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See NOTES on this page for specifics of state and license restrictions.
This is a two hour long 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 created in 2016, and was last updated in 2022, when prevalence statistics for substance use disorders were updated and the comorbidity of SUDs and mental health disorders was recalculated, based on current studies.  Beginning and intermediate level professionals will find basic information about Substance Use Disorders and how both Motivational Interviewing 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

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. This course discusses the etiology of co-occurring disorders and models treatment strategies for clients in various stages of readiness for treatment. 
CE Information This is a 2 CE ($35) course. Cost includes CE credit.

Target audience: Social workers, LMHCs and other counselors (CASACs)
Content level: Beginning to Intermediate


Tina Iler, LCSWR


About the Clinical 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 the US and Canada. 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. In addition, 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
About the Narrator Instructor:
The voice of the narrator in this course is that of Ruth Campbell, LCSW, Ph.D. She is currently in private practice in New York City and in upstate NY. She is the Continuing Education Director of the non-profit organization Best Practice Trainers, Inc., which has a research and training mission. She has 40 years’ experience working in mental health settings as a clinician, teacher, and author, and over 20 years’ experience in direct practice with Substance Use Disorders.

Course Goals and Objectives. .  .

Goals: Participants will gain an understanding of Co-occurring Disorders:  definitions of 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. identify 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. identify 3 mental health disorders currently listed in the DSM5.
6. identify 2 symptoms of severe substance use disorders.
7. list 3 mental health symptoms that co-occur and are the consequence of substance use.
8. identify 1 assessment measure for Co-occurring Disorders.
9. explain 1 suggested mode of treatment for those with Co-occurring Disorders.

Course Agenda: self-paced, expected to complete in 2 hours.
Timed Course Agenda
1. (1.0 hour)
Etiology of Co-occurring Disorders, definition, prevalence. Description of decision-making stages in readiness for change. Discussion and modeling of interventions for Early decision-making stages of Co-occurring Disorders.
2. (1.0 hour) Discussion of “co-occurrence” of MH and SUD symptoms and disorders. Modeling of intervention and treatment strategies for later decision-making stages of Co-occurring Disorders.

Course completion requirements
To earn CE credit, participants must log in, complete a pretest, 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 the availability of the training materials. Further attempts must be authorized by the CE Director. Certificates of completion will be emailed within 10 business days of course completion. Course credit through any organization cannot be given retroactively. No partial credit can be given for any partially completed course.
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..
DISABILITIES and technical difficulties: For disabilities and/or technical difficulties, please contact Ruth at 845-255-5022  or email for assistance. Contacting may also 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. BPTI Grievance Policy can be found here  .


NYS CASACs: see the CASACs tab for specifics about earning CEs for this course.
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 and All Other Social Workers: Essential Co-occurring Disorders for Mental Health and Substance Use Disorder Treatment, #2815, is approved by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program to be offered by Best Practice Trainers, Inc as an individual course. Individual courses, not providers, are approved at the course level. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. ACE course approval period: 5/29/2020 – 5/29/2022. Social workers completing this course receive 2.0 clinical social work continuing education credits. See a map showing what jurisdictions accept ACE here.