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“This new edition includes comprehensive literature updates in every chapter, drawing upon the considerable clinical and conceptual advances that have occurred in the field over the last decade. The authors have advanced and expanded upon the dual recovery model, but have retained some of the strongest elements of the first edition, such as modified stepwork exercises for a variety of psychiatric illnesses. They have also retained their clear and descriptive style. Of all the books I have seen, this is the best comprehensive textbook for addiction counselors wishing to develop competency in dual diagnosis. It is also wonderfully accessible for frontline mental health counselors and case managers.”

—Ken Minkoff, MD, Assistant Clinical Professor of Psychiatry, Cambridge Hospital, Woburn, Massachusetts


“This comprehensive examination of the complex relationship between addictive disorders and other psychiatric conditions will meet the needs of a wide range of audiences. The authors combine research-based recommendations with a richness of detail and insight about the most prevalent coexisting disorders. They write with a vividness that can only be achieved by seasoned clinicians. The book will serve as a valuable guide for practitioners in different disciplines and as a textbook for graduate and postgraduate training.”

—Joan E. Zweben, PhD, Executive Director, East Bay Community Recovery Project & The 14th Street Clinic, Oakland, CA; Clinical Professor of Psychiatry, University of California, San Francisco


“Evans and Sullivan have done it again—provided a practical, clinically useful book on the treatment of a variety of dually disordered conditions. In this updated second edition they have added new material and approaches gleaned both from the professional literature and their own active clinical experience. A 'must read' for those in the field.”

—Richard K. Ries, MD, University of Washington and Harborview Medical Center, Seattle, Washington

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Table of Contents

1. The Nature of the Problem

2. Models of Treatment

3. An Integrated Model of Dual Recovery

4. Assessing Chemical Dependency in the Dually Diagnosed Client

5. Assessing the Psychiatric Disorder and Planning the Appropriate Level of Care

6. The Psychotic and Cognitive Disorders

7. The Affective and Anxiety Disorders

8. Antisocial and Borderline Personality Disorders

9. Working with Adolescents

10. Working with Families

11. Enhancing the Motivation of Clients (and Counselors, Too!)

Appendix 1. Modified Stepwork

Appendix 2. A School Behavior Checklist

Appendix 3. A Checklist for Parents

Appendix 4. A Typical Home Behavior Contract

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About the Authors

Katie Evans, PhD, NCACII, has a PhD in clinical psychology and is an Oregon Board Certified alcohol and drug counselor and a nationally credited alcohol and drug counselor. Dr. Evans specializes in counseling survivors of abuse who are chemically dependent. She is currently CEO and Treatment Coordinator at the Evans and Sullivan Clinic, cofounded with J. Michael Sullivan, where she works with adults and adolescents who have coexisting substance abuse and psychological problems. Widely published, Dr. Evans has coauthored several books with J. Michael Sullivan, including Treating Addicted Survivors of Trauma. She also serves on the faculty of Portland State University; conducts workshops and seminars on a variety of mental health and recovery-related topics; and consults to numerous agencies and treatment centers in the United States and Europe.

• All titles by Katie Evans

J. Michael Sullivan, PhD, is a licensed clinical psychologist specializing in the treatment of persons with dual disorders. He is currently Clinical Director at the Evans and Sullivan Clinic. With Katie Evans, he has coauthored dealing with the assessment and treatment of dual disorders. Dr. Sullivan has also given workshops on dual diagnosis in the United States and abroad, and has served as a consultant to various dual diagnosis programs and task forces.

• All titles by J. Michael Sullivan

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Audience

Mental health professionals and case managers working with dually diagnosed clients; students in psychology, psychiatry, social work, addictions counseling, and related fields.

Serves as an advanced undergraduate or graduate-level text.

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Course Use

Serves as an advanced undergraduate or graduate-level text.

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Previous editions published by Guilford:

First Edition, © 1990
ISBN: 9780898624502

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New to this edition:

• Updated to DSM-IV.
• Incorporates new developments in treatment.
• Sample treatment plans.
• Increased coverage of ways to incorporate 12-step concepts into mental health interventions.
• Section on trauma-based disorders in addicted female adolescents.