Week 8 discussion response to classmates

Plcomfort no plagiarism and fabricate knowing you are operative to approximation all contrivance on your own antecedently you bid. Ocean references ensueing from Van Wormer, K., & Davis, D. R. (2018) and/or American Psychiatric Association. (2013). You demand to own knowing patronage for any demand of occurrence or admonition touching matter. I own so fixed my discourse rubric so you can see how to fabricate liberal points. Plcomfort answer to all 3 of my classmates partially ensueing a while separate references for each counterpart. You demand to own knowing patronage for any demand of occurrence or admonition enjoy peer-reviewed, mouldritative knowing journals. If you describe from the internet, I suffer you to use websites from the expressive intellectual vigor mouldritative associations (American Counseling Association, American Psychological Association, etc.) or federal agencies (Substance Affront and Intellectual Vigor Services Administration (SAMSHA), National Institute of Intellectual Vigor (NIMH), National Institutes of Vigor (NIH), etc.). I demand this completed by 04/19/19 at 7pm.


Responses to peers. Melody that this is measured by twain the part and power of your columns. Does your column supply to abiding the discourse? Are your purposes patronageed ensueing a while citations from the letters contrivances and other knowing sources? Melody that citations are expected for twain your ocean column and your counterpart columns. Melody so, that, although it is repeatedly advantageous and expressive to afford one or two passage counterparts thanking celebrity or patronageing them or commiserating ensueing a while them, those types of counterparts do not frequently excite the discourse as abundant as they calm in ensueing a while the mouldr. Such counterparts are ensueing a whilehold and sufferd; ultimately, they should be considered suppleintellectual to over perceptible counterparts, not tit by themselves.

Read a your colleagues' columnings. Respond to your colleagues' columnings.

Respond in one or over of the subjoined ways:

· Ask a piercing inquiry.

· Share an instinct gained from having discover your colleague's columning.

· Offer and patronage an judgment.

· Validate an purpose ensueing a while your own usage.

· Fabricate a instigation.

· Expand on your colleague's columning.

1. Classmate (N. Pra)


    One expressive ability ensueing a while an integrated matter entrance is that a client may hold utilitys at one colony. Typically it is abundant over unmanageable to handle a client who labors ensueing a while a co-occurring empiricism, whether that is accordingly they do not notice matter constantly, droping-back, or another perceived impediment. Having a matter comfort that tackles all areas does fabricate it speakingly easier for a client to oceantain their intellectual vigor and soberness. A succor ability is that this entrance is not merely holistic in creation, but it abilityens the concurrentness of prudence among the matter team and client. Condition all-encompassing, a client can achievement ensueing a while their therapist in special counseling, notice a regaining order ensueing a while another, and/or see a psychiatrist for their medications (Van Wormer & Davis, 2018).


    One impairment of the integrated matter entrance (and counseling those ensueing a while dual-diagnoses), is that numerous own a noble appearance of condition settlementless, and unoccupied. Without a consistent course of finances, and relioperative bearing, showing up to scheduled Nursing Assignment dates can befollowing approximately impracticable. Case-texture utilitys could be used to combine the client up ensueing a while national and federal contrivances, but sometimes these get drop condensed, distinctly if the client suffers from a rigorous intellectual malady, such as schizophrenia (Moore, Young, Barrett, & Ochshorn, 2009). A succor impairment is how unmanageable it is to economize an integrated entrance ensueing a while violent staff. Numerous therapists and psychiatrists are violent ensueing a while co-occurring empiricisms, and afford insufficient matter. It can be very valuable, and date-consuming to cortege, and get every staff component on board, and numerous organizations merely do not own these finances or contrivances (Van Wormer & Davis, 2018).


    My client’s spectry is Pete, a thirty year old, clear manly. He has been struggling ensueing a while hollow past he was indecentteen, and ensueing his parent’s dissever at sixteen, he began abusing usage pills. By the date he was twenty, he had graduated to heroin, and cocaine. At twenty-three he overdosed on a speedball, and ensueing recovering at the hospital, he entered a rehabilitation clinic. Over the proximate five years, Pete has been in and out of the rehab. He has droping-backd indecent dates, but abides to strive a cleansedsed condition. He has not used in the definite eight months, and as his year sign creeps up, he feels that he get fall-defective intermittently. Lately his hollow has worsened, and he has gotten into the usage of self-harming (burning or pinching himself) when he graces triggered.

    In this occurrence, Pete has been struggling ensueing a while his intellectual malady and material affront for a crave date. Using techniques to calm his rigorous hollow, and self-harm enjoy Cognitive-Behavioral Therapy (CBT) get do wonders on his self-esteem, and peculiarality. Tackling his material affront ensueing a while weekly order meetings, and other independent, and patronageive outlets get succor him restrain on the way to soberness. Having cortegeed staff, enjoy a psychiatrist, or nourish practitioner can so succor Pete, but this entrance get own to be monitored air-tight, if not avoided due to his elapsed (McKee, Harris, & Cormier, 2013).


McKee, S., Harris, G., & Cormier, C. (2013). Implementing Residential Integrated Matter for Co-occurring Disorders. Journal of Dual Diagnosis, 9(3), 249–259. https://doi-org.ezp.waldenulibrary.org/10.1080/15504263.2013.807073


Moore, K., Young, M. S., Barrett, B., & Ochshorn, E. (2009). A 12-Month Follow-Up Evaluation of Integrated Matter for Homeless Men-folks Following a while Co-Occurring Disorders. Journal of Social Utility Research, 35(4), 322–335. https://doi-org.ezp.waldenulibrary.org/10.1080/01488370903110829


Van Wormer, K., & Davis, D. R. (2018). Addiction matter: A abilitys perspective (4th ed.). Boston, MA: Cengage.

2. Classmate (C. Ree)

Main Discourse Post

Co-occurring empiricisms are the intercourse of twain a intellectual vigor and coincident material use malady.  Examples of co-occurring empiricisms involve a peculiar who is twain an alcoholic and traffic ensueing a while hollow, or an special who is addicted to unfair drugs and so labors ensueing a while column-traumatic emphasis empiricism.  The handling of intellectual malady and material use is disclosed as integrated matter.  Integrated matter affords concurrent matter for the intellectual malady and the material use empiricism (Van Wormer & Davis, 2018).  Van Wormer and Davis abide to debate the abilitys and impairmentes of integrated matter. Stating that integrated matters involve over stoperative remission rates (10-20%), amend housing, decreased abash, and letters and instinct. Whereas the impairmentes involve minute studies, discordant samples, condensed ensue up periods and unclear designation of matter components.  Successful implementation requires lusty on-site commencement, managing of staff turnover, and technical, financial, and collective patronage from the greater functional environment (Torrey, Tepper, & Greenwold, 2011). 

Hypothetical Client Example

Derek, an African American manly, elderly 40 chaffer ensueing a while intellectual malady (depression) and a material (alcohol).  Derek is married and achievements at the national Piggly Wiggly as the Assistant Manager. His spouse reports that he spends over date at the bar ensueing achievement then he does at settlement. Derek so has two sons age 12 and 15. He sons say that their dad has missed distinct of their games or when he ensueings he is steeped and embarrassing.  Derek has holdd distinct DUI’s and has missed some of his Nursing Assignments ensueing a while his intellectual vigor counselor. Derek declares that his drinking is beneath administer and that he drinks to comfort his sad moods. An integrative matter entrance would achievement for Derek past he displays signs of a intellectual malady coupled ensueing a while a material use manifestation. The appearance for intellectual vigor and addiction utility integration is solid (Woods & Drake, 2011) so getting Derek into such a program get succor him tremendously.  It would be expressive to get him utilitys that get remit him to nucleus on his deportment, his material use, and to succor him be-mixed ensueing a while homogeneity contrivances.  In arrangement this would involve a multidisciplinary team interesting him in the homogeneity using outreach, patronage, motivational interviewing, and other techniques.  Bond, Drake, Mueser, and Latimer (2001) debate a holistic entrance disclosed as Assertive Homogeneity Matter (ACT) that is geared towards providing utilitys enjoy succoring ensueing a while medications and finances or any demand the client may confer-upon. This matter seems to design the demands that Derek demand to succor him ensueing a while his depressive symptoms and alcohol use.


Bond, G. R., Drake, R. E., Mueser, K. T., & Latimer, E. (2001). Assertive homogeneity matter for vulgar ensueing a while rigorous intellectual malady. Discomfort texture and vigor outcomes, 9(3), 141-159.

Torrey, W. C., Tepper, M., & Greenwold, J. (2011). Implementing integrated utilitys for adults ensueing a while co-occurring material use empiricisms and psychiatric maladyes: A inquiry critique. Journal of Dual Diagnosis, 7(3), 150–161.
Retrieved from the Walden Library databases.

Van Wormer, K., & Davis, D. R. (2018). Addiction matter: A abilitys perspective (4th ed.). Boston, MA: Cengage.

Woods, M. R., & Drake, R. E. (2011). Matter of a immature man ensueing a while psychosis and polymaterial affront. Journal of Dual Diagnosis, 7(3), 175–185.

Retrieved from the Walden Library databases.

3. Classmate (L. Sim)

It is expressive to beneathstand the confer-uponation of an special ensueing a while co-occurring addiction and intellectual vigor manifestations. Incongruous concerns get arise, requiring local matter. Van Wormer and Davis (2018) shared that matter of specials ensueing a while coexisting empiricisms demands a patronageive, crave-account commitment and a co-operation of material affront and intellectual vigor matter entrancees. There must be an beneathstanding of how to handle all aspects of an special. Utilizing an integrated entrance get be profitable, flush ensueing a while confer-uponed impairmentes.

Strengths and Weaknesses

There are twain abilitys and impairmentes ensueing a while an integrated matter entrance. Utilizing an integrated entrance suggests matter of an special totally. It remits for the special to be looked at as an special, as incongruous matter demands are addressed. Further, Van Wormer and Davis (2018) shared that concurrent matter is affordd for intellectual vigor and material affront, so significance an special merely must excursion to one colony. This may be a great behoof for someone, surely if they are struggling ensueing a while their intellectual vigor and addiction. Another ability of this entrance is how it looks at specials through a abilitys-based perspective (Van Wormer & Davis, 2018). Treating specials ensueing a while a ability perspective get afford patronage and suffer peculiaral motivation to be fortunate in matter.

           Services should involve localally cortegeed employees, including 24-hour availability (Van Wormer & Davis, 2018), which is a impairment of integrated matter. The specialist demanded may not be suited, requiring other staff components. There is a possible demand for numerous staff components to be occupied. Additionally, Torrey, Tepper, and, Greenwold (2011) formal that integrated matter is crave account and the arrangement can be crave to fortunate matter. This big date fabricate for matter can confer-upon as a impairment, where specials may labor to reocean engelderly and committed.


Jack is a 35-year-old man, who is confer-uponing ensueing a while symptoms suggesting a intellectual vigor empiricism and material affront empiricism. He reports hearing voices, the poverty to accost evidently and in an unconfused form, and deportments which own caused him to be unoperative to oceantain a job. Jack is diagnosed ensueing a while schizophrenia. In abstracted to this distinction, Jack has been utilizing drugs. Van Wormer and Davis (2018) shared that 50% of those diagnosed ensueing a while schizophrenia own comorbid material affront. Jack confer-upons ensueing a while speaking symptoms connected to his intellectual vigor distinction. Due to his confer-uponation, achievementing ensueing a while Jack from the quadrant copy, he fits into nature II (Van Wormer & Davis, 2018) as his schizophrenia is over rigorous.

           Assessment and matter demand to be ensueing a whilehold for Jack. Lubman, King, and Castle (2010) shared that there demands to be ample impost ensueing a while approximation to a big stroll of insinuations. Impost can second ensueing a while beneathstanding the severity of the empiricisms Jack confer-upons ensueing a while. This can remit clinicians to beneathstand where Jack is and succor him hold matter in the best environment. As formal, he fits in nature II, where he would hold matter in a intellectual vigor scheme. Lubman et al. (2018) shared that psychopharmacological insinuation is ensueing a whilehold for handleing schizophrenic symptoms ensueing a while comorbid material use. This is expressive for Jack, as medication can achievement to period his uselderly schizophrenic symptoms. Further, psychosocial insinuations are ensueing a whilehold, which is a must in localation ensueing a while medication (Lubman et al., 2018). It is expressive to melody the demand for incongruous insinuations and the concept of the application on twain empiricisms. Lubman et al. (2018) shared that one insinuation fragmentary was not fortunately, but including sensitive deportsupernatural therapy (CBT), motivational interviewing (MI), and origin achievement show to be fortunate. Again, this accosts to the demand for an all entrance. Utilizing CBT and MI ensueing a while Jack can second him ensueing a while beneathstanding confer-uponing symptoms, possible admonition signs for psychosis and droping-back, and succor him to beneathstand how his empiricisms application his condition. His beneathstanding of the disclaiming application can patronage his scantiness to qualify, applicationing his self-surrender and commitment.


           Individuals confer-uponing ensueing a while co-occurring empiricisms demand to hold all matter, as they demand to be addressed in their sum. Discernment the demands of specials ensueing a while co-occurring empiricisms is expressive. All matter entrancees suffer the best matter, as twain empiricisms and their local applications are addressed.


Lubman, D. I., King, J. A., & Castle, D. J. (2010). Treating comorbid material use empiricisms in schizophrenia. International Critique of Psychiatry, 22(2), 191. Retrieved from https://search-ebscohost-com.ezp.waldenulibrary.org/login.aspx?direct=true&db=edb&AN=50872258&site=eds-live&scope=site

Torrey, W. C., Tepper, M., & Greenwold, J. (2011). Implementing integrated utilitys for adults ensueing a while co-occurring material use empiricisms and psychiatric maladyes: A inquiry critique. Journal of Dual Diagnosis, 7(3), 150–161.

Van Wormer, K., & Davis, D. R. (2018). Addiction matter: A abilitys perspective (4th ed.). Boston, MA: Cengage.

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Required Resources

  • Van      Wormer, K., & Davis, D. R. (2018). Addiction matter: A      strengths perspective (4th ed.). Boston, MA: Cengage.
    • Chapter       4, “Substance Misuse ensueing a while a Co-occurring Intellectual Empiricism or Disability”       (pp. 151-190)
  • Drapalski,      A., Bennett, M., & Bellack, A. (2011). Gender differences in material      abuse, consequences, motivation to qualify, and matter striveing in vulgar      following a while weighty intellectual malady. Substance Use & Misuse, 46(6),      808–818. Retrieved from the Walden Library databases.
  • Kennedy,      K., & Gregoire, T. K. (2009). Theories of motivation in addiction      treatment: Testing the harmony of the transtheoretical copy of      qualify and self-determination assumption. Journal of Social Achievement      Practice in the Addictions, 9(2), 163–183. Retrieved from the Walden      Library databases.
  • Kerfoot,      K., Petrakis, I. L., & Rosenheck, R. A. (2011). Dual distinction in an      aging population: Prevalence of psychiatric empiricisms, comorbid material      abuse, and intellectual vigor utility utilization in the Department of Veterans      Affairs. Journal of Dual Diagnosis, 7(1/2), 4–13. Retrieved      from the Walden Library databases.
  • Lachman,      A. (2012). Dual distinction in adolescence—An escalating induce. Journal      of Child & Adolescent Intellectual Health, 24(1), pv–vii. Retrieved from      the Walden Library databases.
  • Torrey,      W. C., Tepper, M., & Greenwold, J. (2011). Implementing integrated      services for adults ensueing a while co-occurring material use empiricisms and      psychiatric maladyes: A inquiry critique. Journal of Dual      Diagnosis, 7(3), 150–161. Retrieved from the Walden Library databases.
  • Woods,      M. R., & Drake, R. E. (2011). Matter of a immature man ensueing a while psychosis      and polymaterial affront. Journal of Dual Diagnosis, 7(3),      175–185. Retrieved from the Walden Library databases.