Comorbid Substance Abuse and Mental Illness

Abstract

Literature concerning assessment and treatment of comorbid substance abuse and mental illness is reviewed. Currently, comorbidity is under-diagnosed and dually diagnosed clients are under-served. Those clients, who are so diagnosed, are most often offered dichotomous parallel or serial interventions. However, research suggests that an integrated approach is preferable. Enhanced training of mental health and substance abuse professionals is urgently needed as is further research concerning the efficacy of various treatment modalities. Improved identification and treatment of comorbidity may reduce the revolving door effect among these individuals and thereby lower health care costs.     

Evidence-Based Social Work Practice with Mentally Ill Persons who Abuse Alcohol and Other Drugs

Abstract

The current article outlines a comprehensive approach to evidence-based social work practice, and applies it to persons with severe and persistent mental illness who also abuse alcohol and other drugs. Representative empirical literature is summarized within a framework that delineates the three major functions of evidence-based social work practice: assessment, intervention and evaluation. Assessment protocol, which incorporates the use of valid scales to complement the qualitative interview, is based on domain-specific research that outlines relevant psychosocial risk factors, and highlights those that are amenable to change. Intervention strategies are derived from the growing body of controlled research findings, but flexibility in implementation is recommended to accommodate clients' individual needs and the vagaries of daily practice. Naturalistic evaluation methods are used to capitalize on the use of brief, valid process and outcome measures to augment individual qualitative evaluation and to aggregate data for program evaluation. The implications of this integrated evidence-based strategy for social work practice are discussed.     

Counselor Trainees' Assessment and Diagnosis of Lesbian Clients with Dysthymic Disorder

SUMMARY

Graduate-level counselor trainees completed an Assessment and Diagnostic Inventory consisting of clinical vignettes and a series of questions pertaining to conceptualization of client problem, diagnosis, and assessment of overall level of psychopathology.We hypothesized that participants would assign different diagnoses to clients with lesbian versus heterosexual sexual orientation. Participants responded to vignettes in which clients were identified as either a lesbian or a heterosexual female, with all other content identical. Participants were significantly more likely to perceive lesbian clients' problems to be related to sexual orientation for the vignette corresponding to dysthymic disorder. However, they were not more likely to assign personality disorder diagnoses, nor did they attribute a greater degree of psychopathology to lesbian clients with dysthymic disorder.     

侵权责任法视野下的网络侵权责任解析

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转子动不平衡载荷的在线识别

本文提出用复模态影响系数来解决转了大衡的在线以别和诊断问题，讨论了影响系数矩阵的力学意义．试验中可不加试重求出影响系数，并编制了相应的计算程序．     

论持有型犯罪之主观罪过

程序上起诉机关对持有型犯罪主观罪过举证责任的免除并不意味着实体上主观罪过不再是该类犯罪的构成要件。坚持罪过责任原则，必须承认主观罪过是持有型犯罪的主观构成要件，其最大的意义在于被告人可以此进行无罪辩护。该类犯罪的主观罪过既可以由直接故意构成，也可以由间接故意构成。     

鸡传染性鼻炎(IC)的诊断及防制

1999年 1～ 2月四川绵阳市江油河西镇十几户养鸡户的 2 5～ 4 0日龄肉鸡及其附近的长钢东山养殖场 1 50日龄蛋鸡先后出现以头部 (颜面及眼眶周围 )肿胀为特征的疾病 ,其死亡率不等。根据现场综合诊断 (流行病学、症状、尸体剖检 )和实验室检查 (细菌学检验 )诊断为传染性鼻炎 ,用链霉素、禽复康和恩诺沙星治疗以及用疫苗进行免疫接种 ,均取得了良好的效果     

错误的特征

就客观意义而言，错误大体可分为看不见的错误和看得见的错误两类。看不见的错误一般指的是思维错误和理念错误，但其尚未付之于行动，没有造成错误行为，也就是说单纯的理智活动或意志能力都不会产生错误行为;看得见的错误则是指将错误思维、理念和决策付之于行为和行动后，形     

基于神经网络方法的系统级故障诊断

在Malek模型下,构造了一个连续Hopfield神经网络来解多处理机系统中最可能的故障处理机集问题,并对此方法进行了仿真。     

过程工业故障诊断知识描述及形式化

本文根据智能工程技术，在开发过程工业集成化智能诊断软件系统的实践中，通过对过程工业故障诊断共性的分析，提出了过程工业故障诊断知识描述及形式化，研究了化工过程故障诊断浅知识模型和深知识模型的集成机制，以化工过程为例，用ＩＩＦＤＳ提供的面向对象知识表达方法，实现了一个诊断系统。