A Family Guide to Concurrent Disorders

We know that the mental health and substance use systems could be better at helping families become more resilient, at recognizing the work that family members do everyday to find solutions and resources for problems related to concurrent disorders.

Families need help to deal with the impact of concurrent disorders, but families are also a key to finding effective solutions. To help their relatives on the journey to recovery, families need:

• information about substance use and mental health problems—and above all, to know that families do not cause the problems
• a common language with treatment providers—to make it easier to collaborate
• strategies to cope with issues associated with concurrent disorders
• strategies to look after themselves and reduce the impact of their relatives’ problems on their own lives.

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Table of Contents

Preface

Part I: What are concurrent disorders?

1. Introduction to concurrent disorders  

• 1.1 Introduction to Chapter 1
• 1.2 How common are concurrent disorders?
• 1.3 The relationship between substance use and mental health problems
• 1.4 The impact of concurrent disorders
• 1.5 An introduction to treatment

2. Substance use problems

• 2.1 Introduction to Chapter 2
• 2.2 Substance-related disorders
• 2.3 What is the risk of addiction?
• 2.4 Why do people develop addictions?
• 2.5 Types of substances

3. Mental health problems

• 3.1 Why do people develop mental health problems?
• 3.2 Mental health disorders
• 3.3 Personality disorders

Part II: The impact on families

4. How concurrent disorders affect family life

• 4.1 How concurrent disorders affect family life
• 4.2 Behaviour changes
• 4.3 Relationship changes
• 4.4 Increased responsibility
• 4.5 Impact on caregivers

5. Self-care

• 5.1 Self-care
• 5.2 Resilience
• 5.3 Short-term self-care strategies
• 5.4 Long-term self-care strategies
• 5.5 Building a self-care plan

6. Stigma  

• 6.1 Stigma
• 6.2 Understanding stigma
• 6.3 Experiencing stigma
• 6.4 Surviving stigma
• 6.5 Combating stigma

Part III: Treatment

7. Navigating the treatment system

• 7.1 Is there a system?
• 7.2 What should happen: Integrated treatment
• 7.3 What may happen: Sequential or parallel treatment
• 7.4 Access points
• 7.5 Screening, assessment and diagnosis
• 7.6 Treatment planning
• 7.7 Treatment
• 7.8 Treatment approaches
• 7.9 Co-ordinating treatment
• 7.10 Continuing care

8. Medication

• 8.1 Drug therapy for mental health problems
• 8.2 Drug therapy for substance use problems
• 8.3 Medication management
• 8.4 Medication abuse or dependence
• 8.5 Drug interactions
• 8.6 Ongoing treatment
• 8.7 Stopping medication

9. Relapse prevention

• 9.1 What is relapse?
• 9.2 Relapse prevention for substance use problems
• 9.3 Relapse prevention for mental health problems

10. Crisis and emergency

• 10.2 Whose crisis is it?
• 10.3 Limit-setting
• 10.4 Dealing with inappropriate behaviour
• 10.5 Example of an escalating crisis
• 10.6 When a crisis becomes an emergency
• 10.7 Creating an emergency plan
• 10.8 Creating a crisis plan

Part IV: Recovery

11. Recovery  

• 11.1 What is recovery
• 11.2 Key factors in recovery

12. Resources

• 12.1 Websites
• 12.2 Online publications
• 12.3 Books and booklets

References

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