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“Essential Co-occurring Disorders for Mental Health and Substance Use Disorder Treatment” is a self-study recorded audio/visual online clinical course that will familiarize professionals with strategies and techniques that are useful with those that are dually-diagnosed. It was developed in 2014 for social work and other clinical professionals and is updated once every three years. It was last updated in 2017, with the addition of current  prevalence statistics  for substance use, re-languaging for substance misuse, and a clinical video demonstration of the use of an assessment tool for use with dually-diagnosed individuals. Intermediate level professionals will find basic information about Substance Use Disorders and how both MI and CBT strategies can be effectively used with those with Co-occurring Disorders. Videotaped clinical vignettes illustrate techniques which can help the clinical professional working with clients with marijuana, cocaine, or alcohol use disorders to reduce client substance use.
See “course completion requirements” below to find out how to earn a certificate for this course.  Register for the course here.

About the Course: The term “Co-Occurring Disorders” describes the simultaneous existence of a Mental Health (MH) Disorder and a Substance Use Disorder (SUD), more complicated to diagnose and treat than either Mental Health or Substance Use Disorders alone. Many treatment strategies useful for either disorder, like Motivational Interviewing skills or Cognitive Behavioral Therapy, can be used successfully with clients with Co-Occurring Disorders.
Target audience: NYS Social workers and other clinical professionals 
Content level: Intermediate


About the Author/Instructor: Tina Iler, LCSWR, is in private and agency practice in the mid-Hudson region of New York State. She is the Social Work consultant for the BPTI Continuing Education group and the BPTI contact person for continuing education in New Jersey. She has over 25 years experience in direct practice with clients with mental health and substance use disorders.  She is passionate about Motivational Interviewing and trains extensively in MI. As well, she has been trained by the Beck Institute in CBT and the Linehan Institute for DBT and mindfulness.  In her individual therapy, she provides compassionate support to work towards developing coping skills for healthier choices, improved self care, and building resilience to live life with greater ease and acceptance of past or present circumstances. As a trainer, she is resourceful, dynamic and creative. Feedback from previous archived webinar attendees: “It was very informative and I’ve been using this framework within my practice.” -Abigail, Idaho

Course Goals and Objectives. .  .

Goals: Participants will gain an understanding of Co-occurring Disorders:  definition, typical Mental Health disorders, typical Substance Use Disorders and the prevalence of co-occurrence. Participants will understand  recommended assessment measures and treatment strategies for both early and later stages of change for those with Co-occurring Disorders.  Participants will gain an understanding of applicable assessment and treatment skills through modeling, available in video clinical scenarios.

Upon completion of this course, participants will be able to :
1.- list the definition of Co-occurring Disorders.
2. – list the definition of substance use disorders.
– identify the prevalence of Co-occurring Disorders.
4. – describe one theory of the etiology of Co-occurring Disorders.
5. – discuss one of the global impacts of Co-occurring Disorders.
6. – identify 3 mental health disorders currently listed in the DSM5.
7. – identify 2 symptoms of severe substance use disorders.
8. – list 3 mental health symptoms that co-occur and are the consequence of substance use.
9. – identify 1 assessment measure for Co-occurring Disorders.
10. – explain 1 suggested mode of treatment for those with Co-occurring Disorders.

Timed Agenda: Self-paced course, approximately 6 hours

Course Agenda
1. (.5 hr) Definition and Etiology of Co-occurring Disorders
2. (.5 hrs) Prevalence and global impact
3. (.5 hr) Stages of Readiness for Change
4. (1.0 hr) Processes for COD Early Change stages: Discussion, modeling of interventions, treatment strategies for dealing with early decision-making stages of Co-occurring Disorders
5. (1.0 hr) Mental Health Diagnoses
6. (1.0 hr) Substance Use Disorder Diagnoses
7. (.5 hr) Co-occurrence of symptomatology between MH and SUD disorders
8. (1.0) Discussion and modeling of intervention and treatment strategies for dealing with the later decision-making stages of Co-occurring Disorders

Course completion requirements
To earn CE credit, participants must log in, attend the entire course as determined electronically, complete a course evaluation and a posttest with at least 75% accuracy. Those who do not make 75% the first time can have a second try with an “open-book” method. Further attempts must be authorized by the CE Director. Certificates of completion will be emailed within 10 business days of course completion.
Course interaction & system requirements
This self-study recorded audio/video online course is self-paced/non-interactive. Course questions, comments and complaints can be directed to the BPTI Continuing Education Director, Ruth Campbell, LCSW, Ph.D. by email at or by phone at 845-255-5022 or 845-810-0022.
DISABILITIES: For technical difficulties/disabilitiessuch as not having devices with technology which meets operating system requirements, or having difficulty with that technology, paper copies of pretests and posttests can be mailed.
For those with hearing difficulties, the courses have a written narrative which may be accessed with the click of a button. For those who are “print-disabled,” the courses are narrated.
Other difficulties with technology (can’t open a second window on your device, can’t get access to the training site, can’t remember password, etc.) may be able to be remedied by contacting which may be able to give assistance.
GRIEVANCES: BPTI maintains responsibility for this course. Course questions, comments and complaints can be directed to the Continuing Education Director by email at or by phone at 845-255-5022 or 845-810-0022. BPTI Grievance Policy can be found here BPTI_Grievance policy  Course credit through any organization cannot be given retroactively.

NYS OASAS (provider # 0806) has authorized 6 credits for re-credentialing CASACs who take this training (individual course approval).
NYS clinicians: BPTI is recognized by the NYSED as a CE provider for NYS social workers  (#SW-0519) and LMHCs (#MHC-0124) and has provider level approval to offer CEs to NYS SWers and LMHCs. Registrants should note that only 1/3 of contact hours needed  for NY LCSWs and LMSWs can come from non-interactive web coursework.
NJ Social Workers: Our organization has applied for consideration of CE credits to ASWB ACE for each of these recorded audio/video based online courses.

All Other Social Workers: Our organization has submitted an application for consideration of approval as an ASWB ACE provider. See a map showing what jurisdictions accept ACE here.