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Treating Co-Occurring Disorders

Friday, November 10, 2017
8:45 am12:00 pm
Kermit Dahlen Training Center - 3500 W. 4th Street - Sioux City, IA 51103


Substance abuse counselors, social workers, mental health counselors, nurses, recovery counselors and interested human services professionals.


We know from clinical experience and research that Substance Use Disorders (SUD), psychiatric conditions, and medical issues tend to co-occur, and each complicates the management of the others.  Our systems of professional training, service delivery and funding can lead us to fragment the care of persons with complex overlapping problems.  This presentation will attempt to take a broad view of the issues driving an emphasis on truly integrated care of persons with co-occurring disorders. 

Do not expect a symptom-by-symptom rehash of DSM-5 diagnostic categories.  Instead we will examine what we know about selected co-morbid disorders and describe the biopsychosocial common pathways to these outcomes.  We will examine the elements of co-occurring competency, identify barriers to interdisciplinary collaboration, acknowledge challenges presented by these difficult patients, and offer some practical considerations for the management of co-morbid disorders.


Upon completion of this workshop, participants will:

Understand the extent of co-morbidity between SUD and selected psychiatric disorders, with an emphasis on common factors influencing both.
Identify ways in which co-occurring psychiatric and SUDs affect the expression of each other and complicate management and therapy.
Understand some of the issues that can limit interdisciplinary collaboration, and Identify basic elements of co-occurring competency.
Conceptualize an integrative approach to managing co-occurring disorders effectively.

Clifford G. Millard, Ph.D., Director of Quality Assurance, Jackson Recovery Centers: Cliff is trained and licensed as a psychologist in the State of Iowa.  He has over 30 years of experience as a clinician and administrator in the substance abuse field.  In recent years he has become active in the interdisciplinary coordination of integrated services to persons with SUD and SA/DV issues.

Rachel Wurth, MSN, ARNP FNP-BC, is the Assistant Medical Director at Jackson Recovery Centers. She has provided medical services for Jackson since 2011- initially through the Siouxland Community Health Center and now as a member of Jackson’s medical provider team. Rachel received her Nursing diploma degree from St. Luke’s School of Nursing in Sioux City in 1993. She earned both her Bachelor’s (’08) and Master’s (“11) of nursing science from Briar Cliff University in Sioux City, Iowa. Rachel is a certified family nurse practitioner through the ANCC (American Nurses Credentialing Center). Rachel is a member of the Iowa Nurse Practitioner Society, the American Academy of Nurse Practitioners, and the American Society of Addiction Medicine. Rachel has worked most of her professional career serving women, children and families.

Continuing Education Units (CEUs):

Program approved for 3 hours of continuing education with IBSAC for Iowa Substance Abuse Counselors and 3 hours of continuing Social Work education. Jackson Recovery Centers is an Iowa Board of Social Work Examiners approved provider #0241.


To register for this training, visit our website  The fee is $35.  Registration deadline is Wednesday, November 8.