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A Working Life for People with Severe Mental Illness$
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Deborah R. Becker and Robert E. Drake

Print publication date: 2003

Print ISBN-13: 9780195131215

Published to Oxford Scholarship Online: January 2009

DOI: 10.1093/acprof:oso/9780195131215.001.0001

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Dual Diagnosis and Work

Dual Diagnosis and Work

Chapter:
(p.139) 12 Dual Diagnosis and Work
Source:
A Working Life for People with Severe Mental Illness
Author(s):

Deborah R. Becker

Robert E. Drake

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780195131215.003.0012

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

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