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Recovery, Graduated Sanctions, and Substance Use in Criminal Justice Settings. Susan A. Stone, JD, MD Susan Stone and Associates PO Box 220, 180 Bradley Lane Rosanky , TX 78953 512-360-3557-fax 512-360-5062 sstonejdmd@me.com. Mental Health/Substance Use Culture Clash. I can ’ t treat…
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Recovery, Graduated Sanctions, and Substance Use in Criminal Justice Settings Susan A. Stone, JD, MD Susan Stone and Associates PO Box 220, 180 Bradley Lane Rosanky, TX 78953 512-360-3557-fax 512-360-5062 sstonejdmd@me.com
Mental Health/Substance Use Culture Clash • I can’t treat… • Mental illness in the context of substance use • Substance use in the context of mental illness www.gainscenter.samhsa.gov 800.311.4246
Clinical Issues • Abstinence • Harm Reduction • Self Medication www.gainscenter.samhsa.gov 800.311.4246
Co-Occurring Disorders • Diagnostic Dilemmas • Medication Stigma • Antidepressants • Antipsychotics • Stimulants • Benzodiazepines www.gainscenter.samhsa.gov 800.311.4246
Integrated Behavioral Health • Definitions • “Behavioral Health” • “Recovery” • Substance Use/Abuse • Serious Mental Illness • Dementia/TBI, PTSD • Challenges to Integration • Reverse Integration www.gainscenter.samhsa.gov 800.311.4246
Court Based Complications • Incentives vs. Sanctions • Offense Level • Civil vs. Forensic Commitments • Politics www.gainscenter.samhsa.gov 800.311.4246