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| Removing Barriers: Dual Diagnosis Treatment and Motivational Interviewing |
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In the past, traditional treatment methods for drug addiction and alcoholism have been
characteristically intense and confrontational. They are designed to break down a client's denial, defenses, and/or resistance to his or her addictive disorders, as they are perceived by the
provider. Admissions criteria to substance abuse treatment programs usually require abstinence
from all illicit substances. Potential clients are expected to have some awareness of the problems caused by substance abuse and be motivated to receive treatment.
In contrast, traditional treatment methods for mental illness have been supportive, benign and non-threatening. They are designed to maintain the client's already-fragile defenses. Clients entering the mental health system are generally not seeking treatment for their substance abuseproblems. Frequently clients within the mental health system who actively abuse drugs and alcohol are not formally identified. If they are, they do not admit to such substance use. As some attention began to focus on clients with both substance abuse problems and mental illnesses, it quickly became apparent that new methods and interventions were necessary.
Working with dual disorder clients who deny substance abuse, who are unmotivated for
substance abuse treatment, and who are unable to tolerate intense confrontation, required a new
model, a non-confrontational approach to the engagement and treatment of this special
population. I first developed such a treatment model in 1984, with the goal of providing nonjudgmental acceptance of all symptoms and experiences related to both mental illness and
substance disorders.
A brief history
Such treatment interventions and integrated programs -- which truly adapted to the needs
of severely mentally ill chemical abusers -- had their genesis in 1984 at a New York state outpatient psychiatric facility. In 1985, these integrated treatment programs were implemented across multiple program sites. Concurrently, treatment and program elements were taught through training seminars in New York as well as nationally.
In September 1986, the New York State Commission on Quality of Care (CQC) released the findings of 18 months of research. In their report, they described the detachment and
downward spiral of dually diagnosed consumers, who were bounced among different systems with "no definitive locus of responsibility." As a result, New York's governor designated the state Office of Mental Health as the lead agency responsible for coordinating collective efforts for this population. The commission visited the dual diagnosis programs developed in 1984, and declared the treatment interventions, the training, and integrated programs to be positive solutions to the dilemma.
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About The Author:
Kathleen Sciacca, M.A., is a forerunner in the development of treatment methods, program development and comprehensive services for Mental Illness, Drug Addiction and Alcoholism (MIDAA)(R), Dual Diagnosis - Co-occurring Disorders. She has been providing treatment and developing programs for these for dual/multiple disorders including HIV since 1984, when there were no program models available and little attention given to this population as a priority. Her programs have been replicated across New York State and by agencies in numerous states across the country.
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| RE: Removing Barriers: Dual Diagnosis Treatment and Motivational Interviewing | |
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Post by
Kathleen Sciacca
(1)
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2008-12-30
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Motivational Interviewing used in combination with
dual diagnosis treatment has proven to be very effective.
Motivational Interviewing is an effective intervention model for all kinds of behavior change issues.
The following are details regarding an up-coming Motivational Interviewing Training Seminar.
Could you please announce or post this up-coming Motivational Interviewing Training Seminar or distribute it to others who can.
I sponsor this seminar once a year. The information is as follows:
Title: "Motivational Interviewing, Preparing People for Behavior Change:
A Theory and Skill Building Seminar."
Dates: March 23, 24 & 25, 2009
Place: Hotel Beacon, New York City
Presenter: Kathleen Sciacca, MA
For complete details and registration form go to:
http://users.erols.com/ksciacca/MIannounce.htm
Thank you and Best Wishes for a Happy and Healthy New Year!
Please confirm your receipt of this information and provide links, etc.
Kathleen Sciacca, e-mail -ksciacca@pobox.com
Dual Diagnosis Website: http://pobox.com/~dualdiagnosis
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