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Dual
Diagnosis: Clinical Dilemmas in Assessment and Treatment
David
Mee-Lee, M.D.
Workshop
Content and Purpose
A
large proportion of individuals suffering from alcoholism
and drug dependence also suffer from psychiatric problems
and vice versa.
Because
clinicians often lack training in both addiction and mental
health treatment, patients with co-morbid psychiatric and
addiction illnesses frequently receive inadequate care, caught
in the gap between the mental health and addiction treatment
systems. Clinicians can feel ill-equipped to face the
increasing population of multiproblem and dual diagnosis patients.
The
goal of this workshop is to increase clinicians' awareness
about the clinical dilemmas in treating patients with the
dual problems of psychiatric and addiction illness, and improve
diagnostic and treatment strategies for such patients.
Educational
Objectives
Participants
will be able to:
1.
Identify and discuss the attitude and value system changes
required to work with dual diagnosis patients.
2.
Sharpen their appreciation for the prevalence of dual diagnosis
problems most commonly seen in treatment.
3.
Develop diagnostic strategies, techniques and priorities to
determine treatment options and interventions.
4.
Identify and select treatment strategies appropriate to developing
a treatment plan which meets a patient's individual needs
and his/her readiness for change.
Training
Methods
Didactic
lecture with use of 35mm slides; clinical vignettes, role
play and case consultation; question and answer session.
Dual
Diagnosis: Clinical Dilemmas
Workshop
Agenda
| 8.30
AM |
Registration
|
|
|
| 9.00
AM |
A.
Dilemmas in Definition, Diagnosis and Disposition |
|
B.
Prerequisite Concepts for Dual Diagnosis Work |
| |
C.
Why Diagnostic Confusion? |
| |
D.
Why Lack of Consensus? |
| |
|
| 10.30
AM |
Break |
|
|
| 10.45
AM |
E.
Diagnostic Dilemmas |
|
*
Determining priorities: psychiatric
versus addiction treatment |
| |
* Decision
Tree |
| |
|
| 12
Noon |
Lunch |
| |
|
| 1.15
PM |
F.
Treatment Dilemmas |
| |
*
Treatment options and matching treatment to patients'
needs |
|
*
Dealing with Resistance and Denial |
| |
|
| 2.45 |
Break |
|
|
| 3.00
PM |
G.
Case Consultation and Treatment System Issues |
| |
*
Different Approaches for Various Dual Diagnosis Clinical
Situations |
|
*
Staff and Program Issues |
| |
|
| 4
PM |
Adjourn |
|
