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bulletin board main page >> Re: Therapists Perspectives of Dual Diagnosis Clients

Posted by nancy on May 08, 2001 at 00:56:53:
In Reply to: Therapists Perspectives of Dual Diagnosis Clients posted by Julia on March 30, 2001 at 09:46:07:

> I've had the opportunity to interview many dually diagnosed clients as a graduate student in alcohol and substance abuse counseling. Most of those who were initially diagnosed with a mental disorder 20 or more years ago have noted a dramatic shift in both thrapists' attiutudes toward them as individuals and the implementation of alternative(comprehensive)treatment protocols, particularly over the past decade. (This is consistent with the dawn of MICA trwatment programs in the mid 1980s). Anyway, I began doing independent research on the subject to determine the extent to which therapists perceptions of dual diagnosis clients influence treatment protocols and (ultimately)treatment outcomes. Are these clients still seen as "double trouble" as they were in years past? How many of them actually receive the comprehensive services? What are the treatment priorties of those working with this particular population? Do those priorties differ amongst psychiatrists, a/substance abuse counselors, social workers and others (MDs, psychologists, etc.) as much as they used to?

My son has not made use of his therapist as much as he should have. She was better for me than for him. I think he needed a strong male. There is not a requirement to see a therapist, more to see the pdoc, and if hospitalized, a SW. However, I have found that the SW and psychiatrists main focus is making sure they are stable/med compliant, but are not really equipped to deal with the drug behavior, except how they lessen meds effectiveness.

My son's substance abuse counselor/case manager, is able to see clearly the addict behavior vs being unstable. If unstable, then he takes a back seat to the pdoc, SW, etc. until the client is stable.

Depending on what mode he is in depends on who he is seeing. Seems to be that worst case is hospital (see a pdoc, SW), then when stable, a drug counselor to deal with the drug issues that usually landed him in the hospital to begin with.

It is a vicious cycle but only made comprehensive by an advocate who can coordinate each mode, who is usually a family member.

Hope this helps you.

> I'd appreciate hearing from you.

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