Co-existing mental health and drug and alcohol problems occur frequently in primary care and clinical settings. Despite this, health professionals rarely receive training in how to detect, assess and formulate interventions for co-existing problems and few clinical guidelines exist.This Handbook provides an exciting and highly useful addition to this area. Leading clinicians from the UK, the US and Australia provide practical descriptions of assessments and interventions for co-existing problems. These will enable professionals working with co-existing problems to understand best practice and ensure that people with co-existing problems receive optimal treatment. A range of overarching approaches are covered, including: working within a cognitive behavioural framework; provision of consultation-liaison services, training and supervision; individual, group and family interventions; and working with rurally isolated populations.The contributors also provide detailed descriptions of assessments and treatments for a range of disorders when accompanied by drug and alcohol problems, including anxiety, depression, schizophrenia, bipolar disorder and learning difficulties. The Clinical Handbook of Co-existing Mental Health and Drug and Alcohol Problems will enhance clinicians' confidence in working with people with co-existing problems. It will prove a valuable resource for all psychologists, psychiatrists, counsellors, social workers and all those working in both primary and secondary care health settings.

Amanda Baker & Richard Velleman, Preface. Wayne Hall & Michael Farrell, Foreword. SECTION 1: Overview: Detection and decisions. Amanda Baker, Frances J. Kay-Lambkin & Terry J. Lewin, Co-existing mental health and drug and alcohol problems: Steps towards better treatment. Richard Velleman, Co-existing problems: From conceptualization to case formulation. SECTION 2: General processes when working with people with co-existing mental health and drug and alcohol problems. David J. Kavanagh & Jennifer M. Connolly, Motivational interviewing. Amanda Baker, Sandra Bucci, Frances J. Kay-Lambkin & Leanne Hides, Cognitive behaviour therapy for people with co-existing mental health and drug and alcohol problems. Gina Smith & Richard Velleman, Family intervention for co-existing mental health and drug and alcohol problems. Kim T. Mueser & Steven C. Pierce, Group interventions for co-existing mental health and drug and alcohol problems. Hermine L. Graham, Derek Tobin & Emma Godfrey, A consultation-liaison service model offering a brief integrated motivational enhancement intervention. SECTION 3: Adapting approaches with specific populations or specific problems. Leanne Hides, Dan I. Lubman, Frances J. Kay-Lambkin & Amanda Baker, Young people with co-existing mental health and drug and alcohol problems. Brian Kelly, Frances J. Kay-Lambkin & David Kavanagh, Rurally isolated populations and co-existing mental health and drug and alcohol problems. Richard Velleman, Homelessness alongside co-existing mental health and drug and alcohol problems. Andrew Baillie & Claudia Sannibale, Anxiety and drug and alcohol problems. Frances J. Kay-Lambkin, Amanda Baker & Vaughan J. Carr, Depression and drug and alcohol problems. Christine Barrowclough, Gillian Haddock, Ian Lowens, Rory Allott, Paul Earnshaw, Mike Fitzsimmons & Sarah Nothard, Psychosis and drug and alcohol problems. Emma Whicher & Mohammed Abou-Saleh, Bipolar affective disorder and drug and alcohol problems. Jennfier S. Coelho, Christopher Thornton, Stephen W. Touyz, J. Hubert Lacey & Sarah Corfe, Eating disorders and drug and alcohol problems. Ellen M. Crouse, Keith M. Drake & Mark P. McGovern, Personality disorders and drug and alcohol problems. Gabrielle Barter, Learning disability and co-existing drug and alcohol problems. SECTION 4: Training, supervision and future directions. Ilana Crome & Roger Bloor, Training in co-existing mental health and drug and alcohol problems: High priority in policy requires resources. Alex Copello & Derek Tobin, Clinical team supervision for practitioners treating co-existing mental health and drug and alcohol problems. Amanda Baker & Richard Velleman, Where to from here?