Specific Disorders and Related Resources 2017-10-25T10:49:04+00:00

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Specific Disorders and Related Resources

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ANXIETY AND RELATED DISORDERS
MAJOR DEPRESSION
BI-POLAR
FIRST EPISODE PSYCHOSIS
SCHIZOPHRENIA
SCHIZOAFFECTIVE DISORDER
POST-PARTUM DEPRESSION
DUAL DIAGNOSIS: SUBSTANCE ABUSE / MENTAL ILLNESS
TRAUMA AND POST-TRAUMATIC STRESS DISORDER

ANXIETY AND RELATED DISORDERS

What is Anxiety?
Anxiety disorders are the most common mental health concern in the United States. An estimated 40 million adults in the U.S., or 18%, have an anxiety disorder with a median onset age of 11 years. Approximately 8% of children and teenagers experience the negative impact of an anxiety disorder at school and at home. Most people develop symptoms of anxiety disorders before age 21 and women are 60% more likely to be diagnosed with an anxiety disorder than men.Anxiety can vary in severity from mild uneasiness to terrifying panic attacks.  Most anxiety is caused by perceived threats in the environment.  A person who experiences a high level of anxiety over a long period will often develop depression.  Because of the long-term consequences, it is important that anxiety disorders are recognized early and people get appropriate professional help.  Research shows that both medication and cognitive behavioral therapy (CBT) are effective treatments.According to the University of Utah Department of Psychiatry, there are several anxiety disorders that require the clinical care of a psychiatrist or other mental health professional. Listed below are some of these, for which the University has provided overview links:

RESOURCES

Anxiety and Depression Association of America (ADAA)
ADAA promotes the early diagnosis, treatment, and cure of anxiety disorders.

All About Anxiety: Why Is It Preventing You From Sleep?

Learn ALL the definitions and causes of generalized anxiety disorder, panic disorder, OCD, and other phobias, and most importantly, how they interfere with sleep.

Benson-Henry Institute for Mind Body Medicine (BHI) Since 2006, BHI has been integrating the field of mind/body medicine into Massachusetts General Hospital’s clinical care, research and training programs. BHI accomplishes its objectives of integrated health care by:

  • Documenting and furthering the understanding of Mind Body Medicine through research
  • Providing treatment that reduces the physical and emotional impact of stress
  • Training health care professionals, medical students, post-doctoral fellows, and educators

BHI sees the Mind Body Medicine as the third leg of a three-legged stool, the first leg being surgery, the second leg, pharmaceuticals and the third leg, self care, in which patients learn techniques to improve their own health through Mind Body Medicine, nutrition and exercise. The Stress Management And Resiliency Training (SMART) program teaches self-care practices that help buffer daily stress, making participants less emotionally and physically vulnerable to it.

e-Couch
e-Couch is a self-help interactive program with modules for depression, generalized anxiety & worry, social anxiety, relationship breakdown, and loss & grief. It provides evidence-based information and teaches strategies drawn from cognitive, behavioral and interpersonal therapies, as well as relaxation and physical activity.

Freedom From Fear (FFF)
FFF is a national not-for-profit mental health advocacy association. The mission of FFF is to impact, in a positive way, the lives of all those affected by anxiety, depressive and related disorders through advocacy, education, research, and community support. This website contains valuable information based on research findings on anxiety and depressive illnesses and the treatments that work.

International OCD Foundation
Obsessive compulsive disorder (OCD) and related disorders affect more than 1 in 100 people around the world — but there is hope. Learn about treatment, research, and other resources that can help.  Find Help: Search the Site’s Resource Directory for therapists, clinics & programs, treatment programs, support groups, and organizations (such as affiliates and global partners) specializing in OCD and Related Disorders in your area.  Click here for OCD Fact Sheets and Brochures (in multiple languages).

Project Hope and Beyond (PHB)
PHB is a program of Psych Central Community Connection, a nonprofit run by Psych Central, the Internet’s largest and oldest independent mental health social network. PHB is an online community for persons with unrelenting depression and anxiety, as well as their families and friends who want to better understand them. Its purpose is to offer support and hope to people whose conditions are lasting or difficult to treat, and those who often fall through the cracks of today’s healthcare system.

Valley Behavioral Health Articles on Generalized Anxiety
http://screening.mentalhealthscreening.org/valley-behavioral-health/resources/category/generalized-anxiety

NAMI Resources on Anxiety Disorders
http://www.nami.org/Learn-More/Mental-Health-Conditions/Anxiety-Disorders

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MAJOR DEPRESSION

What is Depression?
Major (or clinical) depression is much more than having a bad day or even coping with a serious loss such as a death in the family or other stressful life circumstances. Major depression involves disturbances in mood, concentration, sleep, activity, appetite, and social behavior. Unlike typical emotional experiences of sadness, loss, or passing mood states, major depression is a persistent mental illness that is estimated to affect 19 million American adults (or approximately 10 percent of the U.S. adult population) annually. It is the leading cause of disability in the U.S. and many other developed countries. Because the outward behavior of depressed individuals can seem relatively normal and rarely disrupts the lives of others to the extent that some other serious mental illnesses do, major depression is often misdiagnosed or not diagnosed at all. Left untreated, however, it can lead to severe disability and suicide.  As devastating as this illness may be, it is highly treatable; treatment is successful in 80 percent of clinically-depressed individuals.

RESOURCES

DO YOU FEEL DEPRESSED? Take a brief online assessment at: http://www.mentalhealthamerica.net/mental-health-screen/patient-health

PRA Health Sciences Paid Depression Studies in Salt Lake City
PRA Health Sciences is currently seeking paid volunteers aged 18-65 to participate depression studies in Salt Lake City, Utah. Individuals who suffer from depression that are currently on medication may apply here: https://prastudies.com/Salt-Lake-City/Clinical-Research-Study/28/

Mental Health America offers an array of medical facts, information, and treatment resources for major depression.  Please see articles on treatment-resistant depression here: http://www.mentalhealthamerica.net/treatment-resistant-depression.

The mission of the Hope for Depression Research Foundation (HDRF) is to fund cutting-edge, scientific research into the .origins, diagnosis, treatment and prevention of depression and its related mood and other emotional disorders – bipolar disorder, postpartum depression, post-traumatic stress syndrome, anxiety disorder and suicide. HDRF was founded in April 2006 by Audrey Gruss in memory of her mother, Hope, who suffered from clinical depression. In 2010, HDRF launched its Depression Task Force (DTF) – an outstanding collaboration of seven leading scientists, at the frontiers of brain science, from different research institutions across the U.S. and Canada. These scientists have developed an unprecedented research road map that integrates the most advanced knowledge in genetics, epigenetics, molecular biology, electrophysiology, and brain imaging. Each is executing a piece of the research plan in their own lab. To accelerate breakthrough research, they share ongoing results, in real time, at a centralized data bank, the HDRF Data Center. See HDRF-funded Research Publications at this link. Please See Depression Treatment Resources by State Here.

Project Hope and Beyond (PHB)
PHB is a program of Psych Central Community Connection, a nonprofit run by Psych Central, the Internet’s largest and oldest independent mental health social network. PHB is an online community for persons with unrelenting depression and anxiety, as well as their families and friends who want to better understand them. Its purpose is to offer support and hope to people whose conditions are lasting or difficult to treat, and those who often fall through the cracks of today’s healthcare system.

Mayo Clinic Managing Depression Newsletter
Depression can be a heavy burden in anyone’s life. But you are not alone. Get guidance from Mayo Clinic experts to help you better understand depression, treatment options and how to cope. Click Here to enter your email address to subscribe to the Mayo Clinic’s FREE Managing Depression e-newsletter

Valley Behavioral Health Articles on Depression
http://screening.mentalhealthscreening.org/valley-behavioral-health/resources/category/depression

NAMI Resources on Depression
http://www.nami.org/Learn-More/Mental-Health-Conditions/Depression

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BI-POLAR

What is Bipolar Disorder?
Bipolar disorder, also known as manic depression, is a serious medical illness that affects more than two million adults in the United States. It is characterized by extreme shifts in mood, energy, and functioning. People with bipolar disorder experience alternating episodes of mania (severe highs) and depression (severe lows). These episodes of abnormally intense moods may last for days, weeks, or even months, and are often separated by periods of fairly normal moods. Bipolar disorder is a chronic condition with recurring episodes that often begin in adolescence or early adulthood. It generally requires ongoing treatment. Treatment is successful in 80% to 90% of all cases, depending upon individual response and responsibility. There is considerable disparity in treatment among ethnic groups for this disease; African Americans, Asians and Latinos with bipolar disorder often go undiagnosed and untreated for reasons that range from cultural barriers to lack of parity in healthcare.

Beyond the occasional reference to Types I and II, bipolar disorder is usually grouped as one condition. Ignoring the spectrum prevents the public from better understanding the complexity of this illness, and what’s worse is the prevalence of misdiagnosis. Studies have found 40% of patients with bipolar disorder were initially diagnosed with unipolar (major depression). With bipolar II disorder specifically, depression is usually the most common or stronger symptom of the high/low mood scale, whereas manic symptoms may go unreported to a doctor because the elevated (or increased) mood is not severe enough to affect the person’s life. With bipolar I, the mania is usually quite clear. In bipolar II, the mania is “milder.” Depression is usually present in both, and may be more severe and prevalent in bipolar II. However, these conditions rarely feature across-the-board symptoms for everyone. It’s the cluster of symptoms that need to match up for a diagnosis.  For more information on the bipolar spectrum, check out the book: “Why Am I Still Depressed? Recognizing and Managing the Ups and Downs of Bipolar II and Soft Bipolar Disorder” by Jim Phelps.

RESOURCES

IMHRO Guide to Understanding Bipolar Disorder, including how to tell if someone might be developing bipolar disorder, the symptoms, the causes, and possible treatments, new research, and cures.

International Bipolar Foundation
International Bipolar Foundation (IBPF), formerly known as California Bipolar Foundation, was founded in June 2007 in San Diego, California by four parents with children affected by bipolar disorder. Well aware of the trauma that bipolar disorder causes for consumers and their families, these parents felt compelled to do something constructive to help. The mission of International Bipolar Foundation is to improve understanding and treatment of bipolar disorder through research; to promote care and support resources for individuals and caregivers; and to erase stigma through education.

International Society for Bipolar Disorders
The mission of the International Society for Bipolar Disorders (ISBD) is to foster international collaboration in education and research. The intent of this collaboration is to advance the treatment of bipolar disorders and to improve outcomes and the quality of life for those living with bipolar disorder and their caregivers. Specifically please see the Link to Patient Resources.

NAMI Resources on Bipolar Disorder
http://www.nami.org/Learn-More/Mental-Health-Conditions/Bipolar-Disorder

Valley Behavioral Health Resources on Bipolar Disorder
http://screening.mentalhealthscreening.org/valley-behavioral-health/resources/category/bipolar

The Bipolar Disorder Survival Guide, by Dr. David J. Miklowitz
Getting an accurate diagnosis is the first step toward reclaiming your life from bipolar disorder. But if you or someone you love is struggling with the frantic highs and crushing lows of this illness, there are still many hurdles to surmount at home, at work, and in daily life. This book offers sage advice for the following areas:
* How can you distinguish between early warning signs of bipolar mood swings and normal ups and downs?
* What medications are available, and what are their side effects?
* What should you do when you find yourself escalating into mania or descending into depression?
* How can you tell your coworkers about your illness without endangering your career?
* If you have a family member with bipolar disorder, how can you provide constructive help and support?
UCLA physician, Dr. David J. Miklowitz, offers straight talk, true stories, and proven strategies that can help you achieve greater balance and free yourself from out-of-control moods. The updated second edition of this bestselling guide has the latest facts on medications and therapy, an expanded discussion of parenting issues for bipolar adults, and a new chapter, “For Women Only.”

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FIRST EPISODE PSYCHOSIS

What is Psychosis?

A person who is suffering from an episode of psychosis can experience alteration in their perceptions of reality and can have difficulty thinking clearly as they normally would. When someone is affected in this way they may have unusual or strange ideas, they may hear or see things which are not there and they may have problems managing their emotions.  Psychosis is most likely to occur in young adults and is quite common. Around 3 out of every 100 young people will experience a psychotic episode. Most make a full recovery from the experience.

What is First Episode Psychosis?

First episode psychosis simply refers to the first time someone experiences psychotic symptoms or a psychotic episode. People experiencing a first episode may not understand what is happening. The symptoms can be highly disturbing and unfamiliar, leaving the person confused and distressed. Unfortunately negative myths and stereotypes about mental illness and psychosis in particular are still common in the community.

A psychotic episode occurs in three phases, with the length of each varying from person to person.

Phase 1: Prodome

The early signs may be vague and hardly noticeable. There may be changes in the way some people describe their feelings, thoughts and perceptions, which may become more difficult over time. Each person’s experience will differ and not everyone will experience all of the following “common signs”:

  • Reduced concentration
  • Decreased motivation
  • Depressed mood
  • Sleep disturbance
  • Anxiety
  • Social withdrawal
  • Suspiciousness
  • Deterioration in functioning
  • Withdrawal from family and friends
  • Odd beliefs/magical thinking

Phase 2: Acute

The acute phase is when the symptoms of psychosis begin to emerge. It is also known as the “critical period.” Clear psychotic symptoms are experienced, such as hallucinations, delusions or confused thinking. During this phase, the person experiencing psychosis can become extremely distressed by what is happening to them or behave in a manner that is so out of character that family members can become extremely concerned and may start to seek help. Before this stage the individual may have been experiencing a more gradual decline.

Phase 3: Recovery

With effective treatment most people will recover from their first episode of psychosis and may never have another episode. It is important to remember that psychosis is a treatable condition and if help is sought early, an individual may never suffer another episode. Initially, some of the symptoms that are apparent in the acute phase may linger in the recovery phase but with appropriate treatment most people successfully recover and return to their normal, everyday lives.

RESOURCES

Yale University Specialized Treatment Early in Psychosis (STEP) Program: Click Here to View All Aspects of this Program. To View STEP Publications & Research, please click here.

Fact Sheet: Early Warning Signs of Psychosis.  Learn the early warning signs of psychosis in this fact sheet from the NIMH RAISE team.

Johns Hopkins Early Psychosis Intervention Clinic (EPIC) is a specialized treatment program offering both outpatient treatment and a consultation service for people who are currently experiencing a psychotic episode or who have recently received a diagnosis of a psychotic disorder within the past eighteen months.  For more information, please click here.

BC Early Psychosis Intervention Program
This website was created with the intent of providing a collective resource about Early Psychosis Intervention (EPI) for the province of British Columbia (BC). It is now being used worldwide. Please see the 13 Part Dealing with Psychosis Toolkit . Help promote Early Psychosis Intervention by downloading and printing the EPI posters for display in areas visited by youththeir parents or other adults. Please also see the 14-part Early Psychosis documents and the 18-part Early Psychosis medical treatment worksheets.

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SCHIZOPHRENIA

Although widely feared and misunderstood, schizophrenia is actually a highly treatable brain disorder that affects more than two million Americans in a given year. Many people with schizophrenia experience hallucinations and delusions, which often occur for the first time in the late teens or young adulthood. Because the disorder causes unusual, inappropriate, and self destructive or, in rare cases, dangerous behavior, people with schizophrenia are often unnecessarily shunned and stigmatized. However, almost all people with the disorder are not dangerous when they are in treatment, although their behavior can be unpredictable. Research has shown that people with schizophrenia who attend structured, psychosocial rehabilitation programs and continue with their medicinal treatment manage their illness best.

Schizophrenia is a mental illness characterized by periods of psychosis. An individual must experience psychotic symptoms for at least six months in order to be diagnosed with schizophrenia. However, a person may experience psychosis and never be diagnosed with schizophrenia, or any other mental health condition. This is because there are many different causes of psychosis, such as sleep deprivation, general medical conditions, the use of certain prescription medications, and the abuse of alcohol or other drugs.

Understand the signs, symptoms, causes, and state of the art research and cures for schizophrenia from The One Mind Institute, and the National Institute of Mental Health: https://www.nimh.nih.gov/health/publications/schizophrenia-basics/index.shtml

There is a great deal of research being conducted with respect to schizophrenia treatment options.  The Recovery After an Initial Schizophrenia Episode (“RAISE”) program was launched in 2008 by the NIMH. RAISE supports coordinated specialty care (“CSC”), a recovery-oriented treatment program for people with first episode psychosis (FEP). CSC uses a team of specialists who work with the client to create a personal treatment plan. The specialists offer psychotherapy, medication management geared to individuals with FEP, case management, family education and support, and work or education support, depending on the individual’s needs and preferences. The client and the team work together to make treatment decisions, involving family members as much as possible. The goal is to link the individual with a CSC team as soon as possible after psychotic symptoms begin.  You can learn more about RAISE by listening to Dr. John Kane answer questions  about first episode psychosis. You can hear Dr. Lisa Dixon talk about her personal interest in RAISE  and about developing first episode psychosis treatment programs in communities. You can watch this video  of Dr. John Kane talking about treating first episode psychosis.

This fact sheet, developed by the NIMH RAISE team, includes an overview of coordinated specialty care (CSC) treatment for first episode psychosis. It also has a checklist of the key components of a CSC treatment program.

In addition, the RAISE Early Treatment Program (ETP) is a research study that compared two different ways of providing treatment for people experiencing the early stages of schizophrenia and related illnesses. Both types of treatment emphasized a comprehensive initial evaluation at the earliest point after symptoms appear. ETP treatments included medication, psychosocial therapies, and supportive services that address the multiple problems associated with these illnesses. Click here to learn how to participate in RAISE ETP: https://raiseetp.org/forfamilies/participate.cfm. Members of the RAISE Early Treatment Program team are available for consultation regarding the implementation of coordinated specialty care approaches for first episode psychosis. To arrange a consultation, contact via email, etp@nshs.edu or contact Patricia Marcy at 347-439-8035.

NAVIGATE is a comprehensive program designed to provide early and effective treatment to individuals who have experienced a first episode of psychosis.  It was developed with support from NIMH and has been implemented at 20 sites throughout the U.S. and one in Canada, including urban, suburban, and rural settings, and has provided treatment to people from diverse ethnic and cultural backgrounds.  NAVIGATE is one of the options for implementing Coordinated Specialty Care (CSC) for early psychosis. When individuals are enrolled in the NAVIGATE program, they and their families first meet with the Program Director, who explains the program and answers any of their questions.  The program director then introduces them to the other team members, and first appointments are set up with each of them.   The individual then begins to work with the prescriber to evaluate the role of medication, with the Individual Resiliency Trainer (IRT) to promote individual resiliency by enhancing illness management and building strengths, with the Family Education (FE) clinician to learn how to work together as a family to support the individual’s recovery, and with the Supported Employment and Education (SEE) specialist to pursue employment and educational goals. All of the NAVIGATE manuals and videos are available free of charge here:  http://navigateconsultants.org/materials/.  If you are interested in exploring implementing NAVIGATE at your agency or in your state, a free one hour phone consultation is available.  You can set one up by e-mailing Susan Gingerich at: navigate.info@gmail.com.

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SCHIZOAFFECTIVE DISORDER

Schizoaffective disorder symptoms look like a mixture of two kinds of major mental illnesses, namely mood (affective) disorders such as uni-polar or bipolar depression and schizophrenia. Because of this, the disorder may often be misdiagnosed, and therefore not effectively treated. One study showed that 33 percent of a group of roughly 1,000 persons with a severe psychiatric disorder were originally given diagnoses of depression but had final diagnoses of schizophrenia. Schizoaffective disorder is a lifelong illness for most people. As with schizophrenia, there is no known cure, but the disorder can be managed with a continuum of treatment so that sufferers can lead productive, fulfilling lives.

Learn more about schizoaffective disorder, including available treatment and support, here: http://www.nami.org/Learn-More/Mental-Health-Conditions/Schizoaffective-Disorder

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POST-PARTUM DEPPRESSION

Postpartum depression, or PPD, is just one in a group of illnesses than can affect women either during pregnancy or after birth. According to the American Psychological Association, almost 15% of moms suffer from a postpartum mood disorder like anxiety or depression, making maternal mental health concerns the most common complication of childbirth in the U.S.   20% of mothers don’t disclose their symptoms to healthcare providers.

Collectively these illnesses are called perinatal mood and anxiety disorders.  Perinatal mood and anxiety disorders can show up any time during pregnancy or in the first 12 months after birth.  And if you don’t get treated, the symptoms can last even longer, especially if your illness is moderate to severe. Here is a list of certain perinatal mood and anxiety disorders:

Pregnancy Depression — If you have symptoms like the ones listed above for PPD but you are pregnant, you could have antenatal depression, also called pregnancy depression. This is just as common as PPD.

Postpartum Anxiety — Maybe you’re not feeling depressed, but instead very anxious. Postpartum anxiety symptoms include constant worries and fears. Maybe you can’t sleep or eat. Maybe you are worried all the time that something terrible is going to happen to you or someone you love. You could have postpartum anxiety. To learn more about these symptoms, click here.

Postpartum OCD — Postpartum obsessive compulsive disorder, or postpartum OCD, is a form of postpartum anxiety that has a symptom that is pretty hard to ignore: intrusive thoughts. Intrusive thoughts are scary “what if” thoughts that come into your head. You don’t want to have them, but they keep coming anyway. They may involve you harming someone you love, including your baby. You might also have compulsions, which means you feel the need to do things like clean, organize, check and recheck, or count.

Postpartum Panic Disorder — This is another form of postpartum anxiety that involves having panic attacks, which can include shortness of breath, chest pain, heart palpitations and numbness or tingling in your arms or legs.  Some women having panic attacks often worry that they are having a heart attack or have come down with a serious disease.

Postpartum Post-Traumatic Stress Disorder — Moms with postpartum PTSD have often had a traumatic pregnancy or childbirth experience. Maybe you had hyperemesis or were put on bedrest.  Symptoms can include nightmares and flashbacks.

Postpartum Psychosis — Women with postpartum psychosis, the most serious of all perinatal mood and anxiety disorders, may have delusions, hallucinations, paranoia or mania. What does that mean? You might be hearing or seeing things that no one else can see. You might be afraid that everyone is out to harm you or get rid of you. You might also have a much greater amount of energy than normal and feel like you don’t need sleep and can take on the world. These are just some of the symptoms of postpartum psychosis — to learn more, click here.  It’s very important that you get help right away if you have these symptoms.

RESOURCES

The Healing Group (Salt Lake City)
The Healing Group specializes in counseling services addressing the challenges of postpartum depression, Pregnancy Depression and Anxiety, Postpartum Blues, Depression, Anxiety, OCD, PTSD, and Pregnancy Ambivalence.

Utah Maternal Mental Health Collaborative
As a state chapter of Postpartum Support International, the Utah Maternal Health Collaborative offers free phone and email support provided by mothers who have experienced emotional health complications around pregnancy, postpartum, infertility, miscarriage and loss, as well as helpful local resources and referrals.

Centers for Disease Control and Prevention – Maternal Depression FAQ 
This online feature focuses on depression among women before, during, and after pregnancy. It includes symptoms of depression and how to seek treatment.

Postpartum Progress
Postpartum Progress is a national non-profit working to vastly improve awareness of perinatal mood and anxiety disorders like postpartum depression, and to provide peer leadership and support for the women who have them. They are the leading awareness raising, patient advocacy organization for maternal mental health in the United States.

Postpartum Support International (PSI)
The mission of Postpartum Support International is to promote awareness, prevention and treatment of mental health issues related to childbearing in every country worldwide. Postpartum Support International has members throughout the world, including professional care givers, mothers, fathers, and other families members, public health professionals and researchers. The purpose of the organization is to increase awareness among public and professional communities about the emotional changes that women experience during pregnancy and postpartum. Approximately 15% of all women will experience postpartum depression following the birth of a child. Up to 10% will experience depression or anxiety during pregnancy. There is a dedicated member PSI Support Network for the United States. You can find area volunteers by choosing an option from the drop down menu here, (scroll to find your state) or by clicking on the map.  PSI volunteers will support you and help you find local providers.  Additionally, PSI has Perinatal Mood & Anxiety Disorders Resources in Other Languages at this link: http://www.postpartum.net/professionals/multi-language-resources/

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DUAL DIAGNOSIS: SUBSTANCE ABUSE / MENTAL ILLNESS

Co-occurring mental health and substance abuse disorders are common. On average, more than half (52%) of persons surveyed in the past few years who have ever been diagnosed with alcohol abuse or dependence have also experienced a mental disorder at some time in their lives. An even larger proportion (59%) of people with a history of other drug abuse or dependence also had experienced a mental disorder.  Mental health problems often predate substance abuse problems by four to six years; alcohol or other drugs may be used as a form of self-medication to alleviate the symptoms of the mental disorder. In some cases, substance abuse precedes the development of mental health problems. For instance, anxiety and depression may be brought on as a response to stressors from broken relationships, lost employment, and other situations directly related to an alcohol and/or drug-using lifestyle.

At this time, there are no dedicated detox or drug rehabilitation facilities, including structured inpatient or outpatient treatment resources, available to individuals in crisis within Summit County.  Detox is not available within the Park City Hospital’s ER Department.  The Summit County Jail serves as the default detox facility within the County. Additionally, and for individuals and families with limited resources, according to a representative from Odyssey House, “each county has their own subsidized resource for individuals with behavioral health issues. If an individual has no resources they must obtain services or a referral from their county – Valley Behavioral Health is the Medicaid authority for Park City and Tooele.” Unfortunately, Summit County only matches 20% of federal Medicaid funding for Valley; Salt Lake City matches at 100%.  Summit County only spends slightly more than San Juan County to match federal Medicaid spending, which is the lowest in the state: See 2016 Medicaid Statewide Spending Issue Brief.

RESOURCES

Alcoholics Anonymous, Alanon, and Narcotics Anonymous in Summit County

University Neuropsychiatric Institute (UNI) Addiction Recovery Services
UNI’s inpatient medical detoxification program at Four South ensures safe withdrawal and the beginning of the recovery cycle. Patients are detoxified for 3-7 days under the care of a psychiatrist, nurses, social workers, and psychologists who provide medication, monitoring, and support during the withdrawal process. To ensure continued success when the patient leaves the hospital, we create discharge plan outlines with the patient and family for appropriate follow-up care (Tel. 801-583-2500). We also encourage attendance at our “trigger counseling groups.” UNI also offers Recovery Works – Intensive Outpatient Treatment Program (801) 587-3235. Recovery Works is an intensive outpatient program for adults struggling with drug and alcohol problems. Patients work in a group therapy setting four nights a week for eight weeks. To ensure success after completion of treatment, continued weekly aftercare support is available for participants. To be included in Recovery Works, individuals must be medically clear and detoxified from alcohol and drugs. Regular attendance is required. Finally, UNI also offers The Outpatient Recovery Clinic for adults seeking ongoing alcohol and drug addiction and dual diagnosis treatment and support. The clinic is staffed by board certified psychiatrists who have additional training in addiction psychiatry. Senior psychiatry residents as well as licensed clinical social workers also provide services. Services include consultation and evaluation, group and individual therapy, medication management, Suboxone and Vivitrol injection therapy, and outpatient detoxification, if medically appropriate.  Please call the Outpatient Recovery Clinic at (801) 585-1575 for more information.

LDS Hospital Dayspring Inpatient and Outpatient Chemical Dependency Treatment Programs, including medication management.
The LDS Hospital Dayspring progam offers several points of service for those suffering from a chemical dependency: 1) Inpatient medical detoxification. Our inpatient care provides short-term detox medical stabilization prior to beginning ongoing outpatient or residential treatment for addiction. Once a client is stable, he/she is encouraged to transition to the next level of treatment and continue their recovery in the Day Treatment Program or Evening Intensive Outpatient Program. 2) The Day Treatment Program provides each individual with supervision and structure to help them continue practicing the skills and tools they need to continue their recovery. Clients are involved in a full schedule of events, five days a week. Family members are involved in support groups on Monday and Thursday evenings. Depending on the patient’s needs and completion of the treatment plan, the average length of stay is four weeks. 3) Dayspring provides an evening substance abuse program that allows individuals to maintain their family and work responsibilities during the day and weekends but also participate in treatment. The program is a cost-effective means of treatment and is located at LDS Hospital. Depending on patient motivation and completion of their treatment plan, the average length of treatment is six weeks. 4) Aftercare is a very important part of the Dayspring program and is provided at no charge. It takes longer than four or six weeks for a person to make lasting changes in their life, so attendance at Aftercare and 12 Step meetings is essential to long-term recovery success. Clients return once a week for up to two years to attend an Aftercare group where they review the skills and tools of recovery that they learned in the Dayspring programs.  Medications: Dayspring staff can prescribe relapse prevention medications such as Suboxone, Vivitrol, Campral, Antabuse, and naltrexone.

First Step House (Salt Lake City) (Wait List for Non-Salt Lake Residents)
First Step House was incorporated in 1958 by members of Alcoholics Anonymous, who focused on rehabilitating those struggling with alcohol abuse.  First Step currently serves adult males, ages 18 years and older, who have been diagnosed with substance use disorders. They offer  residential treatment, outpatient treatment, long-term recovery support services, and transitional housing for active clients and graduates. They provide targeted services for veterans, people with little to no income, fathers, those who are legally involved, and individuals who are homeless or have unstable housing.  Call an admissions specialist at 801-359-8862. They will answer your questions, discuss available funding options, and help you determine if First Step House is the right choice for you or your loved one. If their programs do not fit your specific needs, they will refer you with another provider. First Step works closely with many community organizations and work hard to connect people with the resources they need.

House of Hope Salt Lake City
Residential, day treatment, intensive outpatient, and outpatient substance use disorders treatment is provided for women, pregnant women, and mothers with children. The House of Hope is located in downtown Salt Lake City, Utah and serves women from Salt Lake County and other areas of the state. House of Hope also serves women with co-occurring mental health disorders. Children go to the Hope Center for Children while their mothers attend treatment. Here they receive therapeutic day treatment services.

Odyssey House (Salt Lake City) (Wait List for Non-Salt Lake Residents)
Odyssey House’s unique Modified Therapeutic Community (TC) approach surrounds those struggling with an addiction with a community of their peers, including servicing teens, adults, and parents. 

At Odyssey House, they treat the underlying causes of substance abuse. With our specialized Dual Diagnosis Enhanced program, we treat common co-occurring mental health disorders such as depression, anxiety, post-traumatic stress disorder, antisocial personality disorder, mood disorders and moreBy treating both physical and mental health, we can remove some of the barriers to overcoming an addiction.  Our status as a non-profit organization allows us to receive funding from a wide variety of sources, from government aid to personal donations. This allows us to keep Odyssey House open to everyone regardless of financial situation. Odyssey House also operates various programs that wrap as much support around individuals as possible. From support groups to counseling, activities, and more, patients are given a strong support structure to help them through their struggles. Without strong and continuous support, individuals newly out of treatment are highly susceptible to relapse and risk undoing all of the hard work and dedication they put into their treatment.

Utah Support Advocates for Recovery Awareness (USARA)
USARA focuses on the reality of long-term recovery from addiction to alcohol and other drugs for individuals and their families in Utah. USARA’s Addiction Recovery Management for Families program (ARM) provides FREE recovery management planning for persons with a history of drug and alcohol addiction and their family members. The primary goals of ARM are to reduce barriers impacting recovery; to improve family relationships and social supports; and to increase job readiness by connecting individuals to employment resources. ARM may provide participants with limited financial assistance for qualified recovery services based upon need. Eligibility requirements for ARM listed here: http://www.myusara.com/recovery-support/addiction-recovery-management/

Facing Addiction in America
Facing Addiction Inc. is a national non-profit organization dedicated to finding solutions to the addiction crisis by unifying the voice of the over 45 million Americans and their families directly impacted by addiction. Organizations that make up the Facing Addiction Action Network represent diverse areas of interest across the spectrum of substance use and addiction issues. From recovery community organizations to family advocacy groups, prevention and education networks, public health agencies, labor partners, faith leaders and many more. Their vision is to bring together the best resources in the field in order to reduce the human and social costs of addiction, every year, until this public health crisis is eliminated. The Concert to Face Addiction–on the National Mall at the foot of the Washington Monument–featured passionate and unforgettable performances from Joe Walsh, Steven Tyler, Sheryl Crow, Jason Isbell, The Fray, Jonathan Butler, John Rzeznik and Tommy Sims, with special messages from President Obama, Sir Paul McCartney and Ringo Starr. Major funding support to bring this special to life was provided by the Morgan le Fay Dreams Foundation. The Facing Addiction Action Plan can be downloaded here and includes action items. You can also learn how to have tough yet compassionate conversations about drugs at the dinner table here.

DrugRehab.com
DrugRehab.com is a web resource provided and funded by Advanced Recovery Systems (ARS). ARS is an integrated behavioral health care management organization dedicated to the treatment of addiction, substance abuse, eating disorders and mental health issues.  ARS uses a three-pronged approach scientifically proven to help people overcome their addictions: Therapeutic Learning, Cognitive Healing, and Medication Assistance. The site also provides thorough explanations of various types of addition here: https://www.drugrehab.com/addiction/.  They also have a U.S. treatment finder here: https://www.drugrehab.com/treatment-centers/

RehabCenter.net

You don’t have to fight addiction alone. RehabCenter.net is the Web’s most comprehensive guide to quality rehab centers and addiction treatment. They offer free and confidential information about the many effective and empowering rehab options available today. RehabCenter.net provides a vast library of educational articles on recovering from alcohol and drug abuse and many treatment and support options. You can customize searches for rehab centers and treatment around the U.S., or contact one of their professional counselors who can answer all your questions and get you started on your new drug-free life.

Among the successful treatment options available on their website are:

Stem the Tide: Addressing the Opioid Epidemic Toolkit
Every day, hospitals and health systems see the effects of the nation’s opioid epidemic. According to the Centers for Disease Control and Prevention, more than 33,000 people died from an opioid-related overdose in 2015. That’s more than 90 people a day or approximately four people each hour. There are also financial implications due to increased health care and substance use disorder treatment costs, lost productivity and costs to the criminal justice system, estimated to be $78.5 billion in 2016.  This toolkit includes a variety of resources for hospitals and health care systems to share with clinicians and patients and to use to enhance partnerships within their communities. The toolkit is categorized into eight topic areas:
1. Clinician education on prescribing practices
2. Nonopioid pain management
3. Addressing stigma
4. Treatment options for opioid use disorders
5. Patient, family and caregiver education
6. Transitions of care
7. Safeguarding against diversion
8. Collaborating with communities

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TRAUMA AND POST-TRAUMATIC STRESS DISORDER

According to NAMI, “Traumatic events, such as military combat, assault, an accident or a natural disaster, can have long-lasting negative effects. Sometimes our biological responses and instincts, which can be life-saving during a crisis, leave people with ongoing psychological symptoms because they are not integrated into consciousness… This resulting damage to the brain’s response system is called posttraumatic stress response or disorder, also known as PTSD.”

PTSD affects 3.5% of the U.S. adult population—about 7.7 million Americans—but women are more likely to develop the condition than men. About 37% of those cases are classified as severe. While PTSD can occur at any age, the average age of onset is in a person’s early 20s.  Symptoms of PTSD usually begin within 3 months after a traumatic event, but occasionally emerge years afterward. Symptoms must last more than a month to be considered PTSD. PTSD is often accompanied by depression, substance abuse or another anxiety disorder.

According to NAMI, PTSD is treated and managed in several ways:

  • Medications, including mood stabilizers, antipsychotic medications and antidepressants.
  • Psychotherapy, such as cognitive behavioral therapy or group therapy.
  • Self-management strategies, such as “self-soothing”. Many therapy techniques, including mindfulness, are helpful to ground a person and bring her back to reality after a dissociative episode or a flashback.
  • Service animals, especially dogs, can help soothe some of the symptoms of PTSD.

Though PTSD cannot be cured, it can be treated effectively. Read more on NAMI’s treatment page.

RESOURCES

National Institutes of Mental Health
NIMH provides an overview of symptoms, treatments and therapies, and clinical trial opportunities for those suffering from PTSD.

The Peace House Park City, Utah
Peace House operates a licensed domestic violence shelter that is staffed by qualified Victim Advocates and Case Managers 24 hours a day, every day of the year.  They also offercounseling services to those who have experienced trauma and associated PTSD. Peace House support services are designed to empower a victim to leave an abusive situation and not return to it or enter into another that is equally abusive. Resources may include government agencies and other nonprofits that can provide them with legal, medical, housing, transportation, financial and other services necessary for them to start their lives anew. All services are provided free of charge.

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