M03 Assignment- Special Populations PowerPoint Assignment

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Ivy Tech Community College, Indianapolis *

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Psychology

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Feb 20, 2024

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Co-occurring Substance Abuse and Mental Disorders By: Heather Mason Ivy Tech Community College HUMS 209, COUNSELING ISSUES IN SUBSTANCE ABUSE

TIP 42: Substance Use Treatment for Persons With Co-Occurring Disorders Mental health and substance use disorders affect people from all walks of life and all age groups. These illnesses are common, recurrent, and often serious, but they are treatable and many people do recover. Mental disorders involve changes in thinking, mood, and/or behavior. These disorders can affect how we relate to others and make choices. Reaching a level that can be formally diagnosed often depends on a reduction in a person’s ability to function as a result of the disorder. (Substance Abuse and Mental Health Services Administration, 2019) Substance use disorders occur when the recurrent use of alcohol and/or drugs causes clinically significant impairment, including health problems, disability, and failure to meet major responsibilities at work, school, or home. (Substance Abuse and Mental Health Services Administration, 2019)

Why did I choose this population? Being a person that struggles with a mental disorder and has had a problem with substance abuse I feel like I can relate very much to this population. According to the 2015 results from the National Survey on Drug Use and Health (Center for Behavioral Health Statistics and Quality, 2016a), 8.1 million adult Americans, or about 2.5% of the U.S. population, report experiencing a comorbid condition involving mental illness and substance use disorder. Among those persons with a substance use disorder, 41.2% met criteria for any mental illness. (Thombs & Osborn, 2019)

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How might traditional substance abuse treatment not address some issues that this population experiences?  In the United States, substance use disorder (SUD) treatment and mental health treatment are often separate systems. The specialty mental health treatment system primarily focuses on severe mental illnesses, while drug treatment is provided by a separate SUD treatment system. This could create problems with those that have a recurring SUD and have mental health if both go untreated then there is a greater chance of relapse if they go into treatment.

How do I think that substance abuse contributes to mental health issues?  Those that have a SUD are more than likely to have a mental health issues.  In contrast, persons with drug use disorder were 3.2 times more likely than those without the disorder to have an alcohol use disorder. Though not surprising, these analyses confirm that alcohol use disorder and drug use disorder often co-occur in individuals. Furthermore, alcohol use disorder and drug use disorder are associated with other coexisting psychiatric conditions. For instance, persons with alcohol use disorder are 40% more likely to have a bipolar I diagnosis than persons without alcohol use disorder, whereas persons with drug use disorder are 50% more likely to have a bipolar I diagnosis than persons without it. (Thombs & Osborn, 2019)

What worsen issues with those that battle with SUD and Mental Health?  People with dual disorders are at an increased risk for other problems. When I was drinking and dealing with my depression and anxiety I always thought “how can alcohol not make you feel good? When I drink, I don’t feel depressed.”  This is a frustrating feeling I feel that can occur with those that have the same problems.

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Gaining Knowledge in both substances abuse and mental health.  Substance abuse treatment, clinical staff and fellow clients often aggressively confront clients who deny that they have a substance abuse problem or who minimize the severity of their problem. However, treatment of people with co-occurring disorders first requires innovative approaches to engage them in Traditionally, self-reliance is a strong value among rural citizens; receiving treatment can be perceived as an indication of weakness. treatment as a prerequisite to confrontation. The role of confrontation may need to be substantially modified, particularly in the treatment of disorganized clients or clients with psychosis who may tolerate confrontation only in later stages of treatment (when their symptoms are stable, and they are engaged in the treatment process). (TIP-39 Substance Abuse-Treatment and-Family Therapy,2004)

What to give when I become a Substance Abuse Counselor……  That going to groups and counseling can give you an outlook on what substance abuse is doing and not doing for you. Being honest is the best thing that you can do for yourself. Not about just substance use but the mental trauma that backs up your whole story. Why did I start using drugs or alcohol? What made me feel like it was helping? These are things that can help you in the long run if you can’t be honest, you are more likely to relapse. This is something that when I become a drug addiction counselor that I want my clients to feel that they have a safe space to open up and not feel embarrassed by their problems but know that they are not alone. That clients need to be able to put in the work. In addition, to adequately attend to crises, integrated treatment needs to be provided in facilities that can offer around-the-clock access to treatment staff. In such an environment, 12-step programs must be available, but participation should be voluntary. Finally, in integrated treatment programs, the patient’s severe mental illness is recognized as a biological disorder that usually needs to be treated with psychotherapeutic medication. Medication is not thought to compromise the treatment goals set for the substance use disorder.

In Conclusion.  When working in the field with individuals with addictions I have learned that yeah there is one main goal to achieve sobriety. But to come to that goal there will be obstacles along the way which can include mental health. When coming across all these obstacles it's important to have an open mind. Be sure your own experiences that you have overcome and dealt with. Always help achieve your clients goals no matter what they are.

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References:  Substance Abuse and Mental Health Services Administration. (2019, January 14). Mental Health and Substance Use Disorders | SAMHSA - Substance Abuse and Mental Health Services Administration. Samhsa.gov. https://www.samhsa.gov/find-help/disorders  Thombs, D. L., & Osborn, C. J. (2019). Introduction to Addictive Behaviors (5th ed.). Guilford Publications, Inc.. https://yuzu.vitalsource.com/books/9781462539260  Substance Use Disorder Treatment and Family Therapy UPDATED 2020 TREATMENT IMPROVEMENT PROTOCOL TIP 39. (n.d.). https://store.samhsa.gov/sites/default/files/tip-39-substance-abuse-tre atment-family-therapy-pep20-02-02-012.pdf

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