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The Co Occurring Disorders Treatment Planner
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Book Synopsis The Co-Occurring Disorders Treatment Planner by : Jack Klott
Download or read book The Co-Occurring Disorders Treatment Planner written by Jack Klott and published by John Wiley & Sons. This book was released on 2011-03-21 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Bestselling treatment planning system for mental health professionals The Co-Occurring Disorders Treatment Planner provides all the elements necessary to quickly and easily develop formal treatment plans that satisfy the demands of HMOs, managed care companies, third-party payors, and state and federal review agencies. A critical tool for mental health professionals treating patients coping simultaneously with mental illness and serious substance abuse Saves you hours of time-consuming paperwork, yet offers the freedom to develop customized treatment plans Organized around 25 main presenting problems with a focus on treating adults and adolescents with alcohol, drug, or nicotine addictions, and co-occurring disorders including depression, PTSD, eating disorders, and ADHD Over 1,000 well-crafted, clear statements describe the behavioral manifestations of each relational problem, long-term goals, short-term objectives, and clinically tested treatment options Easy-to-use reference format helps locate treatment plan components by behavioral problem or DSM-IV-TR diagnosis Includes a sample treatment plan that conforms to the requirements of most third-party payors and accrediting agencies (including HCFA, JCAHO, and NCQA)
Book Synopsis The Co-Occurring Disorders Treatment Planner, with DSM-5 Updates by : Arthur E. Jongsma, Jr.
Download or read book The Co-Occurring Disorders Treatment Planner, with DSM-5 Updates written by Arthur E. Jongsma, Jr. and published by John Wiley & Sons. This book was released on 2016-03-14 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: This timesaving resource features: Treatment plan components for 25 behaviorally based presenting problems Over 1,000 prewritten treatment goals, objectives, and interventions—plus space to record your own treatment plan options A step-by-step guide to writing treatment plans that meet the requirements of most insurance companies and third-party payors The Co-Occurring Disorders Treatment Planner provides all the elements necessary to quickly and easily develop formal treatment plans that satisfy the demands of HMOs, managed care companies, third-party payors, and state and federal review agencies. A critical tool for mental health professionals treating patients coping simultaneously with mental illness and serious substance abuse Saves you hours of time-consuming paperwork, yet offers the freedom to develop customized treatment plans Organized around 25 main presenting problems with a focus on treating adults and adolescents with alcohol, drug, or nicotine addictions, and co-occurring disorders including depression, PTSD, eating disorders, and ADHD Over 1,000 well-crafted, clear statements describe the behavioral manifestations of each relational problem, long-term goals, short-term objectives, and clinically tested treatment options Easy-to-use reference format helps locate treatment plan components by behavioral problem Includes a sample treatment plan that conforms to the requirements of most third-party payors and accrediting agencies (including HCFA, JCAHO, and NCQA)
Book Synopsis The Co-Occurring Disorders Treatment Planner. PracticePlanners® by : Jack Klott
Download or read book The Co-Occurring Disorders Treatment Planner. PracticePlanners® written by Jack Klott and published by . This book was released on 2006 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Integrated Treatment for Co-Occurring Disorders by : Jack Klott
Download or read book Integrated Treatment for Co-Occurring Disorders written by Jack Klott and published by John Wiley & Sons. This book was released on 2013-02-26 with total page 227 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis Co-occurring Mental Illness and Substance Use Disorders by : Jonathan D. Avery
Download or read book Co-occurring Mental Illness and Substance Use Disorders written by Jonathan D. Avery and published by American Psychiatric Pub. This book was released on 2017-09-21 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Co-occurring Mental Illness and Substance Use Disorders: A Guide to Diagnosis and Treatment provides a clinically detailed, evidence-based, and exhaustive examination of a topic rarely plumbed in psychiatry texts, despite the fact that co-occurring mental illness and substance use disorders are common. The authors argue for a more holistic and integrated approach, calling for clinicians to tactfully but persistently evaluate patients for a broad range of co-occurring disorders before determining appropriate treatment. Focusing on a substance use disorder in isolation, without determining whether another psychiatric disorder is co-occurring, can doom treatment efforts, and the reverse also is true. To help clinicians keep the big picture in mind, the book is organized around 18 cases, each of which addresses a particular diagnostic skill (e.g., assessment), group of disorders commonly comorbid with substance use disorders (e.g., PTSD, eating disorders), specific treatment (e.g., pharmacological interventions), or special population (e.g., adolescents). This case-based approach makes it easy for readers to understand strategies and master transferable techniques when dealing with their own patients. Because the initial face-to-face sessions are especially important with this patient population, the book includes chapters on the diagnostic assessment and the initial interview, as well as offering interviewing tips throughout to help the clinician develop the necessary care and skill in this arena. Also included is a chapter on integrating motivational interviewing into the treatment. Each of the 18 cases stands alone, allowing the reader flexibility in using the text. For example, the 18 cases and discussions can be read sequentially, or as needed, depending on the reader's special interest or current need. The book also features chapters on how to effectively work with patients whose disorders might be affecting other members of a patient's family, since the likelihood of a successful outcome is enhanced if an integrated treatment plan is developed for their co-occurring disorders. The questions that accompany each chapter can be used as an organizational tool prior to reading or to test knowledge and comprehension afterward. The text is completely up-to date and provides DSM-5 diagnostic information essential to each case. Co-occurring Mental Illness and Substance Use Disorders: A Guide to Diagnosis and Treatment offers a straightforward approach to people with complicated presentations, offering mental health clinicians the skills they require to effectively assess, diagnose, and treat these patients and their families.
Book Synopsis Co-Occurring Disorders by : Charles Atkins, MD
Download or read book Co-Occurring Disorders written by Charles Atkins, MD and published by PESI Publishing & Media. This book was released on 2014-11-03 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite an increased awareness of co-occurring disorders, most current treatment paradigms still focus on one problem or the other, leaving much unassessed, unaddressed, or ignored. Until now - a revolutionary new book from Dr. Charles Atkins that can break the cycles of relapse for those intertwined with substance use and mental illness. Co-Occurring Disorders is a guide to practical assessment and effective treatment approaches for working work with any number of co-occurring disorders. This step-by-step approach, demonstrated through diverse case studies, gives you the tools you need to improve and track your clinical outcomes. This is a must-have resource for both the rubber-meets-the-road clinician, who wants effective strategies and a clear direction for treatment and recovery, and the administrator who creates interventions at the system level with attention to regulatory and reimbursement demands. Also included is a comprehensive state-by-state Guide to Mental Health and Substance Abuse Agencies and Prescription Monitoring Programs Evidence-Based Integrated Treatment, finding the right tool for the job: • Motivational Interviewing • Cognitive-Behavioral Therapy and Strategies • Skills Training • Mindfulness Training • Mutual Self-Help & Peer-Based interventions • Wellness interventions • Recovery based • Family interventions • Assertive Community Treatment and Targeted Case Management • Psychopharmacology including opioid and nicotine replacement strategies Diagnosis-Specific Issues in Co-Occurring Disorders: • ADHD • Depression and Bipolar Disorders • Anxiety and PTSD • Schizophrenia and other Psychotic Disorders • Personality Disorders Substance-Specific Issues in Co-Occurring Disorders: • Alcohol • Opioids • Tobacco • Cocaine and other Stimulants, including "Bath Salts" • Cannabis & Synthetic Cannabis • The Internet and other sources of Drugs Reviews: "A comprehensive, user-friendly compilation of assessment and intervention strategies to be used for clients. It includes a number of worksheets for both clinicians and clients, and is a valuable tool for treatment decision-making." -- Donald Meichenbaum, PhD, noted author and speaker, a CBT founder, and voted one of the 10 most influential psychotherapists of the 20th century "This book is wonderful. I plan to adopt it as a textbook for my MSW Co-Occurring Disorder Program." -- Jaak Rakfeldt, Ph.D., Co-Occurring Disorder Cohort Program, MSW Coordinator, Southern Connecticut State Unviersity Professor "So much valuable information in a user friendly manner, clinicians as well as others will find this book useful in their practice. This resource is a powerful tool and I am especially proud of the way he connects issues related to gender and trauma." -- Colette Anderson, LCSW, CEO The Connecticut Women's Consortium "A clear, concise and straightforward and up to date text on co-occurring disorders has been glaringly lacking in the Behavioral Health Field. Co-Occurring Disorders: The Integrated Assessment and Treatment of Substance Use and Mental Disorders offers students and clinicians at all levels a comprehensive view of the challenges of treating those with a co-occurring mental health and substance use disorder. Written in plain language, Atkins provides a clinical road map beginning with an outline of key issues and ending with treatment planning. Atkins also does what most don’t and that is to stress the importance of peer support, natural supports and self-help. Co-Occurring Disorders: The Integrated Assessment and Treatment of Substance Use and Mental Disorders is an important addition to any educator’s and clinician’s bookshelf." --Eileen M. Russo, MA, LADC, Assistant Professor, Drug and Alcohol Recovery Counselor Program, Gateway Community College, New Haven, CT "As a person that has lived with bipolar disorder for many years and has proudly disclosed my personal journey of recovery, I know there are many people who would greatly benefit from the treatments suggested in this powerful book-co-occurring services are rarely done in such a comprehensive way." -- Dr. Karen A. Kangas, Director of Operations, Advocacy Unlimited, Inc.
Book Synopsis Co-occurring Disorders by : Charles Atkins
Download or read book Co-occurring Disorders written by Charles Atkins and published by . This book was released on 2021 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "A must-have clinical resource that should have a place on every clinician's shelf-now in a fully revised and updated second edition! Dr. Charles Atkins, board-certified psychiatrist, addictions specialist, and clinical trainer, brings the latest on effective treatment and recovery with Co-Occurring Disorders: A Whole-Person Approach to the Assessment and Treatment of Substance Use and Mental Disorders (2nd edition). Written in his signature straightforward style and packed with accessible clinical tools, it serves as a navigation guide through the complexities of co-occurring disorders, providing clarity where many clinicians find themselves stuck. This book is a must-have resource for the rubber-meets-the-road clinician, as well as the educators who train them"--
Book Synopsis Treating Co-occurring Disorders by : Edward L. Hendrickson
Download or read book Treating Co-occurring Disorders written by Edward L. Hendrickson and published by Routledge. This book was released on 2004 with total page 270 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook reflects the reality facing mental health and substance abuse professionals in their daily practices, focusing on how to effectively manage caseloads that include individuals with vastly differing levels of functioning.
Book Synopsis The Personality Disorders Treatment Planner: Includes DSM-5 Updates by : Neil R. Bockian
Download or read book The Personality Disorders Treatment Planner: Includes DSM-5 Updates written by Neil R. Bockian and published by John Wiley & Sons. This book was released on 2016-02-03 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: Approaching personality disorders with evidence-based treatment plans The Personality Disorders Treatment Planner, 2nd Edition is fully updated to meet the changing needs of the mental healthcare field. A time-saver for psychologists, counselors, social workers, psychiatrists, and other mental health professionals, this new edition offers the tools you need to develop formal treatment plans that meet the demands of HMOs, managed care companies, third-party payors, and state and federal agencies. Organized around twenty-six presenting problems, the easy-to-use format and over 1,000 prewritten symptom descriptions, treatment goals, objectives, and interventions makes the task of developing an evidence-based treatment plan more efficient than ever. The treatment of mental health disorders is rapidly evolving, and new evidence-based protocols are being adopted by federal and state organizations. You are now required to closely monitor patient progress, and you may feel pressure to stick to standardized care and reporting procedures; however, you can only do so if you have access to the latest in evidence-based treatment plans. Updated with new and revised evidence-based Objectives and Interventions Integrated DSM-5 diagnostic labels and ICD-10 codes into the Diagnostic Suggestions section of each chapter Many more suggested homework assignments integrated into the Interventions An Appendix demonstrates the use of the personality disorders Proposed Dimensional System of DSM-5. Expanded and updated self-help book list in the Bibliotherapy Appendix Revised, expanded and updated Professional Reference Appendix New Recovery Model Appendix D listing Objectives and Interventions allowing the integration of a recovery model orientation into treatment plans
Book Synopsis The Early Childhood Education Intervention Treatment Planner by : David J. Berghuis
Download or read book The Early Childhood Education Intervention Treatment Planner written by David J. Berghuis and published by John Wiley & Sons. This book was released on 2006-04-20 with total page 237 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Early Childhood Education Intervention Treatment Planner provides all the elements necessaryto quickly and easily develop formal education treatment plans that take the educational professional a step further past the writing of goals for Individualized Education Plans (IEPs) as well as mental health treatment plans. The educational treatment plan process assists the professional in identifying interventions and communicating to others the specific method, means, format, and/or creative experience by which the student will be assisted in attaining IEP goals. Critical tool for treating the most common problems encountered in treating children ages 3-6 Saves you hours of time-consuming paperwork, yet offers the freedom to develop customized educational treatment plans Organized around 27 main presenting problems, including autism, cultural and language issues, depression, eating and elimination concerns, cognitive and neurological impairment, oppositional behavior, school entry readiness, and others Over 1,000 well-crafted, clear statements describe the behavioral manifestations of each relational problem, long-term goals, short-term objectives, and educational interchange Easy-to-use reference format helps locate educational treatment plan components by disability Includes a sample treatment plan that conforms to the requirements of most third-party payors and accrediting agencies (including HCFA, JCAHO, and NCQA)
Book Synopsis Integrated Treatment for Co-Occurring Disorders by : Jack Klott
Download or read book Integrated Treatment for Co-Occurring Disorders written by Jack Klott and published by John Wiley & Sons. This book was released on 2013-01-23 with total page 227 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis The Addiction Treatment Planner by : Robert R. Perkinson
Download or read book The Addiction Treatment Planner written by Robert R. Perkinson and published by John Wiley & Sons. This book was released on 2009-04-03 with total page 720 pages. Available in PDF, EPUB and Kindle. Book excerpt: This timesaving resource features: Treatment plan components for 44 behaviorally based presenting problems Over 1,000 prewritten treatment goals, objectives, and interventions-plus space to record your own treatment plan options A step-by-step guide to writing treatment plans that conform to the latest ASAM requirements and meet the requirements of most accrediting bodies, insurance companies, and third-party payors Includes new Evidence-Based Practice Interventions as required by many public funding sources and private insurers The Addiction Treatment Planner, Fourth Edition provides all the elements necessary to quickly and easily develop formal treatment plans that satisfy the demands of HMOs, managed care companies, third-party payors, and state and federal agencies. New edition features empirically supported, evidence-based treatment interventions New treatment planning language based on the mandates of the American Society of Addiction Medicine (ASAM) Organized around 44 main presenting problems, including Adhd, borderline traits, eating disorders, gambling, impulsivity, psychosis, social anxiety, and substance abuse Over 1,000 prewritten treatment goals, objectives, and interventions-plus space to record your own treatment plan options Easy-to-use reference format helps locate treatment plan components by behavioral problem Designed to correspond with The Addiction Progress Notes Planner, Third Edition and Addiction Treatment Homework Planner, Fourth Edition Includes a sample treatment plan that conforms to the requirements of most third-party payors and accrediting agencies (including CARF, The Joint Commission (TJC), COA, and the NCQA) Additional resources in the PracticePlanners series: Progress Notes Planners contain complete, prewritten progress notes for each presenting problem in the companion Treatment Planners. Homework Planners feature behaviorally based, ready-to-use assignments to speed treatment and keep clients engaged between sessions.
Book Synopsis The Chemical Dependence Treatment Planner by : Robert R. Perkinson
Download or read book The Chemical Dependence Treatment Planner written by Robert R. Perkinson and published by . This book was released on 1998 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: This valuable professional resource makes it easier than ever for professionals who treat chemically dependent patients to write polished, effective treatment plans that satisfy all the demands of HMOs, managed care companies, third-party payers, and state and federal review agencies. This comprehensive planner provides problem definitions, treatment goals, objectives, interventions, and DSM-IV diagnoses for 29 substance-abuse related problems.
Book Synopsis Treatment Planning for Person-Centered Care by : Neal Adams
Download or read book Treatment Planning for Person-Centered Care written by Neal Adams and published by Elsevier. This book was released on 2004-12-03 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Requirements for treatment planning in the mental health and addictions fields are long standing and embedded in the treatment system. However, most clinicians find it a challenge to develop an effective, person-centered treatment plan. Such a plan is required for reimbursement, regulatory, accreditation and managed care purposes. Without a thoughtful assessment and well-written plan, programs and private clinicians are subject to financial penalties, poor licensing/accreditation reviews, less than stellar audits, etc. In addition, research is beginning to demonstrate that a well-developed person-centered care plan can lead to better outcomes for persons served. * Enhance the reader's understanding of the value and role of treatment planning in responding to the needs of adults, children and families with mental health and substance abuse treatment needs * Build the skills necessary to provide quality, person-centered, culturally competent and recovery / resiliency-orientated care in a changing service delivery system * Provide readers with sample documents, examples of how to write a plan, etc. * Provide a text and educational tool for course work and training as well as a reference for established practioners * Assist mental health and addictive disorders providers / programs in meeting external requirements, improve the quality of services and outcomes, and maintain optimum reimbursement
Book Synopsis The Severe and Persistent Mental Illness Treatment Planner by : Arthur E. Jongsma, Jr.
Download or read book The Severe and Persistent Mental Illness Treatment Planner written by Arthur E. Jongsma, Jr. and published by John Wiley & Sons. This book was released on 2015-01-07 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: This timesaving resource features: Treatment plan components for 31 behaviorally based presentingproblems Over 1,000 prewritten treatment goals, objectives, andinterventions—plus space to record your own treatment planoptions A step-by-step guide to writing treatment plans that meet therequirements of most accrediting bodies, insurance companies, andthird-party payors Includes new Evidence-Based Practice Interventions asrequired by many public funding sources and private insurers PracticePlanners® THE BESTSELLINGTREATMENT PLANNING SYSTEM FOR MENTAL HEALTH PROFESSIONALS The Severe and Persistent Mental Illness TreatmentPlanner, Second Edition provides all the elements necessaryto quickly and easily develop formal treatment plans that satisfythe demands of HMOs, managed care companies, third-party payors,and state and federal agencies. New edition features empirically supported, evidence-basedtreatment interventions Organized around 31 main presenting problems, includingemployment problems, family conflicts, financial needs,homelessness, intimate relationship conflicts, and socialanxiety Over 1,000 prewritten treatment goals, objectives, andinterventions—plus space to record your own treatment planoptions Easy-to-use reference format helps locate treatment plancomponents by behavioral problem Designed to correspond with The Severe and Persistent MentalIllness Progress Notes Planner, Second Edition Includes a sample treatment plan that conforms to therequirements of most third-party payors and accrediting agencies(including CARF, The Joint Commission, COA, and NCQA) Additional resources in thePracticePlanners® series: Progress Notes Planners contain complete, prewrittenprogress notes for each presenting problem in the companionTreatment Planners. Documentation Sourcebooks provide the forms and records thatmental health professionals need to efficiently run theirpractice. For more information on ourPracticePlanners®, including our full lineof Treatment Planners, visit us on the Web at:www.wiley.com/practiceplanners
Book Synopsis The Addiction Progress Notes Planner by : David J. Berghuis
Download or read book The Addiction Progress Notes Planner written by David J. Berghuis and published by John Wiley & Sons. This book was released on 2005-08-11 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Addiction Progress Notes Planner contains completeprewritten session and patient presentation descriptions for eachbehavioral problem in The Addiction Treatment Planner, ThirdEdition. The prewritten progress notes can be easily andquickly adapted to fit a particular client need or treatmentsituation. Saves you hours of time-consuming paperwork, yet offers thefreedom to develop customized progress notes Organized around 41 main presenting problems that range fromopioid dependence to new chapters in this edition covering suchco-occurring disorders as chronic pain, dangerousness/lethality,and self-care deficits Features over 1,000 prewritten progress notes (summarizingpatient presentation, themes of session, and treatmentdelivered) Provides an array of treatment approaches that correspond withthe behavioral problems and DSM-IV-TR diagnostic categories inThe Addiction Treatment Planner, Third Edition Offers sample progress notes that conform to the requirementsof most third-party payors and accrediting agencies, including theJCAHO and the NCQA
Book Synopsis Integrated Treatment for Dual Disorders by : Kim T. Mueser
Download or read book Integrated Treatment for Dual Disorders written by Kim T. Mueser and published by Guilford Publications. This book was released on 2015-05-18 with total page 496 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive clinical handbook provides virtually everything needed to plan, deliver, and evaluate effective treatment for persons with substance abuse problems and persistent mental illness. From authors at the forefront of the dual disorders field, the book is grounded in decades of influential research. Presented are clear guidelines for developing integrated treatment programs, performing state-of-the-art assessments, and implementing a wide range of individual, group, and family interventions. Also addressed are residential and other housing services, involuntary interventions, vocational rehabilitation, and psychopharmacology for dual disorders. Throughout, the emphasis is on workable ways to combine psychiatric and substance abuse services into a cohesive, unitary system of care. In a convenient large-size format, the volume includes reproducible assessment forms, treatment planning materials, and client handouts.
