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Family, community, treatment


 


 


Connecticut mental-health treatment providers are discovering an increased need to treat clients who require help for both substance abuse and mental health disorders.

Until recently, clients were either identified with a primary mental health disorder or a primary substance disorder. Mental health practitioners had a tendency to minimize or not even address substance abuse problems in light of the mental health disorder. Or, the thinking was that when mental health symptoms were treated, the substance abuse would naturally dissipate.

Typically, treatment providers are working with clients who have depression, anxiety or bipolar disorders in addition to substance abuse; providers would often tell patients that the depression or anxiety they experienced was "normal" in the first few months after sobriety.

Clinicians are now learning about both disorders, and in most facilities, assessments are much more thorough and detailed concerning the client’s mental health and substance abuse history, experience, childhood development, family history, medical issues, and other pertinent factors. All of these aspects play an integral role in treatment.

With this increase in co-occurring disorders, treatment centers have adopted a variety of management ideas. There is evidence to support cognitive behavioral therapy, motivational interviewing, dialectical behavior therapy, and relapse prevention as beneficial to both substance abuse and mental health disorders. Additionally, advances in psychopharmacology effectiveness have prompted more and more substance abuse institutions to employ psychiatrists and other health professionals to prescribe these medications.

The good news is that treatment today is better than ever before. Clinicians and staff members are better trained in treatment services. There is more understanding of mental health and substance abuse needs, and less resistance of substance abuse clinicians to working with psychiatrists. Typically, treatment programs operate with an understanding that individuals respond differently to various types of treatment. No one size fits all.

Key to recovery is also support from community, family, and treatment providers.

I like to say "it takes a village to support a recovering person." The most fundamental symptom of addiction is that it isolates. People don’t feel connected socially or spiritually because of their addiction. In recovery, we aim to rebuild relationships and connections to family, friends and community to end that isolation.

 

Victor Incerti is vice president of Community Mental Health Affiliates’ Highlands Treatment Center. Call CMHA’S Alliance Treatment Center at 866-234-3433 for questions, or help with substance abuse.

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