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overflow: hidden; text-overflow: ellipsis; -webkit-line-clamp: 3; -webkit-box-orient: vertical; }</style><div class="col-xs-12 clearfix"><div class="u-floatLeft"><h1 class="PageHeader-title u-m0x u-fs30">Dual Diagnosis</h1><div class="u-tcGrayDark">1,937 Followers</div><div class="u-tcGrayDark u-mt2x">Recent papers in <b>Dual Diagnosis</b></div></div></div></div></div></div><div class="TabbedNavigation"><div class="container"><div class="row"><div class="col-xs-12 clearfix"><ul class="nav u-m0x u-p0x list-inline u-displayFlex"><li class="active"><a href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Top Papers</a></li><li><a href="https://www.academia.edu/Documents/in/Dual_Diagnosis/MostCited">Most Cited Papers</a></li><li><a href="https://www.academia.edu/Documents/in/Dual_Diagnosis/MostDownloaded">Most Downloaded Papers</a></li><li><a href="https://www.academia.edu/Documents/in/Dual_Diagnosis/MostRecent">Newest Papers</a></li><li><a class="" href="https://www.academia.edu/People/Dual_Diagnosis">People</a></li></ul></div><style type="text/css">ul.nav{flex-direction:row}@media(max-width: 567px){ul.nav{flex-direction:column}.TabbedNavigation li{max-width:100%}.TabbedNavigation li.active{background-color:var(--background-grey, #dddde2)}.TabbedNavigation li.active:before,.TabbedNavigation li.active:after{display:none}}</style></div></div></div><div class="container"><div class="row"><div class="col-xs-12"><div class="u-displayFlex"><div class="u-flexGrow1"><div class="works"><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_31282277" data-work_id="31282277" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/31282277/The_Dual_Diagnosis_Capability_in_Addiction_Treatment_DDCAT_Index_An_Introductory_manual_Version_2_4_">The Dual Diagnosis Capability in Addiction Treatment (DDCAT) Index: An Introductory manual (Version 2.4)</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Over the past 2-3 years, the term of "co-occurring disorder" (COD) has gradually come to replace the vernacular of "dual diagnosis." In this manual the terminology will be synonymous. In order to remain consistent with the DDCAT author,... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_31282277" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Over the past 2-3 years, the term of "co-occurring disorder" (COD) has gradually come to replace the vernacular of "dual diagnosis." In this manual the terminology will be synonymous. In order to remain consistent with the DDCAT author, the dual diagnosis terminology will be used in discussing the specifics of the DDCAT items. When discussing issues broadly, however, the use of co-occurring disorders will be used.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/31282277" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="c242d48c549ae6ac16381f23ad0d3cc2" rel="nofollow" data-download="{"attachment_id":51682979,"asset_id":31282277,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/51682979/download_file?st=MTczOTcwNTcyOCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="59689029" href="https://lsu.academia.edu/DrJosephComaty">Dr. Joseph Comaty</a><script data-card-contents-for-user="59689029" type="text/json">{"id":59689029,"first_name":"Dr. Joseph","last_name":"Comaty","domain_name":"lsu","page_name":"DrJosephComaty","display_name":"Dr. Joseph Comaty","profile_url":"https://lsu.academia.edu/DrJosephComaty?f_ri=11137","photo":"https://0.academia-photos.com/59689029/28134045/26355323/s65_dr._joseph.comaty.jpg"}</script></span></span></li><li class="js-paper-rank-work_31282277 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="31282277"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 31282277, container: ".js-paper-rank-work_31282277", }); 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The publisher shall not be liable for any loss, actions, claims, proceedings, demand, or costs or damages whatsoever or howsoever caused arising directly or indirectly in connection with or arising out of the use of this material.","downloadable_attachments":[{"id":80447478,"asset_id":70884756,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":163335710,"first_name":"Christina","last_name":"Delos Reyes","domain_name":"uhhospitals","page_name":"ChristinaDelosReyes","display_name":"Christina Delos Reyes","profile_url":"https://uhhospitals.academia.edu/ChristinaDelosReyes?f_ri=11137","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=11137","nofollow":true},{"id":6095,"name":"Consumption","url":"https://www.academia.edu/Documents/in/Consumption?f_ri=11137","nofollow":true},{"id":9729,"name":"Stress","url":"https://www.academia.edu/Documents/in/Stress?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine?f_ri=11137"},{"id":44273,"name":"Antisocial Personality Disorder","url":"https://www.academia.edu/Documents/in/Antisocial_Personality_Disorder?f_ri=11137"},{"id":100558,"name":"Personality Disorder","url":"https://www.academia.edu/Documents/in/Personality_Disorder?f_ri=11137"},{"id":129428,"name":"Drug Addiction","url":"https://www.academia.edu/Documents/in/Drug_Addiction?f_ri=11137"},{"id":419810,"name":"Stressful Life Events","url":"https://www.academia.edu/Documents/in/Stressful_Life_Events?f_ri=11137"},{"id":964675,"name":"Alcohol Use","url":"https://www.academia.edu/Documents/in/Alcohol_Use?f_ri=11137"},{"id":1780706,"name":"LIFE EVENT","url":"https://www.academia.edu/Documents/in/LIFE_EVENT?f_ri=11137"},{"id":3033631,"name":"Alcohol use disorder","url":"https://www.academia.edu/Documents/in/Alcohol_use_disorder?f_ri=11137"},{"id":3773082,"name":"Obsessive Compulsive","url":"https://www.academia.edu/Documents/in/Obsessive_Compulsive?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_49104114" data-work_id="49104114" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/49104114/Dual_diagnosis_does_harm_reduction_have_a_role">Dual diagnosis — does harm reduction have a role?</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">A pragmatic approach to those with a dual diagnosis of mental illness and problem drug use accepts that drug and alcohol use is firmly established in this population, and aims to minimise and reduce any harms associated with using.... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_49104114" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">A pragmatic approach to those with a dual diagnosis of mental illness and problem drug use accepts that drug and alcohol use is firmly established in this population, and aims to minimise and reduce any harms associated with using. However, it is evident that we know little about drug using practices and knowledge among this group in order to effect such an approach. This paper aims to investigate the potential of utilising a harm reduction based approach as an alternative to current service responses for those with a dual diagnosis.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/49104114" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="0a05a588afeee43863f41595c43a20c6" rel="nofollow" data-download="{"attachment_id":67499054,"asset_id":49104114,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/67499054/download_file?st=MTczOTcwNTcyOCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="165839478" href="https://city.academia.edu/PeaPhillips">Pea Phillips</a><script data-card-contents-for-user="165839478" type="text/json">{"id":165839478,"first_name":"Pea","last_name":"Phillips","domain_name":"city","page_name":"PeaPhillips","display_name":"Pea Phillips","profile_url":"https://city.academia.edu/PeaPhillips?f_ri=11137","photo":"https://gravatar.com/avatar/9a57b12a17a3a079624952948ad5ca18?s=65"}</script></span></span></li><li class="js-paper-rank-work_49104114 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="49104114"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 49104114, container: ".js-paper-rank-work_49104114", }); 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$(".js-view-count[data-work-id=49104114]").text(description); $(".js-view-count-work_49104114").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_49104114").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="49104114"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">8</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a>, <script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="35141" rel="nofollow" href="https://www.academia.edu/Documents/in/Mental_Illness">Mental Illness</a>, <script data-card-contents-for-ri="35141" type="text/json">{"id":35141,"name":"Mental Illness","url":"https://www.academia.edu/Documents/in/Mental_Illness?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="42070" rel="nofollow" href="https://www.academia.edu/Documents/in/Harm_Reduction">Harm Reduction</a>, <script data-card-contents-for-ri="42070" type="text/json">{"id":42070,"name":"Harm Reduction","url":"https://www.academia.edu/Documents/in/Harm_Reduction?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="47665" rel="nofollow" href="https://www.academia.edu/Documents/in/Drug_Use">Drug Use</a><script data-card-contents-for-ri="47665" type="text/json">{"id":47665,"name":"Drug Use","url":"https://www.academia.edu/Documents/in/Drug_Use?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=49104114]'), work: {"id":49104114,"title":"Dual diagnosis — does harm reduction have a role?","created_at":"2021-06-02T22:53:34.075-07:00","url":"https://www.academia.edu/49104114/Dual_diagnosis_does_harm_reduction_have_a_role?f_ri=11137","dom_id":"work_49104114","summary":"A pragmatic approach to those with a dual diagnosis of mental illness and problem drug use accepts that drug and alcohol use is firmly established in this population, and aims to minimise and reduce any harms associated with using. However, it is evident that we know little about drug using practices and knowledge among this group in order to effect such an approach. This paper aims to investigate the potential of utilising a harm reduction based approach as an alternative to current service responses for those with a dual diagnosis.","downloadable_attachments":[{"id":67499054,"asset_id":49104114,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":165839478,"first_name":"Pea","last_name":"Phillips","domain_name":"city","page_name":"PeaPhillips","display_name":"Pea Phillips","profile_url":"https://city.academia.edu/PeaPhillips?f_ri=11137","photo":"https://gravatar.com/avatar/9a57b12a17a3a079624952948ad5ca18?s=65"}],"research_interests":[{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true},{"id":35141,"name":"Mental Illness","url":"https://www.academia.edu/Documents/in/Mental_Illness?f_ri=11137","nofollow":true},{"id":42070,"name":"Harm Reduction","url":"https://www.academia.edu/Documents/in/Harm_Reduction?f_ri=11137","nofollow":true},{"id":47665,"name":"Drug Use","url":"https://www.academia.edu/Documents/in/Drug_Use?f_ri=11137","nofollow":true},{"id":53881,"name":"Drug Policy","url":"https://www.academia.edu/Documents/in/Drug_Policy?f_ri=11137"},{"id":964675,"name":"Alcohol Use","url":"https://www.academia.edu/Documents/in/Alcohol_Use?f_ri=11137"},{"id":2922956,"name":"Psychology and Cognitive Sciences","url":"https://www.academia.edu/Documents/in/Psychology_and_Cognitive_Sciences?f_ri=11137"},{"id":3763225,"name":"Medical and Health Sciences","url":"https://www.academia.edu/Documents/in/Medical_and_Health_Sciences?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_38599108" data-work_id="38599108" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/38599108/Psychosocial_interventions_to_reduce_alcohol_consumption_in_concurrent_problem_alcohol_and_illicit_drug_users">Psychosocial interventions to reduce alcohol consumption in concurrent problem alcohol and illicit drug users</a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/38599108" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="5f22e1bec16a15804406379519f45063" rel="nofollow" data-download="{"attachment_id":58674249,"asset_id":38599108,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/58674249/download_file?st=MTczOTcwNTcyOCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="364412" href="https://independent.academia.edu/JanKlimas">Jan Klimas</a><script data-card-contents-for-user="364412" type="text/json">{"id":364412,"first_name":"Jan","last_name":"Klimas","domain_name":"independent","page_name":"JanKlimas","display_name":"Jan Klimas","profile_url":"https://independent.academia.edu/JanKlimas?f_ri=11137","photo":"https://0.academia-photos.com/364412/96041/11039899/s65_jan_jano_.klimas.jpg"}</script></span></span></li><li class="js-paper-rank-work_38599108 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="38599108"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 38599108, container: ".js-paper-rank-work_38599108", }); 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$(".js-view-count[data-work-id=38599108]").text(description); $(".js-view-count-work_38599108").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_38599108").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="38599108"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">5</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="221" rel="nofollow" href="https://www.academia.edu/Documents/in/Psychology">Psychology</a>, <script data-card-contents-for-ri="221" type="text/json">{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="2483" rel="nofollow" href="https://www.academia.edu/Documents/in/Addiction">Addiction</a>, <script data-card-contents-for-ri="2483" type="text/json">{"id":2483,"name":"Addiction","url":"https://www.academia.edu/Documents/in/Addiction?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="6993" rel="nofollow" href="https://www.academia.edu/Documents/in/Alcohol_Studies">Alcohol Studies</a>, <script data-card-contents-for-ri="6993" type="text/json">{"id":6993,"name":"Alcohol Studies","url":"https://www.academia.edu/Documents/in/Alcohol_Studies?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a><script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=38599108]'), work: {"id":38599108,"title":"Psychosocial interventions to reduce alcohol consumption in concurrent problem alcohol and illicit drug users","created_at":"2019-03-21T08:44:43.818-07:00","url":"https://www.academia.edu/38599108/Psychosocial_interventions_to_reduce_alcohol_consumption_in_concurrent_problem_alcohol_and_illicit_drug_users?f_ri=11137","dom_id":"work_38599108","summary":null,"downloadable_attachments":[{"id":58674249,"asset_id":38599108,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":364412,"first_name":"Jan","last_name":"Klimas","domain_name":"independent","page_name":"JanKlimas","display_name":"Jan Klimas","profile_url":"https://independent.academia.edu/JanKlimas?f_ri=11137","photo":"https://0.academia-photos.com/364412/96041/11039899/s65_jan_jano_.klimas.jpg"}],"research_interests":[{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=11137","nofollow":true},{"id":2483,"name":"Addiction","url":"https://www.academia.edu/Documents/in/Addiction?f_ri=11137","nofollow":true},{"id":6993,"name":"Alcohol Studies","url":"https://www.academia.edu/Documents/in/Alcohol_Studies?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true},{"id":27088,"name":"Psychosocial Research","url":"https://www.academia.edu/Documents/in/Psychosocial_Research?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_53992576" data-work_id="53992576" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/53992576/Housing_First_Services_for_People_Who_Are_Homeless_With_Co_Occurring_Serious_Mental_Illness_and_Substance_Abuse">Housing First Services for People Who Are Homeless With Co-Occurring Serious Mental Illness and Substance Abuse</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">The literature on homeless adults with severe mental illness is generally silent on a critical issue surrounding service delivery—the contrast between housing first and treatment first program philosophies. This study draws on data from a... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_53992576" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">The literature on homeless adults with severe mental illness is generally silent on a critical issue surrounding service delivery—the contrast between housing first and treatment first program philosophies. This study draws on data from a longitudinal experiment contrasting a housing first program (which offers immediate permanent housing without requiring treatment compliance or abstinence) and treatment first (standard care) programs for 225 adults who were homeless with mental illness in New York City. After 48 months, results showed no significant group differences in alcohol and drug use. Treatment first participants were significantly more likely to use treatment services. These findings, in combination with previous reports of much higher rates of housing stability in the housing first group, show that “dual diagnosed” adults can remain stably housed without increasing their substance use. Thus, housing first programs favoring immediate housing and consumer choice deserve con...</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/53992576" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="52993265aac9b5e5a2fc6fc9fd7b3cce" rel="nofollow" data-download="{"attachment_id":70571102,"asset_id":53992576,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/70571102/download_file?st=MTczOTcwNTcyOCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="32343630" href="https://independent.academia.edu/SamTsemberis">Sam Tsemberis</a><script data-card-contents-for-user="32343630" type="text/json">{"id":32343630,"first_name":"Sam","last_name":"Tsemberis","domain_name":"independent","page_name":"SamTsemberis","display_name":"Sam Tsemberis","profile_url":"https://independent.academia.edu/SamTsemberis?f_ri=11137","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_53992576 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="53992576"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 53992576, container: ".js-paper-rank-work_53992576", }); 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This study draws on data from a longitudinal experiment contrasting a housing first program (which offers immediate permanent housing without requiring treatment compliance or abstinence) and treatment first (standard care) programs for 225 adults who were homeless with mental illness in New York City. After 48 months, results showed no significant group differences in alcohol and drug use. Treatment first participants were significantly more likely to use treatment services. These findings, in combination with previous reports of much higher rates of housing stability in the housing first group, show that “dual diagnosed” adults can remain stably housed without increasing their substance use. 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data-has-card-for-ri="2827" rel="nofollow" href="https://www.academia.edu/Documents/in/Mental_Health">Mental Health</a>, <script data-card-contents-for-ri="2827" type="text/json">{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a>, <script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="28973" rel="nofollow" href="https://www.academia.edu/Documents/in/Comorbidity">Comorbidity</a>, <script data-card-contents-for-ri="28973" type="text/json">{"id":28973,"name":"Comorbidity","url":"https://www.academia.edu/Documents/in/Comorbidity?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="35141" rel="nofollow" href="https://www.academia.edu/Documents/in/Mental_Illness">Mental Illness</a><script data-card-contents-for-ri="35141" type="text/json">{"id":35141,"name":"Mental Illness","url":"https://www.academia.edu/Documents/in/Mental_Illness?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=37795654]'), work: {"id":37795654,"title":"Integrated Treatment of Co-occurring Mental Health and Substance Use 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depressive symptoms in patients with schizophrenia and substance use disorders</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Background. Substance abuse is highly prevalent in schizophrenia and it has been associated with negative consequences on the course of the pathology. Regarding cognition, the prevailing literature has produced mixed results. Some groups... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_27420220" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Background. Substance abuse is highly prevalent in schizophrenia and it has been associated with negative consequences on the course of the pathology. Regarding cognition, the prevailing literature has produced mixed results. Some groups have Correspondence should be addressed to</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/27420220" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="e977551445e4632ef29dd12190ea69bd" rel="nofollow" data-download="{"attachment_id":47676826,"asset_id":27420220,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/47676826/download_file?st=MTczOTcwNTcyOCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="51545329" href="https://independent.academia.edu/TaniaPampoulova">Tania Pampoulova</a><script data-card-contents-for-user="51545329" type="text/json">{"id":51545329,"first_name":"Tania","last_name":"Pampoulova","domain_name":"independent","page_name":"TaniaPampoulova","display_name":"Tania Pampoulova","profile_url":"https://independent.academia.edu/TaniaPampoulova?f_ri=11137","photo":"/images/s65_no_pic.png"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-27420220">+1</span><div class="hidden js-additional-users-27420220"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/OlivierLipp">Olivier Lipp</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-27420220'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-27420220').html(); 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Substance abuse is highly prevalent in schizophrenia and it has been associated with negative consequences on the course of the pathology. Regarding cognition, the prevailing literature has produced mixed results. Some groups have Correspondence should be addressed to","downloadable_attachments":[{"id":47676826,"asset_id":27420220,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":51545329,"first_name":"Tania","last_name":"Pampoulova","domain_name":"independent","page_name":"TaniaPampoulova","display_name":"Tania Pampoulova","profile_url":"https://independent.academia.edu/TaniaPampoulova?f_ri=11137","photo":"/images/s65_no_pic.png"},{"id":33833550,"first_name":"Olivier","last_name":"Lipp","domain_name":"independent","page_name":"OlivierLipp","display_name":"Olivier Lipp","profile_url":"https://independent.academia.edu/OlivierLipp?f_ri=11137","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":3217,"name":"Depression","url":"https://www.academia.edu/Documents/in/Depression?f_ri=11137","nofollow":true},{"id":3227,"name":"Schizophrenia","url":"https://www.academia.edu/Documents/in/Schizophrenia?f_ri=11137","nofollow":true},{"id":8538,"name":"Working Memory","url":"https://www.academia.edu/Documents/in/Working_Memory?f_ri=11137","nofollow":true},{"id":8781,"name":"Cognitive Neuropsychiatry","url":"https://www.academia.edu/Documents/in/Cognitive_Neuropsychiatry?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137"},{"id":28973,"name":"Comorbidity","url":"https://www.academia.edu/Documents/in/Comorbidity?f_ri=11137"},{"id":35888,"name":"Cognitive","url":"https://www.academia.edu/Documents/in/Cognitive?f_ri=11137"},{"id":49419,"name":"Problem Solving","url":"https://www.academia.edu/Documents/in/Problem_Solving?f_ri=11137"},{"id":67796,"name":"Substance Abuse","url":"https://www.academia.edu/Documents/in/Substance_Abuse?f_ri=11137"},{"id":91863,"name":"Alcoholism","url":"https://www.academia.edu/Documents/in/Alcoholism?f_ri=11137"},{"id":93037,"name":"Orientation","url":"https://www.academia.edu/Documents/in/Orientation?f_ri=11137"},{"id":119665,"name":"Reaction Time","url":"https://www.academia.edu/Documents/in/Reaction_Time?f_ri=11137"},{"id":174836,"name":"Spatial Working Memory","url":"https://www.academia.edu/Documents/in/Spatial_Working_Memory?f_ri=11137"},{"id":341121,"name":"Cognitive impairment","url":"https://www.academia.edu/Documents/in/Cognitive_impairment?f_ri=11137"},{"id":522464,"name":"Short Term Memory","url":"https://www.academia.edu/Documents/in/Short_Term_Memory?f_ri=11137"},{"id":558549,"name":"Street Drugs","url":"https://www.academia.edu/Documents/in/Street_Drugs?f_ri=11137"},{"id":706975,"name":"Depressive Symptoms","url":"https://www.academia.edu/Documents/in/Depressive_Symptoms?f_ri=11137"},{"id":966020,"name":"Cross sectional Study","url":"https://www.academia.edu/Documents/in/Cross_sectional_Study?f_ri=11137"},{"id":1034181,"name":"Cross Sectional Studies","url":"https://www.academia.edu/Documents/in/Cross_Sectional_Studies?f_ri=11137"},{"id":1423077,"name":"Substance-Related Disorders","url":"https://www.academia.edu/Documents/in/Substance-Related_Disorders?f_ri=11137"},{"id":1501223,"name":"Substance Use Disorder","url":"https://www.academia.edu/Documents/in/Substance_Use_Disorder?f_ri=11137"},{"id":1627527,"name":"Cognition disorders","url":"https://www.academia.edu/Documents/in/Cognition_disorders?f_ri=11137"},{"id":2444775,"name":"Psychomotor Performance","url":"https://www.academia.edu/Documents/in/Psychomotor_Performance?f_ri=11137"},{"id":2467529,"name":"Psychiatric Status Rating Scales","url":"https://www.academia.edu/Documents/in/Psychiatric_Status_Rating_Scales?f_ri=11137"},{"id":2467548,"name":"Neuropsychological Tests","url":"https://www.academia.edu/Documents/in/Neuropsychological_Tests?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_53226346" data-work_id="53226346" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/53226346/Behavior_Problems_in_Young_Children_With_or_At_Risk_for_Developmental_Delay">Behavior Problems in Young Children With or At Risk for Developmental Delay</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Parents reported that 42% of the children had behavior problems. Child Behavior Checklist (CBC) scores revealed that 25% of the sample scored above the borderline cutoff. Although the total, externalizing, and internalizing mean CBC... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_53226346" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Parents reported that 42% of the children had behavior problems. Child Behavior Checklist (CBC) scores revealed that 25% of the sample scored above the borderline cutoff. Although the total, externalizing, and internalizing mean CBC scores did not differ from the normative group (same-aged peers without developmental delay), each of the syndrome subscales was significantly higher in the study group. The Reiss Scales for Children's Dual Diagnosis revealed that, as compared to older children (≥4 years) with developmental delay, the study sample scored significantly lower on the total score and 8 of the 10 subscales. Increased CBC total scores were significantly related to dependency and management of the child, birth weight, gestational length, paternal illness, maternal depression, perceived personal burden of care, maternal escape-avoidance coping strategy, family disharmony, and financial stress. CBC total scores were significantly negatively correlated with being of a multiple birth, paternal education, maternal employment, two-parent family, family social support, and family income. Multiple regression analyses revealed that an empirically-derived combination of child, parent, and family variables accounted for 31% of the variance in CBC total scores. Our findings suggest that 2-year old children with or at-risk for developmental delay may already be showing signs of increased risk of behavior problems relative to peers without developmental delay. We identified several child,</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/53226346" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="d021a775358fc6d3b5e684e46508bc13" rel="nofollow" data-download="{"attachment_id":70115841,"asset_id":53226346,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/70115841/download_file?st=MTczOTcwNTcyOCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="76526877" href="https://independent.academia.edu/ColleenCairns1">Colleen Cairns</a><script data-card-contents-for-user="76526877" type="text/json">{"id":76526877,"first_name":"Colleen","last_name":"Cairns","domain_name":"independent","page_name":"ColleenCairns1","display_name":"Colleen Cairns","profile_url":"https://independent.academia.edu/ColleenCairns1?f_ri=11137","photo":"https://0.academia-photos.com/76526877/100002333/89142273/s65_colleen.cairns.png"}</script></span></span></li><li class="js-paper-rank-work_53226346 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="53226346"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 53226346, container: ".js-paper-rank-work_53226346", }); 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Child Behavior Checklist (CBC) scores revealed that 25% of the sample scored above the borderline cutoff. Although the total, externalizing, and internalizing mean CBC scores did not differ from the normative group (same-aged peers without developmental delay), each of the syndrome subscales was significantly higher in the study group. The Reiss Scales for Children's Dual Diagnosis revealed that, as compared to older children (≥4 years) with developmental delay, the study sample scored significantly lower on the total score and 8 of the 10 subscales. Increased CBC total scores were significantly related to dependency and management of the child, birth weight, gestational length, paternal illness, maternal depression, perceived personal burden of care, maternal escape-avoidance coping strategy, family disharmony, and financial stress. CBC total scores were significantly negatively correlated with being of a multiple birth, paternal education, maternal employment, two-parent family, family social support, and family income. Multiple regression analyses revealed that an empirically-derived combination of child, parent, and family variables accounted for 31% of the variance in CBC total scores. Our findings suggest that 2-year old children with or at-risk for developmental delay may already be showing signs of increased risk of behavior problems relative to peers without developmental delay. We identified several child,","downloadable_attachments":[{"id":70115841,"asset_id":53226346,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":76526877,"first_name":"Colleen","last_name":"Cairns","domain_name":"independent","page_name":"ColleenCairns1","display_name":"Colleen Cairns","profile_url":"https://independent.academia.edu/ColleenCairns1?f_ri=11137","photo":"https://0.academia-photos.com/76526877/100002333/89142273/s65_colleen.cairns.png"}],"research_interests":[{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=11137","nofollow":true},{"id":3102,"name":"Coping Strategies","url":"https://www.academia.edu/Documents/in/Coping_Strategies?f_ri=11137","nofollow":true},{"id":11015,"name":"Social Support","url":"https://www.academia.edu/Documents/in/Social_Support?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual 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Movement: When the 12 Steps Turn Toxic</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">An essay about the impact of the religious right and the "Recovered" movement upon Alcoholics Anonymous and the inherently reactionary nature of the Fellowship.... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_39224027" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">An essay about the impact of the religious right and the "Recovered" movement upon Alcoholics Anonymous and the inherently reactionary nature of the Fellowship.<br /><a href="https://www.poeticdiversity.org/main/prose-fea.php?nameCode=LarissaShmailo&date=2019-04-01" rel="nofollow">https://www.poeticdiversity.org/main/prose-fea.php?nameCode=LarissaShmailo&date=2019-04-01</a></div></div></div><ul class="InlineList u-ph0x u-fs13"><li 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data-has-card-for-ri="6993" rel="nofollow" href="https://www.academia.edu/Documents/in/Alcohol_Studies">Alcohol Studies</a>, <script data-card-contents-for-ri="6993" type="text/json">{"id":6993,"name":"Alcohol Studies","url":"https://www.academia.edu/Documents/in/Alcohol_Studies?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a>, <script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="51905" rel="nofollow" href="https://www.academia.edu/Documents/in/Right-Wing_Movements">Right-Wing Movements</a>, <script data-card-contents-for-ri="51905" type="text/json">{"id":51905,"name":"Right-Wing Movements","url":"https://www.academia.edu/Documents/in/Right-Wing_Movements?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="89524" rel="nofollow" href="https://www.academia.edu/Documents/in/Right-Wing_Extremism">Right-Wing Extremism</a><script data-card-contents-for-ri="89524" type="text/json">{"id":89524,"name":"Right-Wing Extremism","url":"https://www.academia.edu/Documents/in/Right-Wing_Extremism?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=39224027]'), work: {"id":39224027,"title":"Alcoholics Anonymous and the \"Recovered\" Movement: When the 12 Steps Turn Toxic","created_at":"2019-05-22T05:18:09.881-07:00","url":"https://www.academia.edu/39224027/Alcoholics_Anonymous_and_the_Recovered_Movement_When_the_12_Steps_Turn_Toxic?f_ri=11137","dom_id":"work_39224027","summary":"An essay about the impact of the religious right and the \"Recovered\" movement upon Alcoholics Anonymous and the inherently reactionary nature of the Fellowship.\nhttps://www.poeticdiversity.org/main/prose-fea.php?nameCode=LarissaShmailo\u0026date=2019-04-01\n","downloadable_attachments":[{"id":59353959,"asset_id":39224027,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":9176847,"first_name":"Larissa","last_name":"Shmailo","domain_name":"barnard","page_name":"LarissaShmailo","display_name":"Larissa Shmailo","profile_url":"https://barnard.academia.edu/LarissaShmailo?f_ri=11137","photo":"https://0.academia-photos.com/9176847/3000067/7241278/s65_larissa.shmailo.jpg"}],"research_interests":[{"id":6993,"name":"Alcohol Studies","url":"https://www.academia.edu/Documents/in/Alcohol_Studies?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true},{"id":51905,"name":"Right-Wing Movements","url":"https://www.academia.edu/Documents/in/Right-Wing_Movements?f_ri=11137","nofollow":true},{"id":89524,"name":"Right-Wing Extremism","url":"https://www.academia.edu/Documents/in/Right-Wing_Extremism?f_ri=11137","nofollow":true},{"id":90831,"name":"Essays","url":"https://www.academia.edu/Documents/in/Essays?f_ri=11137"},{"id":91863,"name":"Alcoholism","url":"https://www.academia.edu/Documents/in/Alcoholism?f_ri=11137"},{"id":149558,"name":"Religious Right","url":"https://www.academia.edu/Documents/in/Religious_Right?f_ri=11137"},{"id":208043,"name":"Alcoholics Anonymous","url":"https://www.academia.edu/Documents/in/Alcoholics_Anonymous?f_ri=11137"},{"id":238947,"name":"Personal essay","url":"https://www.academia.edu/Documents/in/Personal_essay?f_ri=11137"},{"id":688199,"name":"Faith Healing","url":"https://www.academia.edu/Documents/in/Faith_Healing?f_ri=11137"},{"id":766173,"name":"Dual Diagnosis Treatment for Mental Illness and Substance Disorders","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis_Treatment_for_Mental_Illness_and_Substance_Disorders?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_11520928" data-work_id="11520928" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/11520928/Mental_Health_and_Substance_Use_dual_diagnosis">Mental Health and Substance Use: dual diagnosis</a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/11520928" data-share-source="work_strip" 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itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="28125119" href="https://curtinedu.academia.edu/MichaelJCole">Michael Cole</a><script data-card-contents-for-user="28125119" type="text/json">{"id":28125119,"first_name":"Michael","last_name":"Cole","domain_name":"curtinedu","page_name":"MichaelJCole","display_name":"Michael Cole","profile_url":"https://curtinedu.academia.edu/MichaelJCole?f_ri=11137","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_11520928 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="11520928"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 11520928, container: ".js-paper-rank-work_11520928", }); });</script></li><li class="js-percentile-work_11520928 InlineList-item 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class="InlineList-item-text" data-has-card-for-ri="635" rel="nofollow" href="https://www.academia.edu/Documents/in/Psychiatry">Psychiatry</a>, <script data-card-contents-for-ri="635" type="text/json">{"id":635,"name":"Psychiatry","url":"https://www.academia.edu/Documents/in/Psychiatry?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="2484" rel="nofollow" href="https://www.academia.edu/Documents/in/Drugs_And_Addiction">Drugs And Addiction</a>, <script data-card-contents-for-ri="2484" type="text/json">{"id":2484,"name":"Drugs And Addiction","url":"https://www.academia.edu/Documents/in/Drugs_And_Addiction?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="4423" rel="nofollow" href="https://www.academia.edu/Documents/in/Monitoring_And_Evaluation">Monitoring And Evaluation</a><script data-card-contents-for-ri="4423" type="text/json">{"id":4423,"name":"Monitoring And 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Psychology","url":"https://www.academia.edu/Documents/in/Clinical_Psychology?f_ri=11137","nofollow":true},{"id":635,"name":"Psychiatry","url":"https://www.academia.edu/Documents/in/Psychiatry?f_ri=11137","nofollow":true},{"id":2484,"name":"Drugs And Addiction","url":"https://www.academia.edu/Documents/in/Drugs_And_Addiction?f_ri=11137","nofollow":true},{"id":4423,"name":"Monitoring And Evaluation","url":"https://www.academia.edu/Documents/in/Monitoring_And_Evaluation?f_ri=11137","nofollow":true},{"id":7989,"name":"Drugs and drug culture","url":"https://www.academia.edu/Documents/in/Drugs_and_drug_culture?f_ri=11137"},{"id":8910,"name":"Evaluation","url":"https://www.academia.edu/Documents/in/Evaluation?f_ri=11137"},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137"},{"id":53881,"name":"Drug Policy","url":"https://www.academia.edu/Documents/in/Drug_Policy?f_ri=11137"},{"id":58416,"name":"Alcohol and drug treatment","url":"https://www.academia.edu/Documents/in/Alcohol_and_drug_treatment?f_ri=11137"},{"id":115243,"name":"International Development Cooperation","url":"https://www.academia.edu/Documents/in/International_Development_Cooperation?f_ri=11137"},{"id":154993,"name":"International Aid and Development","url":"https://www.academia.edu/Documents/in/International_Aid_and_Development?f_ri=11137"},{"id":766173,"name":"Dual Diagnosis Treatment for Mental Illness and Substance Disorders","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis_Treatment_for_Mental_Illness_and_Substance_Disorders?f_ri=11137"},{"id":1030248,"name":"Politics of International Development","url":"https://www.academia.edu/Documents/in/Politics_of_International_Development?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_9731093" data-work_id="9731093" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/9731093/Prevalence_of_Comorbidity">Prevalence of Comorbidity</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">This paper explores four published, scholarly and peer-reviewed journal articles reporting research results of the comorbidity of substance use disorders (SUD) and personality disorders (PD). The literature cited supports a high... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_9731093" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">This paper explores four published, scholarly and peer-reviewed journal articles reporting research results of the comorbidity of substance use disorders (SUD) and personality disorders (PD). The literature cited supports a high prevalence of concurrent PD and SUD (about 60% in all four studies). Subjects presenting with both PD and SUD have a higher rate of treatment attrition, impulsivity and relapse. The Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; DSM-IV-TR; American Psychiatric Association, 2000) identifies ten unique PDs on Axis II, grouped into three clusters:  Cluster A (odd, eccentric), Cluster B (dramatic, emotional, erratic), and Cluster C (anxious, fearful). Subjects with Cluster B personality disorder, especially borderline personality disorder (BPD) in females and antisocial personality disorder (ASPD) in males, consistently exhibit increased likelihood of attrition and relapse, and higher levels of dysfunction and distress. Although the research cited here has limitations, it overall supports the need to tailor treatment modalities for substance abusing, personality disordered subjects who are often suffering from additional psychiatric symptoms. Furthermore, screening for PD during initial intake or assessment is central to implementing appropriate interventions, treatments, and supports which may improve overall subject outcome. Additional research studies are also recommended to develop more efficacious assessment and treatment methods. <br /> Key Words:  personality disorders, substance use disorders, co-occurring disorders</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/9731093" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="01dae117389779652980d325778eea27" rel="nofollow" data-download="{"attachment_id":35916879,"asset_id":9731093,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/35916879/download_file?st=MTczOTcwNTcyOCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="2698625" href="https://bridgeport.academia.edu/ShirleyGedneyRubel">Shirley Gedney-Rubel</a><script data-card-contents-for-user="2698625" type="text/json">{"id":2698625,"first_name":"Shirley","last_name":"Gedney-Rubel","domain_name":"bridgeport","page_name":"ShirleyGedneyRubel","display_name":"Shirley Gedney-Rubel","profile_url":"https://bridgeport.academia.edu/ShirleyGedneyRubel?f_ri=11137","photo":"https://0.academia-photos.com/2698625/865859/7180237/s65_shirley.rubel.jpg"}</script></span></span></li><li class="js-paper-rank-work_9731093 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="9731093"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 9731093, container: ".js-paper-rank-work_9731093", }); 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$(".js-view-count[data-work-id=9731093]").text(description); $(".js-view-count-work_9731093").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_9731093").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="9731093"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">6</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="2483" rel="nofollow" href="https://www.academia.edu/Documents/in/Addiction">Addiction</a>, <script data-card-contents-for-ri="2483" type="text/json">{"id":2483,"name":"Addiction","url":"https://www.academia.edu/Documents/in/Addiction?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a>, <script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="35141" rel="nofollow" href="https://www.academia.edu/Documents/in/Mental_Illness">Mental Illness</a>, <script data-card-contents-for-ri="35141" type="text/json">{"id":35141,"name":"Mental Illness","url":"https://www.academia.edu/Documents/in/Mental_Illness?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="98427" rel="nofollow" href="https://www.academia.edu/Documents/in/Mental_Health_and_Substance_Use_Comorbidities">Mental Health and Substance Use Comorbidities</a><script data-card-contents-for-ri="98427" type="text/json">{"id":98427,"name":"Mental Health and Substance Use Comorbidities","url":"https://www.academia.edu/Documents/in/Mental_Health_and_Substance_Use_Comorbidities?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=9731093]'), work: {"id":9731093,"title":"Prevalence of Comorbidity","created_at":"2014-12-11T15:06:07.827-08:00","url":"https://www.academia.edu/9731093/Prevalence_of_Comorbidity?f_ri=11137","dom_id":"work_9731093","summary":"This paper explores four published, scholarly and peer-reviewed journal articles reporting research results of the comorbidity of substance use disorders (SUD) and personality disorders (PD). The literature cited supports a high prevalence of concurrent PD and SUD (about 60% in all four studies). Subjects presenting with both PD and SUD have a higher rate of treatment attrition, impulsivity and relapse. The Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; DSM-IV-TR; American Psychiatric Association, 2000) identifies ten unique PDs on Axis II, grouped into three clusters: Cluster A (odd, eccentric), Cluster B (dramatic, emotional, erratic), and Cluster C (anxious, fearful). Subjects with Cluster B personality disorder, especially borderline personality disorder (BPD) in females and antisocial personality disorder (ASPD) in males, consistently exhibit increased likelihood of attrition and relapse, and higher levels of dysfunction and distress. Although the research cited here has limitations, it overall supports the need to tailor treatment modalities for substance abusing, personality disordered subjects who are often suffering from additional psychiatric symptoms. Furthermore, screening for PD during initial intake or assessment is central to implementing appropriate interventions, treatments, and supports which may improve overall subject outcome. Additional research studies are also recommended to develop more efficacious assessment and treatment methods. \r\n\tKey Words: personality disorders, substance use disorders, co-occurring disorders\r\n","downloadable_attachments":[{"id":35916879,"asset_id":9731093,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":2698625,"first_name":"Shirley","last_name":"Gedney-Rubel","domain_name":"bridgeport","page_name":"ShirleyGedneyRubel","display_name":"Shirley Gedney-Rubel","profile_url":"https://bridgeport.academia.edu/ShirleyGedneyRubel?f_ri=11137","photo":"https://0.academia-photos.com/2698625/865859/7180237/s65_shirley.rubel.jpg"}],"research_interests":[{"id":2483,"name":"Addiction","url":"https://www.academia.edu/Documents/in/Addiction?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true},{"id":35141,"name":"Mental Illness","url":"https://www.academia.edu/Documents/in/Mental_Illness?f_ri=11137","nofollow":true},{"id":98427,"name":"Mental Health and Substance Use Comorbidities","url":"https://www.academia.edu/Documents/in/Mental_Health_and_Substance_Use_Comorbidities?f_ri=11137","nofollow":true},{"id":100558,"name":"Personality Disorder","url":"https://www.academia.edu/Documents/in/Personality_Disorder?f_ri=11137"},{"id":1501223,"name":"Substance Use Disorder","url":"https://www.academia.edu/Documents/in/Substance_Use_Disorder?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_13025553" data-work_id="13025553" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/13025553/Applying_response_to_intervention_to_identify_learning_disabilities_in_students_with_visual_impairments">Applying response to intervention to identify learning disabilities in students with visual impairments</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">When visual impairments (VI) and learning disabilities (LD) coexist, it is common for one (i.e., typically LD) to go unidentified. Some school districts may be reluctant to identify students with both VI and LD, potentially causing... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_13025553" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">When visual impairments (VI) and learning disabilities (LD) coexist, it is common for one (i.e., typically LD) to go unidentified.<br />Some school districts may be reluctant to identify students with both VI and LD, potentially causing students to miss out on<br />much-needed services. Child study teams can find support to address this dual diagnosis using a response to intervention<br />(RTI) framework. This article provides guidance and tools for using an RTI framework in the accurate identification of LD<br />in students with VI.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/13025553" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="5213d077b9ed9e606acf442990f4203b" rel="nofollow" data-download="{"attachment_id":37922394,"asset_id":13025553,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/37922394/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="1162156" href="https://trinity.academia.edu/HeatherHaynesSmith">Heather Haynes Smith</a><script data-card-contents-for-user="1162156" type="text/json">{"id":1162156,"first_name":"Heather","last_name":"Haynes Smith","domain_name":"trinity","page_name":"HeatherHaynesSmith","display_name":"Heather Haynes Smith","profile_url":"https://trinity.academia.edu/HeatherHaynesSmith?f_ri=11137","photo":"https://0.academia-photos.com/1162156/677661/840914/s65_heather.haynes.jpg"}</script></span></span></li><li class="js-paper-rank-work_13025553 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="13025553"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 13025553, container: ".js-paper-rank-work_13025553", }); 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$(".js-view-count[data-work-id=13025553]").text(description); $(".js-view-count-work_13025553").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_13025553").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="13025553"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">7</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="1062" rel="nofollow" href="https://www.academia.edu/Documents/in/Special_Education">Special Education</a>, <script data-card-contents-for-ri="1062" type="text/json">{"id":1062,"name":"Special Education","url":"https://www.academia.edu/Documents/in/Special_Education?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a>, <script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="21541" rel="nofollow" href="https://www.academia.edu/Documents/in/Response_to_Intervention">Response to Intervention</a>, <script data-card-contents-for-ri="21541" type="text/json">{"id":21541,"name":"Response to Intervention","url":"https://www.academia.edu/Documents/in/Response_to_Intervention?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="115070" rel="nofollow" href="https://www.academia.edu/Documents/in/Learning_Disability">Learning Disability</a><script data-card-contents-for-ri="115070" type="text/json">{"id":115070,"name":"Learning Disability","url":"https://www.academia.edu/Documents/in/Learning_Disability?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=13025553]'), work: {"id":13025553,"title":"Applying response to intervention to identify learning disabilities in students with visual impairments","created_at":"2015-06-16T10:53:17.804-07:00","url":"https://www.academia.edu/13025553/Applying_response_to_intervention_to_identify_learning_disabilities_in_students_with_visual_impairments?f_ri=11137","dom_id":"work_13025553","summary":"When visual impairments (VI) and learning disabilities (LD) coexist, it is common for one (i.e., typically LD) to go unidentified.\nSome school districts may be reluctant to identify students with both VI and LD, potentially causing students to miss out on\nmuch-needed services. Child study teams can find support to address this dual diagnosis using a response to intervention\n(RTI) framework. This article provides guidance and tools for using an RTI framework in the accurate identification of LD\nin students with VI.","downloadable_attachments":[{"id":37922394,"asset_id":13025553,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":1162156,"first_name":"Heather","last_name":"Haynes Smith","domain_name":"trinity","page_name":"HeatherHaynesSmith","display_name":"Heather Haynes Smith","profile_url":"https://trinity.academia.edu/HeatherHaynesSmith?f_ri=11137","photo":"https://0.academia-photos.com/1162156/677661/840914/s65_heather.haynes.jpg"}],"research_interests":[{"id":1062,"name":"Special Education","url":"https://www.academia.edu/Documents/in/Special_Education?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true},{"id":21541,"name":"Response to Intervention","url":"https://www.academia.edu/Documents/in/Response_to_Intervention?f_ri=11137","nofollow":true},{"id":115070,"name":"Learning Disability","url":"https://www.academia.edu/Documents/in/Learning_Disability?f_ri=11137","nofollow":true},{"id":127805,"name":"RTI","url":"https://www.academia.edu/Documents/in/RTI?f_ri=11137"},{"id":135363,"name":"Visual Impairment","url":"https://www.academia.edu/Documents/in/Visual_Impairment?f_ri=11137"},{"id":1739577,"name":"MTSS","url":"https://www.academia.edu/Documents/in/MTSS?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_49715489" data-work_id="49715489" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/49715489/Do_individuals_with_a_severe_mental_illness_experience_greater_alcohol_and_drug_related_problems_A_test_of_the_supersensitivity_hypothesis">Do individuals with a severe mental illness experience greater alcohol and drug-related problems? A test of the supersensitivity hypothesis</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">The supersensitivity hypothesis posits that individuals with a severe mental illness (i.e., schizophrenia and bipolar disorder; SMI) are more likely to be diagnosed with a substance abuse as opposed to a substance dependence diagnosis,... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_49715489" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">The supersensitivity hypothesis posits that individuals with a severe mental illness (i.e., schizophrenia and bipolar disorder; SMI) are more likely to be diagnosed with a substance abuse as opposed to a substance dependence diagnosis, and experience greater negative consequences associated with substance use at lower levels of consumption, as compared with non-SMI substance abusers. This is the first known study to test this hypothesis with a control group of non-SMI substance abusing individuals. Forty-two individuals with only a substance use disorder (SUD-only) and 53 dually diagnosed individuals (DD) were compared on measures of substance use, alcohol and drug dependence, negative consequences, substance use outcome expectancies, and motivation for change. A third group of SMI-only individuals (i.e., no SUD; n = 35) were also recruited and all three groups were compared on psychological symptoms. Substance use, negative consequences, substance use outcome expectancies, motivation for change, and severity of alcohol and drug dependence were not found to differ significantly between the DD and SUDonly groups. However, the DD group had significantly greater levels of psychological symptoms, as compared with the SMI-only and SUD-only groups. Overall, this study does not provide support for the supersensitivity hypothesis.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/49715489" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="e42f84de6d34a89535636d67d4130ff7" rel="nofollow" data-download="{"attachment_id":67982775,"asset_id":49715489,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/67982775/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="162333177" href="https://independent.academia.edu/VIVIANTOVARGONZALEZ">VIVIAN TOVAR GONZALEZ</a><script data-card-contents-for-user="162333177" type="text/json">{"id":162333177,"first_name":"VIVIAN","last_name":"TOVAR GONZALEZ","domain_name":"independent","page_name":"VIVIANTOVARGONZALEZ","display_name":"VIVIAN TOVAR GONZALEZ","profile_url":"https://independent.academia.edu/VIVIANTOVARGONZALEZ?f_ri=11137","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_49715489 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="49715489"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 49715489, container: ".js-paper-rank-work_49715489", }); });</script></li><li class="js-percentile-work_49715489 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 49715489; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_49715489"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_49715489 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="49715489"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 49715489; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=49715489]").text(description); $(".js-view-count-work_49715489").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_49715489").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="49715489"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">16</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="221" rel="nofollow" href="https://www.academia.edu/Documents/in/Psychology">Psychology</a>, <script data-card-contents-for-ri="221" type="text/json">{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="3227" rel="nofollow" href="https://www.academia.edu/Documents/in/Schizophrenia">Schizophrenia</a>, <script data-card-contents-for-ri="3227" type="text/json">{"id":3227,"name":"Schizophrenia","url":"https://www.academia.edu/Documents/in/Schizophrenia?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="3230" rel="nofollow" href="https://www.academia.edu/Documents/in/Bipolar_Disorder">Bipolar Disorder</a>, <script data-card-contents-for-ri="3230" type="text/json">{"id":3230,"name":"Bipolar Disorder","url":"https://www.academia.edu/Documents/in/Bipolar_Disorder?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a><script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=49715489]'), work: {"id":49715489,"title":"Do individuals with a severe mental illness experience greater alcohol and drug-related problems? A test of the supersensitivity hypothesis","created_at":"2021-07-10T16:16:04.309-07:00","url":"https://www.academia.edu/49715489/Do_individuals_with_a_severe_mental_illness_experience_greater_alcohol_and_drug_related_problems_A_test_of_the_supersensitivity_hypothesis?f_ri=11137","dom_id":"work_49715489","summary":"The supersensitivity hypothesis posits that individuals with a severe mental illness (i.e., schizophrenia and bipolar disorder; SMI) are more likely to be diagnosed with a substance abuse as opposed to a substance dependence diagnosis, and experience greater negative consequences associated with substance use at lower levels of consumption, as compared with non-SMI substance abusers. This is the first known study to test this hypothesis with a control group of non-SMI substance abusing individuals. Forty-two individuals with only a substance use disorder (SUD-only) and 53 dually diagnosed individuals (DD) were compared on measures of substance use, alcohol and drug dependence, negative consequences, substance use outcome expectancies, and motivation for change. A third group of SMI-only individuals (i.e., no SUD; n = 35) were also recruited and all three groups were compared on psychological symptoms. Substance use, negative consequences, substance use outcome expectancies, motivation for change, and severity of alcohol and drug dependence were not found to differ significantly between the DD and SUDonly groups. However, the DD group had significantly greater levels of psychological symptoms, as compared with the SMI-only and SUD-only groups. Overall, this study does not provide support for the supersensitivity hypothesis.","downloadable_attachments":[{"id":67982775,"asset_id":49715489,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":162333177,"first_name":"VIVIAN","last_name":"TOVAR GONZALEZ","domain_name":"independent","page_name":"VIVIANTOVARGONZALEZ","display_name":"VIVIAN TOVAR GONZALEZ","profile_url":"https://independent.academia.edu/VIVIANTOVARGONZALEZ?f_ri=11137","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=11137","nofollow":true},{"id":3227,"name":"Schizophrenia","url":"https://www.academia.edu/Documents/in/Schizophrenia?f_ri=11137","nofollow":true},{"id":3230,"name":"Bipolar Disorder","url":"https://www.academia.edu/Documents/in/Bipolar_Disorder?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true},{"id":46406,"name":"Motivation","url":"https://www.academia.edu/Documents/in/Motivation?f_ri=11137"},{"id":123230,"name":"Regression Analysis","url":"https://www.academia.edu/Documents/in/Regression_Analysis?f_ri=11137"},{"id":171144,"name":"Mental Disorders","url":"https://www.academia.edu/Documents/in/Mental_Disorders?f_ri=11137"},{"id":305164,"name":"Severe Mental Illness","url":"https://www.academia.edu/Documents/in/Severe_Mental_Illness?f_ri=11137"},{"id":344588,"name":"Self Assessment","url":"https://www.academia.edu/Documents/in/Self_Assessment?f_ri=11137"},{"id":413194,"name":"Analysis of Variance","url":"https://www.academia.edu/Documents/in/Analysis_of_Variance?f_ri=11137"},{"id":592590,"name":"Addictive Behaviors","url":"https://www.academia.edu/Documents/in/Addictive_Behaviors?f_ri=11137"},{"id":1275779,"name":"Drug Dependence","url":"https://www.academia.edu/Documents/in/Drug_Dependence?f_ri=11137"},{"id":1405117,"name":"Drug Related Problems","url":"https://www.academia.edu/Documents/in/Drug_Related_Problems?f_ri=11137"},{"id":1631043,"name":"Control Group","url":"https://www.academia.edu/Documents/in/Control_Group?f_ri=11137"},{"id":2467529,"name":"Psychiatric Status Rating Scales","url":"https://www.academia.edu/Documents/in/Psychiatric_Status_Rating_Scales?f_ri=11137"},{"id":2663477,"name":"Personality Inventory","url":"https://www.academia.edu/Documents/in/Personality_Inventory?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_14517410" data-work_id="14517410" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/14517410/Implementing_Dual_Diagnosis_Services_for_Clients_With_Severe_Mental_Illness">Implementing Dual Diagnosis Services for Clients With Severe Mental Illness</a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/14517410" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="b7d67399c4602cb251d39356f9f0a190" rel="nofollow" data-download="{"attachment_id":44098278,"asset_id":14517410,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/44098278/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="33472109" href="https://case.academia.edu/LenoreKola">Lenore Kola</a><script data-card-contents-for-user="33472109" type="text/json">{"id":33472109,"first_name":"Lenore","last_name":"Kola","domain_name":"case","page_name":"LenoreKola","display_name":"Lenore Kola","profile_url":"https://case.academia.edu/LenoreKola?f_ri=11137","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_14517410 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="14517410"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 14517410, container: ".js-paper-rank-work_14517410", }); });</script></li><li class="js-percentile-work_14517410 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 14517410; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_14517410"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_14517410 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="14517410"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 14517410; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=14517410]").text(description); $(".js-view-count-work_14517410").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_14517410").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="14517410"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">24</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="2827" rel="nofollow" href="https://www.academia.edu/Documents/in/Mental_Health">Mental Health</a>, <script data-card-contents-for-ri="2827" type="text/json">{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="3645" rel="nofollow" href="https://www.academia.edu/Documents/in/Evidence_Based_Medicine">Evidence Based Medicine</a>, <script data-card-contents-for-ri="3645" type="text/json">{"id":3645,"name":"Evidence Based Medicine","url":"https://www.academia.edu/Documents/in/Evidence_Based_Medicine?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="3709" rel="nofollow" href="https://www.academia.edu/Documents/in/Evidence_Based_Practice">Evidence Based Practice</a>, <script data-card-contents-for-ri="3709" type="text/json">{"id":3709,"name":"Evidence Based Practice","url":"https://www.academia.edu/Documents/in/Evidence_Based_Practice?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="7125" rel="nofollow" href="https://www.academia.edu/Documents/in/Culture">Culture</a><script data-card-contents-for-ri="7125" type="text/json">{"id":7125,"name":"Culture","url":"https://www.academia.edu/Documents/in/Culture?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=14517410]'), work: {"id":14517410,"title":"Implementing Dual Diagnosis Services for Clients With Severe Mental Illness","created_at":"2015-07-30T15:26:55.265-07:00","url":"https://www.academia.edu/14517410/Implementing_Dual_Diagnosis_Services_for_Clients_With_Severe_Mental_Illness?f_ri=11137","dom_id":"work_14517410","summary":null,"downloadable_attachments":[{"id":44098278,"asset_id":14517410,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":33472109,"first_name":"Lenore","last_name":"Kola","domain_name":"case","page_name":"LenoreKola","display_name":"Lenore Kola","profile_url":"https://case.academia.edu/LenoreKola?f_ri=11137","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=11137","nofollow":true},{"id":3645,"name":"Evidence Based Medicine","url":"https://www.academia.edu/Documents/in/Evidence_Based_Medicine?f_ri=11137","nofollow":true},{"id":3709,"name":"Evidence Based Practice","url":"https://www.academia.edu/Documents/in/Evidence_Based_Practice?f_ri=11137","nofollow":true},{"id":7125,"name":"Culture","url":"https://www.academia.edu/Documents/in/Culture?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137"},{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=11137"},{"id":16288,"name":"Public Health","url":"https://www.academia.edu/Documents/in/Public_Health?f_ri=11137"},{"id":16635,"name":"Health Services Research","url":"https://www.academia.edu/Documents/in/Health_Services_Research?f_ri=11137"},{"id":37905,"name":"Counseling","url":"https://www.academia.edu/Documents/in/Counseling?f_ri=11137"},{"id":67796,"name":"Substance Abuse","url":"https://www.academia.edu/Documents/in/Substance_Abuse?f_ri=11137"},{"id":98134,"name":"United States","url":"https://www.academia.edu/Documents/in/United_States?f_ri=11137"},{"id":144927,"name":"Focus","url":"https://www.academia.edu/Documents/in/Focus?f_ri=11137"},{"id":171144,"name":"Mental Disorders","url":"https://www.academia.edu/Documents/in/Mental_Disorders?f_ri=11137"},{"id":178434,"name":"Mental health services","url":"https://www.academia.edu/Documents/in/Mental_health_services?f_ri=11137"},{"id":211445,"name":"Mental Disorder","url":"https://www.academia.edu/Documents/in/Mental_Disorder?f_ri=11137"},{"id":213801,"name":"Structural Change","url":"https://www.academia.edu/Documents/in/Structural_Change?f_ri=11137"},{"id":305164,"name":"Severe Mental Illness","url":"https://www.academia.edu/Documents/in/Severe_Mental_Illness?f_ri=11137"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1?f_ri=11137"},{"id":502452,"name":"Psychiatric Services","url":"https://www.academia.edu/Documents/in/Psychiatric_Services?f_ri=11137"},{"id":543249,"name":"Health Services Administration","url":"https://www.academia.edu/Documents/in/Health_Services_Administration?f_ri=11137"},{"id":621186,"name":"Psychiatric","url":"https://www.academia.edu/Documents/in/Psychiatric?f_ri=11137"},{"id":737724,"name":"Patient Advocacy","url":"https://www.academia.edu/Documents/in/Patient_Advocacy?f_ri=11137"},{"id":1355677,"name":"Dual","url":"https://www.academia.edu/Documents/in/Dual?f_ri=11137"},{"id":1423077,"name":"Substance-Related Disorders","url":"https://www.academia.edu/Documents/in/Substance-Related_Disorders?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_5070207" data-work_id="5070207" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/5070207/Dual_diagnosis_and_successful_participation_of_adolescents_in_substance_abuse_treatment">Dual diagnosis and successful participation of adolescents in substance abuse treatment</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">A retrospective record review of one year of admissions to a residential adolescent substance abuse treatment program (N = 91) examined the prevalence of comorbid psychiatric disorders and factors associated with successful treatment... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_5070207" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">A retrospective record review of one year of admissions to a residential adolescent substance abuse treatment program (N = 91) examined the prevalence of comorbid psychiatric disorders and factors associated with successful treatment participation. Psychiatric and substance use disorders (SUD) were diagnosed by DSM-IV criteria. Successful participation was based on multiple factors assessed by the treatment team. Consistent with prior studies, there was considerable comorbidity (63.7%) with both disruptive (Attention Deficit Hyperactivity Disorder [ADHD], 11%; Conduct Disorder [CD], 24%) and other disorders (depression, 24%; adjustment disorder, 7.7%; bipolar disorder, 3.3%). Male gender was negatively associated (OR = 0.23, P = 0.019) with successful participation in univariate analyses, as was ADHD (OR = 0.18, P = 0.007). CD (OR = 0.37, P = 0.053) approached significance. Multivariate analysis reveals ADHD was significant while having CD and being male approached significance. Psychotropic medication use and other diagnoses were not associated with successful participation. It is concluded that further research on the relationship between ADHD, CD, and substance abuse treatment is needed. D</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/5070207" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="09517bc5cbae75f6f1e2b4c5585f9293" rel="nofollow" data-download="{"attachment_id":49462461,"asset_id":5070207,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/49462461/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="6778732" href="https://independent.academia.edu/StevenCuffe">Steven Cuffe</a><script data-card-contents-for-user="6778732" type="text/json">{"id":6778732,"first_name":"Steven","last_name":"Cuffe","domain_name":"independent","page_name":"StevenCuffe","display_name":"Steven Cuffe","profile_url":"https://independent.academia.edu/StevenCuffe?f_ri=11137","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_5070207 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="5070207"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 5070207, container: ".js-paper-rank-work_5070207", }); 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$(".js-view-count[data-work-id=5070207]").text(description); $(".js-view-count-work_5070207").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_5070207").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="5070207"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">20</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="221" rel="nofollow" href="https://www.academia.edu/Documents/in/Psychology">Psychology</a>, <script data-card-contents-for-ri="221" type="text/json">{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="2350" rel="nofollow" href="https://www.academia.edu/Documents/in/Attention-Deficit_Hyperactivity_Disorder">Attention-Deficit/Hyperactivity Disorder</a>, <script data-card-contents-for-ri="2350" type="text/json">{"id":2350,"name":"Attention-Deficit/Hyperactivity Disorder","url":"https://www.academia.edu/Documents/in/Attention-Deficit_Hyperactivity_Disorder?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="3230" rel="nofollow" href="https://www.academia.edu/Documents/in/Bipolar_Disorder">Bipolar Disorder</a>, <script data-card-contents-for-ri="3230" type="text/json">{"id":3230,"name":"Bipolar Disorder","url":"https://www.academia.edu/Documents/in/Bipolar_Disorder?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="8942" rel="nofollow" href="https://www.academia.edu/Documents/in/Treatment">Treatment</a><script data-card-contents-for-ri="8942" type="text/json">{"id":8942,"name":"Treatment","url":"https://www.academia.edu/Documents/in/Treatment?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=5070207]'), work: {"id":5070207,"title":"Dual diagnosis and successful participation of adolescents in substance abuse treatment","created_at":"2013-11-11T20:58:00.909-08:00","url":"https://www.academia.edu/5070207/Dual_diagnosis_and_successful_participation_of_adolescents_in_substance_abuse_treatment?f_ri=11137","dom_id":"work_5070207","summary":"A retrospective record review of one year of admissions to a residential adolescent substance abuse treatment program (N = 91) examined the prevalence of comorbid psychiatric disorders and factors associated with successful treatment participation. Psychiatric and substance use disorders (SUD) were diagnosed by DSM-IV criteria. Successful participation was based on multiple factors assessed by the treatment team. Consistent with prior studies, there was considerable comorbidity (63.7%) with both disruptive (Attention Deficit Hyperactivity Disorder [ADHD], 11%; Conduct Disorder [CD], 24%) and other disorders (depression, 24%; adjustment disorder, 7.7%; bipolar disorder, 3.3%). Male gender was negatively associated (OR = 0.23, P = 0.019) with successful participation in univariate analyses, as was ADHD (OR = 0.18, P = 0.007). CD (OR = 0.37, P = 0.053) approached significance. Multivariate analysis reveals ADHD was significant while having CD and being male approached significance. Psychotropic medication use and other diagnoses were not associated with successful participation. It is concluded that further research on the relationship between ADHD, CD, and substance abuse treatment is needed. D","downloadable_attachments":[{"id":49462461,"asset_id":5070207,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":6778732,"first_name":"Steven","last_name":"Cuffe","domain_name":"independent","page_name":"StevenCuffe","display_name":"Steven Cuffe","profile_url":"https://independent.academia.edu/StevenCuffe?f_ri=11137","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=11137","nofollow":true},{"id":2350,"name":"Attention-Deficit/Hyperactivity Disorder","url":"https://www.academia.edu/Documents/in/Attention-Deficit_Hyperactivity_Disorder?f_ri=11137","nofollow":true},{"id":3230,"name":"Bipolar Disorder","url":"https://www.academia.edu/Documents/in/Bipolar_Disorder?f_ri=11137","nofollow":true},{"id":8942,"name":"Treatment","url":"https://www.academia.edu/Documents/in/Treatment?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137"},{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=11137"},{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent?f_ri=11137"},{"id":41482,"name":"Multivariate Analysis","url":"https://www.academia.edu/Documents/in/Multivariate_Analysis?f_ri=11137"},{"id":44275,"name":"Substance Abuse Treatment","url":"https://www.academia.edu/Documents/in/Substance_Abuse_Treatment?f_ri=11137"},{"id":67796,"name":"Substance Abuse","url":"https://www.academia.edu/Documents/in/Substance_Abuse?f_ri=11137"},{"id":72353,"name":"Substance Use","url":"https://www.academia.edu/Documents/in/Substance_Use?f_ri=11137"},{"id":91575,"name":"South Carolina","url":"https://www.academia.edu/Documents/in/South_Carolina?f_ri=11137"},{"id":171144,"name":"Mental Disorders","url":"https://www.academia.edu/Documents/in/Mental_Disorders?f_ri=11137"},{"id":173071,"name":"Conduct Disorder","url":"https://www.academia.edu/Documents/in/Conduct_Disorder?f_ri=11137"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1?f_ri=11137"},{"id":469105,"name":"Retrospective Studies","url":"https://www.academia.edu/Documents/in/Retrospective_Studies?f_ri=11137"},{"id":1181690,"name":"Adolescent Behavior","url":"https://www.academia.edu/Documents/in/Adolescent_Behavior?f_ri=11137"},{"id":1423077,"name":"Substance-Related Disorders","url":"https://www.academia.edu/Documents/in/Substance-Related_Disorders?f_ri=11137"},{"id":1474785,"name":"Residential Treatment Care","url":"https://www.academia.edu/Documents/in/Residential_Treatment_Care?f_ri=11137"},{"id":1501223,"name":"Substance Use Disorder","url":"https://www.academia.edu/Documents/in/Substance_Use_Disorder?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_33901807" data-work_id="33901807" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/33901807/Re_envisioning_Addiction_Treatment_A_Six_Point_Plan">Re-envisioning Addiction Treatment: A Six-Point Plan</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">This article is focused on improving the quality of addiction treatment. Based on observations that patients are leaving treatment too early and/or are continuing to use substances during their care, the authors propose six actions that... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_33901807" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">This article is focused on improving the quality of addiction treatment. Based on observations that patients are leaving treatment too early and/or are continuing to use substances during their care, the authors propose six actions that could help reorient and revitalize this kind of clinical work: (1) conceptualize and treat addictive disorders within a psychiatric/mental health framework;</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/33901807" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="e147e4cc3e39f155d0f328bc2e7bf0db" rel="nofollow" data-download="{"attachment_id":53874149,"asset_id":33901807,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/53874149/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="66462295" href="https://independent.academia.edu/andrewtatarsky">andrew tatarsky</a><script data-card-contents-for-user="66462295" type="text/json">{"id":66462295,"first_name":"andrew","last_name":"tatarsky","domain_name":"independent","page_name":"andrewtatarsky","display_name":"andrew tatarsky","profile_url":"https://independent.academia.edu/andrewtatarsky?f_ri=11137","photo":"https://0.academia-photos.com/66462295/21977513/21231934/s65_andrew.tatarsky.jpg"}</script></span></span></li><li class="js-paper-rank-work_33901807 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="33901807"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 33901807, container: ".js-paper-rank-work_33901807", }); 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Based on observations that patients are leaving treatment too early and/or are continuing to use substances during their care, the authors propose six actions that could help reorient and revitalize this kind of clinical work: (1) conceptualize and treat addictive disorders within a psychiatric/mental health framework;","downloadable_attachments":[{"id":53874149,"asset_id":33901807,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":66462295,"first_name":"andrew","last_name":"tatarsky","domain_name":"independent","page_name":"andrewtatarsky","display_name":"andrew tatarsky","profile_url":"https://independent.academia.edu/andrewtatarsky?f_ri=11137","photo":"https://0.academia-photos.com/66462295/21977513/21231934/s65_andrew.tatarsky.jpg"}],"research_interests":[{"id":146,"name":"Bioinformatics","url":"https://www.academia.edu/Documents/in/Bioinformatics?f_ri=11137","nofollow":true},{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=11137","nofollow":true},{"id":8014,"name":"Life Sciences","url":"https://www.academia.edu/Documents/in/Life_Sciences?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true},{"id":42070,"name":"Harm Reduction","url":"https://www.academia.edu/Documents/in/Harm_Reduction?f_ri=11137"},{"id":66744,"name":"Biomedical Research","url":"https://www.academia.edu/Documents/in/Biomedical_Research?f_ri=11137"},{"id":139162,"name":"Addiction Treatment","url":"https://www.academia.edu/Documents/in/Addiction_Treatment?f_ri=11137"},{"id":141888,"name":"Contingency Management","url":"https://www.academia.edu/Documents/in/Contingency_Management?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_5355943" data-work_id="5355943" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/5355943/Manejo_terap%C3%A9utico_y_comorbilidades_del_paciente_con_dependencia_a_opi%C3%A1ceos_en_programa_de_terapia_sustitutiva_estudio_PROTEUS">Manejo terapéutico y comorbilidades del paciente con dependencia a opiáceos, en programa de terapia sustitutiva: estudio PROTEUS</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest">Resumen. Objetivo. Analizar la necesidad de realizar un estudio epidemiológico de pacientes dependientes de opiáceos centrado en conocer más sus tratamientos, comorbilidades médicas y psiquiátricas.</div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/5355943" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="d9e4fabebf5288b140aa79aa8a7ff6dd" rel="nofollow" data-download="{"attachment_id":49329039,"asset_id":5355943,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/49329039/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="672899" href="https://barcelona.academia.edu/FranciscoJos%C3%A9EiroaOrosa">Francisco J Eiroa-Orosa</a><script data-card-contents-for-user="672899" type="text/json">{"id":672899,"first_name":"Francisco","last_name":"Eiroa-Orosa","domain_name":"barcelona","page_name":"FranciscoJoséEiroaOrosa","display_name":"Francisco J Eiroa-Orosa","profile_url":"https://barcelona.academia.edu/FranciscoJos%C3%A9EiroaOrosa?f_ri=11137","photo":"https://0.academia-photos.com/672899/1898222/32215679/s65_francisco_jose.eiroa-orosa.jpg"}</script></span></span></li><li class="js-paper-rank-work_5355943 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="5355943"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 5355943, container: ".js-paper-rank-work_5355943", }); 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$(".js-view-count[data-work-id=5355943]").text(description); $(".js-view-count-work_5355943").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_5355943").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="5355943"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">2</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a>, <script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="1036777" rel="nofollow" href="https://www.academia.edu/Documents/in/Epidemiologic_Studies">Epidemiologic Studies</a><script data-card-contents-for-ri="1036777" type="text/json">{"id":1036777,"name":"Epidemiologic Studies","url":"https://www.academia.edu/Documents/in/Epidemiologic_Studies?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=5355943]'), work: {"id":5355943,"title":"Manejo terapéutico y comorbilidades del paciente con dependencia a opiáceos, en programa de terapia sustitutiva: estudio PROTEUS","created_at":"2013-12-08T08:05:20.095-08:00","url":"https://www.academia.edu/5355943/Manejo_terap%C3%A9utico_y_comorbilidades_del_paciente_con_dependencia_a_opi%C3%A1ceos_en_programa_de_terapia_sustitutiva_estudio_PROTEUS?f_ri=11137","dom_id":"work_5355943","summary":"Resumen. Objetivo. Analizar la necesidad de realizar un estudio epidemiológico de pacientes dependientes de opiáceos centrado en conocer más sus tratamientos, comorbilidades médicas y psiquiátricas.","downloadable_attachments":[{"id":49329039,"asset_id":5355943,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":672899,"first_name":"Francisco","last_name":"Eiroa-Orosa","domain_name":"barcelona","page_name":"FranciscoJoséEiroaOrosa","display_name":"Francisco J Eiroa-Orosa","profile_url":"https://barcelona.academia.edu/FranciscoJos%C3%A9EiroaOrosa?f_ri=11137","photo":"https://0.academia-photos.com/672899/1898222/32215679/s65_francisco_jose.eiroa-orosa.jpg"}],"research_interests":[{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true},{"id":1036777,"name":"Epidemiologic Studies","url":"https://www.academia.edu/Documents/in/Epidemiologic_Studies?f_ri=11137","nofollow":true}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_9546089" data-work_id="9546089" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/9546089/An_Update_on_the_Use_of_Endodontics_in_CBCT">An Update on the Use of Endodontics in CBCT</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">The advent of CBCT has made it possible to visualize the dentition, the maxillofacial skeleton and the relationship of anatomic structures in 3D. CBCT represents a valuable resource in dental practice because it allows... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_9546089" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">The  advent  of  CBCT  has  made  it  possible  to  visualize  the<br />dentition,  the  maxillofacial  skeleton  and  the  relationship  of<br />anatomic structures in 3D. CBCT represents a valuable resource in<br />dental practice because it allows the establishment of a precise<br />treatment  plan  by  means  of  diagnostic  imaging.  In  cases  of<br />increased  difficulty  or  intra  operative  complications,  root<br />resorptions, perforations and root fracture it is prudent to consider<br />the use of CBCT with its diagnostic value and limited radiation<br />exposure. Analyzing the morphology of the root canals in human<br />dentition conclude that the 3D image provided by CBCT is a great<br />advancement as an auxiliary method to establish the endodontic<br />diagnosis.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/9546089" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="af72c29533e78f0d8a1c72428687b7cc" rel="nofollow" data-download="{"attachment_id":35766307,"asset_id":9546089,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/35766307/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="7856206" href="https://independent.academia.edu/EditorBBB">British Biomedical Bulletin</a><script data-card-contents-for-user="7856206" type="text/json">{"id":7856206,"first_name":"British Biomedical","last_name":"Bulletin","domain_name":"independent","page_name":"EditorBBB","display_name":"British Biomedical Bulletin","profile_url":"https://independent.academia.edu/EditorBBB?f_ri=11137","photo":"https://0.academia-photos.com/7856206/5915532/6716757/s65_british_biomedical.bulletin.jpg"}</script></span></span></li><li class="js-paper-rank-work_9546089 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="9546089"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 9546089, container: ".js-paper-rank-work_9546089", }); });</script></li><li class="js-percentile-work_9546089 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 9546089; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_9546089"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_9546089 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="9546089"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 9546089; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=9546089]").text(description); $(".js-view-count-work_9546089").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_9546089").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="9546089"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">21</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="599" rel="nofollow" href="https://www.academia.edu/Documents/in/Restorative_Dentistry_And_Endodontics">Restorative Dentistry And Endodontics</a>, <script data-card-contents-for-ri="599" type="text/json">{"id":599,"name":"Restorative Dentistry And Endodontics","url":"https://www.academia.edu/Documents/in/Restorative_Dentistry_And_Endodontics?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="5033" rel="nofollow" href="https://www.academia.edu/Documents/in/Computer-Aided_Diagnosis">Computer-Aided Diagnosis</a>, <script data-card-contents-for-ri="5033" type="text/json">{"id":5033,"name":"Computer-Aided Diagnosis","url":"https://www.academia.edu/Documents/in/Computer-Aided_Diagnosis?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="8973" rel="nofollow" href="https://www.academia.edu/Documents/in/Diagnosis_and_Detection_of_Mental_Illness">Diagnosis & Detection of Mental Illness</a>, <script data-card-contents-for-ri="8973" type="text/json">{"id":8973,"name":"Diagnosis \u0026 Detection of Mental Illness","url":"https://www.academia.edu/Documents/in/Diagnosis_and_Detection_of_Mental_Illness?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="8985" rel="nofollow" href="https://www.academia.edu/Documents/in/Re-treatments_Restorative_Dentistry_And_Endodontics_">Re-treatments (Restorative Dentistry And Endodontics)</a><script data-card-contents-for-ri="8985" type="text/json">{"id":8985,"name":"Re-treatments (Restorative Dentistry And Endodontics)","url":"https://www.academia.edu/Documents/in/Re-treatments_Restorative_Dentistry_And_Endodontics_?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=9546089]'), work: {"id":9546089,"title":"An Update on the Use of Endodontics in CBCT","created_at":"2014-11-28T18:16:23.352-08:00","url":"https://www.academia.edu/9546089/An_Update_on_the_Use_of_Endodontics_in_CBCT?f_ri=11137","dom_id":"work_9546089","summary":"The advent of CBCT has made it possible to visualize the\ndentition, the maxillofacial skeleton and the relationship of\nanatomic structures in 3D. CBCT represents a valuable resource in\ndental practice because it allows the establishment of a precise\ntreatment plan by means of diagnostic imaging. In cases of\nincreased difficulty or intra operative complications, root\nresorptions, perforations and root fracture it is prudent to consider\nthe use of CBCT with its diagnostic value and limited radiation\nexposure. Analyzing the morphology of the root canals in human\ndentition conclude that the 3D image provided by CBCT is a great\nadvancement as an auxiliary method to establish the endodontic\ndiagnosis.","downloadable_attachments":[{"id":35766307,"asset_id":9546089,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":7856206,"first_name":"British Biomedical","last_name":"Bulletin","domain_name":"independent","page_name":"EditorBBB","display_name":"British Biomedical Bulletin","profile_url":"https://independent.academia.edu/EditorBBB?f_ri=11137","photo":"https://0.academia-photos.com/7856206/5915532/6716757/s65_british_biomedical.bulletin.jpg"}],"research_interests":[{"id":599,"name":"Restorative Dentistry And Endodontics","url":"https://www.academia.edu/Documents/in/Restorative_Dentistry_And_Endodontics?f_ri=11137","nofollow":true},{"id":5033,"name":"Computer-Aided Diagnosis","url":"https://www.academia.edu/Documents/in/Computer-Aided_Diagnosis?f_ri=11137","nofollow":true},{"id":8973,"name":"Diagnosis \u0026 Detection of Mental Illness","url":"https://www.academia.edu/Documents/in/Diagnosis_and_Detection_of_Mental_Illness?f_ri=11137","nofollow":true},{"id":8985,"name":"Re-treatments (Restorative Dentistry And Endodontics)","url":"https://www.academia.edu/Documents/in/Re-treatments_Restorative_Dentistry_And_Endodontics_?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137"},{"id":24284,"name":"CBCT imaging","url":"https://www.academia.edu/Documents/in/CBCT_imaging?f_ri=11137"},{"id":42105,"name":"Veterinary Infectious Diseases Especially Zoonotic One Concerning Epidemology Diagnosis and Vaccination Including Biotechnology","url":"https://www.academia.edu/Documents/in/Veterinary_Infectious_Diseases_Especially_Zoonotic_One_Concerning_Epidemology_Diagnosis_and_Vaccinat?f_ri=11137"},{"id":70000,"name":"Condition monitoring and fault diagnosis of electric machinery","url":"https://www.academia.edu/Documents/in/Condition_monitoring_and_fault_diagnosis_of_electric_machinery?f_ri=11137"},{"id":102839,"name":"Diagnosis","url":"https://www.academia.edu/Documents/in/Diagnosis?f_ri=11137"},{"id":117101,"name":"Fault diagnosis","url":"https://www.academia.edu/Documents/in/Fault_diagnosis?f_ri=11137"},{"id":119431,"name":"Endodontic materials","url":"https://www.academia.edu/Documents/in/Endodontic_materials?f_ri=11137"},{"id":119432,"name":"Endodontic Antibacterial Studies","url":"https://www.academia.edu/Documents/in/Endodontic_Antibacterial_Studies?f_ri=11137"},{"id":203768,"name":"CBCT","url":"https://www.academia.edu/Documents/in/CBCT?f_ri=11137"},{"id":264467,"name":"CBCT IMPLANT IMAGING","url":"https://www.academia.edu/Documents/in/CBCT_IMPLANT_IMAGING?f_ri=11137"},{"id":343394,"name":"Diagnosis Of Fault Cells In Multi-Cellular Converter With Fault Tolerant Control","url":"https://www.academia.edu/Documents/in/Diagnosis_Of_Fault_Cells_In_Multi-Cellular_Converter_With_Fault_Tolerant_Control?f_ri=11137"},{"id":363034,"name":"Conservative Dentistry \u0026 Endodontics","url":"https://www.academia.edu/Documents/in/Conservative_Dentistry_and_Endodontics?f_ri=11137"},{"id":372652,"name":"Endodontics","url":"https://www.academia.edu/Documents/in/Endodontics?f_ri=11137"},{"id":426991,"name":"Retratamiento Endodontico Por Fracaso","url":"https://www.academia.edu/Documents/in/Retratamiento_Endodontico_Por_Fracaso?f_ri=11137"},{"id":469534,"name":"Rotary Endodontics","url":"https://www.academia.edu/Documents/in/Rotary_Endodontics?f_ri=11137"},{"id":818190,"name":"Uses of Cbct in Macillofacial Region","url":"https://www.academia.edu/Documents/in/Uses_of_Cbct_in_Macillofacial_Region?f_ri=11137"},{"id":1156111,"name":"CBCT Norms","url":"https://www.academia.edu/Documents/in/CBCT_Norms?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_66815577" data-work_id="66815577" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/66815577/Integrating_Cognitive_Neuroscience_Research_and_Cognitive_Behavioral_Treatment_with_Neurofeedback_Therapy_in_Drug_Addiction_Comorbid_with_Posttraumatic_Stress_Disorder_A_Conceptual_Review">Integrating Cognitive Neuroscience Research and Cognitive Behavioral Treatment with Neurofeedback Therapy in Drug Addiction Comorbid with Posttraumatic Stress Disorder: A Conceptual Review</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Persons with co-occurring mental and substance use disorders have a more persistent and refractory illness course than those without dual diagnosis. However, few studies have assessed the effects of cognitive-behavioral and biobehavioral... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_66815577" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Persons with co-occurring mental and substance use disorders have a more persistent and refractory illness course than those without dual diagnosis. However, few studies have assessed the effects of cognitive-behavioral and biobehavioral treatments on brain function and behavioral indices in people with comorbid drug abuse and posttraumatic stress disorder (PTSD). In this conceptual review, we propose an integrated approach to assessment and treatment utilizing cognitive neuroscience methods, conventional psychotherapeutic treatment and neurofeedback therapy to assess the recovery of cognitive and emotional functions affected by chronic psychostimulant drug abuse co-occurring with PTSD. We review cognitive and motivational factors (e.g., craving, hypersensitivity to drug-and threat-related cues, deficient executive top-down control etc.) involved in addiction and PTSD, and discuss reasons for their persistence and high vulnerability to relapse in cocaine and methamphetamine users with co-morbid PTSD undergoing behavioral treatment. Incorporating neuroscience assessment methods to assess the effects of psychotherapy and neurofeedback interventions for comorbid disorders may provide significant potential for identifying side-by-side psychophysiological with clinical markers of treatment progress, and may also provide useful information for planning interventions.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/66815577" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="681d3ab85db49e65149c2bc1279905d5" rel="nofollow" data-download="{"attachment_id":77863236,"asset_id":66815577,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/77863236/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="60847316" href="https://independent.academia.edu/TSokhadze">Tato Sokhadze</a><script data-card-contents-for-user="60847316" type="text/json">{"id":60847316,"first_name":"Tato","last_name":"Sokhadze","domain_name":"independent","page_name":"TSokhadze","display_name":"Tato Sokhadze","profile_url":"https://independent.academia.edu/TSokhadze?f_ri=11137","photo":"https://0.academia-photos.com/60847316/120456963/109782545/s65_tato.sokhadze.png"}</script></span></span></li><li class="js-paper-rank-work_66815577 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="66815577"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 66815577, container: ".js-paper-rank-work_66815577", }); });</script></li><li class="js-percentile-work_66815577 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 66815577; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_66815577"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_66815577 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="66815577"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 66815577; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=66815577]").text(description); $(".js-view-count-work_66815577").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_66815577").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="66815577"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">13</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="221" rel="nofollow" href="https://www.academia.edu/Documents/in/Psychology">Psychology</a>, <script data-card-contents-for-ri="221" type="text/json">{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9749" rel="nofollow" href="https://www.academia.edu/Documents/in/Neurofeedback">Neurofeedback</a>, <script data-card-contents-for-ri="9749" type="text/json">{"id":9749,"name":"Neurofeedback","url":"https://www.academia.edu/Documents/in/Neurofeedback?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a>, <script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="21548" rel="nofollow" href="https://www.academia.edu/Documents/in/Cognitive_Neuroscience">Cognitive Neuroscience</a><script data-card-contents-for-ri="21548" type="text/json">{"id":21548,"name":"Cognitive Neuroscience","url":"https://www.academia.edu/Documents/in/Cognitive_Neuroscience?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=66815577]'), work: {"id":66815577,"title":"Integrating Cognitive Neuroscience Research and Cognitive Behavioral Treatment with Neurofeedback Therapy in Drug Addiction Comorbid with Posttraumatic Stress Disorder: A Conceptual Review","created_at":"2022-01-01T13:57:58.218-08:00","url":"https://www.academia.edu/66815577/Integrating_Cognitive_Neuroscience_Research_and_Cognitive_Behavioral_Treatment_with_Neurofeedback_Therapy_in_Drug_Addiction_Comorbid_with_Posttraumatic_Stress_Disorder_A_Conceptual_Review?f_ri=11137","dom_id":"work_66815577","summary":"Persons with co-occurring mental and substance use disorders have a more persistent and refractory illness course than those without dual diagnosis. However, few studies have assessed the effects of cognitive-behavioral and biobehavioral treatments on brain function and behavioral indices in people with comorbid drug abuse and posttraumatic stress disorder (PTSD). In this conceptual review, we propose an integrated approach to assessment and treatment utilizing cognitive neuroscience methods, conventional psychotherapeutic treatment and neurofeedback therapy to assess the recovery of cognitive and emotional functions affected by chronic psychostimulant drug abuse co-occurring with PTSD. We review cognitive and motivational factors (e.g., craving, hypersensitivity to drug-and threat-related cues, deficient executive top-down control etc.) involved in addiction and PTSD, and discuss reasons for their persistence and high vulnerability to relapse in cocaine and methamphetamine users with co-morbid PTSD undergoing behavioral treatment. Incorporating neuroscience assessment methods to assess the effects of psychotherapy and neurofeedback interventions for comorbid disorders may provide significant potential for identifying side-by-side psychophysiological with clinical markers of treatment progress, and may also provide useful information for planning interventions.","downloadable_attachments":[{"id":77863236,"asset_id":66815577,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":60847316,"first_name":"Tato","last_name":"Sokhadze","domain_name":"independent","page_name":"TSokhadze","display_name":"Tato Sokhadze","profile_url":"https://independent.academia.edu/TSokhadze?f_ri=11137","photo":"https://0.academia-photos.com/60847316/120456963/109782545/s65_tato.sokhadze.png"}],"research_interests":[{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=11137","nofollow":true},{"id":9749,"name":"Neurofeedback","url":"https://www.academia.edu/Documents/in/Neurofeedback?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true},{"id":21548,"name":"Cognitive Neuroscience","url":"https://www.academia.edu/Documents/in/Cognitive_Neuroscience?f_ri=11137","nofollow":true},{"id":81691,"name":"Posttraumatic stress disorder","url":"https://www.academia.edu/Documents/in/Posttraumatic_stress_disorder?f_ri=11137"},{"id":129428,"name":"Drug Addiction","url":"https://www.academia.edu/Documents/in/Drug_Addiction?f_ri=11137"},{"id":161779,"name":"Cognitive Behavioral Treatment Method","url":"https://www.academia.edu/Documents/in/Cognitive_Behavioral_Treatment_Method?f_ri=11137"},{"id":209189,"name":"Drug abuse","url":"https://www.academia.edu/Documents/in/Drug_abuse?f_ri=11137"},{"id":285086,"name":"Integrated Approach","url":"https://www.academia.edu/Documents/in/Integrated_Approach?f_ri=11137"},{"id":968358,"name":"Brain Function","url":"https://www.academia.edu/Documents/in/Brain_Function?f_ri=11137"},{"id":1211717,"name":"Assessment Methods","url":"https://www.academia.edu/Documents/in/Assessment_Methods?f_ri=11137"},{"id":1239755,"name":"Neurosciences","url":"https://www.academia.edu/Documents/in/Neurosciences?f_ri=11137"},{"id":1501223,"name":"Substance Use Disorder","url":"https://www.academia.edu/Documents/in/Substance_Use_Disorder?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_46708485" data-work_id="46708485" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/46708485/HEALTH_AND_SOCIAL_CARE_MANAGEMENT_REPORT_D_618_2710_A_report_submitted_to_Cambridge_Management_and_Leadership_School_in_partial_fulfillment_of_the_requirement_for_the_OTHM_Level_7_Postgraduate_Diploma_in_Health_and_Social_Care_Management_603_6066_5">HEALTH AND SOCIAL CARE MANAGEMENT REPORT (D/618/2710) A report submitted to Cambridge Management and Leadership School in partial fulfillment of the requirement for the OTHM Level 7 Postgraduate Diploma in Health and Social Care Management (603/6066/5</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">According to Cunningham (1992), leadership is a term worthy of global concern, especially considering the growing internationalization of industry, of which the health and social care sector is a part. Many researches and a substantial... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_46708485" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">According to Cunningham (1992), leadership is a term worthy of global concern, especially considering the growing internationalization of industry, of which the health and social care sector is a part. Many researches and a substantial body of knowledge exist on leadership, the result, some argue, of an inherent frustration with many theories. The attributes of an outstanding leader, the relationship between personality dimensions and leadership, and the impact of leadership on group behavior and success are just a few of the topics covered.<br />Hitt (1993) compared attempting to “piece together” a systematic theory of leadership from the various threads running through the extensive literature to “trying to find one's way out of a forest without a map.” Nonetheless, as Sarros and Woodman point out (1993), although the factors that influence leadership effectiveness are not well understood, multiple studies have shown that leadership can influence organizational efficiency.<br />The impact of key management, leadership, and motivation theories on success and the overall goals of health and social care service providers will be evaluated in this study. It will also look at how important internal organizational processes like performance management are in performance management</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/46708485" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="aa0a0b0f32ff953273484471c57df3cf" rel="nofollow" data-download="{"attachment_id":66250077,"asset_id":46708485,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/66250077/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="75411317" href="https://independent.academia.edu/DKibichoi">Dennis M Kibichoi</a><script data-card-contents-for-user="75411317" type="text/json">{"id":75411317,"first_name":"Dennis","last_name":"Kibichoi","domain_name":"independent","page_name":"DKibichoi","display_name":"Dennis M Kibichoi","profile_url":"https://independent.academia.edu/DKibichoi?f_ri=11137","photo":"https://0.academia-photos.com/75411317/52183071/40283989/s65_dennis.kibichoi.jpg"}</script></span></span></li><li class="js-paper-rank-work_46708485 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="46708485"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 46708485, container: ".js-paper-rank-work_46708485", }); });</script></li><li class="js-percentile-work_46708485 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 46708485; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_46708485"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_46708485 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="46708485"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 46708485; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=46708485]").text(description); $(".js-view-count-work_46708485").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_46708485").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="46708485"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">6</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="2827" rel="nofollow" href="https://www.academia.edu/Documents/in/Mental_Health">Mental Health</a>, <script data-card-contents-for-ri="2827" type="text/json">{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a>, <script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11138" rel="nofollow" href="https://www.academia.edu/Documents/in/Substance_Misuse">Substance Misuse</a>, <script data-card-contents-for-ri="11138" type="text/json">{"id":11138,"name":"Substance Misuse","url":"https://www.academia.edu/Documents/in/Substance_Misuse?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="15178" rel="nofollow" href="https://www.academia.edu/Documents/in/Forensic_Mental_Health">Forensic Mental Health</a><script data-card-contents-for-ri="15178" type="text/json">{"id":15178,"name":"Forensic Mental Health","url":"https://www.academia.edu/Documents/in/Forensic_Mental_Health?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=46708485]'), work: {"id":46708485,"title":"HEALTH AND SOCIAL CARE MANAGEMENT REPORT (D/618/2710) A report submitted to Cambridge Management and Leadership School in partial fulfillment of the requirement for the OTHM Level 7 Postgraduate Diploma in Health and Social Care Management (603/6066/5","created_at":"2021-04-12T14:06:07.004-07:00","url":"https://www.academia.edu/46708485/HEALTH_AND_SOCIAL_CARE_MANAGEMENT_REPORT_D_618_2710_A_report_submitted_to_Cambridge_Management_and_Leadership_School_in_partial_fulfillment_of_the_requirement_for_the_OTHM_Level_7_Postgraduate_Diploma_in_Health_and_Social_Care_Management_603_6066_5?f_ri=11137","dom_id":"work_46708485","summary":"According to Cunningham (1992), leadership is a term worthy of global concern, especially considering the growing internationalization of industry, of which the health and social care sector is a part. Many researches and a substantial body of knowledge exist on leadership, the result, some argue, of an inherent frustration with many theories. The attributes of an outstanding leader, the relationship between personality dimensions and leadership, and the impact of leadership on group behavior and success are just a few of the topics covered.\nHitt (1993) compared attempting to “piece together” a systematic theory of leadership from the various threads running through the extensive literature to “trying to find one's way out of a forest without a map.” Nonetheless, as Sarros and Woodman point out (1993), although the factors that influence leadership effectiveness are not well understood, multiple studies have shown that leadership can influence organizational efficiency.\nThe impact of key management, leadership, and motivation theories on success and the overall goals of health and social care service providers will be evaluated in this study. It will also look at how important internal organizational processes like performance management are in performance management\n","downloadable_attachments":[{"id":66250077,"asset_id":46708485,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":75411317,"first_name":"Dennis","last_name":"Kibichoi","domain_name":"independent","page_name":"DKibichoi","display_name":"Dennis M Kibichoi","profile_url":"https://independent.academia.edu/DKibichoi?f_ri=11137","photo":"https://0.academia-photos.com/75411317/52183071/40283989/s65_dennis.kibichoi.jpg"}],"research_interests":[{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true},{"id":11138,"name":"Substance Misuse","url":"https://www.academia.edu/Documents/in/Substance_Misuse?f_ri=11137","nofollow":true},{"id":15178,"name":"Forensic Mental Health","url":"https://www.academia.edu/Documents/in/Forensic_Mental_Health?f_ri=11137","nofollow":true},{"id":21559,"name":"Health Care Management","url":"https://www.academia.edu/Documents/in/Health_Care_Management?f_ri=11137"},{"id":122231,"name":"Addictive Behaviours","url":"https://www.academia.edu/Documents/in/Addictive_Behaviours?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_14271308" data-work_id="14271308" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/14271308/Nursing_considerations_for_dual_diagnosis_in_mental_health">Nursing considerations for dual diagnosis in mental health</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">It is the intention of this literature review to present suggestions for nursing practice with reference to the care of the dually diagnosed. Nursing care of the dually diagnosed client is complex. Clinicians from both drug and alcohol... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_14271308" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">It is the intention of this literature review to present suggestions for nursing practice with reference to the care of the dually diagnosed. Nursing care of the dually diagnosed client is complex. Clinicians from both drug and alcohol services and mental health services have long recognized that neither service area provides adequate clinical care to those clients who have a dual diagnosis of substance abuse and mental illness. It is now &gt; 10 years since a ground-breaking Australian study recognized this. To ascertain whether there has been improvement in the service management of clients who have a dual diagnosis, and to determine the best practice interventions in the area of mental health nursing, we undertook a review of the literature. The databases CINAHL, MEDLINE, PsycARTICLES and PsychINFO were searched and 185 articles met the inclusion criteria. From this review, it seems that gaps still remain in the provision of services and that mental health nurses might be best pl...</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/14271308" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="85b324d2c835115153f3f63b60b7ed12" rel="nofollow" data-download="{"attachment_id":44369908,"asset_id":14271308,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/44369908/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="33236570" href="https://monash.academia.edu/IanMunro">Ian Munro</a><script data-card-contents-for-user="33236570" type="text/json">{"id":33236570,"first_name":"Ian","last_name":"Munro","domain_name":"monash","page_name":"IanMunro","display_name":"Ian Munro","profile_url":"https://monash.academia.edu/IanMunro?f_ri=11137","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_14271308 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="14271308"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 14271308, container: ".js-paper-rank-work_14271308", }); });</script></li><li class="js-percentile-work_14271308 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 14271308; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_14271308"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_14271308 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="14271308"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 14271308; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=14271308]").text(description); $(".js-view-count-work_14271308").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_14271308").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="14271308"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">7</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="588" rel="nofollow" href="https://www.academia.edu/Documents/in/Nursing">Nursing</a>, <script data-card-contents-for-ri="588" type="text/json">{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="2827" rel="nofollow" href="https://www.academia.edu/Documents/in/Mental_Health">Mental Health</a>, <script data-card-contents-for-ri="2827" type="text/json">{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a>, <script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="121594" rel="nofollow" href="https://www.academia.edu/Documents/in/Psychiatric_Nursing">Psychiatric Nursing</a><script data-card-contents-for-ri="121594" type="text/json">{"id":121594,"name":"Psychiatric Nursing","url":"https://www.academia.edu/Documents/in/Psychiatric_Nursing?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=14271308]'), work: {"id":14271308,"title":"Nursing considerations for dual diagnosis in mental health","created_at":"2015-07-21T15:58:41.236-07:00","url":"https://www.academia.edu/14271308/Nursing_considerations_for_dual_diagnosis_in_mental_health?f_ri=11137","dom_id":"work_14271308","summary":"It is the intention of this literature review to present suggestions for nursing practice with reference to the care of the dually diagnosed. Nursing care of the dually diagnosed client is complex. Clinicians from both drug and alcohol services and mental health services have long recognized that neither service area provides adequate clinical care to those clients who have a dual diagnosis of substance abuse and mental illness. It is now \u0026gt; 10 years since a ground-breaking Australian study recognized this. To ascertain whether there has been improvement in the service management of clients who have a dual diagnosis, and to determine the best practice interventions in the area of mental health nursing, we undertook a review of the literature. The databases CINAHL, MEDLINE, PsycARTICLES and PsychINFO were searched and 185 articles met the inclusion criteria. From this review, it seems that gaps still remain in the provision of services and that mental health nurses might be best pl...","downloadable_attachments":[{"id":44369908,"asset_id":14271308,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":33236570,"first_name":"Ian","last_name":"Munro","domain_name":"monash","page_name":"IanMunro","display_name":"Ian Munro","profile_url":"https://monash.academia.edu/IanMunro?f_ri=11137","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing?f_ri=11137","nofollow":true},{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true},{"id":121594,"name":"Psychiatric Nursing","url":"https://www.academia.edu/Documents/in/Psychiatric_Nursing?f_ri=11137","nofollow":true},{"id":171144,"name":"Mental Disorders","url":"https://www.academia.edu/Documents/in/Mental_Disorders?f_ri=11137"},{"id":892928,"name":"Nursing practice","url":"https://www.academia.edu/Documents/in/Nursing_practice?f_ri=11137"},{"id":1423077,"name":"Substance-Related Disorders","url":"https://www.academia.edu/Documents/in/Substance-Related_Disorders?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_1519183" data-work_id="1519183" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/1519183/Dual_Diagnosis">Dual Diagnosis</a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li 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data-paper-rank-work-id="1519183"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 1519183, container: ".js-paper-rank-work_1519183", }); });</script></li><li class="js-percentile-work_1519183 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 1519183; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_1519183"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_1519183 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="1519183"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 1519183; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=1519183]").text(description); $(".js-view-count-work_1519183").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_1519183").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="1519183"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i></div><span class="InlineList-item-text u-textTruncate u-pl6x"><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a><script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (false) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=1519183]'), work: {"id":1519183,"title":"Dual Diagnosis","created_at":"2012-04-22T06:30:24.468-07:00","url":"https://www.academia.edu/1519183/Dual_Diagnosis?f_ri=11137","dom_id":"work_1519183","summary":null,"downloadable_attachments":[{"id":12293230,"asset_id":1519183,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":1571653,"first_name":"Yvonne","last_name":"Christie","domain_name":"rockies","page_name":"YvonneChristie","display_name":"Yvonne Christie","profile_url":"https://rockies.academia.edu/YvonneChristie?f_ri=11137","photo":"https://0.academia-photos.com/1571653/843946/1230338/s65_yvonne.christie.jpg"}],"research_interests":[{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_1741643" data-work_id="1741643" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/1741643/Dual_Diagnosis_Skills_Training_Manual">Dual Diagnosis Skills Training Manual</a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share 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InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="596949" href="https://manchester.academia.edu/HarveyWells">Harvey Wells</a><script data-card-contents-for-user="596949" type="text/json">{"id":596949,"first_name":"Harvey","last_name":"Wells","domain_name":"manchester","page_name":"HarveyWells","display_name":"Harvey Wells","profile_url":"https://manchester.academia.edu/HarveyWells?f_ri=11137","photo":"https://0.academia-photos.com/596949/209656/12587646/s65_harvey.wells.jpg"}</script></span></span></li><li class="js-paper-rank-work_1741643 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="1741643"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { 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fa-spin"></i></span><script>$(function () { var workId = 1741643; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=1741643]").text(description); $(".js-view-count-work_1741643").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_1741643").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="1741643"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">4</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="2827" rel="nofollow" href="https://www.academia.edu/Documents/in/Mental_Health">Mental Health</a>, <script data-card-contents-for-ri="2827" type="text/json">{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a>, <script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11138" rel="nofollow" href="https://www.academia.edu/Documents/in/Substance_Misuse">Substance Misuse</a>, <script data-card-contents-for-ri="11138" type="text/json">{"id":11138,"name":"Substance Misuse","url":"https://www.academia.edu/Documents/in/Substance_Misuse?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="26945" rel="nofollow" href="https://www.academia.edu/Documents/in/Communication_Skills">Communication Skills</a><script data-card-contents-for-ri="26945" type="text/json">{"id":26945,"name":"Communication Skills","url":"https://www.academia.edu/Documents/in/Communication_Skills?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=1741643]'), work: {"id":1741643,"title":"Dual Diagnosis Skills Training Manual","created_at":"2011-07-24T03:21:33.345-07:00","url":"https://www.academia.edu/1741643/Dual_Diagnosis_Skills_Training_Manual?f_ri=11137","dom_id":"work_1741643","summary":null,"downloadable_attachments":[{"id":4538166,"asset_id":1741643,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":596949,"first_name":"Harvey","last_name":"Wells","domain_name":"manchester","page_name":"HarveyWells","display_name":"Harvey 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href="https://www.academia.edu/14899195/Psychosocial_Approaches_to_Dual_Diagnosis">Psychosocial Approaches to Dual Diagnosis</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Recent research elucidates many aspects of the problem of co-occurring substance use disorder (SUD) in patients with severe mental illness, which is often termed dual diagnosis. This paper provides a brief overview of cur- rent research... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_14899195" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Recent research elucidates many aspects of the problem of co-occurring substance use disorder (SUD) in patients with severe mental illness, which is often termed dual diagnosis. This paper provides a brief overview of cur- rent research on the epidemiology, adverse conse- quences, and phenomenology of dual diagnosis, followed by a more extensive review of current approaches to ser- vices, assessment,</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/14899195" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="bce9d7c21c8dbb719cdd0bdeb227fbdb" rel="nofollow" data-download="{"attachment_id":38465603,"asset_id":14899195,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/38465603/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="33844412" href="https://bu.academia.edu/KimMueser">Kim Mueser</a><script data-card-contents-for-user="33844412" type="text/json">{"id":33844412,"first_name":"Kim","last_name":"Mueser","domain_name":"bu","page_name":"KimMueser","display_name":"Kim Mueser","profile_url":"https://bu.academia.edu/KimMueser?f_ri=11137","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_14899195 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="14899195"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 14899195, container: ".js-paper-rank-work_14899195", }); 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$(".js-view-count[data-work-id=14899195]").text(description); $(".js-view-count-work_14899195").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_14899195").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="14899195"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">16</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="231" rel="nofollow" href="https://www.academia.edu/Documents/in/Family_Therapy">Family Therapy</a>, <script data-card-contents-for-ri="231" type="text/json">{"id":231,"name":"Family Therapy","url":"https://www.academia.edu/Documents/in/Family_Therapy?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="2240" rel="nofollow" href="https://www.academia.edu/Documents/in/Psychotherapy">Psychotherapy</a>, <script data-card-contents-for-ri="2240" type="text/json">{"id":2240,"name":"Psychotherapy","url":"https://www.academia.edu/Documents/in/Psychotherapy?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="2827" rel="nofollow" href="https://www.academia.edu/Documents/in/Mental_Health">Mental Health</a>, <script data-card-contents-for-ri="2827" type="text/json">{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="3227" rel="nofollow" href="https://www.academia.edu/Documents/in/Schizophrenia">Schizophrenia</a><script data-card-contents-for-ri="3227" type="text/json">{"id":3227,"name":"Schizophrenia","url":"https://www.academia.edu/Documents/in/Schizophrenia?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=14899195]'), work: {"id":14899195,"title":"Psychosocial Approaches to Dual Diagnosis","created_at":"2015-08-13T07:34:30.798-07:00","url":"https://www.academia.edu/14899195/Psychosocial_Approaches_to_Dual_Diagnosis?f_ri=11137","dom_id":"work_14899195","summary":"Recent research elucidates many aspects of the problem of co-occurring substance use disorder (SUD) in patients with severe mental illness, which is often termed dual diagnosis. 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Management","url":"https://www.academia.edu/Documents/in/Case_Management?f_ri=11137"},{"id":305164,"name":"Severe Mental Illness","url":"https://www.academia.edu/Documents/in/Severe_Mental_Illness?f_ri=11137"},{"id":615365,"name":"Family Intervention","url":"https://www.academia.edu/Documents/in/Family_Intervention?f_ri=11137"},{"id":1145182,"name":"Behavioral Intervention","url":"https://www.academia.edu/Documents/in/Behavioral_Intervention?f_ri=11137"},{"id":1423077,"name":"Substance-Related Disorders","url":"https://www.academia.edu/Documents/in/Substance-Related_Disorders?f_ri=11137"},{"id":1501223,"name":"Substance Use Disorder","url":"https://www.academia.edu/Documents/in/Substance_Use_Disorder?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_42350717" data-work_id="42350717" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/42350717/Literature_Review">Literature Review</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest">The key studies considered in this literature and subsequent studies were all peer-reviewed and sourced from Medline, ProQuest Elsevier (Scopus), and Biomed Central.</div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/42350717" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a 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}); });</script></span><script>$(function() { $(".js-view-count-work_42350717").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="42350717"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">4</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="221" rel="nofollow" href="https://www.academia.edu/Documents/in/Psychology">Psychology</a>, <script data-card-contents-for-ri="221" type="text/json">{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a>, <script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="67796" rel="nofollow" href="https://www.academia.edu/Documents/in/Substance_Abuse">Substance Abuse</a>, <script data-card-contents-for-ri="67796" type="text/json">{"id":67796,"name":"Substance Abuse","url":"https://www.academia.edu/Documents/in/Substance_Abuse?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="445614" rel="nofollow" href="https://www.academia.edu/Documents/in/Co-Occuring_Mental_and_Addictive_Disorder">Co-Occuring Mental and Addictive Disorder</a><script data-card-contents-for-ri="445614" type="text/json">{"id":445614,"name":"Co-Occuring Mental and Addictive Disorder","url":"https://www.academia.edu/Documents/in/Co-Occuring_Mental_and_Addictive_Disorder?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=42350717]'), work: {"id":42350717,"title":"Literature Review","created_at":"2020-03-28T01:31:25.503-07:00","url":"https://www.academia.edu/42350717/Literature_Review?f_ri=11137","dom_id":"work_42350717","summary":"The key studies considered in this literature and subsequent studies were all peer-reviewed and sourced from Medline, ProQuest Elsevier (Scopus), and Biomed Central.","downloadable_attachments":[{"id":62509892,"asset_id":42350717,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":5197151,"first_name":"Almaas","last_name":"Almaas","domain_name":"monash","page_name":"AlmaasAlmaas","display_name":"Almaas 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class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/19540946/A_Family_Guide_to_Concurrent_Disorders">A Family Guide to Concurrent Disorders</a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/19540946" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="2dbf7687b1865bec553e674c2f642c0d" rel="nofollow" data-download="{"attachment_id":42137979,"asset_id":19540946,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/42137979/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="26065050" href="https://utoronto.academia.edu/WSkinner">Wayne Skinner</a><script data-card-contents-for-user="26065050" 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window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_19540946"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_19540946 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="19540946"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 19540946; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=19540946]").text(description); $(".js-view-count-work_19540946").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_19540946").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="19540946"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">6</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="1909" rel="nofollow" href="https://www.academia.edu/Documents/in/Family_studies">Family studies</a>, <script data-card-contents-for-ri="1909" type="text/json">{"id":1909,"name":"Family studies","url":"https://www.academia.edu/Documents/in/Family_studies?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a>, <script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="520196" rel="nofollow" href="https://www.academia.edu/Documents/in/Addiction_and_Mental_Health">Addiction and Mental Health</a>, <script data-card-contents-for-ri="520196" type="text/json">{"id":520196,"name":"Addiction and Mental Health","url":"https://www.academia.edu/Documents/in/Addiction_and_Mental_Health?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="555650" rel="nofollow" href="https://www.academia.edu/Documents/in/Mental_Health_and_Addictions">Mental Health and Addictions</a><script data-card-contents-for-ri="555650" type="text/json">{"id":555650,"name":"Mental Health and Addictions","url":"https://www.academia.edu/Documents/in/Mental_Health_and_Addictions?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=19540946]'), work: {"id":19540946,"title":"A Family Guide to Concurrent Disorders","created_at":"2015-12-07T11:16:11.711-08:00","url":"https://www.academia.edu/19540946/A_Family_Guide_to_Concurrent_Disorders?f_ri=11137","dom_id":"work_19540946","summary":null,"downloadable_attachments":[{"id":42137979,"asset_id":19540946,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":26065050,"first_name":"Wayne","last_name":"Skinner","domain_name":"utoronto","page_name":"WSkinner","display_name":"Wayne Skinner","profile_url":"https://utoronto.academia.edu/WSkinner?f_ri=11137","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":1909,"name":"Family studies","url":"https://www.academia.edu/Documents/in/Family_studies?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true},{"id":520196,"name":"Addiction and Mental Health","url":"https://www.academia.edu/Documents/in/Addiction_and_Mental_Health?f_ri=11137","nofollow":true},{"id":555650,"name":"Mental Health and Addictions","url":"https://www.academia.edu/Documents/in/Mental_Health_and_Addictions?f_ri=11137","nofollow":true},{"id":610726,"name":"Concurrent Disorders","url":"https://www.academia.edu/Documents/in/Concurrent_Disorders?f_ri=11137"},{"id":632322,"name":"Family Studies","url":"https://www.academia.edu/Documents/in/Family_Studies-1?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_25623248" data-work_id="25623248" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/25623248/Toward_a_unitary_perspective_on_the_bipolar_spectrum_and_substance_abuse_Opiate_addiction_as_a_paradigm">Toward a unitary perspective on the bipolar spectrum and substance abuse: Opiate addiction as a paradigm</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Bipolar spectrum disorders and addiction often co-occur and constitute reciprocal risk factors that the authors believe are best considered under a unitary perspective. In particular, we submit that patients whose disorders fall under the... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_25623248" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Bipolar spectrum disorders and addiction often co-occur and constitute reciprocal risk factors that the authors believe are best considered under a unitary perspective. In particular, we submit that patients whose disorders fall under the bipolar spectrumand its hyperthymic and cyclothymic temperamental substrates are at increased risk for substance use, possibly moving towards addiction through exposure to intrinsically dependence-producing substances. In our experience, the contribution of bipolar spectrum disorders to the addictive process is often clinically missed, because attenuated and subclinical expressions of such mood disorders as bipolar II and cyclothymia are not adequately appreciated by our current formal diagnostic system (e.g. DSM-IV, as well as research and clinical practice based on it). The use of agonist treatment in dual diagnosis heroin addicts has allowed us to gather valuable knowledge about the intrinsic, and historically and clinically documented mood-regulating effects of opiates. From the therapeutic point of view, the challenge of double diagnosis requires double competence from clinicians. The combination of opiate agonists and mood stabilizers often produces results difficult to obtain with the use of the two types of drugs separately. We therefore submit that the present conceptualization of the link between bipolar spectrum and addictive disorders has not only heuristic and scientific values, but also an important message for the clinician.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/25623248" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="2457c875df60ec86b9dc5ef8b7396603" rel="nofollow" data-download="{"attachment_id":45953435,"asset_id":25623248,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/45953435/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="49248801" href="https://independent.academia.edu/HagopAkiskal">Hagop Akiskal</a><script data-card-contents-for-user="49248801" type="text/json">{"id":49248801,"first_name":"Hagop","last_name":"Akiskal","domain_name":"independent","page_name":"HagopAkiskal","display_name":"Hagop Akiskal","profile_url":"https://independent.academia.edu/HagopAkiskal?f_ri=11137","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_25623248 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="25623248"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 25623248, container: ".js-paper-rank-work_25623248", }); 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$(".js-view-count[data-work-id=25623248]").text(description); $(".js-view-count-work_25623248").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_25623248").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="25623248"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">19</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="3230" rel="nofollow" href="https://www.academia.edu/Documents/in/Bipolar_Disorder">Bipolar Disorder</a>, <script data-card-contents-for-ri="3230" type="text/json">{"id":3230,"name":"Bipolar Disorder","url":"https://www.academia.edu/Documents/in/Bipolar_Disorder?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a>, <script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="28973" rel="nofollow" href="https://www.academia.edu/Documents/in/Comorbidity">Comorbidity</a>, <script data-card-contents-for-ri="28973" type="text/json">{"id":28973,"name":"Comorbidity","url":"https://www.academia.edu/Documents/in/Comorbidity?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="52836" rel="nofollow" href="https://www.academia.edu/Documents/in/Clinical_Practice">Clinical Practice</a><script data-card-contents-for-ri="52836" type="text/json">{"id":52836,"name":"Clinical Practice","url":"https://www.academia.edu/Documents/in/Clinical_Practice?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=25623248]'), work: {"id":25623248,"title":"Toward a unitary perspective on the bipolar spectrum and substance abuse: Opiate addiction as a paradigm","created_at":"2016-05-25T16:01:50.265-07:00","url":"https://www.academia.edu/25623248/Toward_a_unitary_perspective_on_the_bipolar_spectrum_and_substance_abuse_Opiate_addiction_as_a_paradigm?f_ri=11137","dom_id":"work_25623248","summary":"Bipolar spectrum disorders and addiction often co-occur and constitute reciprocal risk factors that the authors believe are best considered under a unitary perspective. In particular, we submit that patients whose disorders fall under the bipolar spectrumand its hyperthymic and cyclothymic temperamental substrates are at increased risk for substance use, possibly moving towards addiction through exposure to intrinsically dependence-producing substances. In our experience, the contribution of bipolar spectrum disorders to the addictive process is often clinically missed, because attenuated and subclinical expressions of such mood disorders as bipolar II and cyclothymia are not adequately appreciated by our current formal diagnostic system (e.g. DSM-IV, as well as research and clinical practice based on it). The use of agonist treatment in dual diagnosis heroin addicts has allowed us to gather valuable knowledge about the intrinsic, and historically and clinically documented mood-regulating effects of opiates. From the therapeutic point of view, the challenge of double diagnosis requires double competence from clinicians. The combination of opiate agonists and mood stabilizers often produces results difficult to obtain with the use of the two types of drugs separately. We therefore submit that the present conceptualization of the link between bipolar spectrum and addictive disorders has not only heuristic and scientific values, but also an important message for the clinician.","downloadable_attachments":[{"id":45953435,"asset_id":25623248,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":49248801,"first_name":"Hagop","last_name":"Akiskal","domain_name":"independent","page_name":"HagopAkiskal","display_name":"Hagop Akiskal","profile_url":"https://independent.academia.edu/HagopAkiskal?f_ri=11137","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":3230,"name":"Bipolar Disorder","url":"https://www.academia.edu/Documents/in/Bipolar_Disorder?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true},{"id":28973,"name":"Comorbidity","url":"https://www.academia.edu/Documents/in/Comorbidity?f_ri=11137","nofollow":true},{"id":52836,"name":"Clinical Practice","url":"https://www.academia.edu/Documents/in/Clinical_Practice?f_ri=11137","nofollow":true},{"id":67516,"name":"Affective Disorders","url":"https://www.academia.edu/Documents/in/Affective_Disorders?f_ri=11137"},{"id":67796,"name":"Substance Abuse","url":"https://www.academia.edu/Documents/in/Substance_Abuse?f_ri=11137"},{"id":72353,"name":"Substance Use","url":"https://www.academia.edu/Documents/in/Substance_Use?f_ri=11137"},{"id":91863,"name":"Alcoholism","url":"https://www.academia.edu/Documents/in/Alcoholism?f_ri=11137"},{"id":160030,"name":"Heroin Dependence","url":"https://www.academia.edu/Documents/in/Heroin_Dependence?f_ri=11137"},{"id":192721,"name":"Risk factors","url":"https://www.academia.edu/Documents/in/Risk_factors?f_ri=11137"},{"id":321836,"name":"Spectrum","url":"https://www.academia.edu/Documents/in/Spectrum?f_ri=11137"},{"id":361527,"name":"Methadone","url":"https://www.academia.edu/Documents/in/Methadone?f_ri=11137"},{"id":362079,"name":"Affective","url":"https://www.academia.edu/Documents/in/Affective?f_ri=11137"},{"id":489727,"name":"Prognosis","url":"https://www.academia.edu/Documents/in/Prognosis?f_ri=11137"},{"id":572282,"name":"Combination drug therapy","url":"https://www.academia.edu/Documents/in/Combination_drug_therapy?f_ri=11137"},{"id":620049,"name":"Risk Factors","url":"https://www.academia.edu/Documents/in/Risk_Factors-1?f_ri=11137"},{"id":892890,"name":"Point of View","url":"https://www.academia.edu/Documents/in/Point_of_View?f_ri=11137"},{"id":914291,"name":"Lithium Carbonate","url":"https://www.academia.edu/Documents/in/Lithium_Carbonate?f_ri=11137"},{"id":1208692,"name":"Mood Disorder","url":"https://www.academia.edu/Documents/in/Mood_Disorder?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_4198243" data-work_id="4198243" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/4198243/Nursing_Concept_Paper_Dual_Diagnosis">Nursing Concept Paper: Dual Diagnosis</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">The purpose of this analysis is to review and critique current US dual diagnosis theories and to apply a new methodology to dual diagnosis in the practical setting of everyday nursing care. Although the term or concept of dual diagnosis... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_4198243" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">The purpose of this analysis is to review and critique current US dual diagnosis theories and to apply a new methodology to dual diagnosis in the practical setting of everyday nursing care.  Although the term or concept of dual diagnosis has been around since 1985, it is only recently that new models of understanding this diagnosis have developed, not being a disorder of its own. <br /> <br />The DSM V changes diagnostic criteria for substance use disorders, placing them on a spectrum similar to the current autistic and schizophrenia spectrum disorders.  The net has been cast wider and nurses will encounter more patients with substance use disorders.  The general nursing discipline will have limited to the new diagnostic criteria. <br />""</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/4198243" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="f16843e8b5490dbdaccb035c62b9d618" rel="nofollow" data-download="{"attachment_id":31693207,"asset_id":4198243,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/31693207/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="3133506" href="https://loyno.academia.edu/MaryEllenCiptak">Mary Ellen Ciptak</a><script data-card-contents-for-user="3133506" type="text/json">{"id":3133506,"first_name":"Mary Ellen","last_name":"Ciptak","domain_name":"loyno","page_name":"MaryEllenCiptak","display_name":"Mary Ellen Ciptak","profile_url":"https://loyno.academia.edu/MaryEllenCiptak?f_ri=11137","photo":"https://0.academia-photos.com/3133506/1030113/2679387/s65_mary_ellen.ciptak"}</script></span></span></li><li class="js-paper-rank-work_4198243 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="4198243"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 4198243, container: ".js-paper-rank-work_4198243", }); 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$(".js-view-count[data-work-id=4198243]").text(description); $(".js-view-count-work_4198243").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_4198243").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="4198243"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">5</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="260" rel="nofollow" href="https://www.academia.edu/Documents/in/Health_Psychology">Health Psychology</a>, <script data-card-contents-for-ri="260" type="text/json">{"id":260,"name":"Health Psychology","url":"https://www.academia.edu/Documents/in/Health_Psychology?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="589" rel="nofollow" href="https://www.academia.edu/Documents/in/Nursing_Theories">Nursing Theories</a>, <script data-card-contents-for-ri="589" type="text/json">{"id":589,"name":"Nursing Theories","url":"https://www.academia.edu/Documents/in/Nursing_Theories?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="7467" rel="nofollow" href="https://www.academia.edu/Documents/in/Sociology_of_Mental_Health_and_Illness">Sociology of Mental Health & Illness</a>, <script data-card-contents-for-ri="7467" type="text/json">{"id":7467,"name":"Sociology of Mental Health \u0026 Illness","url":"https://www.academia.edu/Documents/in/Sociology_of_Mental_Health_and_Illness?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a><script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=4198243]'), work: {"id":4198243,"title":"Nursing Concept Paper: Dual Diagnosis","created_at":"2013-08-08T04:20:59.211-07:00","url":"https://www.academia.edu/4198243/Nursing_Concept_Paper_Dual_Diagnosis?f_ri=11137","dom_id":"work_4198243","summary":"The purpose of this analysis is to review and critique current US dual diagnosis theories and to apply a new methodology to dual diagnosis in the practical setting of everyday nursing care. Although the term or concept of dual diagnosis has been around since 1985, it is only recently that new models of understanding this diagnosis have developed, not being a disorder of its own. \r\n\r\nThe DSM V changes diagnostic criteria for substance use disorders, placing them on a spectrum similar to the current autistic and schizophrenia spectrum disorders. The net has been cast wider and nurses will encounter more patients with substance use disorders. The general nursing discipline will have limited to the new diagnostic criteria. \r\n\"\"","downloadable_attachments":[{"id":31693207,"asset_id":4198243,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":3133506,"first_name":"Mary Ellen","last_name":"Ciptak","domain_name":"loyno","page_name":"MaryEllenCiptak","display_name":"Mary Ellen Ciptak","profile_url":"https://loyno.academia.edu/MaryEllenCiptak?f_ri=11137","photo":"https://0.academia-photos.com/3133506/1030113/2679387/s65_mary_ellen.ciptak"}],"research_interests":[{"id":260,"name":"Health Psychology","url":"https://www.academia.edu/Documents/in/Health_Psychology?f_ri=11137","nofollow":true},{"id":589,"name":"Nursing Theories","url":"https://www.academia.edu/Documents/in/Nursing_Theories?f_ri=11137","nofollow":true},{"id":7467,"name":"Sociology of Mental Health \u0026 Illness","url":"https://www.academia.edu/Documents/in/Sociology_of_Mental_Health_and_Illness?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true},{"id":503456,"name":"Thomas Szasz","url":"https://www.academia.edu/Documents/in/Thomas_Szasz?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_6361626" data-work_id="6361626" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" rel="nofollow" href="https://www.academia.edu/6361626/ASSERT_YOURSELF_ASSERT_YOURSELF_Module_Four_How_to_Behave_More_Assertively_Assertiveness_Techniques_Basic_Assertion">ASSERT YOURSELF! ASSERT YOURSELF! Module Four How to Behave More Assertively Assertiveness Techniques Basic Assertion</a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/6361626" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="ebc70ac47a8d41bb799e2cda8d69eca6" rel="nofollow" data-download="{"attachment_id":33182043,"asset_id":6361626,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/33182043/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="9937833" href="https://rmit.academia.edu/EugeneTraboulsi">Eugene Traboulsi</a><script data-card-contents-for-user="9937833" type="text/json">{"id":9937833,"first_name":"Eugene","last_name":"Traboulsi","domain_name":"rmit","page_name":"EugeneTraboulsi","display_name":"Eugene Traboulsi","profile_url":"https://rmit.academia.edu/EugeneTraboulsi?f_ri=11137","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_6361626 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="6361626"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 6361626, container: ".js-paper-rank-work_6361626", }); 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Review","url":"https://www.academia.edu/Documents/in/Literature_Review?f_ri=11137","nofollow":true},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1?f_ri=11137","nofollow":true}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_7057758" data-work_id="7057758" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/7057758/A_Family_Guide_to_Concurrent_Disorders">A Family Guide to Concurrent Disorders</a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/7057758" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="91fe93f2ad3d860757d05bc336f7cc6d" rel="nofollow" data-download="{"attachment_id":33710054,"asset_id":7057758,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/33710054/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="12071529" href="https://independent.academia.edu/CarolineOGrady">Caroline O'Grady</a><script data-card-contents-for-user="12071529" type="text/json">{"id":12071529,"first_name":"Caroline","last_name":"O'Grady","domain_name":"independent","page_name":"CarolineOGrady","display_name":"Caroline O'Grady","profile_url":"https://independent.academia.edu/CarolineOGrady?f_ri=11137","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_7057758 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="7057758"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 7057758, container: ".js-paper-rank-work_7057758", }); });</script></li><li class="js-percentile-work_7057758 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 7057758; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_7057758"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_7057758 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="7057758"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 7057758; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=7057758]").text(description); $(".js-view-count-work_7057758").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_7057758").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="7057758"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">6</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="1909" rel="nofollow" href="https://www.academia.edu/Documents/in/Family_studies">Family studies</a>, <script data-card-contents-for-ri="1909" type="text/json">{"id":1909,"name":"Family studies","url":"https://www.academia.edu/Documents/in/Family_studies?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a>, <script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="520196" rel="nofollow" href="https://www.academia.edu/Documents/in/Addiction_and_Mental_Health">Addiction and Mental Health</a>, <script data-card-contents-for-ri="520196" type="text/json">{"id":520196,"name":"Addiction and Mental Health","url":"https://www.academia.edu/Documents/in/Addiction_and_Mental_Health?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="555650" rel="nofollow" href="https://www.academia.edu/Documents/in/Mental_Health_and_Addictions">Mental Health and Addictions</a><script data-card-contents-for-ri="555650" type="text/json">{"id":555650,"name":"Mental Health and Addictions","url":"https://www.academia.edu/Documents/in/Mental_Health_and_Addictions?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=7057758]'), work: {"id":7057758,"title":"A Family Guide to Concurrent Disorders","created_at":"2014-05-15T10:38:01.219-07:00","url":"https://www.academia.edu/7057758/A_Family_Guide_to_Concurrent_Disorders?f_ri=11137","dom_id":"work_7057758","summary":null,"downloadable_attachments":[{"id":33710054,"asset_id":7057758,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":12071529,"first_name":"Caroline","last_name":"O'Grady","domain_name":"independent","page_name":"CarolineOGrady","display_name":"Caroline O'Grady","profile_url":"https://independent.academia.edu/CarolineOGrady?f_ri=11137","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":1909,"name":"Family studies","url":"https://www.academia.edu/Documents/in/Family_studies?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true},{"id":520196,"name":"Addiction and Mental Health","url":"https://www.academia.edu/Documents/in/Addiction_and_Mental_Health?f_ri=11137","nofollow":true},{"id":555650,"name":"Mental Health and Addictions","url":"https://www.academia.edu/Documents/in/Mental_Health_and_Addictions?f_ri=11137","nofollow":true},{"id":610726,"name":"Concurrent Disorders","url":"https://www.academia.edu/Documents/in/Concurrent_Disorders?f_ri=11137"},{"id":632322,"name":"Family Studies","url":"https://www.academia.edu/Documents/in/Family_Studies-1?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_34927443" data-work_id="34927443" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/34927443/Treatment_for_mental_illness_and_substance_abuse_in_a_public_psychiatric_hospital">Treatment for mental illness and substance abuse in a public psychiatric hospital</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Although the literature on dual diagnosis has grown considerably over the last several years, reports describing inpatient treatment models are less common. We describe some of the major treatment concerns in the dual diagnosis... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_34927443" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Although the literature on dual diagnosis has grown considerably over the last several years, reports describing inpatient treatment models are less common. We describe some of the major treatment concerns in the dual diagnosis literature, such as using 12-step self-help programs like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA), dealing with different stages of treatment, and developing a program with integrated substance abuse and psychiatric treatment. The practical application of these treatment issues is featured by showing how they are incorporated into an innovative inpatient dual diagnosis treatment program at a public psychiatric hospital. Finally, the treatment program is described in detail regarding administrative issues, staff training, daily treatment schedules, and patient demographics.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/34927443" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="b66db1585ef799789ae9176cb1d2998e" rel="nofollow" data-download="{"attachment_id":54789064,"asset_id":34927443,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/54789064/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="32840224" href="https://independent.academia.edu/WilliamDavidson1">William Davidson</a><script data-card-contents-for-user="32840224" type="text/json">{"id":32840224,"first_name":"William","last_name":"Davidson","domain_name":"independent","page_name":"WilliamDavidson1","display_name":"William Davidson","profile_url":"https://independent.academia.edu/WilliamDavidson1?f_ri=11137","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_34927443 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="34927443"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 34927443, container: ".js-paper-rank-work_34927443", }); });</script></li><li class="js-percentile-work_34927443 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 34927443; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_34927443"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_34927443 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="34927443"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 34927443; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=34927443]").text(description); $(".js-view-count-work_34927443").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_34927443").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="34927443"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">18</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="202" rel="nofollow" href="https://www.academia.edu/Documents/in/Program_Evaluation">Program Evaluation</a>, <script data-card-contents-for-ri="202" type="text/json">{"id":202,"name":"Program Evaluation","url":"https://www.academia.edu/Documents/in/Program_Evaluation?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="221" rel="nofollow" href="https://www.academia.edu/Documents/in/Psychology">Psychology</a>, <script data-card-contents-for-ri="221" type="text/json">{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a>, <script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="12426" rel="nofollow" href="https://www.academia.edu/Documents/in/Treatment_Outcome">Treatment Outcome</a><script data-card-contents-for-ri="12426" type="text/json">{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=34927443]'), work: {"id":34927443,"title":"Treatment for mental illness and substance abuse in a public psychiatric hospital","created_at":"2017-10-22T18:36:16.322-07:00","url":"https://www.academia.edu/34927443/Treatment_for_mental_illness_and_substance_abuse_in_a_public_psychiatric_hospital?f_ri=11137","dom_id":"work_34927443","summary":"Although the literature on dual diagnosis has grown considerably over the last several years, reports describing inpatient treatment models are less common. We describe some of the major treatment concerns in the dual diagnosis literature, such as using 12-step self-help programs like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA), dealing with different stages of treatment, and developing a program with integrated substance abuse and psychiatric treatment. The practical application of these treatment issues is featured by showing how they are incorporated into an innovative inpatient dual diagnosis treatment program at a public psychiatric hospital. Finally, the treatment program is described in detail regarding administrative issues, staff training, daily treatment schedules, and patient demographics.","downloadable_attachments":[{"id":54789064,"asset_id":34927443,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":32840224,"first_name":"William","last_name":"Davidson","domain_name":"independent","page_name":"WilliamDavidson1","display_name":"William Davidson","profile_url":"https://independent.academia.edu/WilliamDavidson1?f_ri=11137","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":202,"name":"Program Evaluation","url":"https://www.academia.edu/Documents/in/Program_Evaluation?f_ri=11137","nofollow":true},{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true},{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=11137","nofollow":true},{"id":28973,"name":"Comorbidity","url":"https://www.academia.edu/Documents/in/Comorbidity?f_ri=11137"},{"id":35141,"name":"Mental Illness","url":"https://www.academia.edu/Documents/in/Mental_Illness?f_ri=11137"},{"id":44275,"name":"Substance Abuse Treatment","url":"https://www.academia.edu/Documents/in/Substance_Abuse_Treatment?f_ri=11137"},{"id":54382,"name":"Self Help Groups","url":"https://www.academia.edu/Documents/in/Self_Help_Groups?f_ri=11137"},{"id":67796,"name":"Substance Abuse","url":"https://www.academia.edu/Documents/in/Substance_Abuse?f_ri=11137"},{"id":126428,"name":"Michigan","url":"https://www.academia.edu/Documents/in/Michigan?f_ri=11137"},{"id":171144,"name":"Mental Disorders","url":"https://www.academia.edu/Documents/in/Mental_Disorders?f_ri=11137"},{"id":194640,"name":"Patient Admission","url":"https://www.academia.edu/Documents/in/Patient_Admission?f_ri=11137"},{"id":206584,"name":"Substance","url":"https://www.academia.edu/Documents/in/Substance?f_ri=11137"},{"id":208043,"name":"Alcoholics Anonymous","url":"https://www.academia.edu/Documents/in/Alcoholics_Anonymous?f_ri=11137"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1?f_ri=11137"},{"id":849052,"name":"Public Art Hospitals","url":"https://www.academia.edu/Documents/in/Public_Art_Hospitals?f_ri=11137"},{"id":1423077,"name":"Substance-Related Disorders","url":"https://www.academia.edu/Documents/in/Substance-Related_Disorders?f_ri=11137"},{"id":2463779,"name":"Combined Modality Therapy","url":"https://www.academia.edu/Documents/in/Combined_Modality_Therapy?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_14126331" data-work_id="14126331" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/14126331/Hope_and_recovery_a_scoping_review">Hope and recovery: a scoping review</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Purpose -Hope is regarded as central to recovery processes. The phenomenon along with its implications for research and practice has, however, gained limited attention within the fields of mental health and substance use. The purpose of... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_14126331" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Purpose -Hope is regarded as central to recovery processes. The phenomenon along with its implications for research and practice has, however, gained limited attention within the fields of mental health and substance use. The purpose of this paper is to explore how hope, and what may inspire it, is described within the literature by persons experiencing co-occurring mental health and substance use problems. Design/methodology/approach -The method chosen when conducting this literature review was a scoping study. This allows for a broad approach, aiming to examine research activity and identifying potential gaps within existing literature. Searches were conducted in EMBASE Ovid, PsychINFO Ovid, MEDLINE Ovid, CINAHL Ebsco, SveMed þ and Brithish Nursing Index. Findings -The authors included five articles and one book. None of these presented first-hand experiences of hope and there appears to be a gap in the literature. All included material underlined the importance of the phenomenon to those experiencing co-occurring mental health and substance use problems. Originality/value -Hope seems as important to people experiencing co-occurring problems as to anyone else. There appears to be a need for further research on how persons experiencing co-occurring problems perceive hope and what may inspire it. Hope and what people hope for take many forms and can arise unexpectedly. Practitioners need to take in account the diversity of the phenomenon and find ways of inspiring hope in collaboration with those in need of support.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/14126331" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="84c029fc50ea4a48366e81b816f6279b" rel="nofollow" data-download="{"attachment_id":44580272,"asset_id":14126331,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/44580272/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="5779981" href="https://usn-no.academia.edu/ONess">Ottar Ness</a><script data-card-contents-for-user="5779981" type="text/json">{"id":5779981,"first_name":"Ottar","last_name":"Ness","domain_name":"usn-no","page_name":"ONess","display_name":"Ottar Ness","profile_url":"https://usn-no.academia.edu/ONess?f_ri=11137","photo":"https://gravatar.com/avatar/15bdbab21538b0bae6c88709e210b40d?s=65"}</script></span></span></li><li class="js-paper-rank-work_14126331 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="14126331"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 14126331, container: ".js-paper-rank-work_14126331", }); });</script></li><li class="js-percentile-work_14126331 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 14126331; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_14126331"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_14126331 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="14126331"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 14126331; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=14126331]").text(description); $(".js-view-count-work_14126331").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_14126331").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="14126331"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">2</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a>, <script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="121291" rel="nofollow" href="https://www.academia.edu/Documents/in/Recovery">Recovery</a><script data-card-contents-for-ri="121291" type="text/json">{"id":121291,"name":"Recovery","url":"https://www.academia.edu/Documents/in/Recovery?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=14126331]'), work: {"id":14126331,"title":"Hope and recovery: a scoping review","created_at":"2015-07-16T12:37:17.783-07:00","url":"https://www.academia.edu/14126331/Hope_and_recovery_a_scoping_review?f_ri=11137","dom_id":"work_14126331","summary":"Purpose -Hope is regarded as central to recovery processes. The phenomenon along with its implications for research and practice has, however, gained limited attention within the fields of mental health and substance use. The purpose of this paper is to explore how hope, and what may inspire it, is described within the literature by persons experiencing co-occurring mental health and substance use problems. Design/methodology/approach -The method chosen when conducting this literature review was a scoping study. This allows for a broad approach, aiming to examine research activity and identifying potential gaps within existing literature. Searches were conducted in EMBASE Ovid, PsychINFO Ovid, MEDLINE Ovid, CINAHL Ebsco, SveMed þ and Brithish Nursing Index. Findings -The authors included five articles and one book. None of these presented first-hand experiences of hope and there appears to be a gap in the literature. All included material underlined the importance of the phenomenon to those experiencing co-occurring mental health and substance use problems. Originality/value -Hope seems as important to people experiencing co-occurring problems as to anyone else. There appears to be a need for further research on how persons experiencing co-occurring problems perceive hope and what may inspire it. Hope and what people hope for take many forms and can arise unexpectedly. Practitioners need to take in account the diversity of the phenomenon and find ways of inspiring hope in collaboration with those in need of support.","downloadable_attachments":[{"id":44580272,"asset_id":14126331,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":5779981,"first_name":"Ottar","last_name":"Ness","domain_name":"usn-no","page_name":"ONess","display_name":"Ottar Ness","profile_url":"https://usn-no.academia.edu/ONess?f_ri=11137","photo":"https://gravatar.com/avatar/15bdbab21538b0bae6c88709e210b40d?s=65"}],"research_interests":[{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true},{"id":121291,"name":"Recovery","url":"https://www.academia.edu/Documents/in/Recovery?f_ri=11137","nofollow":true}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_14126338" data-work_id="14126338" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/14126338/Facilitators_and_barriers_in_dual_recovery_a_literature_review_of_first_person_perspectives">Facilitators and barriers in dual recovery: a literature review of first-person perspectives</a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/14126338" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="b1b2a955e79ec92ac7e6d9c324985f1d" rel="nofollow" data-download="{"attachment_id":44580263,"asset_id":14126338,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/44580263/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="5779981" href="https://usn-no.academia.edu/ONess">Ottar Ness</a><script data-card-contents-for-user="5779981" type="text/json">{"id":5779981,"first_name":"Ottar","last_name":"Ness","domain_name":"usn-no","page_name":"ONess","display_name":"Ottar Ness","profile_url":"https://usn-no.academia.edu/ONess?f_ri=11137","photo":"https://gravatar.com/avatar/15bdbab21538b0bae6c88709e210b40d?s=65"}</script></span></span></li><li class="js-paper-rank-work_14126338 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="14126338"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 14126338, container: ".js-paper-rank-work_14126338", }); });</script></li><li class="js-percentile-work_14126338 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 14126338; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_14126338"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_14126338 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="14126338"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 14126338; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=14126338]").text(description); $(".js-view-count-work_14126338").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_14126338").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="14126338"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i></div><span class="InlineList-item-text u-textTruncate u-pl6x"><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a><script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (false) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=14126338]'), work: {"id":14126338,"title":"Facilitators and barriers in dual recovery: a literature review of first-person perspectives","created_at":"2015-07-16T12:37:29.944-07:00","url":"https://www.academia.edu/14126338/Facilitators_and_barriers_in_dual_recovery_a_literature_review_of_first_person_perspectives?f_ri=11137","dom_id":"work_14126338","summary":null,"downloadable_attachments":[{"id":44580263,"asset_id":14126338,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":5779981,"first_name":"Ottar","last_name":"Ness","domain_name":"usn-no","page_name":"ONess","display_name":"Ottar Ness","profile_url":"https://usn-no.academia.edu/ONess?f_ri=11137","photo":"https://gravatar.com/avatar/15bdbab21538b0bae6c88709e210b40d?s=65"}],"research_interests":[{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_8961216" data-work_id="8961216" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/8961216/Eksitentiel_psykoterapi_og_diagnoser">Eksitentiel psykoterapi og diagnoser</a></div></div><div class="u-pb4x u-mt3x"></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/8961216" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="8ed67a556c36614cf0d678d398293e46" rel="nofollow" data-download="{"attachment_id":35278767,"asset_id":8961216,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/35278767/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="19954252" href="https://independent.academia.edu/SilasHoulberg">Silas Houlberg</a><script data-card-contents-for-user="19954252" type="text/json">{"id":19954252,"first_name":"Silas","last_name":"Houlberg","domain_name":"independent","page_name":"SilasHoulberg","display_name":"Silas Houlberg","profile_url":"https://independent.academia.edu/SilasHoulberg?f_ri=11137","photo":"https://0.academia-photos.com/19954252/5548429/6318930/s65_silas.houlberg.jpg_oh_b6028002e5ff7c9aed422515a378a11f_oe_54adb1d2___gda___1425300670_b7afc110c7a04e96561ac4b19d3283c7"}</script></span></span></li><li class="js-paper-rank-work_8961216 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="8961216"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 8961216, container: ".js-paper-rank-work_8961216", }); });</script></li><li class="js-percentile-work_8961216 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 8961216; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_8961216"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_8961216 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="8961216"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 8961216; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=8961216]").text(description); $(".js-view-count-work_8961216").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_8961216").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="8961216"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">3</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="2484" rel="nofollow" href="https://www.academia.edu/Documents/in/Drugs_And_Addiction">Drugs And Addiction</a>, <script data-card-contents-for-ri="2484" type="text/json">{"id":2484,"name":"Drugs And Addiction","url":"https://www.academia.edu/Documents/in/Drugs_And_Addiction?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a>, <script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="1004062" rel="nofollow" href="https://www.academia.edu/Documents/in/Eksistensialisme">Eksistensialisme</a><script data-card-contents-for-ri="1004062" type="text/json">{"id":1004062,"name":"Eksistensialisme","url":"https://www.academia.edu/Documents/in/Eksistensialisme?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=8961216]'), work: {"id":8961216,"title":"Eksitentiel psykoterapi og diagnoser","created_at":"2014-10-25T20:19:02.010-07:00","url":"https://www.academia.edu/8961216/Eksitentiel_psykoterapi_og_diagnoser?f_ri=11137","dom_id":"work_8961216","summary":null,"downloadable_attachments":[{"id":35278767,"asset_id":8961216,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":19954252,"first_name":"Silas","last_name":"Houlberg","domain_name":"independent","page_name":"SilasHoulberg","display_name":"Silas Houlberg","profile_url":"https://independent.academia.edu/SilasHoulberg?f_ri=11137","photo":"https://0.academia-photos.com/19954252/5548429/6318930/s65_silas.houlberg.jpg_oh_b6028002e5ff7c9aed422515a378a11f_oe_54adb1d2___gda___1425300670_b7afc110c7a04e96561ac4b19d3283c7"}],"research_interests":[{"id":2484,"name":"Drugs And Addiction","url":"https://www.academia.edu/Documents/in/Drugs_And_Addiction?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true},{"id":1004062,"name":"Eksistensialisme","url":"https://www.academia.edu/Documents/in/Eksistensialisme?f_ri=11137","nofollow":true}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_45469055 coauthored" data-work_id="45469055" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/45469055/The_Perspectives_Project_Discussions_on_psychological_support_and_complex_trauma_pre_substance_misuse_treatment">The Perspectives Project: Discussions on psychological support and complex trauma pre-substance misuse treatment</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">This report summarises the findings from research into what good psychological support can look like for people who have co-existing mental ill-health and substance use, prior to them accessing formal substance misuse treatment. The... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_45469055" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">This report summarises the findings from research into what good psychological support can look like for people who have co-existing mental ill-health and substance use, prior to them accessing formal substance misuse treatment. The research also addresses how complex trauma impacts on peoples’ engagement with support and explores how services respond to trauma presentations. The aim of this work has been to listen and learn from those who work in organisations supporting clients with multiple complex needs (MCN), those providing or commissioning substance misuse services, mental health services, and others supporting these sectors.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/45469055" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="d6a97f0b51746a42698be9cdd723d067" rel="nofollow" data-download="{"attachment_id":65972382,"asset_id":45469055,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/65972382/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="52832785" href="https://sussex.academia.edu/AditiBhonagiri">Aditi Bhonagiri</a><script data-card-contents-for-user="52832785" type="text/json">{"id":52832785,"first_name":"Aditi","last_name":"Bhonagiri","domain_name":"sussex","page_name":"AditiBhonagiri","display_name":"Aditi Bhonagiri","profile_url":"https://sussex.academia.edu/AditiBhonagiri?f_ri=11137","photo":"https://0.academia-photos.com/52832785/13954580/16782266/s65_aditi.bhonagiri.jpg"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-45469055">+2</span><div class="hidden js-additional-users-45469055"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/AlanWallace11">Alan Wallace</a></span></div><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/IanHarrison24">Ian Harrison</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-45469055'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-45469055').html(); 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container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_45469055 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="45469055"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 45469055; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=45469055]").text(description); $(".js-view-count-work_45469055").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_45469055").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="45469055"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">8</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="2827" rel="nofollow" href="https://www.academia.edu/Documents/in/Mental_Health">Mental Health</a>, <script data-card-contents-for-ri="2827" type="text/json">{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="6106" rel="nofollow" href="https://www.academia.edu/Documents/in/Trauma_Studies">Trauma Studies</a>, <script data-card-contents-for-ri="6106" type="text/json">{"id":6106,"name":"Trauma Studies","url":"https://www.academia.edu/Documents/in/Trauma_Studies?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a>, <script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11138" rel="nofollow" href="https://www.academia.edu/Documents/in/Substance_Misuse">Substance Misuse</a><script data-card-contents-for-ri="11138" type="text/json">{"id":11138,"name":"Substance Misuse","url":"https://www.academia.edu/Documents/in/Substance_Misuse?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=45469055]'), work: {"id":45469055,"title":"The Perspectives Project: Discussions on psychological support and complex trauma pre-substance misuse treatment","created_at":"2021-03-11T05:13:06.778-08:00","url":"https://www.academia.edu/45469055/The_Perspectives_Project_Discussions_on_psychological_support_and_complex_trauma_pre_substance_misuse_treatment?f_ri=11137","dom_id":"work_45469055","summary":"This report summarises the findings from research into what good psychological support can look like for people who have co-existing mental ill-health and substance use, prior to them accessing formal substance misuse treatment. The research also addresses how complex trauma impacts on peoples’ engagement with support and explores how services respond to trauma presentations. The aim of this work has been to listen and learn from those who work in organisations supporting clients with multiple complex needs (MCN), those providing or commissioning substance misuse services, mental health services, and others supporting these sectors.","downloadable_attachments":[{"id":65972382,"asset_id":45469055,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":52832785,"first_name":"Aditi","last_name":"Bhonagiri","domain_name":"sussex","page_name":"AditiBhonagiri","display_name":"Aditi Bhonagiri","profile_url":"https://sussex.academia.edu/AditiBhonagiri?f_ri=11137","photo":"https://0.academia-photos.com/52832785/13954580/16782266/s65_aditi.bhonagiri.jpg"},{"id":188552999,"first_name":"Alan","last_name":"Wallace","domain_name":"independent","page_name":"AlanWallace11","display_name":"Alan Wallace","profile_url":"https://independent.academia.edu/AlanWallace11?f_ri=11137","photo":"/images/s65_no_pic.png"},{"id":188323230,"first_name":"Ian","last_name":"Harrison","domain_name":"independent","page_name":"IanHarrison24","display_name":"Ian Harrison","profile_url":"https://independent.academia.edu/IanHarrison24?f_ri=11137","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=11137","nofollow":true},{"id":6106,"name":"Trauma Studies","url":"https://www.academia.edu/Documents/in/Trauma_Studies?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true},{"id":11138,"name":"Substance Misuse","url":"https://www.academia.edu/Documents/in/Substance_Misuse?f_ri=11137","nofollow":true},{"id":27088,"name":"Psychosocial Research","url":"https://www.academia.edu/Documents/in/Psychosocial_Research?f_ri=11137"},{"id":378155,"name":"Complex Trauma","url":"https://www.academia.edu/Documents/in/Complex_Trauma?f_ri=11137"},{"id":476517,"name":"Psychosocial Interventions","url":"https://www.academia.edu/Documents/in/Psychosocial_Interventions?f_ri=11137"},{"id":1112413,"name":"Multiple and Complex Needs","url":"https://www.academia.edu/Documents/in/Multiple_and_Complex_Needs?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_54042229" data-work_id="54042229" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" rel="nofollow" href="https://www.academia.edu/54042229/Dual_Diagnosis_The_Two_Edged_Sword">Dual Diagnosis: The Two-Edged Sword</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">In medical jargon, “dual diagnosis” commonly refers to the concurrent diagnosis of a substance addiction compounded by a separate (but often interfering) mental illness. Dual Diagnosis glimpses into the lives of individuals who live with... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_54042229" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">In medical jargon, “dual diagnosis” commonly refers to the concurrent diagnosis of a substance addiction compounded by a separate (but often interfering) mental illness. Dual Diagnosis glimpses into the lives of individuals who live with co-occurring disorders, and offers insight into their experiences, their treatment options, and the manner in which they adjust to societal expectations. This piece of long form investigative journalism delves into the hard facts and general statistics about the dually diagnosed patient, giving a more human perspective to a demographic too often dehumanized.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/54042229" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="c0d229b0d0dba48309d72ed2b6418341" rel="nofollow" data-download="{"attachment_id":70597369,"asset_id":54042229,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/70597369/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="5401149" rel="nofollow" href="https://ualberta.academia.edu/AustinMardon">Austin A Mardon</a><script data-card-contents-for-user="5401149" type="text/json">{"id":5401149,"first_name":"Austin","last_name":"Mardon","domain_name":"ualberta","page_name":"AustinMardon","display_name":"Austin A Mardon","profile_url":"https://ualberta.academia.edu/AustinMardon?f_ri=11137","photo":"https://0.academia-photos.com/5401149/2371340/2762654/s65_austin.mardon.jpg"}</script></span></span></li><li class="js-paper-rank-work_54042229 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="54042229"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 54042229, container: ".js-paper-rank-work_54042229", }); 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$(".js-view-count[data-work-id=54042229]").text(description); $(".js-view-count-work_54042229").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_54042229").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="54042229"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">5</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="2483" rel="nofollow" href="https://www.academia.edu/Documents/in/Addiction">Addiction</a>, <script data-card-contents-for-ri="2483" type="text/json">{"id":2483,"name":"Addiction","url":"https://www.academia.edu/Documents/in/Addiction?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="2827" rel="nofollow" href="https://www.academia.edu/Documents/in/Mental_Health">Mental Health</a>, <script data-card-contents-for-ri="2827" type="text/json">{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a>, <script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="22167" rel="nofollow" href="https://www.academia.edu/Documents/in/Addiction_and_Recovery">Addiction and Recovery</a><script data-card-contents-for-ri="22167" type="text/json">{"id":22167,"name":"Addiction and Recovery","url":"https://www.academia.edu/Documents/in/Addiction_and_Recovery?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=54042229]'), work: {"id":54042229,"title":"Dual Diagnosis: The Two-Edged Sword","created_at":"2021-09-29T14:07:05.290-07:00","url":"https://www.academia.edu/54042229/Dual_Diagnosis_The_Two_Edged_Sword?f_ri=11137","dom_id":"work_54042229","summary":"In medical jargon, “dual diagnosis” commonly refers to the concurrent diagnosis of a substance addiction compounded by a separate (but often interfering) mental illness. Dual Diagnosis glimpses into the lives of individuals who live with co-occurring disorders, and offers insight into their experiences, their treatment options, and the manner in which they adjust to societal expectations. This piece of long form investigative journalism delves into the hard facts and general statistics about the dually diagnosed patient, giving a more human perspective to a demographic too often dehumanized.","downloadable_attachments":[{"id":70597369,"asset_id":54042229,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":5401149,"first_name":"Austin","last_name":"Mardon","domain_name":"ualberta","page_name":"AustinMardon","display_name":"Austin A Mardon","profile_url":"https://ualberta.academia.edu/AustinMardon?f_ri=11137","photo":"https://0.academia-photos.com/5401149/2371340/2762654/s65_austin.mardon.jpg"}],"research_interests":[{"id":2483,"name":"Addiction","url":"https://www.academia.edu/Documents/in/Addiction?f_ri=11137","nofollow":true},{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true},{"id":22167,"name":"Addiction and Recovery","url":"https://www.academia.edu/Documents/in/Addiction_and_Recovery?f_ri=11137","nofollow":true},{"id":763882,"name":"Dually Diagnosed","url":"https://www.academia.edu/Documents/in/Dually_Diagnosed?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_5228869" data-work_id="5228869" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/5228869/Psychosocial_treatments_for_people_with_co_occurring_severe_mental_illness_and_substance_misuse_systematic_review">Psychosocial treatments for people with co-occurring severe mental illness and substance misuse: systematic review</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Title. Psychosocial treatments for people with co-occurring severe mental illness and substance misuse: systematic review.Aim. This study is a report of a systematic review to assess current evidence for the efficacy of psychosocial... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_5228869" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Title. Psychosocial treatments for people with co-occurring severe mental illness and substance misuse: systematic review.Aim. This study is a report of a systematic review to assess current evidence for the efficacy of psychosocial interventions for reducing substance use, as well as improving mental state and encouraging treatment retention, among people with dual diagnosis.Background. Substance misuse by people with a severe mental illness is common and of concern because of its many adverse consequences and lack of evidence for effective psychosocial interventions.Data sources. Several electronic databases were searched to identify studies published between January 1990 and February 2008. Additional searches were conducted by means of reference lists and contact with authors.Review methods. Results from studies using meta-analysis, randomized and non-randomized trials assessing any psychosocial intervention for people with a severe mental illness and substance misuse were included.Results. Fifty-four studies were included: one systematic review with meta-analysis, 30 randomized controlled trials and 23 non-experimental studies. Although some inconsistencies were apparent, results showed that motivational interviewing had the most quality evidence for reducing substance use over the short term and, when combined with cognitive behavioural therapy, improvements in mental state were also apparent. Cognitive behavioural therapy alone showed little consistent support. Support was found for long-term integrated residential programmes; however, the evidence is of lesser quality. Contingency management shows promise, but there were few studies assessing this intervention.Conclusion. These results indicate the importance of motivational interviewing in psychiatric settings for the reduction of substance use, at least in the short term. Further quality research should target particular diagnoses and substance use, as some interventions may work better for some subgroups.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/5228869" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="f9dce00bc111f0f31a74c0cd2a5159af" rel="nofollow" data-download="{"attachment_id":49391271,"asset_id":5228869,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/49391271/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="7136199" href="https://sydney.academia.edu/GlennHunt">Glenn Hunt</a><script data-card-contents-for-user="7136199" type="text/json">{"id":7136199,"first_name":"Glenn","last_name":"Hunt","domain_name":"sydney","page_name":"GlennHunt","display_name":"Glenn Hunt","profile_url":"https://sydney.academia.edu/GlennHunt?f_ri=11137","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_5228869 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="5228869"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 5228869, container: ".js-paper-rank-work_5228869", }); 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Psychosocial treatments for people with co-occurring severe mental illness and substance misuse: systematic review.Aim. This study is a report of a systematic review to assess current evidence for the efficacy of psychosocial interventions for reducing substance use, as well as improving mental state and encouraging treatment retention, among people with dual diagnosis.Background. Substance misuse by people with a severe mental illness is common and of concern because of its many adverse consequences and lack of evidence for effective psychosocial interventions.Data sources. Several electronic databases were searched to identify studies published between January 1990 and February 2008. Additional searches were conducted by means of reference lists and contact with authors.Review methods. Results from studies using meta-analysis, randomized and non-randomized trials assessing any psychosocial intervention for people with a severe mental illness and substance misuse were included.Results. Fifty-four studies were included: one systematic review with meta-analysis, 30 randomized controlled trials and 23 non-experimental studies. Although some inconsistencies were apparent, results showed that motivational interviewing had the most quality evidence for reducing substance use over the short term and, when combined with cognitive behavioural therapy, improvements in mental state were also apparent. Cognitive behavioural therapy alone showed little consistent support. Support was found for long-term integrated residential programmes; however, the evidence is of lesser quality. Contingency management shows promise, but there were few studies assessing this intervention.Conclusion. These results indicate the importance of motivational interviewing in psychiatric settings for the reduction of substance use, at least in the short term. Further quality research should target particular diagnoses and substance use, as some interventions may work better for some subgroups.","downloadable_attachments":[{"id":49391271,"asset_id":5228869,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":7136199,"first_name":"Glenn","last_name":"Hunt","domain_name":"sydney","page_name":"GlennHunt","display_name":"Glenn Hunt","profile_url":"https://sydney.academia.edu/GlennHunt?f_ri=11137","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":237,"name":"Cognitive 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illness and offspring outcomes","url":"https://www.academia.edu/Documents/in/A_family_systems_lifespan_approach_to_considering_co-occurring_mental_disorders_and_substance_abuse_?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_12403760 coauthored" data-work_id="12403760" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/12403760/Psychotropic_medication_and_art_therapy_Overview_of_literature_and_clinical_considerations">Psychotropic medication and art therapy: Overview of literature and clinical considerations</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">This paper reviews literature regarding psychopharmacological treatment options for ADHD, depression and dual diagnosis, and explores perceptions of treatment and considerations for art therapy in conjunction with psychotropic medication.... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_12403760" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">This paper reviews literature regarding psychopharmacological treatment options for ADHD, depression and dual diagnosis, and explores perceptions of treatment and considerations for art therapy in conjunction with psychotropic medication. This review attempts to initiate discussion and propel further research in the expressive arts field regarding the growing need to conceptualize our understandings of the role art therapy plays in combined treatment with psychopharmacology.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/12403760" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="8f177a9fb1bba46cbb94d549f14b1e2a" rel="nofollow" data-download="{"attachment_id":46206130,"asset_id":12403760,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/46206130/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="31168232" href="https://lmu.academia.edu/EinatMetzl">Einat Metzl</a><script data-card-contents-for-user="31168232" type="text/json">{"id":31168232,"first_name":"Einat","last_name":"Metzl","domain_name":"lmu","page_name":"EinatMetzl","display_name":"Einat Metzl","profile_url":"https://lmu.academia.edu/EinatMetzl?f_ri=11137","photo":"https://0.academia-photos.com/31168232/10279798/11471783/s65_einat.metzl.jpg"}</script></span></span><span class="u-displayInlineBlock InlineList-item-text"> and <span class="u-textDecorationUnderline u-clickable InlineList-item-text js-work-more-authors-12403760">+1</span><div class="hidden js-additional-users-12403760"><div><span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a href="https://independent.academia.edu/BrookeBender">Brooke Bender</a></span></div></div></span><script>(function(){ var popoverSettings = { el: $('.js-work-more-authors-12403760'), placement: 'bottom', hide_delay: 200, html: true, content: function(){ return $('.js-additional-users-12403760').html(); } } new HoverPopover(popoverSettings); })();</script></li><li class="js-paper-rank-work_12403760 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="12403760"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 12403760, container: ".js-paper-rank-work_12403760", }); });</script></li><li class="js-percentile-work_12403760 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 12403760; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_12403760"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_12403760 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="12403760"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 12403760; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=12403760]").text(description); $(".js-view-count-work_12403760").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_12403760").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="12403760"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">6</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="221" rel="nofollow" href="https://www.academia.edu/Documents/in/Psychology">Psychology</a>, <script data-card-contents-for-ri="221" type="text/json">{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a>, <script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="44293" rel="nofollow" href="https://www.academia.edu/Documents/in/Literature_Review">Literature Review</a>, <script data-card-contents-for-ri="44293" type="text/json">{"id":44293,"name":"Literature Review","url":"https://www.academia.edu/Documents/in/Literature_Review?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="244814" rel="nofollow" href="https://www.academia.edu/Documents/in/Clinical_Sciences">Clinical Sciences</a><script data-card-contents-for-ri="244814" type="text/json">{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=12403760]'), work: {"id":12403760,"title":"Psychotropic medication and art therapy: Overview of literature and clinical considerations","created_at":"2015-05-15T14:02:22.849-07:00","url":"https://www.academia.edu/12403760/Psychotropic_medication_and_art_therapy_Overview_of_literature_and_clinical_considerations?f_ri=11137","dom_id":"work_12403760","summary":"This paper reviews literature regarding psychopharmacological treatment options for ADHD, depression and dual diagnosis, and explores perceptions of treatment and considerations for art therapy in conjunction with psychotropic medication. This review attempts to initiate discussion and propel further research in the expressive arts field regarding the growing need to conceptualize our understandings of the role art therapy plays in combined treatment with psychopharmacology.","downloadable_attachments":[{"id":46206130,"asset_id":12403760,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":31168232,"first_name":"Einat","last_name":"Metzl","domain_name":"lmu","page_name":"EinatMetzl","display_name":"Einat Metzl","profile_url":"https://lmu.academia.edu/EinatMetzl?f_ri=11137","photo":"https://0.academia-photos.com/31168232/10279798/11471783/s65_einat.metzl.jpg"},{"id":31198214,"first_name":"Brooke","last_name":"Bender","domain_name":"independent","page_name":"BrookeBender","display_name":"Brooke Bender","profile_url":"https://independent.academia.edu/BrookeBender?f_ri=11137","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true},{"id":44293,"name":"Literature Review","url":"https://www.academia.edu/Documents/in/Literature_Review?f_ri=11137","nofollow":true},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences?f_ri=11137","nofollow":true},{"id":278484,"name":"The Arts in psychotherapy","url":"https://www.academia.edu/Documents/in/The_Arts_in_psychotherapy?f_ri=11137"},{"id":2400360,"name":"Arts psychotherapy","url":"https://www.academia.edu/Documents/in/Arts_psychotherapy?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_17625569" data-work_id="17625569" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/17625569/The_Impact_of_Smoking_on_Clinical_Outcomes_After_First_Episode_Psychosis_Longer_Term_Outcome_Findings_From_the_EPPIC_800_Follow_Up_Study">The Impact of Smoking on Clinical Outcomes After First Episode Psychosis: Longer-Term Outcome Findings From the EPPIC 800 Follow-Up Study</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">OBJECTIVE: This study aims to investigate the impact of tobacco smoking on longer-term outcomes following a first episode of psychosis. METHODS: Data on 193 individuals were collected as part of a prospective follow-up visit of a cohort... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_17625569" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">OBJECTIVE: This study aims to investigate the impact of tobacco smoking on longer-term outcomes following a first episode of psychosis. METHODS: Data on 193 individuals were collected as part of a prospective follow-up visit of a cohort of patients after a mean Smoking in FEP 213 of 7.5 years (SD = 0.8) after first treatment presentation. Primary outcome measures were positive and negative psychotic symptoms, depressive symptoms, quality of life, and global functioning at the 7.5 year follow-up. RESULTS: Using unadjusted analyses, smoking status was linked to male gender, longer duration of untreated psychosis, more problem illicit drug use, and problem alcohol use. After adjustment for these potential confounders, smoking at baseline was not associated with poorer long-term outcomes on the primary outcome variables of interest but was associated with drug and alcohol abuse or dependence. CONCLUSIONS: These findings suggest that smoking does not appear to be associated with worse clinical and functional outcomes in psychosis. (Journal of Dual Diagnosis, 6:212-234, 2010)</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/17625569" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="c628af4ef7aa7a284cd8f3f517d84cf9" rel="nofollow" data-download="{"attachment_id":39621394,"asset_id":17625569,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/39621394/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="37485696" href="https://independent.academia.edu/KathrynElkins">Kathryn Elkins</a><script data-card-contents-for-user="37485696" type="text/json">{"id":37485696,"first_name":"Kathryn","last_name":"Elkins","domain_name":"independent","page_name":"KathrynElkins","display_name":"Kathryn Elkins","profile_url":"https://independent.academia.edu/KathrynElkins?f_ri=11137","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_17625569 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="17625569"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 17625569, container: ".js-paper-rank-work_17625569", }); });</script></li><li class="js-percentile-work_17625569 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 17625569; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_17625569"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_17625569 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="17625569"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 17625569; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=17625569]").text(description); $(".js-view-count-work_17625569").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_17625569").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="17625569"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">12</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="221" rel="nofollow" href="https://www.academia.edu/Documents/in/Psychology">Psychology</a>, <script data-card-contents-for-ri="221" type="text/json">{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="7470" rel="nofollow" href="https://www.academia.edu/Documents/in/Quality_of_life">Quality of life</a>, <script data-card-contents-for-ri="7470" type="text/json">{"id":7470,"name":"Quality of life","url":"https://www.academia.edu/Documents/in/Quality_of_life?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a>, <script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="12426" rel="nofollow" href="https://www.academia.edu/Documents/in/Treatment_Outcome">Treatment Outcome</a><script data-card-contents-for-ri="12426" type="text/json">{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=17625569]'), work: {"id":17625569,"title":"The Impact of Smoking on Clinical Outcomes After First Episode Psychosis: Longer-Term Outcome Findings From the EPPIC 800 Follow-Up Study","created_at":"2015-11-02T14:02:31.496-08:00","url":"https://www.academia.edu/17625569/The_Impact_of_Smoking_on_Clinical_Outcomes_After_First_Episode_Psychosis_Longer_Term_Outcome_Findings_From_the_EPPIC_800_Follow_Up_Study?f_ri=11137","dom_id":"work_17625569","summary":"OBJECTIVE: This study aims to investigate the impact of tobacco smoking on longer-term outcomes following a first episode of psychosis. METHODS: Data on 193 individuals were collected as part of a prospective follow-up visit of a cohort of patients after a mean Smoking in FEP 213 of 7.5 years (SD = 0.8) after first treatment presentation. Primary outcome measures were positive and negative psychotic symptoms, depressive symptoms, quality of life, and global functioning at the 7.5 year follow-up. RESULTS: Using unadjusted analyses, smoking status was linked to male gender, longer duration of untreated psychosis, more problem illicit drug use, and problem alcohol use. After adjustment for these potential confounders, smoking at baseline was not associated with poorer long-term outcomes on the primary outcome variables of interest but was associated with drug and alcohol abuse or dependence. CONCLUSIONS: These findings suggest that smoking does not appear to be associated with worse clinical and functional outcomes in psychosis. (Journal of Dual Diagnosis, 6:212-234, 2010)","downloadable_attachments":[{"id":39621394,"asset_id":17625569,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":37485696,"first_name":"Kathryn","last_name":"Elkins","domain_name":"independent","page_name":"KathrynElkins","display_name":"Kathryn Elkins","profile_url":"https://independent.academia.edu/KathrynElkins?f_ri=11137","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=11137","nofollow":true},{"id":7470,"name":"Quality of life","url":"https://www.academia.edu/Documents/in/Quality_of_life?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true},{"id":12426,"name":"Treatment Outcome","url":"https://www.academia.edu/Documents/in/Treatment_Outcome?f_ri=11137","nofollow":true},{"id":51566,"name":"Dopamine","url":"https://www.academia.edu/Documents/in/Dopamine?f_ri=11137"},{"id":84223,"name":"Duration of Untreated Psychosis","url":"https://www.academia.edu/Documents/in/Duration_of_Untreated_Psychosis?f_ri=11137"},{"id":498472,"name":"Alcohol Abuse","url":"https://www.academia.edu/Documents/in/Alcohol_Abuse?f_ri=11137"},{"id":706975,"name":"Depressive Symptoms","url":"https://www.academia.edu/Documents/in/Depressive_Symptoms?f_ri=11137"},{"id":786557,"name":"Tobacco Smoke","url":"https://www.academia.edu/Documents/in/Tobacco_Smoke?f_ri=11137"},{"id":964675,"name":"Alcohol Use","url":"https://www.academia.edu/Documents/in/Alcohol_Use?f_ri=11137"},{"id":999544,"name":"Illicit Drug Use","url":"https://www.academia.edu/Documents/in/Illicit_Drug_Use?f_ri=11137"},{"id":1355677,"name":"Dual","url":"https://www.academia.edu/Documents/in/Dual?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_25970406" data-work_id="25970406" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/25970406/A_conceptual_framework_for_understanding_the_triple_threat_patient_HIV_infection_mental_illness_and_addiction">A conceptual framework for understanding the triple-threat patient: HIV infection, mental illness, and addiction</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Background: The prevalence and consequences of people triple-diagnosed with HIV infection, mental, and substance use disorders (M/SUDs) has become increasingly unmanageable. Despite concerns, current diagnosis and treatment of the "... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_25970406" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Background: The prevalence and consequences of people triple-diagnosed with HIV infection, mental, and substance use disorders (M/SUDs) has become increasingly unmanageable. Despite concerns, current diagnosis and treatment of the " triple-threat " patient are limited. Evidence suggests applying a personality-informed model may help improve outcomes. Objective: This paper presents a conceptual framework to inform clinicians of the challenges presented by triple-threat patients. The framework draws on evidence that personality traits can be used as endophenotypes for M/SUDs. Adopting such a model aims to increase an understanding of key individual differences in vulnerable patients and ultimately provide resilience to M/SUDs. Results: This paper identifies preliminary evidence that personality-based frameworks may help counter some of the conflicts that arise from current diagnostic measures. Adoption of such models may also help guide future intervention developments toward more successful recovery outcomes.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/25970406" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="9957da45a92caad78540a6d0ecebce13" rel="nofollow" data-download="{"attachment_id":46320096,"asset_id":25970406,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/46320096/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="21769398" href="https://warwick.academia.edu/GrantMunro">Grant M Munro</a><script data-card-contents-for-user="21769398" type="text/json">{"id":21769398,"first_name":"Grant","last_name":"Munro","domain_name":"warwick","page_name":"GrantMunro","display_name":"Grant M Munro","profile_url":"https://warwick.academia.edu/GrantMunro?f_ri=11137","photo":"https://0.academia-photos.com/21769398/6586531/34656217/s65_grant.munro.png"}</script></span></span></li><li class="js-paper-rank-work_25970406 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="25970406"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 25970406, container: ".js-paper-rank-work_25970406", }); });</script></li><li class="js-percentile-work_25970406 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 25970406; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_25970406"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_25970406 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="25970406"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 25970406; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=25970406]").text(description); $(".js-view-count-work_25970406").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_25970406").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="25970406"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">4</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="2484" rel="nofollow" href="https://www.academia.edu/Documents/in/Drugs_And_Addiction">Drugs And Addiction</a>, <script data-card-contents-for-ri="2484" type="text/json">{"id":2484,"name":"Drugs And Addiction","url":"https://www.academia.edu/Documents/in/Drugs_And_Addiction?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="2827" rel="nofollow" href="https://www.academia.edu/Documents/in/Mental_Health">Mental Health</a>, <script data-card-contents-for-ri="2827" type="text/json">{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="4814" rel="nofollow" href="https://www.academia.edu/Documents/in/HIV_AIDS">HIV/AIDS</a>, <script data-card-contents-for-ri="4814" type="text/json">{"id":4814,"name":"HIV/AIDS","url":"https://www.academia.edu/Documents/in/HIV_AIDS?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a><script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=25970406]'), work: {"id":25970406,"title":"A conceptual framework for understanding the triple-threat patient: HIV infection, mental illness, and addiction","created_at":"2016-06-07T13:59:06.555-07:00","url":"https://www.academia.edu/25970406/A_conceptual_framework_for_understanding_the_triple_threat_patient_HIV_infection_mental_illness_and_addiction?f_ri=11137","dom_id":"work_25970406","summary":"Background: The prevalence and consequences of people triple-diagnosed with HIV infection, mental, and substance use disorders (M/SUDs) has become increasingly unmanageable. Despite concerns, current diagnosis and treatment of the \" triple-threat \" patient are limited. Evidence suggests applying a personality-informed model may help improve outcomes. Objective: This paper presents a conceptual framework to inform clinicians of the challenges presented by triple-threat patients. The framework draws on evidence that personality traits can be used as endophenotypes for M/SUDs. Adopting such a model aims to increase an understanding of key individual differences in vulnerable patients and ultimately provide resilience to M/SUDs. Results: This paper identifies preliminary evidence that personality-based frameworks may help counter some of the conflicts that arise from current diagnostic measures. Adoption of such models may also help guide future intervention developments toward more successful recovery outcomes.","downloadable_attachments":[{"id":46320096,"asset_id":25970406,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":21769398,"first_name":"Grant","last_name":"Munro","domain_name":"warwick","page_name":"GrantMunro","display_name":"Grant M Munro","profile_url":"https://warwick.academia.edu/GrantMunro?f_ri=11137","photo":"https://0.academia-photos.com/21769398/6586531/34656217/s65_grant.munro.png"}],"research_interests":[{"id":2484,"name":"Drugs And Addiction","url":"https://www.academia.edu/Documents/in/Drugs_And_Addiction?f_ri=11137","nofollow":true},{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=11137","nofollow":true},{"id":4814,"name":"HIV/AIDS","url":"https://www.academia.edu/Documents/in/HIV_AIDS?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_20979092" data-work_id="20979092" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/20979092/EVALUATION_OF_A_DUAL_DIAGNOSIS_TRAINING_CURRICULUM_DEVELOPMENT_PROJECT">EVALUATION OF A DUAL DIAGNOSIS TRAINING CURRICULUM DEVELOPMENT PROJECT</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">This study describes the evaluation of a curriculum development process undertaken with staff at a mental health service, and at a neighbouring drug treatment service. A training curriculum was developed that challenged the dominant... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_20979092" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">This study describes the evaluation of a curriculum<br />development process undertaken with staff at a mental<br />health service, and at a neighbouring drug treatment<br />service. A training curriculum was developed that<br />challenged the dominant discourses in respective work<br />settings and encouraged change to familiar work practices.<br />Collaborative work with staff and management on<br />development of the new training curriculum demonstrated<br />that professional education and training need to become<br />embedded as core elements of organisational culture.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/20979092" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="56fa069e68cff7ebc00e51070963fe1a" rel="nofollow" data-download="{"attachment_id":41654968,"asset_id":20979092,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/41654968/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="2065503" href="https://holmesglen.academia.edu/SteveGoldsmith">Steve Goldsmith</a><script data-card-contents-for-user="2065503" type="text/json">{"id":2065503,"first_name":"Steve","last_name":"Goldsmith","domain_name":"holmesglen","page_name":"SteveGoldsmith","display_name":"Steve Goldsmith","profile_url":"https://holmesglen.academia.edu/SteveGoldsmith?f_ri=11137","photo":"https://0.academia-photos.com/2065503/676511/20553774/s65_steve.goldsmith.jpg"}</script></span></span></li><li class="js-paper-rank-work_20979092 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="20979092"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 20979092, container: ".js-paper-rank-work_20979092", }); });</script></li><li class="js-percentile-work_20979092 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 20979092; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_20979092"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_20979092 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="20979092"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 20979092; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=20979092]").text(description); $(".js-view-count-work_20979092").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_20979092").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="20979092"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">10</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="202" rel="nofollow" href="https://www.academia.edu/Documents/in/Program_Evaluation">Program Evaluation</a>, <script data-card-contents-for-ri="202" type="text/json">{"id":202,"name":"Program Evaluation","url":"https://www.academia.edu/Documents/in/Program_Evaluation?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="1752" rel="nofollow" href="https://www.academia.edu/Documents/in/Curriculum_Design">Curriculum Design</a>, <script data-card-contents-for-ri="1752" type="text/json">{"id":1752,"name":"Curriculum Design","url":"https://www.academia.edu/Documents/in/Curriculum_Design?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="2827" rel="nofollow" href="https://www.academia.edu/Documents/in/Mental_Health">Mental Health</a>, <script data-card-contents-for-ri="2827" type="text/json">{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="4828" rel="nofollow" href="https://www.academia.edu/Documents/in/Collaboration">Collaboration</a><script data-card-contents-for-ri="4828" type="text/json">{"id":4828,"name":"Collaboration","url":"https://www.academia.edu/Documents/in/Collaboration?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=20979092]'), work: {"id":20979092,"title":"EVALUATION OF A DUAL DIAGNOSIS TRAINING CURRICULUM DEVELOPMENT PROJECT","created_at":"2016-01-27T13:31:34.474-08:00","url":"https://www.academia.edu/20979092/EVALUATION_OF_A_DUAL_DIAGNOSIS_TRAINING_CURRICULUM_DEVELOPMENT_PROJECT?f_ri=11137","dom_id":"work_20979092","summary":"This study describes the evaluation of a curriculum\ndevelopment process undertaken with staff at a mental\nhealth service, and at a neighbouring drug treatment\nservice. A training curriculum was developed that\nchallenged the dominant discourses in respective work\nsettings and encouraged change to familiar work practices.\nCollaborative work with staff and management on\ndevelopment of the new training curriculum demonstrated\nthat professional education and training need to become\nembedded as core elements of organisational culture.","downloadable_attachments":[{"id":41654968,"asset_id":20979092,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":2065503,"first_name":"Steve","last_name":"Goldsmith","domain_name":"holmesglen","page_name":"SteveGoldsmith","display_name":"Steve Goldsmith","profile_url":"https://holmesglen.academia.edu/SteveGoldsmith?f_ri=11137","photo":"https://0.academia-photos.com/2065503/676511/20553774/s65_steve.goldsmith.jpg"}],"research_interests":[{"id":202,"name":"Program Evaluation","url":"https://www.academia.edu/Documents/in/Program_Evaluation?f_ri=11137","nofollow":true},{"id":1752,"name":"Curriculum Design","url":"https://www.academia.edu/Documents/in/Curriculum_Design?f_ri=11137","nofollow":true},{"id":2827,"name":"Mental Health","url":"https://www.academia.edu/Documents/in/Mental_Health?f_ri=11137","nofollow":true},{"id":4828,"name":"Collaboration","url":"https://www.academia.edu/Documents/in/Collaboration?f_ri=11137","nofollow":true},{"id":5073,"name":"Discursive Psychology","url":"https://www.academia.edu/Documents/in/Discursive_Psychology?f_ri=11137"},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137"},{"id":20159,"name":"Capacity Building","url":"https://www.academia.edu/Documents/in/Capacity_Building?f_ri=11137"},{"id":67796,"name":"Substance Abuse","url":"https://www.academia.edu/Documents/in/Substance_Abuse?f_ri=11137"},{"id":110636,"name":"Organisational culture","url":"https://www.academia.edu/Documents/in/Organisational_culture?f_ri=11137"},{"id":129428,"name":"Drug Addiction","url":"https://www.academia.edu/Documents/in/Drug_Addiction?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_38264550" data-work_id="38264550" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/38264550/Animating_the_lived_experience_of_recovery">Animating the lived experience of recovery</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Recovery has become a popular approach when treating substance use and mental health conditions (dual diagnosis). However, perceptions of addiction and drug use in the media can have a negative impact on health care providers and those... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_38264550" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Recovery has become a popular approach when treating substance use and mental health conditions (dual diagnosis). However, perceptions of addiction and drug use in the media can have a negative impact on health care providers and those seeking help. Lived experience testimony has been used to create greater empathy and deeper understanding of dual diagnosis consumers. The hermeneutic phenomenological methodology for eliciting life experience is compared and contrasted with the interview-based animated documentary production process used in the “Straight Up” series produced for St.Vincent’s Hospital, Melbourne. The animated documentary format is shown to be an effective vehicle for representing the diversity of dual diagnosis lived experience that can augment health and social science research and education.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/38264550" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="9b196d400dabbe18f67e7ffe571031d5" rel="nofollow" data-download="{"attachment_id":58308364,"asset_id":38264550,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/58308364/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="37112807" href="https://collarts.academia.edu/CameronRose">Cameron Rose</a><script data-card-contents-for-user="37112807" type="text/json">{"id":37112807,"first_name":"Cameron","last_name":"Rose","domain_name":"collarts","page_name":"CameronRose","display_name":"Cameron Rose","profile_url":"https://collarts.academia.edu/CameronRose?f_ri=11137","photo":"https://0.academia-photos.com/37112807/10980820/24249092/s65_cameron.rose.jpg"}</script></span></span></li><li class="js-paper-rank-work_38264550 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="38264550"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 38264550, container: ".js-paper-rank-work_38264550", }); });</script></li><li class="js-percentile-work_38264550 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 38264550; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_38264550"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_38264550 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="38264550"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 38264550; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=38264550]").text(description); $(".js-view-count-work_38264550").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_38264550").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="38264550"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">6</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="1575" rel="nofollow" href="https://www.academia.edu/Documents/in/Animation">Animation</a>, <script data-card-contents-for-ri="1575" type="text/json">{"id":1575,"name":"Animation","url":"https://www.academia.edu/Documents/in/Animation?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="3193" rel="nofollow" href="https://www.academia.edu/Documents/in/Animated_Documentary">Animated Documentary</a>, <script data-card-contents-for-ri="3193" type="text/json">{"id":3193,"name":"Animated Documentary","url":"https://www.academia.edu/Documents/in/Animated_Documentary?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="11137" rel="nofollow" href="https://www.academia.edu/Documents/in/Dual_Diagnosis">Dual Diagnosis</a>, <script data-card-contents-for-ri="11137" type="text/json">{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="15348" rel="nofollow" href="https://www.academia.edu/Documents/in/Hermeneutic_Phenomenology">Hermeneutic Phenomenology</a><script data-card-contents-for-ri="15348" type="text/json">{"id":15348,"name":"Hermeneutic Phenomenology","url":"https://www.academia.edu/Documents/in/Hermeneutic_Phenomenology?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=38264550]'), work: {"id":38264550,"title":"Animating the lived experience of recovery","created_at":"2019-01-31T19:19:44.573-08:00","url":"https://www.academia.edu/38264550/Animating_the_lived_experience_of_recovery?f_ri=11137","dom_id":"work_38264550","summary":"Recovery has become a popular approach when treating substance use and mental health conditions (dual diagnosis). However, perceptions of addiction and drug use in the media can have a negative impact on health care providers and those seeking help. Lived experience testimony has been used to create greater empathy and deeper understanding of dual diagnosis consumers. The hermeneutic phenomenological methodology for eliciting life experience is compared and contrasted with the interview-based animated documentary production process used in the “Straight Up” series produced for St.Vincent’s Hospital, Melbourne. The animated documentary format is shown to be an effective vehicle for representing the diversity of dual diagnosis lived experience that can augment health and social science research and education.","downloadable_attachments":[{"id":58308364,"asset_id":38264550,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":37112807,"first_name":"Cameron","last_name":"Rose","domain_name":"collarts","page_name":"CameronRose","display_name":"Cameron Rose","profile_url":"https://collarts.academia.edu/CameronRose?f_ri=11137","photo":"https://0.academia-photos.com/37112807/10980820/24249092/s65_cameron.rose.jpg"}],"research_interests":[{"id":1575,"name":"Animation","url":"https://www.academia.edu/Documents/in/Animation?f_ri=11137","nofollow":true},{"id":3193,"name":"Animated Documentary","url":"https://www.academia.edu/Documents/in/Animated_Documentary?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137","nofollow":true},{"id":15348,"name":"Hermeneutic Phenomenology","url":"https://www.academia.edu/Documents/in/Hermeneutic_Phenomenology?f_ri=11137","nofollow":true},{"id":22167,"name":"Addiction and Recovery","url":"https://www.academia.edu/Documents/in/Addiction_and_Recovery?f_ri=11137"},{"id":962460,"name":"Lived Experiences","url":"https://www.academia.edu/Documents/in/Lived_Experiences?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_14375123" data-work_id="14375123" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/14375123/The_Potential_Role_of_Long_Acting_Injectable_Antipsychotics_in_People_With_Schizophrenia_and_Comorbid_Substance_Use">The Potential Role of Long-Acting Injectable Antipsychotics in People With Schizophrenia and Comorbid Substance Use</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Objective-Treatment of schizophrenia in patients with comorbid substance use (alcohol/illicit drug use, abuse or dependence) presents challenges for public health systems. Substance use in people with schizophrenia is up to four times... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_14375123" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Objective-Treatment of schizophrenia in patients with comorbid substance use (alcohol/illicit drug use, abuse or dependence) presents challenges for public health systems. Substance use in people with schizophrenia is up to four times greater than the general population and is associated with medication nonadherence and poor outcomes. Therefore, continuous antipsychotic treatment in this population may pose more of a challenge than for those with schizophrenia alone. Many clinical trials and treatment recommendations in schizophrenia do not take into consideration substance use as people with comorbid substance use have typically been excluded from most antipsychotic trials. Nonetheless, antipsychotic treatment appears to be as efficacious in this population, although treatment discontinuation remains high. The objective of this review was to highlight the importance and utility of considering long-acting injectable antipsychotics for patients with schizophrenia and comorbid substance use.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/14375123" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="a8d76bc04c6ed3c8de86e08b1e4b7fae" rel="nofollow" data-download="{"attachment_id":44269879,"asset_id":14375123,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/44269879/download_file?st=MTczOTcwNTcyOSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="33318255" href="https://independent.academia.edu/MajuKoola">Maju Koola</a><script data-card-contents-for-user="33318255" type="text/json">{"id":33318255,"first_name":"Maju","last_name":"Koola","domain_name":"independent","page_name":"MajuKoola","display_name":"Maju Koola","profile_url":"https://independent.academia.edu/MajuKoola?f_ri=11137","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_14375123 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="14375123"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 14375123, container: ".js-paper-rank-work_14375123", }); });</script></li><li class="js-percentile-work_14375123 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 14375123; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_14375123"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_14375123 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="14375123"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 14375123; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=14375123]").text(description); $(".js-view-count-work_14375123").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_14375123").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="14375123"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">13</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="146" rel="nofollow" href="https://www.academia.edu/Documents/in/Bioinformatics">Bioinformatics</a>, <script data-card-contents-for-ri="146" type="text/json">{"id":146,"name":"Bioinformatics","url":"https://www.academia.edu/Documents/in/Bioinformatics?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="221" rel="nofollow" href="https://www.academia.edu/Documents/in/Psychology">Psychology</a>, <script data-card-contents-for-ri="221" type="text/json">{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="4531" rel="nofollow" href="https://www.academia.edu/Documents/in/Clinical_Trial">Clinical Trial</a>, <script data-card-contents-for-ri="4531" type="text/json">{"id":4531,"name":"Clinical Trial","url":"https://www.academia.edu/Documents/in/Clinical_Trial?f_ri=11137","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="8014" rel="nofollow" href="https://www.academia.edu/Documents/in/Life_Sciences">Life Sciences</a><script data-card-contents-for-ri="8014" type="text/json">{"id":8014,"name":"Life Sciences","url":"https://www.academia.edu/Documents/in/Life_Sciences?f_ri=11137","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=14375123]'), work: {"id":14375123,"title":"The Potential Role of Long-Acting Injectable Antipsychotics in People With Schizophrenia and Comorbid Substance Use","created_at":"2015-07-24T17:22:20.602-07:00","url":"https://www.academia.edu/14375123/The_Potential_Role_of_Long_Acting_Injectable_Antipsychotics_in_People_With_Schizophrenia_and_Comorbid_Substance_Use?f_ri=11137","dom_id":"work_14375123","summary":"Objective-Treatment of schizophrenia in patients with comorbid substance use (alcohol/illicit drug use, abuse or dependence) presents challenges for public health systems. Substance use in people with schizophrenia is up to four times greater than the general population and is associated with medication nonadherence and poor outcomes. Therefore, continuous antipsychotic treatment in this population may pose more of a challenge than for those with schizophrenia alone. Many clinical trials and treatment recommendations in schizophrenia do not take into consideration substance use as people with comorbid substance use have typically been excluded from most antipsychotic trials. Nonetheless, antipsychotic treatment appears to be as efficacious in this population, although treatment discontinuation remains high. The objective of this review was to highlight the importance and utility of considering long-acting injectable antipsychotics for patients with schizophrenia and comorbid substance use.","downloadable_attachments":[{"id":44269879,"asset_id":14375123,"asset_type":"Work","always_allow_download":false}],"ordered_authors":[{"id":33318255,"first_name":"Maju","last_name":"Koola","domain_name":"independent","page_name":"MajuKoola","display_name":"Maju Koola","profile_url":"https://independent.academia.edu/MajuKoola?f_ri=11137","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":146,"name":"Bioinformatics","url":"https://www.academia.edu/Documents/in/Bioinformatics?f_ri=11137","nofollow":true},{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology?f_ri=11137","nofollow":true},{"id":4531,"name":"Clinical Trial","url":"https://www.academia.edu/Documents/in/Clinical_Trial?f_ri=11137","nofollow":true},{"id":8014,"name":"Life Sciences","url":"https://www.academia.edu/Documents/in/Life_Sciences?f_ri=11137","nofollow":true},{"id":11137,"name":"Dual Diagnosis","url":"https://www.academia.edu/Documents/in/Dual_Diagnosis?f_ri=11137"},{"id":63886,"name":"Case Report","url":"https://www.academia.edu/Documents/in/Case_Report?f_ri=11137"},{"id":66744,"name":"Biomedical Research","url":"https://www.academia.edu/Documents/in/Biomedical_Research?f_ri=11137"},{"id":72353,"name":"Substance Use","url":"https://www.academia.edu/Documents/in/Substance_Use?f_ri=11137"},{"id":209189,"name":"Drug abuse","url":"https://www.academia.edu/Documents/in/Drug_abuse?f_ri=11137"},{"id":670612,"name":"Public Health System","url":"https://www.academia.edu/Documents/in/Public_Health_System?f_ri=11137"},{"id":916211,"name":"Literature Search","url":"https://www.academia.edu/Documents/in/Literature_Search?f_ri=11137"},{"id":999544,"name":"Illicit Drug Use","url":"https://www.academia.edu/Documents/in/Illicit_Drug_Use?f_ri=11137"},{"id":1423006,"name":"General Population","url":"https://www.academia.edu/Documents/in/General_Population?f_ri=11137"}]}, }) } })();</script></ul></li></ul></div></div></div><div class="u-taCenter Pagination"><ul class="pagination"><li class="next_page"><a href="/Documents/in/Dual_Diagnosis?after=50%2C14375123" rel="next">Next</a></li><li class="last next"><a href="/Documents/in/Dual_Diagnosis?page=last">Last »</a></li></ul></div></div><div class="hidden-xs hidden-sm"><div class="u-pl6x"><div style="width: 300px;"><div class="panel panel-flat u-mt7x"><div class="panel-heading u-p5x"><div class="u-tcGrayDark u-taCenter u-fw700 u-textUppercase">Related Topics</div></div><ul class="list-group"><li class="list-group-item media_v2 u-mt0x u-p3x"><div class="media-body"><div class="u-tcGrayDarker u-fw700"><a class="u-tcGrayDarker" rel="nofollow" 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