Dual Diagnosis
3 important questions on Dual Diagnosis
Treatment Goals for Dual Diagnosis
- Reduce homelessness
- Contain HIV transmission and medical comorbidities
- Increase treatment adherence
- Decrease severity of substance abuse
- Build supports such as employment and social relationships
- Contain HIV transmission and medical comorbidities
- Increase treatment adherence
- Decrease severity of substance abuse
- Build supports such as employment and social relationships
Treatment Stragegy for Dual Diagnosis
. 1. Serial Treatment
● One disorder treated first, followed by the other.
2. Parallel Treatment
● Both conditions treated simultaneously
● Managed by different teams/services.
3. Integrated Treatment (Preferred)
● Both disorders treated at the same time
● Coordinated by the same multidisciplinary team
● Delivered in the same setting
● One disorder treated first, followed by the other.
2. Parallel Treatment
● Both conditions treated simultaneously
● Managed by different teams/services.
3. Integrated Treatment (Preferred)
● Both disorders treated at the same time
● Coordinated by the same multidisciplinary team
● Delivered in the same setting
Integrated treatment for Dual Diagnosis
. Patient Education ● Understanding both disorders ● Insight into how each affects the other ● Education on prognosis and relapse prevention
B. Stabilisation & Relapse Prevention ● Substance abstinence ● Medication adherence ● Monitoring early warning signs
C. Recovery Reinforcement ● Strengthening social network ● Improving physical & mental health ● Employment/academic support ● Risk management (substance, suicide, violence)
B. Stabilisation & Relapse Prevention ● Substance abstinence ● Medication adherence ● Monitoring early warning signs
C. Recovery Reinforcement ● Strengthening social network ● Improving physical & mental health ● Employment/academic support ● Risk management (substance, suicide, violence)
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