Insurance Coverage among People Living with Combined HIV/AIDS, Chronic Mental Illness, and Substance Abuse Disorders

Individuals who have a dual diagnosis of substance abuse and chronic mental illness pose unique challenges in the delivery of vocational rehabilitation services. Barriers to service provision include an underestimation of prevalence; agency classifications that require a separation of disability conditions into primary and secondary disability; a lack of counselors’ awareness of the unique needs of this population; and the impact of negative attitudes and stigma on vocational success. Although individuals with dual diagnosis can benefit from rehabilitation services and stable employment, changes in the traditional service delivery system are recommended. To address the unique needs of this population, rehabilitation practitioners are encouraged to seek specialized training and continuing education through regional training programs and interagency consultation.

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Substance Abuse among Adolescents with Chronic Mental Illnesses: A Pilot Study of Descriptive and Differentiating Features*

The Canadian Journal of Psychiatry ◽

10.1177/070674379203700614 ◽

1992 ◽

Vol 37 (6) ◽

pp. 428-431 ◽

Cited By ~ 13

Author(s):

S. Kutcher ◽

E. Kachur ◽

P. Marton ◽

J. Szalai ◽

R. Jaunkalns

Keyword(s):

Substance Abuse ◽

Mental Illness ◽

Hospital Admissions ◽

School Achievement ◽

Mental Illnesses ◽

Chronic Mental Illness ◽

Substance Abusing ◽

Dysfunctional Families ◽

Emergency Room Visits ◽

Comorbid Substance Abuse

Twenty-six adolescents with a chronic mental illness (schizophrenia or schizoaffective disorder of at least 1.5 years' duration) were assessed for the presence or absence of comorbid substance abuse. The two groups were compared on a number of variables believed to identify or predict substance abuse. The substance abusing subgroup were significantly different in levels of social functioning, school achievement, premorbid substance abuse, having parents or siblings who abused substances, dysfunctional families, cigarette smoking, number of hospital admissions, and emergency room visits. These findings are discussed in the context of clinical issues regarding the management of adolescents with chronic mental illnesses.

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New Co-occurring Disorders Unit to Help People with Mental Illness, Substance Abuse Disorders

PsycEXTRA Dataset ◽

10.1037/e328582004-011 ◽

2004 ◽

Author(s):

Rand Baker

Keyword(s):

Substance Abuse ◽

Mental Illness ◽

People With Mental Illness ◽

Substance Abuse Disorders

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Relational Social Work: A Model for the Future

Families in Society The Journal of Contemporary Social Services ◽

10.1606/1044-3894.3462 ◽

2005 ◽

Vol 86 (4) ◽

pp. 565-572 ◽

Cited By ~ 23

Author(s):

Eric D. Ornstein ◽

Carol Ganzer

Keyword(s):

Substance Abuse ◽

Mental Illness ◽

Change Agent ◽

Relational Model ◽

Chronic Mental Illness ◽

Clinical Services ◽

Use Of Self ◽

Residential Settings ◽

Transference And Countertransference

This article outlines and elaborates on the main features of the authors' relational model: a reconceptualization of transference and countertransference, the role of enactments in the clinical setting, the importance of the use of self, and the worker's participation as a change agent. Use of this model will enhance clinical services, reduce failed treatments and therapeutic impasses, and diminish the incidence of boundary violations. This conceptual framework has been used successfully by the authors in residential settings with homeless individuals, persons with chronic mental illness and substance abuse, and ex-offenders. Additionally, the authors have found it useful in child welfare settings as well as in teaching and supervising students and clinical staff. Clinical examples are provided to illustrate the model.

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