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MEDICINE Grand Rounds: Psychiatric Co-Morbidities
January 18 @ 12:00 pm - 1:00 pm PST
Presented By: Dimitri Bacos, MD
There is a need to recognize that existing systems of care designed to treat people with single diagnoses are less effective and result in under-diagnosis and under-treatment of persons with co-occurring disorders. Using an integrated care model to serve this population results in superior outcomes with regard to both the mental illness as well as the co-occurring SUDs and other co-occurring chronic illnesses/disorders that may be present.
- Paradigm shift in conceptualization of substance use disorders (SUDs) from categorical toward spectrum
- Paradigm shift away from diagnostic parsimony toward diagnostic plurality in approach to diagnosing and treating co-occurring disorders
- Describe classification and criteria changes from DSM IV to DSM 5 in realm of SUDs
- Employ “Chronic Disease” concept when considering illness course and treatment expectations
- Treatment considerations for co-occurring disorders using an integrated behavioral health model (role of individuals within the multidisciplinary treatment team)
- Distinguish functional and neuroanatomical overlaps between SUDs and other mental health disorders, common brain regions and neurocircuitry pathways
- Pharmacotherapy for co-occurring disorders, including medication assisted treatment aspects and the concept of harm reduction vs abstinence
- Pharmacotherapy of co-occurring mental health disorders (including adjustment disorders)
- Discuss cultural issues