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The NYSPA Report: Overdose Prevention Centers Keep Our People Alive
People with opioid use disorder (OUD) have a high prevalence of a serious mental illness (SMI). Nearly 27% of people with an OUD had a co-occurring SMI (Jones and McCance-Katz 2019), which complicates care when access to dual diagnosis treatment is limited. Overdose deaths have steadily increased...
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Early Mental Health Screening and Intervention Could Halt Addiction Epidemic
The epidemic of substance use disorder (SUD) has become a plague on our society, resulting in countless deaths, overwhelming our health care and justice systems, and taking a terrible toll on the families of those suffering from this disease. While billions of dollars have been poured into...
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Co-Occurring Disorders Among Social Workers
According to the Substance Abuse and Mental Health Services Administration (SAMHSA) 2015 National Survey on Drug Use and Health (NSDUH), co-occurring mental health and substance use disorders (SUD) affected an estimated 8.1 million adults or 3.7% of the total adult population in the United States....
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Co-Occurring Conditions in Mild Autism Spectrum Disorder: Integrated Treatment Approaches
Co-occurring mental health conditions are the rule rather than the exception in autism spectrum disorder (ASD). A full 70% of individuals with ASD have one co-occurring condition and 40% have two or more (Siminoff et al, 2008). Living with autism is a journey, and in talking to families, I often...
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Why Integrated Care for Co-Occurring Disorders Is So Important
Providing integrated treatment for people with co-occurring behavioral and physical health disorders has become a central goal of mental health policy reform. Why? In part the answer is that the failure to provide effective integrated care drives up the cost of care. But the answer also is that...
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Understanding Co-Occurring Disorders
For decades, we have talked about substance use and mental health conditions as “co-occurring.” We have incorporated it into our language, for example, saying that a person “needs a co-occurring program.” Sometimes the term takes on a life of its own, prompting providers to view treatment...
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The Sensory Comfort Cart: A Portable Resource to Assist in the Recovery of Patients with Co-Occurring Diagnoses
This article describes a brief history of sensory modalities in mental health and substance abuse treatment, the purpose and current use of a sensory comfort cart at NewYork-Presbyterian Westchester Division (NYPWD), early patient outcomes, and implications for discharge and recovery. Brief...
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The Evolving Health and Social Service Landscape: Promise for Persons with Co-Occurring Disorders
A year has passed since the United States Congress enacted sweeping legislation to address deficiencies in our national behavioral health service infrastructure. The Comprehensive Addiction and Recovery Act (CARA) and 21st Century Cures Act, both passed by the 114th Congress in 2016, authorized a...
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Managing Co-Occurring Substance Use and Mental Health Disorders
The combination of substance use disorders and mental illness is a common clinical problem – and a serious public health concern. The problem is widespread. At least one-third of people with anxiety and depression – and between half and two-thirds of people with more serious mental illnesses...
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Merger Fears
A young man came to marriage counseling and reported that he had two panic attacks in his life. One occurred years ago, and the other happened on his way to our session. He knew he needed to more effectively merge with his wife, but he did not know how that was possible; and moreover, he feared...
