Transcript Recovery Strategies for Combined Mental Illness

Recovery Strategies for Combined
Mental Illness & Substance Use
Disorders
Consumer Education and
Support Statewide Call-In:
April 24, 2008
Welcome!
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Thank you to all who have joined in for today’s call!
Instructions for CEU’s for today’s call
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Fax Sign-In Sheets to:
Josephine Brodbeck, FAX (309) 693-5101
Include information on where to send the certificates
Schedule for future calls
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May 29th – Crisis Plans: Making Choices for Difficult Times
June 26th - How to Develop Inclusive Agency-Based Advisory
Councils
Objectives for Today’s Call
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Participants will learn how common co-occurring
mental illness and substance use disorders are
Participants will learn about the things that contribute
to substance use among people with mental illnesses
Participants will learn about things that have helped
people become motivated to reduce or abstain from
use and strategies that have worked in recovery
Participants will have an opportunity to ask questions
and offer suggestions regarding these topics
Guidelines for Today’s Call
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All Speakers Will Use Person-First Language
All Acronyms Will Be Spelled Out and Defined
Diverse Experiences Will Be Heard and
Validated
Personal Testimonials of Recovery:
Jerry, Elizabeth, and Earl
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What activities do you do, to give your days
structure and to help you stay connected to
positive, helpful people?
How does your housing play a role in your
recovery?
How has peer support played a role in your
recovery?
How common are substance use disorders
in people with mental illnesses?
60
50
40
% of
respondents
30
with substance
use disorder 20
10
0
Gen
pop
Schiz
Bipolar
Maj
dep
OCD
Panic
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How frequent is mental illness in people
with substance use disorders?
70
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60
50
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40
30
20
10
0
Community
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In community, 24.4%
have mental illness
In institutions, 55% have
mental illness
In substance abuse
treatment, 65% have
mental illness
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Why do people with psychiatric
disorders use substances?
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To cope emotionally with a mental illness
To self-medicate
To avoid stigma
To have something to do
To feel normal and like part of society
To overcome victim status by seeking challenge or
excitement
Alverson et al. (2000)
Why do people with co-occurring
disorders stop using substances ?
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To change one’s life
To respond to wishes of a spouse, family,
friends, or for the sake of the children
To get or hold a job, or seek an education
To survive or improve health
To stop the increasing desire for more drugs
To feel better
Alverson et al. (2000)
Does Sobriety Lead to a More Satisfying
Life or Does a More Satisfying Life Lead
to Sobriety?
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Studies show that people with dual disorders
regularly relapse on substances as they work toward
attaining sobriety
The attainment of sobriety occurs over months and
years
And is enhanced by successful engagement in the
positive life factors
Alverson et al., CMHJ 2000
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Positive Life Factors That Promote
Recovery
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A regular, enjoyable activity that provides structure to
one’s day and provides a sober social network
Decent safe and stable housing
A loving, caring relationship with someone sober, who
accepts the person’s mental illness
A positive therapeutic relationship, including regular
contacts, with a mental health professional
Alverson et al., CMHJ (2000)
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Are Separate Mental Health and
Substance Abuse Treatments by
Different Providers Effective?
Due to complicating features of the co-occurring
disorder, persons served by programs designed to treat
only a single disorder tend to experience:
 Higher dropout rates
 “Non-adherence” to interventions
 Being “kicked out” of services
 Poor communication with providers
 Poor outcomes
Drake, Mueser, Brunette, McHugo (2004)
What is Integrated Treatment?
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Both psychiatric and substance use disorders
are treated simultaneously, in one clinical
setting, by one multidisciplinary team of
clinicians
Drake, Mercer-McFadden, Mueser, McHugo, & Bond,
1998.
Does Integrated Treatment Help?
Controlled studies investigating the components of Integrated
Treatment have demonstrated:
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Decreased rates of substance use
Improved psychiatric symptoms
Decreased hospitalization rates
Decreased arrest rates
Improved housing stability
Improved functional status
Improvements in quality of life
Drake et al. (2001)
Does participation in self-help
groups promote recovery?
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Self-help groups offer social support and fellowship
Groups are recommended for consumers in the active
treatment and relapse prevention stages.
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DDA (Dual Disorders Anonymous)
DRA (Dual Recovery Anonymous)
AA (Alcoholics Anonymous)
NA (Narcotics Anonymous)
CA (Cocaine Anonymous)
DTR (Double Trouble in Recovery)
How Can I Find the ‘Right Fit’ When
Looking for a Self-Help Group?
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Check out meetings ahead of time
Talk to the person chairing the meeting
Ask what people at the meeting think about
medications
Osher and Kofoed (1989)
How Can I Get More Information?
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12-step mutual support group format for people
diagnosed with mental illness and chemical addictions
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Dual Recovery Challenges Circle:
www.recoverycircles.org
Research on the effectiveness of mutual support run
solely and completely by people with mental health
diagnoses and co-occurring substance use disorders
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www.professored.com
Click on “Publications,” then click on “Double Focus Mutual
Support”
How Can I Get More Information?
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Integrated Dual Disorders Treatment (IDDT) Toolkit
from the Substance Abuse and Metnal Health Services
Administration (SAMHSA):
http://mentalhealth.samhsa.gov/cmhs/communitysupp
ort/toolkits/cooccurring/
Information on IDDT for Consumers from SAMHSA:
http://mentalhealth.samhsa.gov/cmhs/communitysupp
ort/toolkits/cooccurring/consumers.asp
Guidelines for Q & A
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All Speakers Will Use Person-First Language
All Acronyms Will Be Spelled Out and Defined
Diverse Experiences Will Be Heard and
Validated
Limit to One Question per Person, then Pass to
the Next Person
Saying “Thank You” Indicates You Are Finished
With Your Question
Thank You!
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Written Questions Can Be Sent To:
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Tim Devitt, Director of Integrated Dual Disorders Treatment,
Thresholds, Inc.
[email protected]
FAX: (773) 572-5290
Nanette Larson, Director of Recovery Support Services,
DHS/Division of Mental Health
[email protected]
FAX: (309) 693-5101