Clinical management of physical illness and co-occurring disorders must account for the frequently encountered “triple diagnosis" of medical illness, psychiatric diagnosis, and substance use disorders. This requires integrated treatment services that focus beyond just management of individual symptom clusters. Siloed approaches to care no longer adequately provide the integrated services needed for the diverse needs of this population. Integrative care models, considered best practice, simultaneously address both/all disorders provided by the same cross-trained clinicians and co-located in the same program. The experience of a university mental health clinic and multidisciplinary training program providing psychiatric and substance abuse treatment to unfunded and low funded individuals is presented, supporting a non-hierarchical approach to integrated provider training. Discussion will focus on evidence based practices, harm reduction vs. abstinence only, as well as utilizing the recovery model with syndemic illness.
Upon completion of this session, attendees will be able to:
Understand the common mental health, substance use and psychosocial challenges of living in Southern California.
Recite promising substance use evidence-based models and mental health training paradigms that successfully impact health and well-being outcomes in patients.
Recite key strategies of integrated substance use and psychiatric treatment that are critical for outcome success.