This treatment manual was developed specifically for clinicians, who work with clients who have co-existing severe mental health and substance abuse problems, who may not be motivated to tackle their drug/alcohol problems and be poorly engaged with treatment services.

How do you engage a reluctant client in discussing alcohol/drug use and build motivation for change?

Hermine L. Graham and her team of co-authors have specifically developed this treatment manual for clinicians and therapists who work with clients presenting with co-existing severe mental health and substance misuse problems.

Cognitive-Behavioural Integrated Treatment(C-BIT) provides a framework that is structured but flexible, assisting clinicians to initially engage with clients and collaboratively tackle alcohol and drug problems in the context of the client's mental health difficulties. The book is set out in three parts:

Part I sets the scene by outlining some of the background issues concerning co-existing substance use and mental health problems.

Part II is a step-by-step manual and will guide you through the C-BIT approach, with practical strategies on how to deliver integrated interventions appropriate to your client's stage of engagement with you.

Part III addresses some of the key issues involved in the process of implementing integrated treatment. It highlights some of the implementation obstacles that can often arise during the developmental stages, with suggested strategies to address these issues.

Each Part has supporting worksheets clearly displayed in the Appendices.

This essential resource and handbook will be invaluable for clinicians, students, researchers, managers and health purchasers/providers in mental health and substance misuse settings.