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Dual Diagnosis and Substance Abuse Treatment
Intensive gang intervention programs can also address critical underlying behavioral health, substance abuse, and dual diagnosis issues. Unless addressed, these issues can represent continuing high risk factors for criminal and gang activity.
These behavioral health program resources are based on state-of-the-art evidence-based models to address key issues in substance abuse, mental health, and dual diagnosis clients (particularly those who are gang involved). They include significant elements of cognitive-behavioral therapy (CBT) and motivational enhancement therapy (MET), including specific tools for motivational interviewing (MI) in each of the workbooks. Cognitive-behavioral therapy (CBT) promotes re-evaluation of dysfunctional emotions and behaviors to bring about change and reduce vulnerability to key risk factors. Motivational enhancement therapy (MET) seeks to promote change by making the client aware of problems and consequences of behavior. The motivational interviewing (MI) tools we provide are non-confrontational and gently provoke awareness. We can work with you to customize a gang intervention curriculum using cognitive-behavioral cognitive-behavioral therapy (CBT) and motivational enhancement therapy (MET) techniques specifically to the needs of your facility or community program.
Within the framework of a comprehensive MET gang program addressing clients who also have mental health issues, such DSM-IV diagnoses and issues such as chemical dependency, conduct disorder, oppositional defiant disorder, anxiety, and depression can be addressed systematically. Our dual diagnosis resources are appropriate for adults and juvenile gang members with behavioral health and substance abuse issues.
Program Summary
The program is designed to address comorbid DSM-IV mental disorders and substance abuse problems, specifically in the gang intervention context. Motivational interviewing/motivational enhancement (MI/MET) and cognitive-behavioral-based (CBT-based) programs can be tailored to the specific characteristics of the target population.
- Detailed comprehensive treatment planning template. This document can be readily customized for individual clients or groups. It includes major goals, objectives, treatment focus, suggestions for counselors, and links to specific workbooks, including behaviorally-stated objectives (and pages for each activity and objective). This plan also provides guidance for counselors with reference to additional treatment issues and DSM-IV criteria. Provided in hard copy and word processing software (on diskette).
- Counselor's notes supporting assessment and treatment. This material supports in-service training and guides new program staff. This document refers to specific DSM-IV diagnoses, as appropriate.
- Checklists and worksheets supporting treatment (dangerousness assessment, symptoms checklist, stressors and triggers worksheets, etc.). These materials include suggestions for staff use.
- Individual workbooks addressing this topic or treatment area. The typical program package includes five (5) workbooks.
- Clients using these programs will identify specific risk factors for relapse. Protective factors ("Where can I go? What alternatives do I have?") can also be evaluated.
Resources
These resources are designed to conform to DSM-IV criteria. For each topic area below, we provide a comprehensive treatment resource. Most of the resources below are available in gender-specific versions.
| TP1 | Anger | Comprehensive basic treatment plan for addressing anger and violence. Includes repressed anger. |
| TP2 | Anxiety | Addresses several anxiety disorders. |
| TP3 | Abandonment & Neglect | Childhood issues. |
| TP4 | Codependency | Addresses various forms of co-dependency. |
| TP5 | Depression | Includes suicidal risk. |
| TP6 | Grief/loss | Addresses various sources of loss and grief |
| TP7 | Conduct issues | ADHD/ADD/Oppositional Defiant Disorder/Conduct Disorder. Primarily for juveniles (separate versions for females). |
| TP8 | PTSD/Trauma | Addresses various sources of trauma |
| TP9 | Domestic violence | Guides individual or group process |
| TP10 | Aggression and Violence | Builds on the "anger" treatment plan to address risk factors and guides the development of new coping skills. |
| TP11 | Self-efficacy: coping skills for specific needs | Provides direction and practice to develop confidence in specific skills needed to address individual high risk situations. |
| TP12 | Low self-esteem | Selection of tools useful at different stages of recovery. Designed for use with New Freedom programs but compatible with Twelve Step programs. |
| TP13 | Feeling Hurt | Addresses various sources of hurt and guides process of learning how to handle this feeling successfully |
| TP14 | Handling difficult feelings | Designed for use with dual diagnosis clients and adolescents who have difficulty identifying and dealing appropriately with feelings, including confusion and emptiness. |
| TP15 | Sleep Disorders | Addresses causes, sleep hygiene, and coping skills. |
| TP16 | Aggression and Violence | Builds on the "anger" treatment plan to address risk factors and guides the development of new coping skills. |
| TP17 | Gang Involvement | Addresses gang involvment as a form of compulsive behavior. Helps clients identify and address underlying needs and risk factors, and develop alternatives. |
| TP18 | Eating Disorders | Addresses common eating disorder issues. Separate plans for men and women. |
| TP19 | Compulsive Gambling | Addresses common issues underlying problem gambling. Separate plans for men and women. |
| TP20 | Body image and self-image | Identifies and addresses common body and self-esteem issues. Separate plans for men and women. |
| TP21 | Special Losses | Designed as a resource for counselors helping clients who have serious medical crises (i.e., HIV+ diagnoses). |
| TP22 | Self-injury | Separate plans for men and women. |
| CM | Counselor's Manual | Tools for administrators, in-service training worksheets, and program guidance. Helpful in orienting and training new staff. |
| MI/MET | Motivational Interviewing Manual | Comprehensive guide to using Motivation Interviewing (MI) and Motivation Enhancement Therapy (MET) techniques with our program resources. Provides specific guidelines and model activities, as well as basic MI/MET theory and practice. |
| SSM | Security Staff Manual | Provides program overview and objectives, and tools for security staff to use in program and residential areas. Includes problem solving model and suggestions for use in resolving conflicts. Tailored to program and facility needs. |
| Tx1 | Helping Treatment Work | Treatment adherence workbook, primarily for HIV/AIDS clients and others with similar medical issues. |