<i>Dual Diagnosis and Work</i>

Deborah R. Becker and Robert E. Drake

in A Working Life for People with Severe Mental Illness

Published in print May 2003 | ISBN: 9780195131215
Published online January 2009 | e-ISBN: 9780199863808 | DOI:

Series: Innovations in Practice and Service Delivery with Vulnerable Populations

 Dual Diagnosis and Work

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Many people who have a co-occurring substance use disorder (dual diagnosis) are found ineligible for employment services because of substance use. This chapter includes an illustration of a person with a co-occurring substance use disorder who becomes interested in working. The illustration highlights benefits of working for people with dual disorders, such as structuring time and providing a motivation to reduce substance use. Motivational counseling strategies are used to help clients clarify goals. The employment specialist, treatment team, and client work together to identify a good job match that supports sobriety. The employment specialists and the team help clients develop a money management plan because money is often a cue for people with dual diagnosis to buy alcohol and drugs. The team provides ongoing support even when the client relapses.

Keywords: co-occurring substance use; motivational interviewing; relapse; substance abuse treatment; money management; structuring time

Chapter.  5658 words. 

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