The Cigna Group · NYSE:CI
The Cigna — Investor Presentation (February 2012)
9 slides from The Cigna's investor presentation, Feb 15, 2012
Slide 1: Diagnosing and Treating Co-occurring Mental Health and Substance Use Disorders
Diagnosing and Treating Co-occurring Mental Health and Substance Use Disorders February 15, 2012 Podcast Presentation Sarah Lewis-Fernandez, LMSW, CASAC, CAC, CT with Sharon Smith- Parent Advisory Board Member
Slide 2: Basic Points
Basic Points y Every person is to be evaluated individually- and understand it will be a process to assess and treat co-occurring disorders. y Diverse population- very mild to severe on both sides- and can be temporary or permanent. y Disagreement in the field about diagnosis, treatment and medicati
Slide 3: Prevalence
Prevalence y Various studies have found that 40-70% of people meet requirements for both a mental health disorder and substance use disorder. According to reports from JAMA(Journal of the American Medical Association): y 37 % of alcohol abusers and 53 % of drug abusers have at least one other seriou
Slide 4: Substance Use Disorder Diagnosis
Substance Use Disorder Diagnosis y Some signs of Substance Use Disorder(SUD): y Feeling that you have to use the drug regularly — this can be daily or even several times a day and making sure you have it. y Failing in your attempts to stop using the drug. y Spending money on the drug, even though yo
Slide 5: Substance Use Disorder Diagnosis
Substance Use Disorder Diagnosis Possible indications that your teenager is using drugs include: y Problems at school- Frequently missing classes or missing school, a sudden disinterest in school or school activities, or a drop in grades may be indicators of drug use. y Physical health issues- Lack
Slide 6: Mental Health Disorder Diagnosis
Mental Health Disorder Diagnosis y Mental Health Disorders (MH) y Axis I- Mood, anxiety and psychotic disorders are the most common. Eating disorders are also seen frequently. In adolescents the most common are the disruptive behavior disorders. y Axis II- The most frequent in this category are Clus
Slide 7: Co-Occurring Diagnosis
Co-Occurring Diagnosis y Importance of substance detoxification and extended assessment period. y Problems with diagnosis include: y Signs of mental disorder can look like addiction and vice versa y SUD can mask mental illness y Alcohol or drugs can be used to self medicate y Denial y A full assessm
Slide 8: Co-Occurring Treatment
Co-Occurring Treatment y Different options based on severity. y Importance of collaboration between professionals. y Medication management can interfere/complicate/assist treatment (addictive qualities of most anxiety relieving medications is a good example). y A program can be modified if one of th
Slide 9: Suggested Resources
Suggested Resources y Drugfree.org- Helpline for Parents 1-855-DRUGFREE (1-855-378-4373) y Samsha.gov has treatment locator- SUD and MH providers listed separately- call to make sure if equipped for co- occurring client y Dynamic Youth Community- call 718-376-7923 or contact www.dyninc.org for help
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