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Co-Occurring Disorders in Substance Use Treatment
CE Test
$19.99 USD
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Additional Participant CE Test
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  1. Evaluate the clinical implications of intoxication and withdrawal syndromes that can mimic mental health disorders.
  2. Assess the differences and relative merits and limitations of abstinence and harm-reduction models.
  3. Utilize specific instruments to assess for mood, trauma, anxiety, ADHD, and substance use disorders.
  4. Formulate treatment goals and objectives for patients with co-occurring disorders that are behavioral, measurable, meaningful and client specific.
  5. Determine how high-risk situations influence level-of-care decision making in work with patients with co-occurring disorders.
  6. Analyze strategies and current best practices to work people who have opioid use disorders and co-occurring mental health diagnoses.
Key Concepts
  • Epidemiology of SUDs
  • The differences between harm reduction and abstinence models
  • The interplay of substance use and mental disorders
  • Co-occurring disorders and the DSM-5® and ICD-10
High-Risk Areas for Misdiagnoses and Missed Diagnoses
  • Prognostic implications of co-occurring disorders
  • The co-occurring matrix - SUD/mental health combinations to look for Medical co-morbidities
Assessment and Screening Tools:
Uncover Mental Health Conditions and Their Relation to Substance Use
  • The intake and pitfalls in obtaining the history
  • How to assess for dangerousness to self or others
  • Specific instruments to assess for mood, trauma, anxiety, ADHD
  • Substance use screening tools
  • Physical signs and symptoms of intoxication or withdrawal states
  • Assessing readiness for change and motivation
How to Create Fully Integrated Treatment Plans for Clients with Co-Occurring Disorders
  • Establishing the problem/need list
  • Writing specific, realistic and measurable goals and objectives
  • Identify and address emergent issues
  • Wellness – nutrition, exercise, sleep
  • How to approach level of care decisions
  • How and when to access prescription monitoring databases
  • Case studies
Evidence-Based Therapies and Strategies for Improved Outcomes
  • Mindfulness for emotional regulation in recovery
  • CBT techniques to establish new perspectives and behaviors
  • DBT and dialectical abstinence interventions for non-judgmental problem solving
  • Match motivational enhancement strategies to your clients’ stage of change
  • Trauma-based therapies that target substance use disorders
  • The Seeking Safety Model in dual diagnosis treatment
  • Harm reduction and abstinence in the midst of the opioid overdose epidemic
  • Research limitations and risks of psychotherapeutic approaches
Medication for Opioid Use Disorders/Medication Assisted Treatment (MOUD/MAT)
  • Medication for opioid withdrawal
  • MAT for alcohol withdrawal
  • When MAT is not advised
Other Substance Specific Issues
  • Sedative hypnotics
  • Cocaine and other stimulants, including “Bath Salts”
  • How cannabis impacts clients mental and physical health


Charles Atkins, MD, is a board-certified psychiatrist, clinical trainer, Chief Medical Officer of Community Mental Health Affiliates (CMHA), member of the Yale volunteer faculty, and a past regional medical director for the Department of Mental Health and Addiction Services (CT). A frequent lecturer on opioid addiction and Medication Assisted Treatment, Dr. Atkins is the author of Opioid Use Disorders: A Holistic Guide to Assessment, Treatment, and Recovery (PESI, 2018) and Co-Occurring Disorders: Integrated Assessment and Treatment of Substance Use and Mental Disorders, (PESI, 2014) which has been included in the core curriculum of multiple schools of social work and substance abuse counseling. He is also the author of more than 15 other traditionally published books, both fiction and nonfiction, and has had hundreds of short stories and articles appear in publications ranging from The Journal of the American Medical Association (JAMA) to Writer’s Digest Magazine.

Speaker Disclosures:

Financial: Charles Atkins is Chief Medical Officer for Community Mental Health Affiliates, LLC (CMHA). He receives royalties as an author for Sourcebooks. Dr. Atkins receives a speaking honorarium from PESI, Inc.

Nonfinancial: Charles Atkins has no relevant nonfinancial relationship to disclose.
Continuing Education Credits
Save time and $10 off the price of other submission methods – purchase & take the CE test online for $19.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

The planning committee and staff who controlled the content of this activity have no relevant financial relationships to disclose. For speaker disclosures, please see speaker bios.

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