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Co-Occurring Substance Abuse and Psychiatric Disorders

Presented by Keith Nelson, LCSW

Presenter Bio

Keith Nelson, LCSW has extensive experience in mental health and substance abuse treatments. Mr. Nelson has worked as a clinician in substance abuse and psychiatry since 1988 providing services such as presentations and continuing education in community, psychiatric, social services, and medical settings regarding co-occurring psychiatric disorders, motivational interviewing for both substance abuse and diabetes, and CBT for substance abuse . He has worked as a manager developing and implementing group programs for psychiatric, substance abuse, and dual diagnoses of varying acuities with Kaiser Permanente. His research experience includes assisting with multiple publications regrading methamphetamine and club drug usage and public health through a NIDA grant. Other experience includes running court-ordered groups for parents owing child support, Santa Clara County HIV Community Prevention Work Group (2003-2004), Santa Clara County hepatitis C Task Force (2003), designed and carried out a research project on Effects of Parenting Group for Veterans with PTSD on Coping Skills which won the Dorothy Miller Award from San Jose State University, and editor of the Northern California Regional Dual Diagnosis Workgroup newsletter.

Many people in our behavioral health system have co-occurring substance abuse and psychiatric disorders. This presentation covers statistics on prevalence, a theoretical model (the Four Quadrant Model) for classifying and approaching treatment, and the stages of change as a way of being able to keep patients in treatment. This lecture also discusses moving from theory to practice in talking about interventions and resources and how we use them to address these patients and their needs.

Course Objectives

At the conclusion of this course, participants will be able to:

  1. Describe the Four Quadrant model and how to classify and approach treatment for this population.
  2. Recognize the stages of change model and how it can be used to keep patients in this population in treatment.
  3. Explain how theory moves into practice by describing interventions and resources often used with this population.

Instructional Level


This CE program is free to Kaiser Permanente employees.

Instructional Methodology

On-line Presentation

Continuing Education Information

Kaiser Permanente Northern California Mental Health Training Program is approved by the California Psychological Association to provide continuing professional education for psychologists. The Kaiser Permanente Northern California Mental Health Training Program maintains responsibility for this program and its content.

Refund and Attendance Policy

All programs offered on KP Learn for CE credit through the KP Northern California Mental Health Training website are free of charge to Kaiser Permanente Staff and trainees. Once a course is selected in the KP NCAL MH Training Website, the registration process begins, and it will appear in the individuals KP Learn profile for completion within 90 days.

IMPORTANT NOTICE: Those who attend the program in full and complete the appropriate evaluation form will receive CE credits. Please note that credit will only be granted to those who attend the entire program. An attestation of attendance will be given once the individual has completed viewing the program, which will then initiate the final steps of completing the evaluation forms to receive a certificate of completion.

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