Preventive Medicine

HEALTHCARE SUBSTANCE ABUSE BEHAVIOR DAY TREATMENT

Jess B. Milby PhD, ABPP, Joseph E. Schumacher, PhD

Patient Characteristics: 
Patients are cocaine dependent, homeless persons, in treatment for SMI and referred for treatment to an effective manualized behavioral day treatment program located at the Church of the Reconciler in Birmingham. Our last study included 72.3% males; 82.7% African American; 17.2% European Americans with average age 37.7 years, and average education 13.1 years. Of the 141 subjects, 64.06% met the criteria for a Axis I Mental Disorder in addition to a PSUD. Overall there were 55 meeting full criteria for one or more Mood Disorders (39%), and another 6 with a Mood Disorder in partial remission (4%), 46 with one or more Anxiety Disorders (33%), 8 with Adjustment Disorders (6%), 1 with an Organic Mental Disorders (0.7%), and 5 with Other Disorders (35%), and 55 (39%), with no Axis I disorder other than substance abuse or dependence.

Distribution of Clinical Activities: 
Interns can spend the majority of their time in assessment or intervention depending upon their learning objectives and training needs. A minority of time will be spent in receiving supervision and providing consultation to counselor staff. Interns can also focus on clinical research and, upon PTC approval of a research project, spend half-day per week throughout the year working on a poster/presentation and/or manuscript.

Assessment Characteristics: 
Most of the assessments will be done are done by the intern. The intern can assist and learn: to administer DSM III-R based diagnostic assessments via computer prompted clinical interview; to assist in review of psychopathology screening data from the Social History Intake Form, and consult with counselors; to conduct behavioral assessments and help clients develop short and long term goals for their treatment plan. Depending on the intern’s interest the intern can participate in preliminary data analysis, data interpretation and writing for scientific presentations.

Interventions Characteristics: 
The intern may choose among – individual therapy; co-conducting didactic or process groups; attending treatment planning/evaluation, project steering, executive, or research meetings.