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    Integrative Dual Diagnosis Treatment Approach to an Individual with Alcoholism and Coexisting Endogenous Depression
    Integrative Dual Diagnosis Treatment Approach to an Individual with Alcoholism and Coexisting Endogenous Depression
    Integrative Dual Diagnosis Treatment Approach to an Individual with Alcoholism and Coexisting Endogenous Depression
    Ebook124 pages1 hour

    Integrative Dual Diagnosis Treatment Approach to an Individual with Alcoholism and Coexisting Endogenous Depression

    By Dr. Michael Mullan

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    When a forty-three-year-old medical doctor sought treatment for chronic alcoholism, author Dr. Michael Mullan determined that George J. also suffered from depression and would require an integrative treatment approach to ensure a successful outcome.

    In Integrative Dual Diagnosis Treatment Approach to an Individual with Alcoholism and Coexisting Endogenous Depression, Mullan:

    Describes the details of the case
    Reviews the literature related to the clinical problems of dealing with alcoholism and alcoholism with co-existing mental illness
    Includes an overview of the dually diagnosed population
    Presents the model of treatment for the dually disorderedDual Diagnosis Model
    Reviews the patients treatment regimen
    Provides a summary of the treatment and experience
    Reports on the patients results

    In this study, Mullan describes his Dual Diagnosis Model approach for the treatment of addiction with co-existing mental disorders. He contends that in order to be successful treating an individuals addiction that the underlying psychological disorders must also be addressed to ensure a positive outcome.

    LanguageEnglish
    PublisheriUniverse
    Release dateAug 7, 2014
    ISBN9781491736661
    Integrative Dual Diagnosis Treatment Approach to an Individual with Alcoholism and Coexisting Endogenous Depression
    Author

    Dr. Michael Mullan

    Dr. Michael Mullan is a licensed clinical psychologist who recently retired from the State of California Department of Corrections. He was pioneer in the field of dual diagnosis treatment of alcoholics and drug addicted individuals with co-existing mental illness. Mullan and his wife live in California.

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      Book preview

      Integrative Dual Diagnosis Treatment Approach to an Individual with Alcoholism and Coexisting Endogenous Depression - Dr. Michael Mullan

      INTEGRATIVE DUAL DIAGNOSIS TREATMENT APPROACH TO AN INDIVIDUAL WITH ALCOHOLISM AND COEXISTING ENDOGENOUS DEPRESSION

      BLOOMINGTON

      Copyright © 1996, 2014 Dr. Michael Mullan.

      All rights reserved. No part of this book may be used or reproduced by any means, graphic, electronic, or mechanical, including photocopying, recording, taping or by any information storage retrieval system without the written permission of the publisher except in the case of brief quotations embodied in critical articles and reviews.

      iUniverse LLC

      1663 Liberty Drive

      Bloomington, IN 47403

      www.iuniverse.com

      1-800-Authors (1-800-288-4677)

      Because of the dynamic nature of the Internet, any web addresses or links contained in this book may have changed since publication and may no longer be valid. The views expressed in this work are solely those of the author and do not necessarily reflect the views of the publisher, and the publisher hereby disclaims any responsibility for them.

      Any people depicted in stock imagery provided by Thinkstock are models, and such images are being used for illustrative purposes only.

      Certain stock imagery © Thinkstock.

      ISBN: 978-1-4917-3668-5 (sc)

      ISBN: 978-1-4917-3667-8 (hc)

      ISBN: 978-1-4917-3666-1 (e)

      Library of Congress Control Number: 2014910426

      iUniverse rev. date: 08/06/2014

      Contents

      CHAPTER

      1.     INTRODUCTION

      Project Overview

      2.     REVIEW OF THE LITERATURE

      Theories of Etiology

      Biological Factors

      Psychosocial Factors

      Alcoholism Theories and Views on the Etiology

      Alcoholics Anonymous Model

      Psychoanalytic Perspective

      Medical Model Concept

      Family Interaction Concept

      Behavioral Theory

      Sociological Concept

      Transactional Analysis Concept

      Depression and Substance Abuse

      Depression and Alcoholism

      Pharmacotherapy For Depressed Alcoholics

      Comprehensive Treatment of Mood Disorders Within Alcoholics

      Medications Used in the Treatment of Depression

      Three Categories of Antidepressants

      Tricyclics

      MAO Inhibitors

      SELECTIVE SEROTONIN RE-UPTAKE INHIBITOR

      3.     MODELS OF TREATMENT FOR THE DUALLY DISORDERED POPULATION

      Moral Model

      Learning Model

      Disease Model

      Self-Medication Model

      Social Model

      Dual Diagnosis Model

      4.     CASE STUDY

      Integrative Dual Diagnosis Treatment Approach

      Program Description

      Policy and Procedure For Dual Disorder Clients

      Target Population

      Admissions Criteria

      Treatment Process Protocol

      Program Evaluation and Review

      Dual Disorders Treatment Team

      Integrative Treatment Approach

      Case Study: George J. - Treatment Experience

      Phase 1. Detoxification

      Phase 2. Long Term Treatment, Assessment and Planning

      Master Problem List

      Treatment Plan 1

      Problem No. 1

      Problem No. 2

      Medication Dosage and Administration

      Problem No. 3

      The Theory of Homeostasis

      Family Constellation

      Problem No. 4

      Problem No. 5

      Summary of Treatment Experience

      5.     DISCUSSION

      References

      INTEGRATIVE DUAL DIAGNOSIS TREATMENT APPROACH TO AN INDIVIDUAL WITH ALCOHOLISM AND COEXISTING ENDOGENOUS DEPRESSION

      This case study focuses on an individual who was dually diagnosed with alcoholism and coexisting endogenous depression. The identified patient was a forty-three year old male who presented to inpatient treatment for alcoholism. The patient had an extensive history of alcohol abuse. Upon intake into treatment, the patient reported that he had three previous unsuccessful treatment episodes for his alcoholism. The patient also reported that he had been diagnosed with depression two years prior to entering this inpatient treatment program. The patient stated that despite his best efforts he was unable to maintain abstinence for more than a three-month period. The patient was separated from his wife and two children. The patient’s medical license had also been suspended until he completed treatment for his alcoholism and depression, along with successful completion of a required diversion program.

      The theoretical orientation used for treatment was the Integrative Dual Diagnosis Model.. This model addresses both disorders independently and concurrently, recognizing the need for chemotherapy for the treatment of depression, while integrating the twelve step model of recovery addressing the patient’s alcoholism. Following an intensive sixty day program, the patient made the transition to a less-restrictive outpatient program for an additional sixty days.

      The patient, at the time of this writing, had been abstinent from alcohol for one year and was continuing with his chemotherapy for his depression. The patient remained in an ongoing diversion program for the State Medical Board for reinstatement of his medical licence.

      Doctor Michael Mullan is a Licensed Clinical Psychologist who recently retired from the State of California Department of Corrections. Prior to his work in corrections Dr. Mullan worked for many years in the field of addictions. He was pioneer in the field of dual diagnosis treatment of alcoholics and drug addicted individuals with co-existing mental illness. Dr Mullan was instrumental in developing one of the first dual diagnosis programs while working at Cedar House Rehabilitation Center in Bloomington California. Cedar House is a 125 bed drug and alcohol rehabilitation center serving both the indigent population as well as private pay patients. When Dr. Mullan first arrived at the facility it was strictly a 12 step based program which believed that giving patients any type of medication would be counter indicated for their recovery. Dr. Mullan states that he believed that treating the addict/alcoholic addiction alone was not the answer for a health recovery program as witnessed by the extremely high relapse rates and return to treatment. In 1995 Dr. Mullan was determined to focus on the much larger problem of treating not only the addiction to alcohol and drugs but to also treat the underlying psychological problems which many of the patients appeared to be suffering from. Dr. Mullan began to set up linkages with Riverside and San Bernardino County offices of alcohol and drug programs, as well as both counties Mental Health programs. It was Dr. Mullan’s contention that if an individual was suffering with an underlying psychological problem that was not addressed in treatment that the prognosis for recovery were very poor. In the following years both San Bernardino and Riverside Counties joined in this effort by providing Mental Health practitioners to come to the facility on a weekly basis to provide adjunct therapy to their respective patients. The program turned out to be a hallmark success and a prototype for other programs to follow in the years to come. Dr. Mullan was then asked to sit on the Board of Directors at the University of California Riverside Extension Program to develop the first dual diagnosis certification program in the United States. Dr. Mullan also taught numerous class’s in the program from 1996 through 1999.

      In 1997 Dr. Mullan was a keynote presenter on dual diagnosis for the National Association of Drug Court Professionals NADCP 3rd Annual Training Conference at the Biltmore Hotel in Los Angeles. This

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