Clinical Handbook of Co-exist Mental Health and Drug Alcohol Problems

425 Pages·2007·3.25 MB·English

by  Baker Velleman

Clinical Handbook of Co-existing
Mental Health and Drug and
Alcohol Problems
Co-existing mental health and drug and alcohol problems occur frequently in
primary care and clinical settings. Despite this, health professionals rarely
receive training in how to detect, assess and formulate interventions for
co-existing problems, and few clinical guidelines exist.
This handbook provides an exciting and highly useful addition to this area.
Leading clinicians from the UK, the US and Australia provide practical
descriptions of assessments and interventions for co-existing problems. These
will enable professionals working with co-existing problems to understand
best practice and ensure that people with co-existing problems receive optimal
treatment. A range of overarching approaches are covered, including:
(cid:127) working within a cognitive behavioural framework;
(cid:127) provision of consultation-liaison services, training and supervision;
(cid:127) individual, group and family interventions; and
(cid:127) working with rurally isolated populations.
The contributors also provide detailed descriptions of assessments and
treatments for a range of disorders when accompanied by drug and alcohol
problems, including anxiety, depression, schizophrenia, bipolar disorder and
learning difficulties.
The Clinical Handbook of Co-existing Mental Health and Drug and Alcohol
Problems will enhance clinicians’ confidence in working with people with co-
existing problems. It will prove a valuable resource for psychologists, psychi-
atrists, counsellors, social workers and all those working in both primary and
secondary care health settings.
Amanda Baker is Associate Professor at the Centre for Mental Health Studies,
University of Newcastle, New South Wales, Australia.
Richard Velleman is Professor of Mental Health Research at the University of Bath,
UK, and Director of the Mental Health Research & Development Unit, Avon and
Wiltshire Mental Health Partnership NHS Trust, UK.

Clinical Handbook of
Co-existing Mental Health and
Drug and Alcohol Problems
Edited by Amanda Baker and
Richard Velleman
First published 2007
by Routledge
27 Church Road, Hove, East Sussex BN3 2FA
Simultaneously published in the USA and Canada
by Routledge
270 Madison Avenue, New York, NY 10016
Routledge is an imprint of the Taylor & Francis Group,
an informa business
Copyright © 2007 selection and editorial matter, Amanda Baker and
Richard Velleman; individual chapters, the contributors
This edition published in the Taylor & Francis e-Library, 2007.
“To purchase your own copy of this or any of Taylor & Francis or Routledge’s
collection of thousands of eBooks please go to www.eBookstore.tandf.co.uk.”
All rights reserved. No part of this book may be reprinted or
reproduced or utilized in any form or by any electronic,
mechanical, or other means, now known or hereafter
invented, including photocopying and recording, or in any
information storage or retrieval system, without permission in
writing from the publishers.
This publication has been produced with paper manufactured to
strict environmental standards and with pulp derived from
sustainable forests.
British Library Cataloguing-in-Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging-in-Publication Data
Clinical handbook of co-existing mental health and drug and alcohol
problems / edited by Amanda Baker & Richard Velleman.
p.; cm.
Includes bibliographical references and index.
ISBN13: 978–1–58391–775–6 (hbk)
ISBN10: 1–58391–775–6 (hbk)
ISBN13: 978–1–58391–776–3 (pbk)
ISBN10: 1–58391–776–4 (pbk)
1. Mental illness—Treatment—Handbooks, manuals, etc. 2.
Substance abuse—Treatment—Handbooks, manuals, etc. I. Baker,
Amanda. II. Velleman, Richard.
[DNLM: 1. Mental Disorders—complications. 2. Delivery of
Health Care—methods. 3. Mental Disorders—diagnosis. 4. Mental
Disorders—therapy. 5. Substance-Related Disorders—
complications. WM 140 C6407 2006]
RC480.5C5537 2006
616.86′0651—dc22
2006012771
ISBN 0–203–02851–1 Master e-book ISBN
ISBN: 978-1-58391-775-6 (hbk)
ISBN: 978-1-58391-776-3 (pbk)
To John, Maya and Tully (AB)
To Gill, as always (RV)

Contents
Contributors x
Foreword xvii
Preface xx
Acknowledgements xxii
SECTION 1
Overview: Detection and decisions
1 Co-existing mental health and drug and alcohol problems:
Steps towards better treatment 1
AMANDA BAKER, FRANCES J. KAY-LAMBKIN AND TERRY J. LEWIN
2 Co-existing problems: From conceptualization to case formulation 20
RICHARD VELLEMAN
SECTION 2
General processes when working with people
with co-existing mental health and drug and
alcohol problems
3 Motivational interviewing 39
DAVID J. KAVANAGH AND JENNIFER M. CONNOLLY
4 Cognitive behaviour therapy for people with co-existing
mental health and drug and alcohol problems 55
AMANDA BAKER, SANDRA BUCCI, FRANCES J. KAY-LAMBKIN AND
LEANNE HIDES
viii Contents
5 Family intervention for co-existing mental health and drug
and alcohol problems 74
GINA SMITH AND RICHARD VELLEMAN
6 Group interventions for co-existing mental health and drug
and alcohol problems 96
KIM T. MUESER AND STEVEN C. PIERCE
7 A consultation-liaison service model offering a brief integrated
motivational enhancement intervention 114
HERMINE L. GRAHAM, DEREK TOBIN AND EMMA GODFREY
SECTION 3
Adapting approaches with specific populations or
specific problems
8 Young people with co-existing mental health and drug and
alcohol problems 132
LEANNE HIDES, DAN I. LUBMAN, FRANCES J. KAY-LAMBKIN AND
AMANDA BAKER
9 Rurally isolated populations and co-existing mental health
and drug and alcohol problems 159
BRIAN KELLY, FRANCES J. KAY-LAMBKIN AND DAVID J. KAVANAGH
10 Homelessness alongside co-existing mental health and drug
and alcohol problems 177
RICHARD VELLEMAN
11 Anxiety and drug and alcohol problems 197
ANDREW BAILLIE AND CLAUDIA SANNIBALE
12 Depression and drug and alcohol problems 218
FRANCES J. KAY-LAMBKIN, AMANDA BAKER AND VAUGHAN J. CARR
13 Psychosis and drug and alcohol problems 241
CHRISTINE BARROWCLOUGH, GILLIAN HADDOCK, IAN LOWENS,
RORY ALLOTT, PAUL EARNSHAW, MIKE FITZSIMMONS
AND SARAH NOTHARD
Contents ix
14 Bipolar affective disorder and drug and alcohol problems 266
EMMA WHICHER AND MOHAMMED ABOU-SALEH
15 Eating disorders and drug and alcohol problems 290
JENNIFER S. COELHO, CHRISTOPHER THORNTON,
STEPHEN W. TOUYZ, J. HUBERT LACEY AND SARAH CORFE
16 Personality disorders and drug and alcohol problems 309
ELLEN M. CROUSE, KEITH M. DRAKE AND MARK P. McGOVERN
17 Learning disability and co-existing drug and alcohol problems 329
GABRIELLE BARTER
SECTION 4
Training, supervision and future directions
18 Training in co-existing mental health and drug and alcohol
problems: High priority in policy requires resources 351
ILANA CROME AND ROGER BLOOR
19 Clinical team supervision for practitioners treating
co-existing mental health and drug and alcohol problems 371
ALEX COPELLO AND DEREK TOBIN
20 Where to from here? 388
AMANDA BAKER AND RICHARD VELLEMAN
Index 395