorders, please visit our product store.

To order the book, Overcoming Compassion Fatigue: A Practical Resilience Workbook, please visit our product store.


 

ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

 

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

CEUs


General Credits

This course is available for 6.0 total CPDs. 

The HPCSA has declared that any on-line courses CPD/CEU credited by a certified US board, is automatically CPD/CEU credited in South Africa.

As there are different boards for different disciplines, we at Acacia suggest that you use the Counselling CPD/CEU credits. These correspond to South African credits of one CPD/CEU per 60 minutes. If you choose to use your discipline's credits, please do so at your discretion.


**

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing and passing the on-line post-test evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards


Addiction Counselors

NAADAC

This self-study course has been approved by PESI, Inc., as a NAADAC Approved Education Provider, for 7.5 CE in the {CustomCreditField1} skill group. NAADAC Provider #77553. PESI, Inc. is responsible for all aspects of their programming. Full attendance is required; no partial credit will be awarded for partial attendance.


Connecticut Addiction Counselors

Provider #120924. This course has been approved as a CCB approved training and has been awarded 6.25 hours by the Connecticut Certification Board.


California Alcoholism & Drug Abuse Counselors

PESI, Inc. is an approved provider by the CCAPP-EI, Provider #: OS-03-036-1019. This activity meets the qualifications for 6.0 CEH's (continuing education hours).


Counselors

This intermediate self-study activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements.


Marriage & Family Therapists

This self-study activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save this course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements. 


Illinois Marriage & Family Therapists

PESI, Inc. has been approved as a provider of continuing education by the State of Illinois, Department of Professional Regulation. Provider #:168-000156. Full attendance at this self-study activity qualifies for 6.0 credits.


Texas Marriage & Family Therapists

PESI, Inc. has been approved as a continuing education sponsor through the Texas State Board of Examiners of Marriage and Family Therapists. Provider # 503. This self-study package qualifies for 6.0 continuing education credits.


California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Florida Nurses

CE Broker

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.


Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 7.6 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.


Nurses, Nurse Practitioners, and Clinical Nurse Specialists

This intermediate activity is approved for 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation.


Canadian Psychologists

PESI, Inc. is approved by the Canadian Psychological Association to offer continuing education for psychologists. PESI, Inc. maintains responsibility for the program. This program is approved for 6.0 self-study continuing education hours. Full credit statement at: www.pesi.com/cpa-statement


Florida Psychologists

PESI, Inc., is an approved provider with the Florida Board of Psychology.Provider Number #50-399.This product qualifies for 6.3 self-study continuing education credits.


Social Workers

PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for the course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 6.25 (Clinical{CustomCreditField1}) continuing education credits for completing this intermediate level course. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation. Full attendance is required. No partial credit will be offered for partial attendance. 


Canadian Social Workers

PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for the course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 6.25 (Clinical{CustomCreditField1}) continuing education credits for completing this intermediate level self-study course. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation. Full attendance is required. No partial credit will be offered for partial attendance. Canadian provinces may accept activities approved by the ASWB for ongoing professional development.


Illinois Social Workers

PESI, Inc. is an approved provider with the State of Illinois, Department of Professional Regulation. License #: 159-000154. Successful completion of this self-study activity qualifies for 6.0 contact hours.


Minnesota Social Workers

PESI, Inc. is an approved provider with the State of Minnesota, Board of Social Work. Provider #: CEP-140. This self-study package has been approved for 6.0 continuing education hours. This certificate has been issued upon successful completion of a post-test.


Ohio Social Workers, Counselors, and Marriage & Family Therapists

PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #: RCST071001. Successful completion of this self-study course meets the qualifications for 6.25 clock hours of continuing education credit.


Pennsylvania Social Workers, Counselors, and Marriage & Family Therapists

This intermediate activity is approved for 6.0 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation.


California Social Workers, Counselors, Marriage & Family Therapists, and Licensed Educational Psychologists

The State of California, Board of Behavioral Sciences will recognize and accept continuing education programs that are sponsored by providers approved by the APA and the ASWB. Full participation in this self-study course will qualify for 6.0 hours of continuing education credit.


Florida Social Workers, Marriage & Family Therapists, and Mental Health Counselors

CE Broker

PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number #50-399. This self-study course qualifies for 6.25 continuing education credits.


Other Professions

This self-study activity qualifies for 6.25 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts

Faculty

Charles Atkins's Profile

Charles Atkins Related seminars and products: 1

MD


Charles Atkins, MD, is a board-certified psychiatrist, clinical trainer, Chief Medical Officer of Community Mental Health Affiliates (CMHA), member of the Yale volunteer faculty, and a past regional medical director for the Department of Mental Health and Addiction Services (CT). A frequent lecturer on opioid addiction and Medication Assisted Treatment, Dr. Atkins is the author of Opioid Use Disorders: A Holistic Guide to Assessment, Treatment, and Recovery (PESI, 2018) and Co-Occurring Disorders: Integrated Assessment and Treatment of Substance Use and Mental Disorders (PESI, 2014) which has been included in the core curriculum of multiple schools of social work and substance abuse counseling. He is also the author of more than 15 other traditionally published books, both fiction and nonfiction, and has had hundreds of short stories and articles appear in publications ranging from The Journal of the American Medical Association (JAMA) to Writer’s Digest Magazine.

Speaker Disclosures:

Financial: Charles Atkins is Chief Medical Officer for Community Mental Health Affiliates, LLC (CMHA). He receives royalties as an author for Sourcebooks. Dr. Atkins receives a speaking honorarium from PESI, Inc.

Non-financial: Charles Atkins has no relevant non-financial relationship to disclose.


Target Audience

Addiction Counselors, Case Managers, Counselors, Marriage & Family Therapists, Nurses, Psychologists, Social Workers, and other Mental Health Professionals

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