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Mental illness and drug addiction
Drug abuse and mental health
Co-occurring disorders case study
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Substance use disorders and mental health disorder can be challenging for human services professionals as well as for the individual; combined these disorders together and treatment can be seemingly insurmountable. The complexity of the disorders separately, as well as together raises the need for treatment that looks at the whole person not just a set of symptoms. The debate between which disorder came first is useless at helping to resolve the problems that are currently occurring with these complex disorders. According to Stevens & Smith (2013), over five million adults have a co-occurring disorder. With such high number it’s no surprise that the amount of money that is spending on co-occurring disorders is staggering and far exceeds that …show more content…
They can come in different forms and severities. They can vary from anxiety, changes in mood, difficulty with focusing or behaving appropriately and unwanted thoughts that can includes in auditory and visual hallucinations as well as a false understanding of reality. The most commonly diagnosed mental health disorder is anxiety disorders, followed by depressive disorders. Mental health disorders can occur at a stage of life and can occur once, reoccur intermittently, or be a chronic condition. In 2014, an estimated 43.6 million American’s above the age of 18 has form of mental illness (SAMSHA). Mental disorders frequently co-occur with each other and with substance use disorders. Substance use disorders occur when the recurrent use of alcohol and/or drugs causes clinically significant impairment, including health problems, disability, and failure to meet major responsibilities at work, school, or home. In 2014, about 21.5 million Americans were classified with a substance use disorder in the past year. …show more content…
The NSDUH reports that individuals with a mental illness is more like to also have a chronic health condition and are more likely to use hospitalization and emergency room treatment (NSDUH, 2014). According to SAMSHA (n.d.), 50% of Medicaid enrollees have a diagnosable mental health condition. Individuals with a diagnosed mental health condition have health care cost that is 75% higher than those without a mental health diagnosis (SAMSHA, n.d.). For an individual with a co-occurring disorder the cast is nearly three times higher than what the average Medicaid
Co-occurring disorders is a term that can be very broad and can describe different conditions that happen or occur at the same time. For the purpose of this essay and from the mental health perspective co-occurring disorders refer to someone who has a substance use disorder such as alcohol or drugs, and also has a mental disorder such as depression or any other mental illness. According to a study conducted in 2014 by the Substance Abuse and Mental Health Services Administration (SAMHSA) adults 18 and over who were surveyed reported having a substance use and/or mental illness. “Of these, 7.9 million people had both a mental disorder and substance use disorder” (SAMHSA, 2016). This essay will provide general history information about co-occurring disorders, how the term came about, treatment integration and the quadrants, as well as a personal view on the use of the co-occurring term.
Canada, H. (2009, December 16). Best Practices- Concurrent Mental Health and Substance Use Disorders. Retrieved from Intergrated Treatment: www.hc-sc.gc.ca
Co-occurring mental health and substance abuse disorders are quite prevalent in today’s society. Treatment and prevention of co-occurring disorders are both critical topics. However, professionals across the board cannot seem to agree on what is the best way to approach these topics. Perhaps the most ‘at-risk’ demographic for substance use are adolescents, ages 12 – 17. (Substance Abuse and Mental Health Services Administration [SAMHSA], 2011) Thankfully, more and more research has been conducted in the areas of adolescents and co-occurring disorders over the past few decades. However, since treating and preventing co-occurring disorders in adolescents is so monumental for their proper development and for their future as adults, the research must continue.
Sacks, S., Chandler, R., & Gonzales, J. (2008). Responding to the challenge of co-occurring disorders: Suggestions for future research. Journal of Substance Abuse Treatment, 34(1), 139-146
Mental illness is an increasing problem in America. Currently about 26.2% of Americans suffer from a mental disorder. A mental illness/disorder is a medical condition that disrupts a person’s thinking, feeling, mood, and ability to relate to others and daily functions. Mental illness can affect humans of any age, race, gender and socioeconomic status. However the care that is needed to effectively cure and help the people affected by the illness is not equal for everyone here in American, especially for African Americans.
Wilkes, E, Gray, D, Saggesr, S, Casey, W & Stearne, A 2010, ‘Substance Misuse and Mental Health
Mental illness refers to a wide range of mental health conditions, or disorders that affect your mood, thinking and behavior ("Mental Illness"). Mental disorders are commonly left untreated for long periods of time because of the stigma our society has placed on mental issues. This forces individuals with mental illness to self-medication, frequently resulting in addictive behaviors. Persons with mental disorders seek ways to ease their discomfort and suffering. Marijuana can be used to treat an individuals depression or to ease pain. Stimulants can be used to get an otherwise lazy person motivated.
“Insurance companies often cover mental illness in a more limited fashion than physical illness” (Christensen). The lack of mental health care provided for the mentally ill has been a growing issue in the US during the previous years, and there has been some progress. For example, there has been the Mental Health Care and Parity Law of 2008 that was enacted so that the insurers would cover mental illness just as they would cover other illnesses. In addition, the Affordable Care Act was enacted to enforce that the insurers abide by the rules. Unfortunately, that hasn’t helped much, hence: the sneaky behavior of insurance companies. This sneaky behavior seems to be unnoticed by the government the majority of the time unless the patient or his family decides to file a lawsuit. Until then, insurance companies have been constantly bending rules and finding loopholes to not pay insurance for mental illness.
If the United States had unlimited funds, the appropriate response to such a high number of mentally ill Americans should naturally be to provide universal coverage that doesn’t discriminate between healthcare and mental healthcare. The United States doesn’t have unlimited funds to provide universal healthcare at this point, but the country does have the ability to stop coverage discrimination. A quarter of the 15.7 million Americans who received mental health care listed themselves as the main payer for the services, according to one survey that looked at those services from 2005 to 2009. 3 Separate research from the same agency found 45 percent of those not receiving mental health care listing cost as a barrier.3 President Obama and the advisors who helped construct The Affordable Care Act recognized the problem that confronts the mentally ill. Mental healthcare had to be more affordable and different measures had to be taken to help patients recover. Although The Affordable Care Act doesn’t provide mentally ill patients will universal coverage, the act has made substantial changes to the options available to them.
Arias, M.D., A. J., & Kranzler, M.D, H. R. (n.d). Treatment of co-occurring alcohol and other drug Use disorders. Retrieved from http://pubs.niaaa.nih.gov/publications/arh312/155-167.htm
The repeated use of drugs often causes both physical and psychological dependence, as mentioned in an article by the Funk & Wagnalls New World Encyclopedia (“Drug Dependence”). In order for an individual to truly be set free from their addiction, seeking treatment is necessary. Rehab centers are a great place with scientifically proven methods to cure those addicted to drugs. It is important to try to end drug use in our country, rather than allowing it to continue longer than it already has. While funding for rehabilitation facilities could become an issue, drug users may continue their addiction without proper treatment, and therefore those arrested for drug use should be sent to a rehabilitation center instead of prison.
When we view substance use disorders, alcohol is the most widely used drug within the United States and 11 percent of workers have drinking problems (Frone, 2006). Over 20 million people used illegal substances in 2006 and 7 million people abused prescribed medications. Of the 18 million drug abusers, 18 years or older in 2006, 13.4 million (74.9 %) were employed full or part time (SAMHSA, OSA). These addiction problems have an expenditure of $276 billion dollars per year with most of this cost from loss of productivity and health care (H. Harwood, D. Fountain, and G. Livermore, 1992).
Drug and alcohol abuse has become a worldwide epidemic within today’s society. The battle against drugs and alcohol is not going to diminish. Therefore, we as a society need to work together to address these problems while incorporating successful treatment plans and services for these individuals. The addiction to these substances does not only effect oneself, but can also have profound consequences for the children and families.
Drug abuse and addiction are issues that affect people everywhere. However, these issues are usually treated as criminal activity rather than issues of public health. There is a conflict over whether addiction related to drug abuse is a disease or a choice. Addiction as a choice suggests that drug abusers are completely responsible for their actions, while addiction as a disease suggests that drug abusers need help in order to break their cycle of addiction. There is a lot of evidence that suggests that addiction is a disease, and should be treated rather than punished. Drug addiction is a disease because: some people are more likely to suffer from addiction due to their genes, drug abuse brought on by addictive behavior changes the brain and worsens the addiction, and the environment a person lives in can cause the person to relapse because addiction can so strongly affect a person.
Alcohol and drug abuse is one of biggest problems in United States today. It is not only a personal problem that dramatically affects individuals' lives, but is a major social problem that affects society as whole. "Drug and alcohol abuse", these phrases we hear daily on the radio, television or in discussions of social problem. But what do they mean or what do we think and understand by it? Most of us don't really view drug or alcohol use as a problem, if that includes your grandmother taking two aspirins when she has a headache or your friends having few beers or drinks on Saturday night. What we really mean is that some drugs or alcohol are being used by some people or in some situations constitute problem with which our society must deal. It becomes a real problem when using or I should say abusing drugs cause accidents, antisocial behavior, broken relationships, family instability, crime and violence, poverty, unsafe streets and highways, worker absenteeism and nonproductivity, and the most tragic one death. The situation in which the drug or alcohol uses accurse often makes all the difference. The clearest example is the drinking of alcohol, when individual begins to drink during the job, at school, or in the morning, we have evidence that indicates a potential drinking problem. If a person takes narcotic drug because he just wrecked his knee while his physician prescribed playing football and the drug, most of us would be not concerned. If, on the other hand, he took the same drug on his own just because he likes the way it makes him feel, then we should begin to worry about him developing dependence. Even use of illegal drugs are sometimes acceptable, but it also depends on situation, for example in some countries smoking marijuana is legal just like drinking alcohol in United States. Some subcultures even in United States that accept the use of illegal drugs may distinguish between acceptable and unacceptable situation, some college age groups might accept marijuana smoking at a party on weekends, but not just before going to a calculus class. Most of people would accept a fact that a bartender or a waiter who is working at a night club is having a beer or a drink on his break or that a landscape worker is having a cold beer with his lunch on a hot summer day. I'm not saying that it is "OK" but we wouldn't complain a...