What are co-occurring disorders?
The term co-occurring disorder applies when someone has both a mental health and a substance use disorder. This is also known as dual diagnosis or dual disorder. For example, an individual with anxiety who is also struggling with alcohol use. For more information visit: https://www.samhsa.gov/disorders.
How is the Integrated Cognitive Therapies Program (ICTP) different from other programs?
Often youth with co-occurring mental health and substance use disorders see multiple providers, one who specializes in each area. Integrated treatment means that one therapist provides both mental health and substance use treatment at the same time. In ICTP, youth also have access to psychiatric services if needed. Integrated treatment reduces stress on families since they don’t have to coordinate multiple appointments. It can also help reduce costs. In addition, fewer appointments means that youth have more time for positive activities like sports or after school clubs. As a result, they are able to spend more time with peers who don’t use drugs.
How does ICTP treat co-occurring disorders?
The first step is an assessment to determine whether co-occurring mental health and substance use disorders are present. Then the therapist helps the youth set goals and begin weekly therapy, usually for a total of 16 sessions. ICTP therapists are trained to address both mental health and substance use disorders. They use proven, evidenced-based approaches like Motivational Enhancement Therapy, Cognitive Behavioral Therapy, and Contingency Management. Treatment is individualized to each youth and his or her own goals. Sessions focus on developing skills to manage urges to use substances and cope with difficult emotions. Therapists also teach other skills that promote healthy decision-making.
How common are co-occurring disorders in youth?
It’s hard to say how many youth have co-occurring disorders because many have not been diagnosed. According to SAMHSA’s data from 2014, 1 in 10 youth ages 12-17 had a major depressive episode that year. These youth were twice as likely to try alcohol or other drugs compared to their peers. Youth with mental health disorders are at a greater risk for developing a substance use disorder than other youth.
How do I know if my youth has co-occurring disorders?
You don’t have to know! If it seems like your youth is struggling with emotional problems or drugs/alcohol, give us a call. We can help you determine if you should schedule an assessment. Some signs can include:
- Frequently missing school or getting in trouble at school (especially if related to using drugs or alcohol at school)
- Sudden changes in sleep patterns
- Sudden changes in friend group or avoiding friends completely
- Losing interest in activities that used to be fun
- Angry outbursts
- Talking about suicide or attempting suicide
- Sudden changes in weight
- Finding drugs/alcohol or paraphernalia (pipes, empty bottles, pills that were not prescribed, etc.) in your home/youth’s room
- Unexplained cash or especially expensive items (or money going missing)
- Arrests/legal problems
What if a youth needs medication?
Youth in ICTP can receive psychiatric services and medication management appointments with a psychiatric practitioner when indicated.
What about family therapy or other support for parents?
ICTP staff understand that parenting a teen with co-occurring disorders is difficult. ICTP offers the option for parents or caregivers to participate in family coaching. You can participate in individual sessions or in a group with other families.
Who is eligible for ICTP and where are services located?
In the Greater Seattle area:
Youth age 13-26 can come to our Youth and Family Services Branch on Martin Luther King Jr. Way S. in Seattle. This location accepts private insurance and Medicaid. Contact the ICTP Administrative Program Manager at 206-322-7676 ext. 6248 for questions or to request an appointment.
In South Snohomish County:
Our South Snohomish County Program serves youth age 13-19 who either: – – Live in South Snohomish County and are involved in the juvenile justice system (Diversion Agreement, Probation, or At-Risk Youth programs)
– Attend school in the Edmonds School District
Youth in the Edmonds School District may be able to have sessions at school during the day or after school. Student Support Advocates at the schools can help you set up an appointment. Youth involved in the juvenile justice system should ask their Juvenile Probation Counselor or other court staff for a referral. Sessions take place at the Verdant Community Wellness Center in Lynnwood. A grant from the Verdant Health Commission helps cover the cost of services.
For more information, please call 206-322-7676 extension 6248 or visit the ICTP Program page.
THS is proud to announce our 2017 Mental Health and Substance Use Program Outcomes
For both youth and adult clients, we track progress every 90 days on a number of general measures of improvement towards treatment goals. For the Substance Use program, we track measures of improvement such as basic medical care received, alleviation of chronic symptoms and reduction in use of alcohol and drugs. For Mental Health, we track the development of self-management skills, improvements in mood and behavior, and client ability to engage positively with family.
How does social worker and Little League coach Aaron Parker teach his team to make good choices on and off the field? By using evidence-based principles from UW School of Social Work’s Communities in Action initiative. Your support makes it possible to help more youth adopt healthy behaviors for life.
You can watch a video of THS Branch Manager Aaron Parker in action with his Little League team here.
Click here to learn more about the University of Washington School of Social Work and the Communities that Care program.
On Tuesday, December 12, THS was honored to host King County Executive Dow Constantine to celebrate the one year anniversary of the Youth & Family Homelessness Prevention Initiative. One year ago, we began our partnership with Best Starts For Kids to provide solutions to young people and families facing homelessness. We’re proud to announce that together, we prevented more than 3,000 people from becoming homeless in 2017. Click here to see how we did it.
You can also watch coverage of the press conference from Q13 Fox News featuring THS’s own Tanya Robertson-Brooks.
Check out our new THS Adult and Youth Program brochures.
To view or download a copy:
Click HERE for the Adult Programs Brochure.
Click HERE for the Youth Programs brochure.
Announcing the 2015 Therapeutic Health Services Investigative Summary and Juvenile Justice Directory!
Therapeutic Health Services (THS) is one of the oldest alcohol and substance abuse multi-service nonprofit organizations in the Pacific Northwest. It has assisted residents of both King and Snohomish Counties, and offered one of the first mental health and youth service bureaus for Black youth. For over forty years, THS has provided a comprehensive mental health, alcohol and substance abuse service-approach to meeting the challenges affecting Black youth, their parents and extended families.
Over the course of nearly three years, research was conducted into what drives this over-representation of Black youth in the criminal justice pipeline. The question that we focused on throughout the research process was “what’s missing in terms of reducing this travesty?” Fifty-five individuals representing eleven sectors were randomly selected and interviewed. These included: law enforcement, court officials, youth advocates, nonprofit service providers, faith-based community leaders and educators, juvenile justice administration, and businesses. We also included local public high school student voices.
The participants were interviewed over a period of two years by a local researcher behalf of Therapeutic Health Services. This cumulative project is a question to the community; “What’s Your Responsibility for reducing the Incarceration of Black Youth?” It examines what was learned from that inquiry, and aims to move us forward with resolve to make a difference in the world around us.
The Juvenile Justice Resource Directory is a companion piece to the Investigative Summary and was inspired by interviewees who insisted our city and communities cross this state can do more. Both are public service publications highlighting the completion of our juvenile justice project.
A Lifetime Opportunity Check out our new video Central Youth Development – Developing Youth and Making Bright Futures above. It showcases the Central Youth Development (CYD) program and the amazing educational opportunities we are providing to students in Seattle and Seattle Public Schools. The CYD program connected students with a once-in-a-lifetime college tour through southern Califonia. By partnering with our friends at Y-Scholars at Garfield High School through Meredith Mathews East Madison YMCA, our CYD program was able to expand the more..
BY: Carole Jakucs, MSN, RN, PHN on September 11, 2019 There is a shortage of psychiatrists in the U.S., but some states are in greater need of psychiatrists than others. One example is the state of Washington, which has only met its need for psychiatrists for its population size, by just more than 11%, according to a recently published report by the Kaiser Family Foundation. The state needs a minimum of 165 more psychiatrists to remedy its current shortage. “The shortage has greatly more..
Tarena Lofton Susanna Harris was sitting in her lab class for her graduate program at the University of North Carolina at Chapel Hill when she received an email that told her she had failed what she describes as “the most important exam in grad school,” the doctoral qualifying exam. She took the rest of the day off, went home and baked cookies. Harris continued with her regular schedule: lab, work, home, repeat. Everything seemed fine until she realized she was more..
In response to overwhelming demand, Therapeutic Health Services is happy to announce that it will begin offering youth mental health services at its existing Kent location at 24823 Pacific Highway South. “We’ve been receiving so many calls and emails from families in Kent, Federal Way, Des Moines and Burien. Our Seattle-based counseling staff has been doing a great job responding. We’re at the point where it just makes sense to have counseling staff closer to the communities they are serving,” more..
We want to share Royale’s story with you. Royale was a client of our Youth and Families program. His story, in turning his life around, is a bright light that we hope brings you a smile. We serve many young people like Royale and we hope to share more stories like his with you in the coming year. Please consider making a gift today to ensure we can continue lighting up lives like Royale’s. Support Patients Like Royale Please consider more..
Every year the National Institute on Drug Abuse (NIDA) surveys 8th, 10th, and 12th graders across the country about their substance use The most recent results from 2017 show some interesting changes in the popularity and perceived risk of cigarettes, “vaping,” and marijuana. While cigarette use has shown a steady decline since the survey began in 1991, vaping is becoming more and more popular. In 2017, 27% of 12 graders said they had ever smoked a cigarette, while 36% said more..
We need your help to raise $10,000 in the next 2 months Every so often we have a program that needs “a little help” – additional funding that allows us to serve more people in need or to enhance services so existing participants can be more successful. In order to provide extra help for the ROYAL program, THS has started its first ever crowdfunding campaign to provide extra summer programming for local youth in need. Our goal is to raise more..
What is Cognitive Behavioral Therapy? Cognitive Behavioral Therapy (CBT) is based on the understanding that the way we think influences how we feel and the choices that we make. Cognitions (thoughts and beliefs) are the things we say to ourselves about the world around us. These thoughts can sometimes be unhelpful, negative, or distorted from reality. For example, Sam is walking down the hallway at school and tries to say hello to one of his classmates. The classmate barely looks more..
ICTP is pleased to announce that our Spanish Parent Coaching Group starts April 23, 2018 Spanish-speaking parents and caregivers of youth with co-occurring mental health and substance use disorders are invited to attend this FREE 5-week workshop. Families can expect to learn about the teenage brain and why co-occurring disorders require a different set of strategies. We will also talk about skills to help develop healthy household rules, reduce conflict, build relationships, and maintain safety in the home. THS Psychiatric more..
ICTP Director Dr. Susan Caverly was a featured panelist at Sno-Isle Libraries Issues That Matter series on March 7, 2018. Other panelists were ICTP Therapist Rochelle Long, Co-Occurring Disorder Specialist for Stanwood-Camano School District and Megan Boyle, Director of Children’s Intensive Services at Compass Health. Dr. Caverly offered a unique perspective in this panel. She has seen the impact of co-occurring disorders in teens on a professional and a personal level. The panel discussed some of the treatment options for more..