Integrated Treatment for Co–Occurring Disorders: Treating People, Not Behaviors

The definitive guide to identify, assess, and create individualized treatment plans for high-risk clients who suffer from challenging co-occurring disorders "Treat the person and not the diagnosis. Respect that all behaviors are purposeful. Remain mindful that nobody changes behaviors without motivation. These essential guiding principles are the framework of this book. They will be repeated quite often as we examine the challenging population of men and women with co-occurring disorders." —From Integrated Treatment for Co-Occurring Disorders Annual studies reveal that 70 percent of men and women who died by suicide were diagnosed with a mental illness or personality disorder and used drugs to gain temporary relief from the symptoms. Until now, very little has been written about how to identify, assess, and treat this population. Integrated Treatment for Co-Occurring Disorders: Treating People, Not Behaviors addresses that need. Respectful of the client and filled with practical advice, this book: Examines the guiding principles for treating clients with co-occurring disorders Details the methods of formulating an evidence-based individualized treatment plan for the self-medicating mentally ill Explores how to assess this population for suicide risk and vulnerability Focuses on the person and not a behaviorally defined diagnostic category Reflects state-of-the-art knowledge for the treatment of co-occurring disorders Illustrates how Motivational Enhancement Therapy can be an effective treatment strategy With numerous clinical case studies to illustrate key points and reinforce learning, Integrated Treatment for Co-Occurring Disorders encourages a flexible, person-centered treatment approach that focuses on the individual rather than the diagnosis.

Acknowledgments ix CHAPTER ONE Introduction: An Examination of the Guiding Principles for Treating Co–Occurring Disorders 1 CHAPTER TWO Definition for Co–Occurring Disorders: All Behaviors Are Purposeful 21 CHAPTER THREE The Core Task of Therapy 57 CHAPTER FOUR The Therapy Alliance: Nobody Changes Without Motivation 85 CHAPTER FIVE Case Conceptualization for Co–Occurring Disorders: Getting to Know the Person 107 CHAPTER SIX Suicide Risk Assessment for Co–Occurring Disorders 125 CHAPTER SEVEN Putting It All Together—Integrated Treatment 151 APPENDIX A Co–Occurring Disorders as Factors Associated With Aggressive Behavior 177 APPENDIX B Co–Occurring Disorders as Factors Associated With Suicidal Behavior 185 References 191 About the Author 199 Author Index 201 Subject Index 203

JACK KLOTT, MSSA, LISW, CSW, MINT, has over 40 years of experience working with clients who suffer from a complexity of psychiatric, psychological, and substance use issues. He founded Suicide Prevention Consultants, a private practice located in Grand Rapids, Michigan, that serves high-risk clients vulnerable to treatment resistance, non-compliance, and multiple relapse behavior. He is the author of The Co-Occurring Disorders Treatment Planner and The Suicide and Homicide Risk Assessment and Prevention Treatment Planner (both published by Wiley).