There is a need to recognize that existing systems of care designed to treat people with single diagnoses are less effective and result in under-diagnosis and under-treatment of persons with co-occurring disorders. Using an integrated care model to serve this population results in superior outcomes with regard to both the mental illness as well as the co-occurring SUDs and other co-occurring chronic illnesses/disorders that may be present.
Desired Outcomes:
Paradigm shift in conceptualization of substance use disorders (SUDs) from categorical toward spectrum
Paradigm shift away from diagnostic parsimony toward diagnostic plurality in approach to diagnosing and treating co-occurring disorders
Describe classification and criteria changes from DSM IV to DSM 5 in realm of SUDs
Employ “Chronic Disease” concept when considering illness course and treatment expectations
Treatment considerations for co-occurring disorders using an integrated behavioral health model (role of individuals within the multidisciplinary treatment team)
Distinguish functional and neuroanatomical overlaps between SUDs and other mental health disorders, common brain regions and neurocircuitry pathways
Pharmacotherapy for co-occurring disorders, including medication assisted treatment aspects and the concept of harm reduction vs abstinence
Pharmacotherapy of co-occurring mental health disorders (including adjustment disorders)
On-Call List
Physician Privileges
Safety Data Sheets (SDS)
Workplace Violence Reporting
On-Call List
Physician Privileges
Safety Data Sheets (SDS)
Workplace Violence Reporting
