Concurrent disorders describes more than one disorder occurring at the same time. More specifically, mental health concerns coupled with substance use concerns.
According to Adaire, C.E. 2009, 60-80% of youth with substance use disorders also have an emotional or behavioral disorders. Up to 40% of youth with mental health disorders also have a substance use disorder. Concurrent disorders are the expectation, not the exception.
At the Provincial Youth Concurrent Disorders Program (PYCD), we see a range of mental health concerns including: Attention Deficit Hyperactivity Disorder (ADHD), anxiety disorders, mood disorders, trauma, psychosis, concerns with sleep and anger. We also see a range of substance use including: nicotine, alcohol, marijuana, cocaine and heroin.
Concurrent disorders are complex and challenging to identify. The mental health concern may come first, using substances may come first, both concerns may start at the same time and mental health concerns and using substances may start separately.
Concurrent Disorders are treatable. Both concerns need to be treated at the same time. At the Provincial Youth Concurrent Disorders program (PYCD) we are client-centered and work from a harm reduction approach. We work with both the youth and their families and use evidence-based treatment approaches.
The Provincial Youth Concurrent Disorders Program (PYCD) sees youth that have experienced mental health and substance use concerns within the past 6 months.
There also needs to be evidence of moderate to severe functional impairment in 1 or more of the following areas: school, housing, self-care, work, family life, legal, and/or peer relationships. The clinic works from a harm reduction approach. Abstinence from substance use is not required.
Access to the program is by referral only and requires the following:
Services we offer
- the youth be aware of the referral and be willing to participate
- parent / caregiver involvement if appropriate
- Diagnostic clarification
- Limited Treatment
- Follow up care
- Family support
- Medication Consultation
- Resource Consultation
- Teaching to other health care service providers and student placements
The health care team is an interdisciplinary team comprised of: a psychiatrist, a psychologist, a nurse clinician, a clinical counselor and a social worker.
The Provincial Youth Concurrent Disorders Program has initiated and collaborated on two research submissions which are under review.
Student placements and training opportunities are available at all levels and from multiple disciplines including: social work, nursing, counseling, medicine, psychology and psychiatry.