Getting Both Barrels

Dual Diagnosis of Mental Illness and Substance Abuse

Drugs & booze are deadly

Dual diagnosis services are treatments for people who suffer from co-occurring disorders — mental illness and substance abuse. Research has strongly indicated that to recover fully, a consumer with co-occurring disorder needs treatment for both problems — focusing on one does not ensure the other will go away. Dual diagnosis services integrate assistance for each condition, helping people recover from both in one setting, at the same time.

Dual diagnosis services include different types of assistance that go beyond standard therapy or medication: assertive outreach, job and housing assistance, family counseling, even money and relationship management. The personalized treatment is viewed as long-term and can be begun at whatever stage of recovery the consumer is in. Positivity, hope and optimism are at the foundation of integrated treatment.

How often do people with severe mental illnesses also experience a co-occurring substance abuse problem?

There is a lack of information on the numbers of people with co-occurring disorders, but research has shown the disorders are very common. According to reports published in the Journal of the American Medical Association (JAMA):

  • Roughly 50 percent of individuals with severe mental disorders are affected by substance abuse.
  • Thirty-seven percent of alcohol abusers and 53 percent of drug abusers also have at least one serious mental illness.
  • Of all people diagnosed as mentally ill, 29 percent abuse either alcohol or drugs.

The best data available on the prevalence of co-occurring disorders are derived from two major surveys: the Epidemiologic Catchment Area (ECA) Survey (administered 1980-1984), and the National Comorbidity Survey (NCS), administered between 1990 and 1992.

Results of the NCS and the ECA Survey indicate high prevalence rates for co-occurring substance abuse disorders and mental disorders, as well as the increased risk for people with either a substance abuse disorder or mental disorder for developing a co-occurring disorder. For example, the NCS found that:

  • 42.7 percent of individuals with a 12-month addictive disorder had at least one 12-month mental disorder.
  • 14.7 percent of individuals with a 12-month mental disorder had at least one 12-month addictive disorder.

The ECA Survey found that individuals with severe mental disorders were at significant risk for developing a substance use disorder during their lifetime. Specifically:

  • 47 percent of individuals with schizophrenia also had a substance abuse disorder (more than four times as likely as the general population).
  • 61 percent of individuals with bipolar disorder also had a substance abuse disorder (more than five times as likely as the general population).

For the rest of this article, go to NAMIhttp://www.nami.org/Template.cfm?Section=By_Illness&Template=/TaggedPage/TaggedPageDisplay.cfm&TPLID=54&ContentID=23049

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24/7 Crisis Lines

List of Hotlines–1-800 Phone Numbers

In general, hotlines have three things in common:

1) they are available to call 24/7
2) they are 100% confidential
3) they are free

Here’s a list of hotlines that may help you in whatever situation you find yourself in: Dial 911 for an emergency

Christian Counseling Services-General

New Life Clinics 1-800-NEW-LIFE
National Prayer Line 1-800-4-PRAYER
Bethany Lifeline Pregnancy Hotline 1-800-BETHANY
Liberty Godparent Ministry 1-800-368-3336
Grace Help Line 24 Hour Christian service 1-800-982-8032
The 700 Club Hotline 1-800-759-0700
Want to know Jesus? 1-800-NEED-HIM
Biblical help for youth in crisis 1-800-HIT-HOME
Rapha National Network 1-800-383-HOPE
Emerge Ministries 330-867-5603
Meier Clinics 1-888-7-CLINIC or 1-888-725-4642
Association of Christian Counselors 1-800-526-8673
Minirth Clinic 1-888-MINIRTH (646-4784)
Pine Rest 1-800-678-5500
Timberline Knolls 1-877-257-9611

Abortion
Post Abortion Counseling 1-800-228-0332
Post Abortion Project Rachel 1-800-5WE-CARE
National Abortion Federation Hotline 1-800-772-9100
National Office of Post Abortion Trauma 1-800-593-2273

Abuse

National Sexual Assault Hotline 1-800-656-HOPE (4673)
Stop it Now! 1-888-PREVENT
United States Elder Abuse Hotline 1-866-363-4276
National Child Abuse Hotline 1-800-4-A-CHILD (422-4453)
Child Abuse Hotline / Dept of Social Services 1-800-342-3720
Children in immediate danger 1-800-THE-LOST
Exploitation of Children 1-800-843-5678
Missing Children Help Center 1-800-872-5437

Addiction

Marijuana Anonymous 1-800-766-6779
Alcohol Treatment Referral Hotline (24 hours) 1-800-252-6465
Families Anonymous 1-800-736-9805
Cocaine Hotline (24 hours) 1-800-262-2463
Drug Abuse National Helpline 1-800-662-4357
National Association for Children of Alcoholics 1-888-554-2627
Ecstasy Addiction 1-800-468-6933
Alcoholics for Christ 1-800-441-7877

Cancer

American Cancer Society 1-800-227-2345
National Cancer institute 1-800-422-6237

Caregivers
Elder Care Locator 1-800-677-1116
Well Spouse Foundation 1-800-838-0879

Chronic Illness/Chronic Pain

Rest Ministries 1-888-751-REST (7378)

Crisis Numbers for Teens (Under 18)
Girls and Boys town 1-800-448-3000
Hearing Impaired 1-800-448-1833
Youth Crisis Hotline 1-800-448-4663
Teen Hope Line 1-800-394-HOPE
Covenant House Nineline 1-800-999-9999

Crisis Numbers for Help (Any age)

  • NAMI Hotline, 1-800-950-6264
  • Suicide Hotline, 1-800-273-8255

United Way Crisis Helpline 1-800-233-HELP
Christian Oriented Hotline 1-877-949-HELP
Social Security Administration 1-800-772-1213

Crisis Pregnancy Helpline
Crisis Pregnancy Hotline Number 1-800-67-BABY-6
Liberty Godparent Ministry 1-800-368-3336

Cult Information
Cult Hotline (Mercy House) 606-748-9961

Domestic Violence
National Domestic Violence Hotline 1-800-799-SAFE
National Domestic Violence Hotline Spanish 1-800-942-6908
Battered Women and their Children 1-800=603-HELP
Elder Abuse Hotline 1-800-252-8966
RAINN 1-800-656-HOPE (4673)

Eating Disorders
Eating Disorders Awareness and Prevention 1-800-931-2237
Eating Disorders Center 1-888-236-1188
National Association of Anorexia Nervosa and Associated Disorders 1-847-831-3438
Overcomers Outreach, Inc. 1-800-310-3001
Remuda Ranch 1-800-445-1900

Family Violence
Family Violence Prevention Center 1-800-313-1310

Gambling
Compulsive Gambling Hotline 410-332-0402

Grief/Loss
GriefShare 1-800-395-5755

Homeless/Shelters
Homeless 1-800-231-6946
American Family Housing 1-888-600-4357

Homosexual/Lesbian
Recovery: Exodus International 1-888-264-0877
Helpline: 1-800-398-GAYS
Gay and Lesbian National Hotline 1-888-843-4564
Trevor Hotline (Suicide) 1-866-4-U-TREVOR

Parents
Hotline for parents considering abducting their children 1-800-A-WAY-OUT
United States Missing Children Hotline 1-800-235-3535

Poison
Poison Control 1-800-942-5969

Runaways
Boystown National Hotline 1-800-448-3000
Covenant House Nineline 1-800-999-9999
Laurel House 1-714-832-0207
National Runaway Switchboard 1-800-621-4000
Teenline 1-888-747-TEEN
Youth Crisis Hotline 1-800-448-4663

Salvation
Grace Help Line 24 Hour Christian Service 1-800-982-8032
Want to know Jesus? 1-888-NEED-HIM

Self-Injury, “Cutting”
S.A.F.E. (Self Abuse Finally Ends) 1-800-DONT-CUT

Sexual Addiction
Focus on the Family 1-800-A-FAMILY

Suicide
Suicide Hotline 1-800-273-TALK (8255)
Suicide Prevention Hotline 1-800-827-7571
Deaf Hotline 1-800-799-4TTY
NineLine 1-800-999-9999
Holy Spirit Teenline  1-800-722-5385
Crisis Intervention 1- 888- 596-4447
Crisis Intervention 1-800-673-2496


Mostly, these are Christian ministries that are there when life gets challenging.  Use these phone numbers wisely, and I would encourage you to pray for the counseling you.  Also, I am not able to check each number.  These numbers are to be used with some precaution as a result.

This list isn’t complete yet.  If you have a contact that isn’t here, please email me that information.  I’m Bryan Lowe at flash99603@hotmail.com.

The Varieties of Life: A Prayer for Direction

The Varieties of Life

 

“Guide me, O Lord, in all the changes and varieties of the world, that in all things that shall happen, I may have an evenness and tranquility of spirit, that my soul may be wholly resigned to your divine will and pleasure, never murmuring at your gentle chastisements and fatherly correction.  Amen.”  —

Jeremy Taylor

“Be still, and know that I am God!
I will be honored by every nation.
I will be honored throughout the world.”

The Lord of Heaven’s Armies is here among us;
the God of Israel is our fortress.”
Interlude

Psalm 46:10-11