The prevalence of substance abuse in the severely mentally ill is higher than that in the general population, making this a serious issue for clinicians. Integrated treatment, although the most widely adopted approach, is subject to tremendous variation in its operationalisation, especially throughout different parts of the world.
Substance Misuse in Psychosis presents the latest international developments and practical treatment interventions that can be used with co-morbid individuals and their families. Different social and cultural contexts are described and contrasted, along with treatment approaches that have been tailored to address the needs of the severely mentally ill. A final section considers sub-groups, e.g. the young, the homeless, outlining the special issues that need to be considered when providing services for these groups.

How do you engage a reluctant client in discussing alcohol/drug use and build motivation for change?

Hermine L. Graham and her team of co-authors have specifically developed this treatment manual for clinicians and therapists who work with clients presenting with co-existing severe mental health and substance misuse problems.

"Cognitive-Behavioural Integrated Treatment(C-BIT)" provides a framework that is structured but flexible, assisting clinicians to initially engage with clients and collaboratively tackle alcohol and drug problems in the context of the client's mental health difficulties. The book is set out in three parts:

Part I sets the scene by outlining some of the background issues concerning co-existing substance use and mental health problems.

Part II is a step-by-step manual and will guide you through the C-BIT approach, with practical strategies on how to deliver integrated interventions appropriate to your client's stage of engagement with you.

Part III addresses some of the key issues involved in the process of implementing integrated treatment. It highlights some of the implementation obstacles that can often arise during the developmental stages, with suggested strategies to address these issues.

Each Part has supporting worksheets clearly displayed in the Appendices.

This essential resource and handbook will be invaluable for clinicians, students, researchers, managers and health purchasers/providers in mental health and substance misuse settings.

How do you engage a reluctant client in discussing alcohol/drug use and build motivation for change?

Hermine L. Graham and her team of co-authors have specifically developed this treatment manual for clinicians and therapists who work with clients presenting with co-existing severe mental health and substance misuse problems.

"Cognitive-Behavioural Integrated Treatment(C-BIT)" provides a framework that is structured but flexible, assisting clinicians to initially engage with clients and collaboratively tackle alcohol and drug problems in the context of the client's mental health difficulties. The book is set out in three parts:

Part I sets the scene by outlining some of the background issues concerning co-existing substance use and mental health problems.

Part II is a step-by-step manual and will guide you through the C-BIT approach, with practical strategies on how to deliver integrated interventions appropriate to your client's stage of engagement with you.

Part III addresses some of the key issues involved in the process of implementing integrated treatment. It highlights some of the implementation obstacles that can often arise during the developmental stages, with suggested strategies to address these issues.

Each Part has supporting worksheets clearly displayed in the Appendices.

This essential resource and handbook will be invaluable for clinicians, students, researchers, managers and health purchasers/providers in mental health and substance misuse settings.

My thoughts on life, love, living, and reasons for forgiving

It has been said that those with a severe mental health problem who use substances problematically have "fallen between" mental health and addiction services.

Substance Misuse in Psychosis: Approaches to Treatment and Service Delivery delves into the issues involved in working with those who have a severe mental health problem and use alcohol and drugs problematically. It adopts a practical, hands-on approach to sharing evidence-based approaches. Chapter authors interweave both theory and practice, by the use of illustrative clinical case material. This unique collection of authors, all of whom are experts in the field and pioneers of innovative approaches, provides an international perspective on treatment from UK, Germany, Australia, USA and Canada.

Section I provides an introduction to the issue of substance misuse amongst those with psychosis. Section II introduces a range of integrated service models from different countries. Section III provides a practical hands-on guide to assessment and treatment. Section IV addresses the specific treatment needs of special population groups (i.e. young people, forensic groups, homeless people and those with HIV/Aids). Section V examines treatment outcome studies and implications for the future.

Clinical psychologists, psychiatrists, nurses, therapists and psychiatric social workers in training and practice in clinic, hospital and community settings will find this book an essential practical resource for working with co-morbid individuals and their families.