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Understanding Comorbid Substance Use Disorders and Serious Mental Illness
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Availability
On-Demand
Credit Offered
No Credit Offered

Substance use disorders (SUDs) are a prevalent problem among individuals in the U.S. Approximately 10 percent of the U.S. population is in recovery from a SUD, even among those receiving treatment, quality of life scores are low and relapse rates are high. Over 25 percent of adults reported engaging in binge drinking in the past month. Those with a severe mental illness are at increased risk for a co-occurring substance use disorder and binge drinking as well as significant negative consequences of this dual-diagnosis. Treatment of these individuals can be challenging. Therefore, the purpose of this presentation is to provide an overview of diagnostic criteria for substance use disorders and risky alcohol use and review motivational interviewing techniques, which are particularly efficacious at improving change rate and sustaining change. Medication management and other treatment strategies for providers from primary care and psychiatric specialties will be discussed.

Learning Objectives

  • Cite the prevalence of co-occurring severe mental illness and substance use disorders and heavy drinking.
  • Identify substance use disorders and high-risk alcohol consumption in those with serious mental illness.
  • Evaluate treatment options for effectively managing dual-diagnosis serious mental illness and substance use disorders. 

Target Audience

Counselor, Psychiatrist, Physician (Non-psychiatrist), Physician Assistant, Psychologist, Social Worker, Peer Specialist/Peer Support

Instructional Level

Intermediate; Advanced

Estimated Time to Complete

Estimated Duration: 1.0 hour
Program Start Date: June 20, 2019 
Program End Date: June 20, 2022

How to Earn Credit

Participants who wish to earn AMA PRA Category 1 Credit ™ or a certificate of participation may do so by completing all sections of the course, including the evaluation. A multiple choice quiz is provided based on the content. A passing score of 75% must be achieved. Retakes are available for the test. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (non-physicians) showing the completion date and hours earned.

Continuing Education Credit

Physicians

The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The APA designates this enduring activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Faculty and Planner Disclosures

Instructors

  • Donna Rolin, PhD, APRN, University of Texas at Austin. Reports no financial relationships with commercial interests.
  • Amanda Simonton, MSN, RN, PMHNP-BC, CARMAhealth. Reports no financial relationships with commercial interests.

Planners

  • Teri Brister, PhD, LPC, National Alliance on Mental Illness. Reports no financial relationships with commercial interests.
  • Amy N. Cohen, PhD, University of California, Los Angeles. Reports no financial relationships with commercial interests. 
  • Tristan Gorrindo, MD, American Psychiatric Association. Reports no financial relationships with commercial interests.

Reviewers

  • Teri Brister, PhD, LPC, National Alliance on Mental Illness. Dr. Brister has no relevant financial relationships to disclose. (Reviewed on 5/4/22)
  • John Torous, MD, Beth Israel Deaconess Medical Center. Dr. Torous has no relevant financial relationships to disclose. (Reviewed on 5/2/22)

Accessibility for Participants with Disabilities

The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. If you have trouble accessing any of APA’s online resources, please contact us at 202-559-3900 for assistance.

Technical Requirements

This internet-based CME activity is best experienced using any of the following:

  • The latest and 2nd latest public versions of Google Chrome, Mozilla Firefox, or Safari
  • Internet Explorer 11+

This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat Reader, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration:

  • Browser: Google Chrome (latest and 2nd latest version), Safari (latest and 2nd latest version), Internet Explorer 11.0+, Firefox (latest and 2nd latest version), or Microsoft Edge (latest and 2nd latest version)
  • Operating System: Windows versions 8.1+, Mac OS X 10.5 (Leopard) +, Android (latest and 2nd latest version), or iOS/iPad OS (latest and 2nd latest version)
  • Internet Connection: 1 Mbps or higher

Minimum Requirements:

  • Windows PC: Windows 8.1 or higher; 1 GB (for 32-bit)/2 GB (for 64-bit) or higher RAM; Microsoft DirectX 9 graphics device with WDDM driver; audio playback with speakers for programs with video content
  • Macintosh: Mac OS X 10.5 or higher with latest updates installed; Intel, PowerPC G5, or PowerPC G4 (867MHz or faster) processor; 512 MB or higher RAM; audio playback with speakers for programs with video content

For assistance: Contact educme@psych.org for questions about this activity | Contact SMIAdviserHelp@psych.org for technical assistance

Funding for SMI Adviser was made possible by Grant No. SM080818 from SAMHSA of the U.S. Department of Health and Human Services (HHS). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, SAMHSA/HHS or the U.S. Government.
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