My client’s name is Pete, a thirty year old, white male. He has been struggling with depression since he was fourteen, and after his parent’s divorce at sixteen, he began abusing prescription pills. By the time he was twenty, he had graduated to heroin, and cocaine. At twenty-three he overdosed on a speedball, and after recovering at the hospital, he entered a rehabilitation clinic. Over the next five years, Pete has been in and out of the rehab. He has relapsed four times, but continues to seek a clean life. He has not used in the last eight months, and as his year mark creeps up, he feels that he will fail again. Lately his depression has worsened, and he has gotten into the habit of self-harming (burning or pinching himself) when he becomes triggered.
In this case, Pete has been struggling with his mental illness and substance abuse for a long time. Using techniques to curb his severe depression, and self-harm like Cognitive-Behavioral Therapy (CBT) will do wonders on his self-esteem, and identity. Tackling his substance abuse with weekly group meetings, and other positive, and supportive outlets will help him keep on the track to sobriety. Having trained staff, like a psychiatrist, or nurse practitioner can also help Pete, but this avenue will have to be monitored closely, if not avoided due to his past (McKee, Harris, & Cormier, 2013).
McKee, S., Harris, G., & Cormier, C. (2013). Implementing Residential Integrated Treatment for Co-occurring Disorders. Journal of Dual Diagnosis, 9(3), 249–259. https://doi-org.ezp.waldenulibrary.org/10.1080/15504263.2013.807073
Moore, K., Young, M. S., Barrett, B., & Ochshorn, E. (2009). A 12-Month Follow-Up Evaluation of Integrated Treatment for Homeless Individuals With Co-Occurring Disorders. Journal of Social Service Research, 35(4), 322–335. https://doi-org.ezp.waldenulibrary.org/10.1080/01488370903110829
Van Wormer, K., & Davis, D. R. (2018). Addiction treatment: A strengths perspective (4th ed.). Boston, MA: Cengage.
2. Classmate (C. Ree)
Main Discussion Post
Co-occurring disorders are the presence of both a mental health and concurrent substance use illness. Examples of co-occurring disorders include a person who is both an alcoholic and dealing with depression, or an individual who is addicted to illicit drugs and also struggles with post-traumatic stress disorder. The handling of mental illness and substance use is known as integrated treatment. Integrated treatment provides simultaneous treatment for the mental illness and the substance use disorder (Van Wormer & Davis, 2018). Van Wormer and Davis continue to discuss the strengths and weaknesses of integrated treatment. Stating that integrated treatments include more stable remission rates (10-20%), better housing, decreased shame, and learning and insight. Whereas the weaknesses include small studies, heterogeneous samples, short follow up periods and unclear description of treatment components. Successful implementation requires vigorous on-site leadership, managing of staff turnover, and technical, financial, and political support from the greater administrative environment (Torrey, Tepper, & Greenwold, 2011).