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Dual Diagnosis

Evaluation, Treatment, Training, and Program Development

  • Joel Solomon
  • Sheldon Zimberg
  • Edward Shollar

Table of contents

  1. Front Matter
    Pages i-xxiv
  2. Evaluation and Diagnosis of Dual Diagnosis Patients

  3. Treatment of Dual Diagnosis Patients

    1. Front Matter
      Pages 55-55
    2. Marc Galanter, Hugo Franco, Anthony Kim, Elizabeth Jamner Metzger, George De Leon
      Pages 171-192
    3. Michael Fayne, Denise Hien
      Pages 215-235
  4. Program Development, Training, and Research in Dual Diagnosis

    1. Front Matter
      Pages 237-237
    2. John Kastan
      Pages 239-251
    3. Sheldon Zimberg, Joel Solomon, Edward Shollar, Margaret M. O’Neill
      Pages 253-270
    4. Margaret M. O’Neill
      Pages 271-285
    5. Edward V. Nunes Jr., Deborah A. Deliyannides
      Pages 287-309
  5. Back Matter
    Pages 311-322

About this book

Introduction

Patients who have both a psychiatric disorder and a substance abuse problem cause most clinicians to throw up their hands in despair. The clinical problems that these "dual diagnosis" patients present are enor­ mously complex. Diagnostically, how is one to tell if disorders of mood and thinking, for instance, are signs of a mental illness or consequences of substance abuse? How is one to obtain important historic information when the patient may be unable or unwilling to provide it and there are no readily available collateral sources of information? In any case, why bother? Treatments for dually diagnosed patients are ineffective; patients won't stay in treatment; recidivism occurs at a very high rate. To make matters even more difficult, traditional health care reim­ bursement mechanisms do not provide for the multimodality clinical programs and special services needed by the patient who is both mentally ill and a substance abuser. So the clinician needs an effective bureaucratic strategy as well as a treatment strategy. For the most part, clinicians have handled the problem by ignoring it.

Keywords

development diagnosis differential diagnosis evaluation hospital management patients population psychiatry research training treatment

Editors and affiliations

  • Joel Solomon
    • 1
  • Sheldon Zimberg
    • 2
    • 3
  • Edward Shollar
    • 3
  1. 1.Columbia University College of Physicians and SurgeonsSt. Luke’s/Roosevelt HospitalNew YorkUSA
  2. 2.Columbia University College of Physicians and SurgeonsNew YorkUSA
  3. 3.Treatment Resource Team for Dual Diagnosis and MICA Patients, Department of PsychiatrySt. Luke’s/Roosevelt HospitalNew YorkUSA

Bibliographic information